17-105146 f w
4.
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Building - Commercial
CitynfFederalway C` Permit #:17-105146-00-CO
Community D8velopment Dept ' L..
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: KITTS CORNER BUSINESS PARK
Project Address: 1707 S 341ST PL Parcel Number:390380 0020
Project Description: Remove and replace torch down roofing like for like
Owner ApplicantContractor Lender
NORMA S DAWSON NORMA S DAWSONOWNER IS CONTRACTOR OWNER IS LENDER
17087 10TH AVE NW 17087 10TH AVE NW
SEATTLE WA 98177-3708 SEATTLE WA 98177-3708
Census Category:
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0.00 0.00 0.00
Additional Permit Information
Mechanical to be Included9 No Is this an Online or O.T.C.applications Yes
Permit for Building Shell Only? No Plumbing to be Included9 No
Total Valuation:28,000.00W��
No Fixtures Associated Wl ,Prpri, It
PERMIT EXPIRES Sunday,22 April,2018
Permit Issued on Tuesday, October 24,2017
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
Washingto and the City of Federal Way.
Owner or agent: ,, ,J Date: /C3-7 ,c/4----/P
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 105146 00 Address: 1707 S 341ST PL
Project: GARY L DAWSON FEDERAL WAY WA 98003-6867
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-Building(4050)
Approved
By ((t3 Date 1diz5//7
Rough Electrical ❑ Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
PERMIT APPLICATION
CITY OF
MIT CENTER+ 33325 8th Avenue South +Federal Way,WA 98003-6325
Federal Way PER253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
�
OCT 2 4 2017
PERMIT NUMBER – ' 0 5. I q _ V/O TARGET DATE, CI CITY OF FEDERAL WAY
ONININTITIIEVEOPMENT-SITE ADDRESS - SUITE/UNIT#
/70 7T V5.ALUATION 34//o/ZONING� K ASSESSOR'S /Pi 9y /t2/7
PROJECL
$(378,C - . . GI 0 O _ CD 0 Z- O
TYPE OF PERMITEF"-BUILDING ❑ PLUMBING ❑ MECHANICAL D DE�MOLIITTION'- rri❑ ENGINEERING
y❑�FI�RE PREVENTION
NAME OF PROJECT �S C()'01\) I -1 N EiirA
PROJECT DESCRIPTION ,/P 2,./ ckDQ - -78' - Cie,/. 7)
Detailed description of work to
be included on this permit only
NAMEPRIMARY PHONE
PROPERTY OWNER Nor/2 5 ��W � 9F,;2- 0 9...7y
MAILING ADDRESS E-MAIL
/7c)s`7 ,/� .409Ye MR} r .,a scCOe_
CI ST TE g„,:,,,,,.
,„,,,e
Thar4'Lox( 'l3 ZIP i7
NAMEPHONE
DwJvo2
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME
GIA/N PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAMEO��� PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAMECtoyozd
El OWNER-FINANCED
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: 2)67, :2: Jf DATE,47 2 —/7
PRINT NAME:NO r/77/9 S 09Gl/CQ y7
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 off Lure to be installed or relocated as part of this project.Do not include existing fixtures 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
OF
PLUMBING PERMIT PLUMBING WORK
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.,, m
, 4
FIRST FLOOR(or Mobile Home)
,,SECOND FLOOR
COVERED ENTRY
DECK
f ' 4' •
a7 � 3t F
GARAGE ❑ CARPORT LI
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in I Construction I #of
AREA DESCRIPTION Square FPPt Occupancy Groups) �Ye Stories
I Additional Information
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAI, BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application