06-104496 Building - Commercial
City of Federal Way 4111 •
Community Development Services Permit #: 06-104496-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: TODD BEAMER PORTABLE A CANOPY
Project Address: 35999 16TH AVE S Parcel Number: 292104 9025
Project Description: ADD-Addition of 100 sq ft canopy to school portable per VCA
Owner Applicant Contractor Lender
FEDERAL WAY SCHOOLS BRAD MEDRUD HERITAGE MODULAR
31405 18TH AVE S AHBL,INC. COMPANY INC
FEDERAL WAY WA 2215 N 30TH ST STE 300 HERITMC038DM 9/26/06
98003-5433 TACOMA WA 98403 3810 166TH PL NE SUITE 202A
ARLINGTON WA 98223
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: E
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 100 0 0 0
New/Additional Sq.Feet- 1st Floor 100 Building Pre-con.Meeting Required9 No
Existing Sprinkler System in Building? No 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 100 Occupancy#1 -Use Elementary/JR/ R
Schools
Zoning Designation RS 35.0
NO Fixtures AssociatedWith This Permit !!
,9+
PERMIT EXPIRES Sunday, July 26, 2009
Permit Issued on Tuesday, September 26, 2006
I hereby certify that the above information is correct and that the construction on the above d-`cribed property and
the occupancy and the use will be in accordance with the laws, rules and regulations of th=> tate of Washington
and the City of Federal Way.
Owner or agent: SeeppilkiciTrorn
JAN 26 2009
•
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City of Federal Way R �
Community Development Services �1ulin - Commercial Perm#. 06-104496-00
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: TODD BEAMER PORTABLE A CANOPY
Project Address: 35999 16TH AVE S Parcel Number: 292104 9025
Project Description: ADD-Addition of 100 sqft canopy to school portable per VCA
Owner Applicant Contractor Lender
FEDERAL WAY SCHOOLS BRAD MEDRUD HERITAGE MODULAR
31405 18TH AVE S AHBL,INC. COMPANY INC
FEDERAL WAY WA 2215 N 30TH ST STE 300 HERITMC038DM 9/26/06
98003-5433 TACOMA WA 98403 3810 166TH PL NE
ARLINGTON WA 98223
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: E
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 100 0 0 0
I
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 100 Mechanical to be Included9 No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? No Special Inspection(s)Required9 No
New/Additional Sq.Feet-Total 100 Occupancy#1 -Use Elementary/JR/SR
Schools
Zoning Designation RS 35.0 Building Pre-con.Meeting Required9 No
Existing Sprinkler System in Building? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Friday, September 26, 2008
Permit Issued on Tuesday, September 26, 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: L • 7, Date: q/� 61.
• i
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4
THIS CARD IS TO AMAIN ON-SITE ' '
t~:1'Y OF 1110 lit ommunit Develo m nt Inspection Record ord
Federal Way IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT #: 06-104496-00-CO
Owner:
Address: 35999 16TH AVE S
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) 0 Foundation Wall (4115) 0 Drainage/Downspout (4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
O 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) 1 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
40 N •
O Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)I 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 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
❑ Final-Fire Department (4060) ❑ Final-Planning (4070) ❑ Final-Public Works(4080)
Approved Approved Approved
By Date By Date By Date
0 Final-Building (4050)
Approved
By Date
• RE•1VED •
CITY OF
Federal Way SEP 0 g Tr,-,
n<40 - q4/ -�
R M I T SF MFGME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8Tx AVENUE SOUTH•PO BOX 9718 CITY OFF kAL ilV f�
FEDERAL WAY,WA 98063-9718 BU(LI C AT I O N TD `
AFFililtrit
253-835-2607•FAX 253-835-2609
UMW atuojjedemhonti corn
The following is required information-an inco .lete a••Iication will not be acce•ted. Please .tint legibly in in or ty. .
■ PROPERTY INFORMATION
SITE ADDRESS a ( /61/14 1 . Ski.
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# Cr Z 1 0 ' - ? 02 5 LOT SIZE(sf)
•
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) N E r4'v' I' LV.:es-f - 4" 5 , "7"2/ d• K i E
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT p 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 on U
f /Oat?
Ad o ' c.1' of cs, z pi` ' -it, pcx---W042, C.J.. SSrti i) b-ua'9 dd-f: --rodel 8, t.=,.e
14)311 ,rCi (. / i CC✓I.:i/ti4.5 .A=t:r••r QrCI�CD -1.0 11,72114.• rrzVe'/-R.'—e.euk -Gr. tas,e;t1, N
At.5. r-- e; Gj ltrat`• cr .-t f,,7 ' fir,/ . ''✓cr`( (L`3r!..aF---i en A�h+71?er,2
1'
PROJECT NAME(Name of Business or Owner Last Name) w"�'/e/ 8.�iY'�1"- ,' ==`�`d't 'r (r4-,,*,+. , 4-
PROPERTY NAME_ �1 + PRIMARY PHONE
OWNER _'cQcr 1 i.LJCI f , ; ��5f't-it ( ) -
MAILING ADDRESS CITY,STATE,ZIP
10CC 5> 32_ S I) t, •
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
/ /Pfr(tfn%, IV4,491rtr 'r, - (71/F_ ( - )
-
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
✓r"iYit i S, 04 312-2 ( ) -
•• .• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
_ / / ( ) =�� 2tP
_ _ B L - -
4a
CONTRACTORS REGISTRATION NUMBER(copy of card/required with each application) EXPIRATION DATE
1 �LF • C l' A\ C '6V MI / .
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
i �1- jail t't:.>-- (z ) `t -Gi_T
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
. 'X- O774 c7 :5"...,i.e. 3a cam+.. q$of 03 ( - ) ` - 30S-0
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) (j,.4 ) - •--5-7
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
ii 4T el J014ws i. ( .) , - 2_422- , john s P °AO.'..-
LENDER
„,;r4-,salr.s11`,Y,1” NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING°INFORMATION
EXISTING USE 104e PROPOSED USE ?ex - - bu. 3 n'" tyyp Cco,of)% (`i)
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ C.000 Cto, •r'r+, / E
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
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PROJECT FLOOR AREAS
AREA ,CRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
'BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTALS eY ?..
NUMBER OF FLOORS �` 1 "x ' a
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE 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 or Tub/Shower Combo) SHOWERS WATER CLOSETS(Theo MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sink.) 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.
4776-NAME/TITLE DATE
Signature) (Title)
RELATIONSHIP TO PR'JECT q Owner 0 Agent ❑ Contractor ❑ Architect ❑ Other •
gibi*ArM.VOTZ16eStle
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