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07-104418
CommuCirrty tyofC�evFecferalelopment SWayervices Buildii- Commercial Permit # !7-104418-00-CO P.O Box 9718 FeW . 063 I Ph:(253)ed835-2607ralayWFA ax.98(253)-9718 835-2609 Inspection Request Line: (253)835-3050 Project Name: SPACE AGE DAY CARE/PRESCHOOL FOUNDATION Project Address: 2415 S 320TH ST '.r umber: !20 0525 Project Description: Day care for ages 3-5 licensed for 39 Owner Applicant Contra . r CALVARY EVANGELICAL PRES ROBERTA HALES CALV•RY EVANG LUTHE 333 WHITE RIVER DR LU ' •N CHURC- / CALVARY EVANGELICAL PACIFIC,WA RAL WAY10 LUTHERAN CHURCH OF 98047 2, 20TH ST • FEDERAL WAY FEDERAL A 9:, •42 2415 S 320TH ST 65 FEDERAL WAY WA 98003-5442 Census Cate: s�. om t/ nversion- Includes: #1 V •24, #3 #4 Occupancy C -• E Cons' tion - V-A Occup. Loa.. loor Ari ` ..ft.) 2, •0 0 0 0 `. 101 Sprinkler System in B ding? Yes Mechanical to be Included? No N of Stories 1 Permit for Building Shell Only? No Plumbs o be Included? No New/Additional Sq.Feet-Total 0 Occupan #1 -Use Child Care Facility Zoning Designation CC-C No Fixtures AssociatedniNith This Permit!! PERMIT EXPIRES Sunday, August 9, 2009 Permit Issued on Thursday, August 9, 2007 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: Date: Ci• ty of Federal Way gib Certificate of O -cupancy 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 compliance with the various ordinances of the City regulating building construction or use. This crate is valid ONLY when endorsed by City staff. Tenant Name: SPACE AGE DAY f RE/PRESCHOOL FOUND/ Permit#: 07-104418-00-CO Address. .2415 S 3201 ST Includes: NI #1 ` '` #2 #3 #4 Occupanc iiii, Construction T ee, Type -A Occupancy Load: Floor Area(sq.ft.) 2,1g 0 0 0 0 Owner Nadia: ;eXL V Y VANGELICAL LUTHER/ Owner A ss: 15 S 320TH DE' I WA 6003-5 „ ' or it* . - jit," -9-07 Building Official "° 4r /ate The priority focus in the review and inspection made by the City prior to issuance of this to was oto those mars which experience has shown most severly affect the health and safety of the general public. Altho gh the Citras mad s comple review and inspection as is reasonably possible(within budgetary time and personnel limitations), thaPity neith uarantees n' warrants to the owner/occupant or to any other person that this Certificate evidences strict complia►' a with and every ''- ' ordinance or regulation of the City or the State of Washington affecting the construction or use of said struc or the land ditfik ` which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. 1 • CITY OF 11 Federal Way�i' C' �oiitA , 410 - 1_02 __Lt L8 COMMUNITY DEVELOPMENT SERVICESk•\ 4;: ti PERMIT SF MF 'O E EL PL DE EN FP 33925 8TM AVENUE SOUTH•Po 60X 97 Q�G FEDERAL WAY,FAX 53-8 98063-9718 +��F�' Q PLICATION TD 253-835-2607.WAY, PAX 253-83-9718 OE. unnw.nluof ederalwatt am / / The following is req {rets information-an incomplete application will not be accepted. PIease print legibly(in ink)or type. o PROPERTY INFORMATION SITE ADDRESS 2 4.1 S -50 - 32-0 T-41• ST' t-e.-a Ee ft L ,l )Pr c/ "`' L SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) .. _ (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT 0 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 only) Cl4ai1/41 E o F 0C.c.-t.., va,.(C / FoiZ Lou-)ER Pwisqz., o� IloR,- (4)mg PROJECT NAME(Name of Business or Owner Last Name) -fcl,G 4 , Ca—fc_-Q__- • PEOPLE INFORMATION PROPERTY NAME �?• I PRIMARY PHONE OWNER Ca LVA-RY LL! -i-7-( E rte}i.I C,-rt, _^/ . - 3.�" MAILING ADDRESS CITY,STATE,ZIP (ZS ADDRESS 3O Z-1-1.5. S •3�T-4• SE-MAIL CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE ( M ) FAX NUMBER • COPY of Gerd regmrad CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE with eac epplieetlon �' E-MAIL ADDRESS APPLICANT COIq NAME APPLICANT NAME OFFICE PHONE {/n ( MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT ( ) FAX NUMBER ❑ Architect ❑/Tenant ❑Agent ❑ Other ( ) PROJECT CONTACT l NA , / /�S©� PRIMARY PHONE E-MAIL ADDRESS �Lt-..,_JJ O t-E I (ZS3) la3Z - G.3'g5 lw8aLoµysoou s8.t O1 _ LENDER NAME Per RCW 19.27.095: e:i Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) AREA DESCRIPTION EXISTING PROPOSED TOTAL SCe. . rfk SQ.FT. BASEMENT 4110 ' FIRST SECOND THIRD . ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 =term PROPOSED TOTAL TOTAL EXISTING sr •TOTAL PROPOSED Sl TOTAL sl' NUMBER OF FLOORS • **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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS • MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(cemmerdas COMPRESSORS FURNACESRANGES DUCTS • GAS LOG SETS REFRIG.SYSTEMS • PLUMBING BATHTUBS(or7ub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(relies ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS , SIGNATURE 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 by 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 city,including its offic s and e •loyees,upon the accuracy of the information supplied to the city as a part of this application. \ NAME/TITLE - DATE '9 -z-oc (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner 0 Ag- 0 Contractor 0 Architect 0 Other c ‹ ,,1°.''q':i'�1+, 4. fib, o NEW o ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO. BASIC PLAN? . - o YES a NO ZONING DESIGNATION •. CHANGE OF USE? . o.YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES 'o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—April 2,2007 Page 2 of 4 • ' k\Handouts\Permit Application