11-101234 .. . • f1 - I 0 1 A 3 Li
CITY OF PERMIT SF MF 0 E PL DE EN FP
, Federal Way
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
www.citrottederatw44.com
SITE ADDRESS C gi j6/ 0' 460114 SUITE/UNIT#
2
FaostAt. LoW11, uJi4 iS0o
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$31210F' ,, - of R 1- C. 5" d 0 - O / - 0
TYPE OF PERMIT "'UILDING 'PLUMBING )<MECHANICAL
❑ DEMOLITION ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Enue-A- t41JI4. SERV(cz c i -- TE0A - l Mtge V-iEIJ-t'j
(Tenant Name/Homeowner Last Name) Fe wC�,. .. `�' 4�0o` i 5c�1� u 0. 2tb
PROJECT DESCRIPTION G.V W
Detailed description of work to 14.4544 AV I.a64.• 0ei1iQtA 11Dil.); Tel-h}t.Tr (µ'l Ptz.oVEME-P +S
be included on this permit only APO
mom,I ,, k p ico t, ' lD r�
NAME .O�
2p i 0 �T PRIMARY PHONE —
PROPERTY OWNER Fever W,- Poe"G co611,0026.-3.9►+ ✓ •5-96.-
MAILING ADDRESS E-MAIL.
10 6'10 5. 'Pt04A- n r r•ldlaild64wps.vrg
CITY STATE ZIP
• l~eloee-41.- umei VII _ 9Poo ,_
'O NAME .-_O-- PHONE
MAILING ADD' •t;/ ..;V#5177)
^4//^•S�/jV�j E-MAIL
CONTRACTOR ' ♦/ �r/ (4-iL
CITY F STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/
.
NAME fOW ',Mtn
( I t4 ',M pfr�, ~ PHONE . .
60e.ESuE COAs/gwA't' Z5.3.4I4/- '1931
APPLICANT MAILING ADDRESS E-MAIL÷eK Q(�edGN G
P Or / O7' 4151 1 A.S•4.k! IQ.ti•7caul
CITY STATE ZIP AR
r0/e w94/ w gtdlo xs1-4/41.541'L1-
PROJECT CONTACT NAME 'TON K M1471 ("DC7 PHONE 'f q�7
(The individual to receive and e1IZCE,'6 C W/t`i 24- 441
respond to all correspondence MAILING ADDRESS EMAIL-howl p r G(4 ti
concerning this application) P.a, 73 0 g 415 1 Ike IQ.u.,Ay../401.14iCITY STATE ZIP AR l
Fe -#i 1.414-4 tA.+A 9 ID 6.3 253.44-1 ,5'/412-
ALTERNATE .,�p�. �'
CONTACT NAME: PHONE E-MAIL .Q V t n of5 I"Com' y
GAova .6~u3fY 53'`1 1•1#13? Q.w044 f t,lgPI _.
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more e
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 this application.
SIGNATURE: �� �7 5'l/o///
'u-a 2 i DATE
PRINT NAME: Aid I n/
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
7/ /o/23 �-
• •
•
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ I GO,WV (a copy of bid or estimate must be provided)
Indicate how many of each type of jbcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
9 AIR HANDLING UNITS Z.. FANS 0 GAS PIPE OUTLElb 0 OTHER(Describe)
jb AIR CONDITIONER f) FIREPLACE INSERTS 1 HOODS(commercial)
0 BOILERS b FURNACES ` HOT WATER TANKS(Gas)
0 COMPRESSORS Q GAS LOG SETS d REFRIGERATION SYST
40
G , DUCTING 1 GAS PIPING d WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type offix�tt/ure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
0 BATHTUBS(or Tub/Shower Combo) I I. LAYS(Hand Sinks) {12' TOILE lb 1 WATER PIPING
I DISHWASHERS (, RAINWATER SYSTEMS Q" URINALS O OTHER(Describe)
40 DRAINS 0 SHOWERS 0 VACUUM BREAKERS
DRINKING FOUNTAINS I SINKS)Kitchen/Unity( I WATER HEATERS(eteetrte)
O HOSE BIBBS 0 SUMPS 0 WASHING MACHINES 44 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Ncau6 LA.148.liAvcij MK4 tfkvEiv $ q, , 000
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
�r�� M 17-.2. 5 rC Yes ri No
, ?Alan prt s .Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TOTAL BUILDING 101 cl3 11 i5 (I Iliy
1 --�
TENANT AREA ONLY I v( $3'4 A/v• `I 16 `�
PROJECT AREA ONLY tot 0 q ,I ! f
p �j it ( —'r
Bulletin#100—January 1,2011 Paagger2of 3 k:\Handouts\Permit Application
Building Commercial
City of Federal Way •
Community Development ServicesF ILE
Permit #: 11 -101234-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: EDUCATIONAL SERVICE CENTER-FEDWAY SCHOOL DISTRICT#210
Project Address: 33330 8TH AVE S Parcel Number: 926500 0120
Project Description: TI- Interior modifications to create office spaces.Plumbing&Mechanical included.
