06-102048 A f . , * A
[ commetLrvices Burn - Commercial PermiT : 06-102048-00-CO
g
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: CINGULATA (WA415)
Project Address: 34301 9TH AVE S Parcel Number: 202104 9157
Project Description: NEW-Build a new equipment shelter 240 Sq/Ft.
Owner Applicant Contractor Lender
UNITED STATES POST OFFICE VINCE BOZICK
FEDERAL WAY WA PACIFIC TELECOM SERVICES
98063-0500 568 1ST AVE S SUITE 650
SEATTLE WA 98104
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: S-2
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 240 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories... :.... .......'..1
Permit for Building Shell Only? Yes Plumbing to be Included? No
Special Inspection(s)Required? Yes Occupancy#1 -Use Storage-Low
Hazard
Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Saturday, May 24, 2008
Permit Issued on Wednesday, May 24, 2006
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 accordance with the laws, rules and regulations of the State of Washington
an. the City of Federal Way.
Owner or agent: j T Date: /2 e. 2,66(o
DATE INSPECTOR AREA AND TYPE OF INSPECT ON
THIS CARD IS TO MAIN ON-'SITE'
J ; -
, '
CITY OF ommunit Develo m nt Inspection Record
Y p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-102048-00-CO
Owner:
Address: 34301 9TH AVE S
FEDERAL WAY, WA 98003-6721
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
15ar�e logged on the back of this card.
Footings/Setback(4110) ❑ Foundation Wall (4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
5 s1°e-4i2 -4;v5/gat-70/1/1
By Date By Date By Date
O Re-steel (4215) 0 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) Shear Walls (4245) 4 ( 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) Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
By Date =signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date
❑ Insulation (4150) 0 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-Planning (4070) ❑ Final-Public Works (4080)
Approved Approved Approved
`By birli Date /0v/66 By 06 `"ate/Z'/3'O cO By Date
•❑ Final-Building (4050)
Approved
By Date/) •la • ,
•
i ` ��Y�� 3 r1 _
CITY OF �
Federal Way APR 2 5RE RIVIIT
SF MF alME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8ThD AVENUE SOUTH•PO BOX 9718 0 P €AT I O N ID
FEDERAL WAY,FAX
53-83-260 ��/ / /
253uww,807•FAX253-t.c m i�BUILDING D
www.cityoffedercdwau.com
The following is re•uired in ormation-an incom•lete a..lication will not be acce.ted. Please .rint legibly(in ink)or ty••.
zp MI PROPERTY INFORMATION
SITE ADDRESS J 4/3 d 1 I Ave S + � SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 2 C) 2 ( 0 `i - G` s_ I/ 5 7 LOT SIZE(s)2) 2 ySS./8
)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) � 122 /-e,4tr' e9/`
(Attach separate page for lengthy legal description)
II PROJECT INFORMATION
TYPE OF PERMIT Q'BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
//)(,c(ii rc.ativn Of 4'n 47`i.ttiti.o urArtianr‘ea' -ic ie c 0,1 ry,,..."(Latl OrkS 'TGc,/,./y- ee/place (3)
p�CS-1I�q at\t•erv'aS wt4l� (3) /Iew aryftIAr.aS - Hold (2) new eab,,,et5 and (3) -lu te.
cAkne1s 'i /d erv. rri,gie//ec
PROJECT NAME(Name of Business or Owner Last Name) Cin ju is r in/r r c(e S S Cø i 5 0,01 W/S) 77,1+,7 l-a n e.
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 1.,4(11-ltd 5'--afts POS- .( ,Se(vtce. ( it ) SZb -24LW
MAILING ADDRESS CITY,STATE,ZIP
r36/ Wi/son 81vd ) 54. -k 300 pr(tr e4or ' VA 22103 — / 90/
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
tri 4-11/ Vince. 13oz,ok (1-lzf) Zs - 12, Z.
MAILING ADDRESS COY,STATE,ZIP CELL PHONE
2-7i0 0/4-I'US ,Cly, - Eve,k)'14 wA- 7432/01 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
_ - / / ( )
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
V✓ e IN C S 1( D 1 3 E. {o 'ar. / Z(o /Jso08,
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Aacr4rc 7e/ecocr fe/vtce c VAce- 3ortcr (Zc& )3s62 - $(433
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
5(08 15+ ,lie- S ) Sfe 6So Sea-If/e/ w4 ?$ioy (Z06 ) 3Slo - QiQ3
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant Agent ❑ Other(Describe) (Z6 to ) /03 - $5/3
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
t:e. 13 (20(o ) 35(e - 8/63 vhaz, 76,,off1,44• c
LENDER Per RCW 19.27.095: Lender information is NAME
required'if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
_.. __--- ( ) ..
U DETAILED BUILDING INFORMATION
EXISTING USE ' PROPOSED USE -77PC✓rl
EXISTING ASSESSED/APPRAISED VALUE $ 100 l 000 VALUE OF PROPOSED WORK $ /(, COU
SPRINKLERED BUILDING? ❑ YES XNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE E TACOMA o PRIVATE(WELL) .
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) .
III 1111
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 ❑ CARPORT❑
EXISTING PROPOSED TOTAL TOTALEXISTING SF ;>TOTAL PROPOSED SF TOTAL SF
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 ork $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS RE ICTSTEMS
BBQS `- FANS HOODS(commerenk) WOODSTOVES
BOILERS F v..• •CE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLN►-
PLUMBING
SHOWERS
BATHTUBS(or Tub/Shower Combo}- WAT ` _ OSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FO NS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certifiy 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 officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. 1
NAME/TITLE 17 DATE A" "- / Zoo 62
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner X Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑ NEW ❑ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES ❑NO BASIC PLAN? ❑YES n NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? n YES o NO UP/SEPA/SU? o YES n NO
PLATTED LOT? ❑YES n NO DEMO PERMIT REQUIRED? n YES n NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application