09-101536 J A
• Building - Commercial
City of Federal Way . 1t.JJ..�
Community Development Services r Permit . 09-101536-00-CO
P.O.Box 9718 > h
Federal Way,WA 98063-9718 Insion Re uest Line: (253)835-3050
• Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: SAGHALIE SOCCER SCREEN FENCE
Project Address: 33914 19TH AVE SW Parcel Number: 242103 9088
Project Description: ADD-Install a soccer screen backstop fence
Owner Applicant Contractor Lender
CITY OF FEDERAL WAY CITY OF FEDERAL WAY OLYMPIC FENCE CO INC
PO BOX 9718 PO BOX 9718 OLYMPFC088JP(4/1/11)
FEDERAL WAY WA 98063-9718 FEDERAL WAY WA 98063-9718 38134 160TH PL SE
AUBURN WA 98092
Census Category: 565 - Fence/retaining wall
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
�� r ltlPermit formation ,, at. t, t ,E
Mechanical to be Included? No Number of Stories 0
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
No Fixtures'Associated With This Permit !!
PERMIT EXPIRES Monday, December 7, 2009
Permit Issued on Wednesday, June 10, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and thuse will be in accirdance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: e
C h ��� Date: hi4 /Z.Qv`'�
-- /ifj'o9
THIS CARD IS TO JikMAIN ON-SITE
CITY OF ,•,:alik
ItommunltY Development Inspection Record
Federal IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09-101536-00-CO
Owner: FEDERAL WAY PUBLIC SCHOOL
Address: 33914 19TH AVE SW
FEDERAL WAY, WA 98023
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Footings/Setback(4110) ❑ Foundation Wall (4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel (4215) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) 0 Shear Walls (4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
❑ Fire/Draft Stops(4095) ; NOTE: Prior to scheduling a Framing(4120) 0 Framing(4120)
Approved nspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
i signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
❑ Insulation (4150) El Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
❑ Final-Fire Department(4060) ❑ Final-Building(4050)
Approved Approved
By Date By (_ , Date rl`A�
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
—%
Fe'OFAdr _ l V 5Feder3i Wil • —
Y PERMIT SF MF2E EL PL DE EN FP
COMINIlN/?'Y DEVELOPMENT SERVICES
33325 8w AVENUE SOUTH•PO BOX 9718
253-835-2607. AX 253-8 2609 APPLICATION TD / g /
www.atuollederalwatt.cam
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
IIIPROPERTY INFORMATION
SITE ADDRESS_ - 3 9 f 7 q I i' Avc5'�YJ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# Z l 2 / r', ( �/ a- lc C��`& LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
MI PROJECT INFORMATION
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
inj5 Ac-t_- A 5-t,CcF_-(- r�,L t_ ,
-1 tr, � - s_
PROJECT NAME(Name of Business or Owner Last Name) JA67 rf A1.1 E 5c, C C 5G�6 ,J Etc.-KJ C,F
al PEOPLE INFORMATION
PROPERTY NAME \\ e d
OWNER Cs/ 0 F FF LES-AL- WA PRIMARY PHONE
MAILING ADDf4
- CITY,STATE,ZIP E-MAIL ADDRESS
33Ia5 8'- - Ave 5.. Ft-fit- rut A/6� A-S3-d-et.- 3 ` 4,t
CONTRACTOR COM
j-- " APPLICANT NAME OFFICE PHONE
i . 4e ( 2 ) 333 - 936-7
MAI
,S,"
DCITY, ,4' ` (�I O l L 5 l At),5 Li_ I F Z,f A g0 (
CELL PHONE) -
Ok(�, CITY OF FEDERALWAY BUSINESS LICENSE NUMBER E IRATION DATE FAX NUMBER
`JA L o - 1t I _'� SC r1 c ' Y i,- I , ( ) -
y
CONTRACTOR'S REGISTRATION NUMBER MEEP112ATIO DATE E-MAIL ADDRESS
01,114PFG0 <. r Y/1/ 11
APPLICANT COMPANY NAME �•`�C�j A •/ APPLICANT NAME OFFICE
OFFICE PHONE t
L--1l 1 c a r (.t.6,F-A WK Asi.•N 4„�t(A (�5 ) 5- 6�i6
MA1LUN DRESS Crrt,STATE.ZIP CELL PHONE
333, 5 "1A vc 5. FEbF -Ai- (t4 VIA 1 grO 0 (cs :) 3C -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant 0 Agent 0 Other ( ) -
PROJECT NAME_.- PRIMARY PHONE E-MAILDDRESS
p l 4CONTACT =JAS1*I X12-bL)E-N ( EE-MAIL1 iN 5 -- 2--. ,a5cl1e eje,revert&G'+✓ e0M
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE -- r
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 11 t l31 oz. °OC,
SPRINKLERED BUILDING? ❑YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O EBa NO
WATER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL -
SQ.FT. SQ.FT. SQ.FT. -
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
/
stnseuO PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED SF TOTAL sr
NUMBER OF FLOORS
....... ...gmaimmiiimi
**NEW HOMES ONLY** NUMBER BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be inst or relocated as part of this project. Do not include existing fixtures to remain.
MECIIANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS /" EVAPORATIVE COOLE GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toney
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of applicatio A jati
SIGNATURE• G►✓ RvL DATE 4/ )"Li/.2-106 d J
Property Owner and/or Authorized Agent
a „
❑NEW ❑ADDITION o ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? ❑YES ❑NO
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Bulletin#100—January 1,2008 Page 2 of 4 k\I-Iandouts\Permit Application