06-104200 WI
City of Federal Way
Community Development Services Bui1Cl' o mercial Permit 06-104200-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 EInspection Request Line: (253) 835-3050
Project Name: TODD BEAMER PORTABLE D
Project Address: 35999 16TH AVE S Parcel Number: 292104 9025
Project Description: ADD- Proposal to install new 1792 sq/ft portable.
Owner Applicant Contractor Lender
FEDERAL WAY SCHOOLS FEDERAL WAY SCHOOLS HERITAGE MODULAR
31405 18TH AVE S 31405 18TH AVE S COMPANY INC
FEDERAL WAY WA FEDERAL WAY WA HERITMC038DM 09/26/2006
98003-5433 98003-5433 3810 166TH PL NE
Applicant ARLINGTON WA 98223
BRAD MEDRUD
AHBL,INC.
2215 N 30TH ST STE 300
TACOMA WA 98403
Census Category: 437 - Commercial alt/ add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: E
Construction Type: Type V-B
Occupancy Load: 87
Floor Area(sq.ft.) 1,792 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 1792 Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included9 No Special Inspection(s)Required? No
New/Additional Sq.Feet-Total 1792 Occupancy#1 -Use Elementary/JR/SR
Schools
Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Thursday, August 28, 2008
Permit Issued on Monday, August 28, 2006
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: Date:
� r
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code 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: TODD BEAMER PORTABLE D Permit#: 06-104200-00-CO
Address: 35999 16TH AVE S
Includes: #1 #2 #3 #4
Occupancy Class: E
Construction Type: Type V-B
Occupancy Load: 87
Floor Area(sq.ft.) 1,792 0 0 0
Owner Name:
Owner Address: 31405 18TH AVE S
FEDERAL WAY WA
98003-5433
not, n cao
Building Official //' / / ��� Date
The priority focus in the review and inspection made by the City prior to issuance cf this Certificate was on those matters which
experience has shown most severly 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.
--,-4 •
Come;n,tyDevellopmelntServices Burin - Commercial Permit #: 06-104200-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 I ?R
Ph (253)835-2607 Fax (253)835-2609 ' a Inspection Request Line: (253) 835-3050
x
Project Name: TODD BEAMER PORTABLE D
Project Address: 35999 16TH AVE S Parcel Number: 292104 9025
Project Description: ADD- Proposal to install new 1792 sq/ft portable.
•
Owner Applicant Contractor Lender
FEDERAL WAY SCHOOLS FEDERAL WAY SCHOOLS HERITAGE MODULAR
31405 18TH AVE S 31405 18TH AVE S COMPANY INC
FEDERAL WAY WA FEDERAL WAY WA HERITMC038DM 09/26/2006
98003-5433 98003-5433 3810 166TH PL NE
Applicant ARLINGTON WA 98223
BRAD MEDRUD
AHBL,INC.
2215 N 30TH ST STE 300
TACOMA WA 98403
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: E
Construction Type: Type V-B
Occupancy Load: 87
Floor Area(sq. t.) 1,792 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 1792 Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? No Special Inspection(s)Required? No
New/Additional Sq.Feet-Total 1792 Occupancy#1 -Use Elementary/JR/SR
Schools
Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Thursday, August 28, 2008
Permit Issued on Monday, August 28, 2006
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: Date:
• •
DATE INSPECTOR AREA AND TYPE OF INSPECT ON
9 06 /3Loas.Ue %
• THIS CARD IS TO MAIN ON-SITE t
CITY OF Community Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-104200-00-CO
Owner:
lo m
Address: 35999 16TH AVE S D
FEDERAL WAY, WA 98003-7416
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.
,❑ Footings/Setback(4110) ❑ Foundation Wall (4115) DID ainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By fil Date 4/0/04 04 , ,By Date By Date
• •
.❑ Re-steel (4215) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing (4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
.❑ Floor Sheathing (4105) ❑ Shear Walls (4245) ❑ Roof Sheathing (4220)
Approved to install flooring Approved to install siding Approved to install rooting
By Date By Date By Date
❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) 0 Framing (4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date 4, By Date
.❑ Insulation (4150) ❑ Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
.