Owner Applicant Contractor Lender
FEDERAL WAY SCHOOL TONY MATIATOS BAYLEY CONSTRUCTION FEDERAL WAY SCHOOL DISTRICT
DISTRICT 210 GREENE GASAWAY ARCHITECTS BAYLECG034JC(12/31/11) 210
33330 8TH AVE S PO BOX 4158 8005 28TH ST 33330 8TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98063-4158 MERCER ISLAND WA 98040 FEDERAL WAY WA 98003
Census Category: 437 - Commercial alt/add I conversion
Includes: #1 #2 #3 #4
Occupancy Class: B A-3
Construction Type: Type III -B Type III -B
Occupancy Load:
Floor Area(sq.ft.) 70,534 0 0 0
<01
Building Pre-con..Meeting Required?....:.... Yes Existing Sprinkler System in. Building?.....,. ..,..:Yes
Mechanical to be
Included? Yes Number of Stories.... ..... 3
Permit for Building Shell Only? No Plumbing to be Included? Yes
Special Inspection(s)Required? Yes New/Additional Sq.Feet-Total 0
Occupancy#1 -`Use Professional Zoning Designation OP
Services/Offices
... •rF C. ls#111`w i~ lCtl� a' e v �., >,. "A'' „,,
r'.• «„ <=3 - a r
Air Handling Units 9 Air Conditioners-Stand Alone Un 4 Fans 2
Gas Piping 1 Hoods 1
ga Plumbing Fit�Fre
Dishwashers 1 Drains 6 Drinking Fountains 3
Lavatories 12 Other Plumbing Fixtures 1 Sinks 1
Urinals 4 Water Closets 12 Water Heaters 1
PERMIT EXPIRES Sunday, January 8, 2012
Permit Issued on Tuesday, July 12, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: J �-
Date: 1.,1
ciy
_
4....... t
CitFederal Way •• } .'.
Certificate of Occupancy :.
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliancevi
ith the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY whet endorsed by City staff.
Tenant Name: EDUCATIONAL SERVICE CENTER-FEDWAY Permit#: 11-101234-00-CO
Address: 33330 8TH AVE S
Includes: #1 #2 #3 #4
Occupancy Class: B A-3
Construction Type: Type III-B Type III-B
Occupancy Load:
Floor Area(sq. ft.) 70,534 0 0 0
Owner Name: FEDERAL WAY SCHOOL DISTRICT
Owner Address: 33330 8TH AVE S
FEDERAL WAY WA 98003
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the.City has made as complete a
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
` J/
—/
41,
‘'DATE INSPECTOR AREA AND TYPE OF ISPECTION
` S „II __
t C bS.,-j i '1: .-Ak,11.— 3 - c'd,S-- ‘,I g
(es-a\A- 1 1
1 `). 9 -
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k . e - -S
6-- .f7- ,�c. — Iry .
q--/r,>i ft1= L_ /4471,v1 2,z 2'` ,p_ l v77,' 6411/,4c-,- 9
c� 5107,-,,s•
Z a+y S- 1, \N ✓ Lel/1 .::i 1ty�� O QS C �JY�
// ��F N1Ec , /' ` ��t\Y�?
1 1 _ .9—, fL � : COS - —
THIS CARD IS T MAIN ON-SITE
CITY OF • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-101234-00-COAddress: 33330 8TH AVE S
Project: FEDERAL WAY SCHOOL DISTRIC' FEDERAL WAY, WA 98003-6392
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.
