17-104539 ` Building - Commercial
City of Federal Way Permit #:17-104539-00-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: MONTESSORI ACADEMY AT SPRING VALLEY BLDG 4
Project Address: 36605 PACIFIC HWY S Parcel Number:292104 9074
Project Description: ALT-Change of Occupancy to allow for use of building 4 for toddler classroom . Building 5
will be by separate permit. no mechanical or plumbing.
Owner Applicant Contractor Lender
GEORGE R CREDIT JUSTUS SUSAN HANCOCKMONTESSORI
36475 PACIFIC HWY S ACADEMY AT SPRING VALLEY
FEDERAL WAY WA 36605 PACIFIC HWY S
98003 FEDERAL WAY WA 98003
USA
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: E
Construction Type: Type V-B
Occupancy Load: 21.00
Floor Area(sq.ft.) 851.00 0.00 0.00 0.00
Additional Permit Information
Occupancy#1 -Area(Sq.Feet) 851 Occupancy#1-Construction Type Type V-B
Mechanical to be Included? No Number of Stories 1
Is this an Online or O.T.C.application? No Permit for Building Shell Only? No
Plumbing to be Included" No Will Certificate of Occupancy be Issued? Yes
Occupancy#1-Use Day Care Comprehensive Plan Designation SF-Low-Density
Residential
Zoning Designation RS 35.0
! ® t f $SOC ted With This Permit I ,3
PERMIT EXPIRES Sunday,6 May,2018
Permit Issued on Tuesday,November 7,2017
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: '---:-' \ \‘\ A Date: v 1 ` 7 -1
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 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: MONTESSORI ACADEMY AT SPRING VALLE) Permit# 17-104539-00-CO
Address: 36605 PACIFIC HWY S
Includes: #1 #2 #3 #4
Occupancy Class: E
Construction Type: Type V-B
Occupancy Load: 21.00 0.00 0.00 0.00
Floor Area(sq.ft.) 851.00 0.00 0.00 0.00
Owner Name: GEORGE R CREDIT JUSTUS
Owner Address: 36475 PACIFIC HWY S
FEDERAL WAY WA
98003
t `I g I I
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severely affect the health and safety of the general public. Although the City has made as complete
a review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees
nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 104539 00 Address: 36605 PACIFIC HWY S
Project: GEORGE R CREDIT JUSTUS FEDERAL WAY WA 98003
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.
® Final-S KF&R(4060) 2❑ Final-Building(4050)
Approved Approved
By Date By Date " 1 0 r y
El Rough Electrical ❑ Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
j RECEIVED
CITY OF
i SEP 21 2017 PERMIT APPLICATION
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Federal WayPERMNTE8th uh dl , A 98003-6325
CITY OF FEDERAL1�.fA 253-835IT CE-2607R++ FAX33325 253-835-260AvenueSot
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COMMUNITY DEVELOP/WRIT
PERMIT NUMBER I7- ' 0 4 5 CO
- TARGET DA
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SITE ADDRESS I ITE/U
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PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ SCA/bdl 2 °( _ 2- I (9 1 - 9 0 `4-
TYPE OF PERMIT1=1FIRE PREVENTION
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING
NAME OF PROJECT N Y3e, Cm Lk.joNn- ) b.I i (a I✓10j ` 1/✓►,,t 1- > 2.. 0-(2Ss roo tnS
PROJECT DESCRIPTION So ko I.l) 2. o CM( ht1,(d Ivvi(' (ik..T.ve, r c A pm
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Detailed description of work to e-✓ !l C i U kc b ►(�,I ✓it S' (^W
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be included on this permit only 111A'S , CO A- DE L v-Q_ ,uire.S 94,1's pQ.Yyr + -cv i.0 b U iu
bU.,(c ,', v4.•(/, T- c1 i Cias SY-Ce WS
NAME PRIMARY PHONE
PROPERTY OWNER l \ KIS 3-0I r I ,mac- 2_0(0- I3 zj s
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S3 SC 13Y+4" S4. ail VAILING ADDRESS % isC F ;) mcg,CIC
CITY STATE ZIP ''n-c4
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NAME PHONE
MAILING ADDRESS E-MAIL
CONT r--CTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME ' l PRIMARY PHONE
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PRIMARY
Oaf)et Cit, 20(r - 4-(3 21*9
APPLICANT- MAILING ADDRESS E-MAIL
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CITY STATE ZIP FAX ',0)'C'
ce 62. I (A)NiWA 98 O03 4v ' c spr,►��Vai(ey. o11 J
NAME RIMARY PHONE
PROJECT CONTACT SQ S'a'n 1-6\c_ Icit--, 206 - 74 3 211
(The individual to receive and MAILING ADDRESS l S E-MAIL
respond to all correspondence 2)(1( o c C, Hui(j Ui-ebmaS)-e-Y G... SpVi v5'4�I I e4j
concerning this application) CITY J STATE ZIP FAX 0013
Pca-art (,t)aij WA 9es (,l.StosQ, SpYkjVaileif
NAME C,vec
PROJECT FINANCING OWNER-FINANCED J
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized 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 certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for 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 a part of this application.
SIGNATURE: 05:14-)-044-V—AL-) DATE 1 /20 /2-0 1
PRINT NAME: SAS S o1L'1 k t'-1 a1 Cel Cil-
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
- MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fxtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application