16-105006 J
Building - Commercial
City of'Federal Way Permit #:16-105006-00-CO
Community Development Dept.
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: LAKOTA SEWAGE TREATMENT
Project Address: 3203 SW DASH POINT RD Parcel Number: 122103 9105
Project Description: Replacement of existing UV Disinfection System with a new high efficiency system extending
the existing channels
Owner Applicant Contractor Lender
LAKEHAVEN UTILITY DISTRICT GENERAL MECHANICAL INC GENERAL MECHANICAL INC
PO BOX 4249 2701 S"J"ST 2701 S"J"ST
FEDERAL WAY WA 98063 TACOMA WA 98409 TACOMA WA 98409
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: 00
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0.00 0.00 0.00 0.00
Additional Permit Information
New/Additional Sq.Feet-1st Floor 0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 00
New/Additional Sq.Feet-Basement 0 Occupancy#1-Construction Type Type V-B
New/Additional Sq.Feet-Deck. 0 New/Additional Sq.Feet-Garage 0
Mechanical to be Included? No Plumbing Work Valuation'? 0
Mechanical Work Valuation? 0 Number of Stories 1
New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application'? Yes
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0 Will Certificate of Q.ccup ybe Issued' No
Occupancy#1-Use Storage-Low Hazard Comprehensive Plan Dei'ignat*nn SF-High-Density
.- ,, Residential
Zoning Designation RS 15.0
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CONDITIONS:
Separate Electrical Permit Required
PERMIT EXPIRES Tuesday,11 April,2017
Permit Issued on Thursday,October 13,2016
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
Wa hington and the City of Federal Way.
Owner or agent: `,k C Date: i 0 it; I (`_e
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City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
RHO of the International Residential Code is 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 certificate is valid
ONLY when endorsed by City staff.
Tenant Name: LAKOTA SEWAGE TREATMENT 'ermit# 16-105006-00-CO
Address: 3203 SW DASH POINT RD
Includes: #1 #2 #3 #4
Occupancy Class: 00
Construction Type: Type V-B
Occupancy Load: 0.00 0 s 0 0.00 0.00
Floor Area(sq.ft.) 0.00 0.00 0.00 0.00
Owner Name: LAKE. VEN UTILITY DISTRICT
Owner Address: PO :OX 4249
EDERAL WAY WA 98063
Buildin fficial Date
The priority focus in th: eview and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has sho most severely affect the health and safety of the general public. Although the City has made as complete
a review and ins.: tion as is reasonably possible(within budgetary time and personnel limitations),the City neither guarantees
nor warrants to e owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or gulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is-bated. Such compliance is the responsibility of the owner and/or occupant of the premises. J
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 105006 00 Address: 3203 SW DASH POINT RD
Project: LAKEHAVEN UTILITY DISTRICT FEDERAL WAY WA 98023-2340
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.
•� Initial Erosion Control(4365) ® Footings/Setback(4110) •,❑ Foundation Wall(4115)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete
By Date By Date By vA Date �'.21}`]
® Drainage/Downspout(4040) 0 Re-steel(4215) Q f ® Slab/Concrete Floor(4255)
Approved to backfill Approved to place concrete or grout Approved to place concrete
.By Date By Date By Date
® Underfloor Framing(4285) ® Floor Sheathing(4105) ® Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date { By Date By Date
CI Roof Sheathing(4220) El Fire/Draft Stops(4095) El Interim Erosion Control(4370)
Approved to install roofmg Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; 93 Framing(4120) „14 Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in
Approved to insulate
and Fire/Draft Stop inspections must be signed- pp Approved to install wallboard
off and approved IBC 209 3.4 By Date By Date
EN Gypsum Wallboard Nailing(4130) El Suspended Ceiling Grid(4265) El Final-SK F&R(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
El Final Erosion Control(4375) El Final-Building(4050)
Approved Approved
.By Date 5 Date CO •••••-c----i
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
..
cA PERMIT APPLICATION
Federal Way RECEIVED
]PaRa�r NuRHEx ( 10 1J OO ( CO OCT 13 2016
— TARGET DATE
SITE ADDRESS BDITEILcd;M
3.203 dta D4S4 Par.,'r— re D� r6nExAc arAy/ 7/&2
PROJECT VALUATION ` ZONING ASSESSOR'S TA7t/PARCEl.I
TYPE OF PERMIT NI BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION:_
NAME OF PROJECT -0 S j
ti#6s -- Ilanlaii'
Replacement of existing UV Disinfection System with a new high efficiency system,
PROJECT DESCRIPTION
Detailed description of work to extending the existing channels
be included on this permit only
NAME _ PRIMARY PROM'
PROPERTY OWNERLAKO/Ai/E J ur/LiTY 7/.r;lei X753.YyY--/S"/4
..AILING ADpRE66 &1fA1W
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cTV STATE Eill
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,CRESS &MAIL M4,01,40.4,co 0
CONTRACTOR o1/o/ 'ref JTU — Cr c r; 40 .+e-ower cr Ari(sec ,tcr;,
CITY STATE >I ! FAX
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- - `WA STATE CONTRACTOR'S Litwin e -. -,. e r r e. axanteNtoI DATE .- FEDERAL WAY BOSDtESS LIONESS I
SAME ' .., PRIMARTHEMS
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APPLICANT dAD.tNO ADDRESS
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CITY STATE IAP. PAX
rfrPC1441 : 6144 9 61.vU 9
SAME PRIMARY PHONE
PROJECT CONTACT -Fkm 5kLe AJ' A✓4 C/1- .- .
('The individual to receive and MIIIILnI°ADDRESS ERAS
respond to all correspondence
concerning this application) CIT! ' STATE ZIP FAX
NAME
PROJECT FINANCING O OWNER-FINANCED
..
When value is$5,0(10 or more ==MIG ADDRESS,011%STATE,IIP PROBE
(PCW 19.77.095)
I certify under penalty of perjury that I am the property owner or authorised 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 cart%(y that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility Jbr 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 apart of this application.
SIGNATURE: s* NADATE CA\",1 ,
PRINT NAME:. --C o i. it•Aa C' C''83 . s?^^'e ?-s,S C
Bulletin#100—January 4,2016 Page 1 of 3 k:Wandouts\Permit Application