05-105434 • 0 h
City of Federal Way
Community Development Services Building - Commercial Permit #: 05 - 105434 - 00 — CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspe . _ •st line: (253) 835-3050
Project Name: EVERGREEN STATE SCHOOL OF DRIVING IN
Project Address: 1645 S 310TH ST SuiteB arcel .ber: .360 0156
Project Description: Replace shingle roofing on portion of roof; make rep. ecessary.
Owner Applicant Contr. Lender
PH&TF TOWNSEND TRUST*P.H PH&TF TOWNSEND T T*P.H PH& OWNSEN R. s•UST*P.H NONE
1648 S 310TH ST UNIT 6 1648 S 310TH ST UNIT 6
FEDERAL WAY WA 98003-4911 FEDERA AY WA 9800 11 1648 S 310 IT
FEDE W• WA 9 3-411 NONE
Includes: a
Census category: 1 37-Com ` # -1,1,11 #3 i #4
Occupancy Group:
1
-_
Constructi.• Type: ua
_.....
Occupan .ad:
Floor; q.Ft.): /�;'
C= Ca 437-Commercial alt/add Mechanical No
Num. .ries 1 Permit for Building Shell Only No
Plumbs No
PERMIT EXPIRES April 19,2006.
Permit issued on October 21,2005
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
Owner or agent: i FT - L(9 (AS-G /v��i' l I 4Itt 13 14„ Date: i V
THIS CARD IS TO AMAIN ON-SITE •
CITY OF :.M.• �'ommunit Develo mr t Inspection Record
Y P P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-105434-00-CO
Owner: P. H. TOWNSEND
Address: 1645 S 310TH ST Suite B
FEDERAL WAY, WA 98003
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) ❑ Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel(4215) 0 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
❑ Underfloor Framing (4285) 0 Floor Sheathing (4105) 0 Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By ,7;G/Date By Date signed-off and approved. IBC 109 3.4/UBC 108.5.4'
s,(b
❑ Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ 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) ❑ Final-Building(4050)
Approved Approved
By Date By 0 , t_ _ Date t —3—Q S.'
RECEIVED ICANCil 1
CI OF 11A OC�1 X005 -�_
0 2 4\ o__ .1_ __Y_Z_,Z
Federal Way pp
RMIT
COMMUMTYDEVElAPMENTSERVICES ��TypF FEDERAL
SF M �
O ME EL PL DE EN FP
33325 r H AVENUE
SOUTH• � 97!8BU)LQtt3LI CATI O N TDFEDERAL WAYW80 - 8
253-835-2607•FAX 253-835-2609 /^"
/ /
www.cit tro((ederalway.cram
The ollowi • is re•aired in ormation—an incom•lete a.•lication will not be acce.ted. Please .rint le.ibl (in in
' ` " /� III PROPERTY INFORMATION .
SITE ADDRESS S 3 I D d L< S1 ' ti at,1 4( W 4`�� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 53 5. 13 i 0 - / s_. 6 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaipt(on)
:' .` ' ■ 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 onlu)
Rai, 1, a .rq.i,- i n n,i,ty 1 hii l , .
PROJECT NAME(Name of Business or Owner Last Name) t'l., AA' a-(L/k SiAliA. 0'fl 0 1 (Yl 1 )(L(tip ll.
PEOPLE'INFORMATION
PROPERTY NAME' ` _ _ _
OWNER �.t y� k, * I . 4.` t !p 49 ll 1 ��Si" PRIMARY PHONE f .
AI ING A' `` f! (/VM�1 (2 5 3) �'�y -
MAILING ADDRESS CITY,STATE,ZIP
(i2k s , 31041 % 6i of lkaL it 9cly, LoA q 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
01(A)L1 v' ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMB ER
/ / ( )
_BL
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS (_ ) -
CITY,STATE,ZIP —
CELL PHONE
))(0 I �'d k 6 t-,id'.ty-kt Wel_ I,2 ik qu: ( )
RELATIONSHIP TO PROJECT FAX NUMBER
/f��,
❑ Architect ❑ Tenant ❑Agent 0 Other(Describe) ( Lt7 Vt l i` ( 5 ) ' J) _ ("1 (
CONTACT NAME PRIMARY PHONE [� E-MAIL ADDRESS
V V 1+ i 1-- ---...77 , n 174 i (: '3 ) 4 J -1- ) (it-0
LENDER aat9 Q o NAME
MAILING ADDRESS CITY,STATE,ZIP
. . . , . ■ DETAILED BUILDING INFORMATION .
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 IHGHLINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S•.FT. S•. FT. S•. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH .
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
-07 GARAGE ❑ CARPORT❑
EXISTING rRoilleco TOTK '* r° TOT R. ING$F. AL PROPOSED 9F .k OTAL BPft
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.
MECIIANICAL
Value of Mechanical Work $
AIR HANDLING UNITS PORATIVE 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(orTub/showarCombo) SHOWERS WATER CLOSETS(rose MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(BathroomSi.ka) 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. j i I
�i
v/
NAME/TITLE y, .L '!9 119�l1 0 t ( n`'l/A-..J- DATE 10 12(
(Signature) (Title) 666
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor ❑ Architect 0 Other
F•$ IE S O
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application