El SWM Precon Site Mtg(4400) 0 Initial Erosion Control (4365) 0 Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
El Re-steel (4215) El Plumbing Groundwork(4190) El
Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date r-5-/I By awl Date 1e "21 ,
eptti
El Underfloor Framing(4285) Floor Sheathing(4105) El Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By 0„...) Date of r 1 By Date By @ .r Date
-1$•-•
O Mechanical Rough-in (4165) El Gas Piping(4125) 0 Fire/Draft Stops(4095)
Approved Approved to release test Approved
/
By CI 1,v.- Date t)-1'4f�1 1 By Clams Date 1`0 Ws-4 ( .By �� `' Date —i' y
0 Interim Erosion Control(4370) ' Prior to scheduling a Framing inspection; Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and
Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC10934 By �it`9 Date `tx-�L i
E Insulation (4150) '❑Gypsum Wallboard Nailing(4130) El Suspended Ceiling Grid (4265)
Approved to install wallboard (.,1F Date
to install mud&tape Approved to drop the
By Date By �e✓/ Date /—SCS r//' By Q_44-•-• --) Date \,t -,\"1,--\1
El Final-Fire Department(4060) ❑ Final-Planning El Final Erosion Control(4375)
Approved Approved Approved
ByG.-O..--
Date /Z-2,1 i( By Date By Date
121 Final-Mechanical(4065) El
Final-Plumbing(4075) ❑ Final-Building(4050)
Approved Approved Approved
By Date t —14r, By Date 1�`i q`i I .By,., Date —a,4�``
ilid t ,
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
EIVEQ. •1 - 1 O I Z 34
r ��„� ,, "` REC PERMIT Federal Way SF MF CO ME PL DE EN FP
�r0 01 zot1PPLICATION 4
CbMMUNIT2 07.FAX
A 253-83 E2609ES' /is /f
253-835-2607•F�UI253-835-2609 �.
wwiL.cth,ollecterzlie;n .�If`Y OF FEDERAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
'1,34,o $ `p.vE 5. re eR,A4. wr4,Y, w/. 9 soapy, .....
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ /1
�
goa,000" orq •20. co 4 o O - o / 2 0_
TYPE OF PERMIT ABUII.DING •
❑ PLUMBING 0 MECHANICAL
DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECTame) �'•vU4& lo{.1A1. *E.'.iI -Gepreo.• e'Am An" /melt*Ve/N ',
(Tena
ep.44. wi►y 43 c e}oot. 17t4TPLIC7C /30. 401 o
PROJECT DESCRIPTION Cu moo, AF- I TEGTU A L TEN A RYC L M P1� Me 5
Detailed description of work to uFi
be included on this permit only t l�v eA,�T.1 VA - A J,��k t 6�}6i 7 . _ a
NAME_ Cs&LAN J -(i�'�" PRIMARY PHONE
PROPERTY OWNER �•l.+ w* P V et-i e. 5C H OO1.6 'i4• a 9 5"• y-1
MAILING
RESS
4. +5�?.0 `•STP ET vI iI&Owl @ Aar s.org
way �JA ZIP
$e'o
NAME PHONE
TOO
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME TOhsy P.
SAV* 's PHONE
colLeaN+ i1/4•Mu ei '2 e>15•'Ml •49431
APPLICANT MAILING o WV. 4i6•13 E-MA �y dl?4,ye*me
laiffeweMt. wr4N &UA �1 e(, fore. •4, •5724
PROJECT CONTACT NAME 1.00%1��C"�''� �w�� PHONE • 94,•4137
(The individual to receive and CO
respond to all correspondence SIMANG ADDRESS MAD,'1'e�M.•� ���`
concerning this application) Q.o. °5' 1 COQ+�I+} ii • begot
CZW
f D6RAt�. wit STATE
'luxe', AX2m►. iH•S72rt.
ALTERNATE CONTACT NAME: PRONE E-MAIL CAINN Naen4e
CAW N tooiAWM t.63.941•`193'7, 9 Afo .w al. %ow.
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
IRCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 city as a •• , cy is application.
40
SIGNATURE: �� i 0 - ., DATE 4/I� I
PRINT NAME: - r-- iiiht iw.o
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
• •
MECHANICAL FIXTURES
VALUE OF MECHANICAL WORK $ R"'" (a copy of bid or estimate must be provided)
Indicate how many of each type offixtum to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not inchtdh existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand sinka) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(mecism)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR�jSEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
NoNP. LAgsliAVe0 1.141 EHAVON $ q, 4•001 ape,
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
I a I Sit,a1412.4fg o Yes 0 No
PAIRTIAL. AYes ❑ No
RESIDENTIAL NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
*"NEW HOMES ONLY9/M
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of" Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area AREA DESCRIPTION in Square Feet Occupancy Group(s) Cons fiction Stories Additional Information
TOTAL BUILDING "Io,634" j oft
TENANT AREA ONLY 10, c3* A'S/n ,Il ' S woo
PROJECT AREA ONLY 1o,53+ /ism t l l e 4 tio
_
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Pennit Application