08-105855 fl 174f" 4111 Building - Com..mercial
City of Federal Way i< t-....r9
CommuTityDevelopment Services Permit #: 08-105855-00-CO
P.O.Box 9718 ;
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:t253)835-2607 Fax (253)835-2609 p q
Project Name: SOUTH KING FIRE & RESCUE
Project Address: 31617 1ST AVE S Parcel Number: 072104 9210
Project Description: TI-build separation wall in existing meeting room to create small office area.
Owner Applicant Contractor Lender
FIRE DISTRICT#39 FIRE DISTRICT#39 FIRE DISTRICT#39
31617 1ST AVE S 31617 IST AVE S 31617 1ST AVE S
FEDERAL WAY WA FEDERAL WAY WA FEDERAL WAY WA
98003-5201 98003-5201 98003-5201
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0` 0 0 0
Mechanical to be Included? No Number of Stories.. ...... .. ......:... ..1
Permit for Building Shell'Only,
No Plumbing to be Included?.... .......... '. ... .........No
New/Additional Sq.Feet-Total 0
'. ''`; y ,;f it say,'
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CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, June 8, 2009
Permit Issued on Wednesday, December 10, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be in accorda ce with the laws, rules and regulations of the State of Washington
d the City of Federal Way. ,�,p�
Owner or agent: :� 4I* AP/ Date: ,off /9 —`�'
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(cv(),
fluir.,1") K-
A116, THIS CARD IS TO RE AIN ON-SITE
CITY OF Cimunity Develo men ection Record
p p
ns
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-105855-00-CO
Owner: FIRE DISTRICT #39
Address: 31617L-1ST AVE S
FEDERAL WAY, WA 98003-5201
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) ❑ Re-steel(4215) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
_ 0 Underfloor Framing(4285) ❑ Floor Sheathing(4105) El Fire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) 0 Insulation (4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
0 Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By • Date By Date By Date
0 Final-Building(4050)
Approved
By Date
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By . Date
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' CoicMUlYl7Y DEVELOPMENT SERV1�,.�y'E C 1 ® ' ,, SF MF ME EL PL D E EN FP
333258TMRALWA ,WA9•63BOX97fd z1APPLICATIO
FEDERAL WAY,WA 98063.9718 T�' D
253.835-2607•F 60 1 V / /0 /
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RAS. WAY
The ollowi • is re•uired ,,•tion-an Inco •tete a••lication will not be acce•ted. Please .rint le•ibi in i or
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■ PROPERTY INFORMATION
SITE ADDRESS 3/47/7 /--- 4V6. 5e
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 l O7 P g _ I 1
-- LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
MIPROJECT INFORMATION —.
TYPE OF PERMIT jiBUILDING 0 PLUMBING 0 MECHANICAL _
0 DEMOLITION f'ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Au,L7j : 5e/0.4/ZA7f010 /k1*4[.L //V fX/5.7/Ai 4, ,/14.6Z-sr//%I e:
e3ox.k... To C/2c:%a76 ;5,AAA4.4- €2914-1471e6-- /4Xe .
PROJECT NAME(Name of Business or Owner Last Name) SOV Kj//� >u (o =/�G �U _
is PEOPLE INFORMATION
PROPERTY NAME
OWNER 5!J U T/ � /� riee- / -7e5cv�� 1 PRIMARY '' 7 PHONE j
MAILING ADDRE S (� f A ( ) t7 J 6 "
CITY,STATE,ZIP
.1i4,/7 / ZiJ✓c:- 5' . i-e-D6---,64e_ &14)/ cJ4. 9joa
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
.5-Anker- ( ) _
MAILING ADDRESS CITY,STATE,ZIP
CELL PHONE
(
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER )
EXPIRATION DATE FAX NUMBER
/ / ( )
-B L
-
CONTRACTORS REGISTRATION NUMBER(copy or card required with each application)
EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
57UTf/ 6,041----/‘4:,:-7( ,Z~ 72t2 t 647-74-'•^-1 ( 5-2)?$(6 - 73//e)
MAILING ADDRESS CITY,STATE,ZIP —
CELL PHONE
/5/o4--- .Sat) ,>/7 22/ s7. Fe:64--, -lc- / /14/ ` z3 (2O(,) i/o - ���
RELATIONSHIP TO PROJECT ✓
0 Architect O Tenant O Agent ❑ Other(Describe) FAX NUMBER
CONTACT I NAME
---4477z---A/ 1 pa3)
- 73,110
,3 a I E-MAIL ADDRESS
LENDER .,tcly, ' ."1 ;1--c ;;� P;o;gtr %�. iE"i NAME J
MAILING ADDRESS
CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE Mez—rim( ;pt PROPOSED USE A,16-6--r/V4 WOO 7 ee;436 -
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ,f.j , 0/
SPRINKLERED BUILDING? I)1 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? )(YES p NO
WATER SERVICE PROVIDER fir LAKEHAVEN ❑HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER *'LAKEHAVEN 0 HIGHLINE 0 PRIVATE fSEPTrc'.l
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PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
exisrtxo PROPOSED TOTAL • ram x er ROPOSED ?' .u.arr
NUMBER OF FLOORSxr ;5 • _' " '` . `.,�
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerdas WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Shower Combo) SHOWERS WATER CLOSETS(tomes MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 b'any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the ci; including i ployees,upon accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE ��► ' DATE /02 -/V 0
nature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor 0 Architect ❑ Other
-toe% F iI'(4..l.t.: . !J I s=R a oct F� �x lr!d 1 .�a e'f'=� W 8 a
ft 6t4f .c tot Eye ... c.. , r . ,.� � e 3 1 a rli
e ism a e� m s'�.m - 4,4 16.4 1 r a*a L ' c
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application