0 Final- Fire Department (4060) ❑ Final - Planning (4070) ❑ Final-Public Works (4080)
Approved Approved Approved
By Date By Date By Date
[j Final-Building (4050)
Approved
1114-�
By Date , >
�' 40%:".4RECEIV •I
carr n• --4 - 1 o u 7- o
Fe- Way
Y Way. l
coMMUMTYDEVElAPMENT SERVICES AUG 1 8 2r' PERMIT SF MF D NME EL PL DE EN FP
33325 8,74 R SWATH• BOX 9718 A P P L I C AT I O N
FEDERAL L WAY,WA 98063-9718 TD
253-835.2607•FAX 253-835-2609 OF FEDI / /
"""`°p`"°iTedem'`°°"'(v'" BUILDING DEPT.
The ollowing is re• fired i ormation-an incomplete application will not be accepted. Please •rint legibly in ink)or type.
i PROPERTY INFORMATION •
SITE ADDRESS `Pi'J / 4— `Zt. ;' __y �� I C :.t
j�_- 1�� ..._.- �� .� ���tv��L�� Li..rr~<� �� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# Z- `-1 2- i 0 — - ( 03 C- 5 LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal deeaiption)
. ::: . PROJECT INFORMATION::::. .
TYPE OF PERMIT GYSUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT.DESCRIPTION(Provide detailed description of work includes/on this permit only)
<' :Aft(((( i Vill'`--{ Cit```i=ce�- r-1(4-7„) 1-?i.°(--0,6 3(t_,._�
n [Jo . -C 'ct .- lt6 "( t,�C-/t ,
PROJECT NAME(Name of Business or Owner Last Name) I)17 k t 1•-C--V L C{- (%
... ... PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER _3- _k( C Lc -I r, c , �tJ(fc°%S - • (-9 )c)(t - * -
MAILING ADDRESS r CITY,STATE,ZIP
iH-Z t4 3 c-'-cc y _7 ` CrA ( (Ni?
CONTRACTOR COMPANY NAME „ APPLICANT NAME OFFICE PHONE
{W A r'qC F /yob Li ,12. ✓O A.A ,c). , t
(, /,''C ) .l�j 7- Z
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
*/.1.j. (.."V /C/ p .4,,- La, c4,-14 A ki /52 4AA9" wi4 112`1'2. ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
'< 7 - (J - t L el 3 r, Cr-B L .j^- / / O/' ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
kik 6i 1 ; A4 r.. O Q 0 �,. / /
APPLICANT COMPANY NAME S' APPLICANT NAME OFFICE PHONE
<- ( ._, - ' ` f
MAILING fDDRESSCITY,STATE,ZIP CELL PHONE
00(S 10 e ? 1:t. {',i 'O. (,`14 C`?L'X'J ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑`Tenant I2—ent 0 Other(Describe) ( ). -
CONTACT NAME `__ PRIMARY PHONE ry./, E-MAIL ADDRESS
'D::81,,,\„ . 4 04-l:3TC til-- (, ;-3�). =-�'°`
LENDER kk'f-1,dr',fit tr.,0WI 1k414' i el{nt: i': ani xYy� NAME
k�,0 �1 ;J F':
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) _
•
N DETAILED BUILDING INFORMATION
EXISTING USE '
�_��Z'(- ' PROPOSED USE ����" 1- '"
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ t; C
SPRINKLERED BUILDING? 0 YES CIO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES Of()
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS •
AREA DESCRIPTION EXISTING PROPOSED TOTAL
Sq.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST tc 6 t
" 1} 7‘-.7.„ ,
SECOND
THIRD
FOURTH
JADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
L num ntoroasu TOT E n'.vo 3 ,q0,0 t'. s.�' -0 .; h 1 "
NUMBER OF FLOORS t '.
b*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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerctW) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS ' FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or rub/shower combo SHOWERS WATER CLOSETS(roam) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(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. /. (� / � a�
1� l k,__ _ `/��_._, DATE CC '1 C.'
_c"
NAME/TITLE
r/ tg (Title)
nattlie)
RELATIONSHIP TO PROJECT 0 Owner EVAgent o Contractor 0 Architect 0 Other
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