04-102367 City of Federal Way
Community Development Services B1uilding - Commercial Permit #:04 - 102367 - 00 - CO
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
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Project Name: DOVER OFFICE BUILDING
Project Address: 1648 S 310TH ST Parcel Number:785360 0150
Project Description: ALT-Install pre-fabricated trusses over an existing flat roof.
Owner Applicant. Contractor Lender
Ph Townsend &Tf Townsend DAWSON SERVICES Ph Townsend Ph Townsend
1648 S 310TH ST#6 DAWSON SERVICES 1648 S 310TH ST#6
FEDERAL WAY WA 31511 42ND AVE SW 1648 S 310TH ST#6 FEDERAL WAY WA
98003-4954 FEDERAL WAY WA 98023 FEDERAL WAY WA 98003-4954
Includes:
Census category: 437-Comm #1 r #2 #3 #4 i
Occupancy Group It B 1
Construction Type lI Type V-_N _
Occupancy Load ——
- .. H-F—
Floor Area(Sq Ft) I � �_
Census Category 437-Commercial alt/add Mechanical Yes
Number of Stories 1 Permit for Building Shell Only No
Plumbing Yes Will Certificate of Occupancy he Issued? No
Zoning Designation BC
Plumbing Fixtures
Description [Quantity,! _ _ Description JrQuantity L DescriptionQuartity
Other Plumbing Fixtures 1
Mechanical Fixtures
Description _Quantity [ DescriptionQuantity 1 Description ;rQuantityj
Ducts 4
PERMIT EXPIRES February 12,2005.
Permit issued on August 11,2004
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. P
t ID lettrk,i ' clI
Owner or agent: Date: 7 _ __
DATE INSPECTOR AREA AND TYPE Oma- a SPECTION
`3D•r7 fl G _/ ia. )44.,"„i g D
THIS CARD IS TEEMAIN ON-SITE
CITY OF ,,,,,,,,,,4k. 0 Community Develop gent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102367-00-CO -
Owner: PH TOWNSEND
Address: 1648 S 310TH ST
FEDERAL WAY, WA 98003-4954
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) .LJ 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) ❑ Plumbing Groundwork(4190) • ` Slab/Concrete Floor (4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
❑ IT . erfloor Framing(4285) �❑ Floor Sheathing (4105) ❑ Sh2ar Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Lata •
0 Roof Sheathing (4220) ❑ Rough Plumbing(4230) 0 Mechanical Roagh-in (4165)
Approved to install tooting Approved Approved
By telei Date /0. �ci/ s By Date By Date
1.❑ Gas Piping(4125) .❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(41 0)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Slop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
•
0❑ Framing(4120) 0 Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
B• y GGJ Date �v , 1.4:11/ By Date By J'� "" Date J1/ ..Y6'
•,
❑ Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
,
.❑ �
Final-Public Works(4080) 0 Final-Mechanical(4065) 0 Final-Plumbing (4075)
Approved Approved Approved
By Date By Date By Date
•
❑ Final-Building(4050) •
;A
Approved
��/
`By U-.. Date ` 0 44,
urr of AIL _ ..
Federal Way REC`'����� PERMIT � � _0_ 2_. a L' 7
MF CO ME EL PL DE EN FP
COMMUNITYDEVELOPMEATSERVICES
33530 FIRST WAY SOUTH9•806 BOX 9718 y 4'
A p p L I C AT I 0 N
FEDERAL WAY,WA 9 8 063-9 718 �uN 1 TD
253-661-0115•FAX 2536614129 O^ / 12s /OP(
uww.dtgo ffederalwa y.mm J v
The oIlowin• is re.1t1 ed in orrnation-an Inco •tete a.•lication will not be acce•ted. Please •rint le•ibl (in ink)or .-.
PROPERTY INFORMATION
SITE ADDRESS /( , 'ITS" '1„ ��/e;
SUITE/UNIT# 1a1
ASSESSOR'S TAX/PARCEL# - LOT SIZE (sf) o,O®pp
LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1)
(Attach separate page for lengthy legal deseripaon)
PROJECT INFORMATION
TYPE OF PERMIT 'BUILDING KPLUMBING MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
A)_Sin// i3,,,e, ter.: •rPc-(55c'c- c.)v r- e> ler ,4-/e.,-'7‘. 4o.:a 4
PROJECT NAME(Name of Business or Owner Last Name) TOGJ.C.)Scrd
- PEOPLE INFORMATION
PROPERTY NAME
-�� PRIMARY PHONE
OWNER �i e,L !•Fe iL9Ge_iCJ.SCyJel / /-6,_S 3 ) .37 'Y7
MAI ISG ADDRESS CI STATE,ZIP
/62 i' ' o,3/o'=` sl!4, 424.<0 f��J e<2y . ._ 9 IrCID.3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
�So/� ,Se-,-d/ ((?.53 15-09 -7 ring
MAILING ADDRESS �t// �f9 CITY,�7tATE,ZIP CELL PHONE
o /O_S.�? F� 6 . lam, 7 3 ( ) 7 — Y,t„
CITY OF FED L WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Z 9-_7 2'-1 o 2 L L a- B L /a' / 3/ 1°./ (g53 kSa9 6?o'
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION
A 442 6 5 7" L Q q/ 1.0 // l a.f.,/ /o y
APPLICANT COMPANY AME
C APPLICANT NAME OFFICE PHONE
41eS
MAILING DRESS CITY,STATE,ZIP CELL PHONE
t
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant 0 Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
1.:1)"""1"...--- A- 2, 7iC) (arn) 7&' -ya ice
LENDERPer RCW 19.27.095: Lender information is N
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
•
EXISTING USE IC FJG/CE ,-5 PC/c'c-? PROPOSED USE (n./.--7-7/. S J: 6CLa_
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ ..,1-9,rdOE'O
SPRINKLERED BUILDING? ❑ YES X-NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? YES I*NO
WATER SERVICE PROVIDER $LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER k LAKEHAVEN n HIGHLINE a PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION 1 EXISTING SQ.FT. PRO••SED SQ. FT. TOTAL
BASEMENT r
FIRST 1 <
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**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 $ `i W
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/shower comb.) SHOWERS WATER CLOSETS(Toile) ► MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS p✓Nws2.)(V.
GAS PIPE OUTLETS SUMPS _ RAINWATER SYST einatederS-
WASHING MACHINES URINALS HOSE BIBBS
LAYS(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 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.
NAME/TITLE Ar � DATE (o- /3• 7
(Signature) ---'"-- (Title)
RELATIONSHIP TO PROJECT ❑ Owner Ii4Agent ) Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW ❑ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\I-Iandouts—Revised\Permit Application