06-104500 • Building - Commercial
City of Federal Way •
Community Development Services Permit IP 06-104500-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718
Inspection Request Line: (2
53)(253)835-2607 Fax:(253)835-2609 p q 835-3050
Project Name: TODD BEAMER PORTABLE D 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
a.,• a 3 r e • Anfor atl '*r 5 P
New/Additional Sq.Feet- 1st Floor 100 Building Pre-con.Meeting Required? 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 Included? No Special Inspection(s)Required? No
New/Additional Sq.Feet-Total 100 Occupancy#1 -Use Elementary/JR/SR
Schools
Zoning Designation RS 35.0
No Fixtured iated WithT h is Permit ,,
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PERMIT EXPIRES Saturday, July 25, 2009
Permit Issued on Tuesday, September 26, 2006
I hereby certify that the above information is correct and that the construction on the above . scribed 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: SaeDate
PII Cation]
:JAN 2 6 2009
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City of Federal Way BudinQ - Commercial Peri #: 06-104500-00-CO
Community Development Services b
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 l' inspection Request Line: (253)835-3050
Project Name: TODD BEAMER PORTABLE D CANOPY
Project Address: 35999 16TH AVE S "''~ Parcel Number: 292104 9025
Project Description: ADD-Addition of 100 sq ft canopy to school portable via 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
Additional Permit Information
New/Additional Sq.Feet- 1st Floor......... ......:..100 Mechanical to be Included? No
Number of Stories 1Permit for Building Shell Only No
Plumbing to be Included? No Special Inspection(s)Required? No
New/Additional Sq.Feet-Total 100 Occupancy#1 -Use Elementary/JR/SR
Schools
Zoning Designation RS 35.0 Building Pre-con.Meeting Required? 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
j�— a and the City of Federal Way. q
Owner or agent: Date: (7:4-6(067 .
THIS CARD IS TO VAIN ON-SITE. ,
CITY o 1/4. 'ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-104500-00-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) ❑ Foundation Wall (4115) ❑ Drainage/Downspout (4040)
Approved to place concrete Approved to place concrete Approved to backfill
By G c,J Date/2.2g,44„, By Date By Date
N
❑ Re-steel (4215) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing (4285) i
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date1
❑ Floor Sheathing (4105) 0 Shear Walls (4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
1 By Date By Date By Date
❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) ❑ Framing (4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date
.
❑ Insulation (4150) 0 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
❑ Final-Building(4050)
Approved
By Date
RECEIV.Iip •
C c /
CITY OF SP 0 6 200F /., - 5-60
CITY
PERMIT _5��111 — �L
OF FEDERAL Wa.. SF MF 0 ME EL PL DE EN FP
COMMUNITY DEVELOPMENi I tDING D F
T SERVICES pT
33325 8TH AVENUE SOUTH PO BOX 9718 '
FEDERAL WAY,WA"98063.9718APPLICATION ° '�' . A
253-835-2607•FAX 253-835.2609
r4W11
vnu w.cit uo ffe de mh ua u.cnm
The following is required information-an incomplete application will not be accepted. Please print legibly in ink)or ty•
' .. ..:.:..::.._::.z,;, ■ PROPERTY INFORMATION . ..
SITE ADDRESS
1 ( ((-'7/j 4i'42 .;0. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 4-, 4 . ` 1 - 0 6._ 5 LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) fJ E' ,- r E. c;/....r4.4- „,c.--- S2,:- Z1 —7 0 g,i E
(Attach separate page for lengthy legal description)
�=.�'PROJECTINFORMATION �`� '�'�
TYPE OF PERMIT 61 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 onlq)
A'I 4 C.s", ' /<z">,op„-'' -to poi-I-401Qc'JZ 5:1,”!' ik, k/),?k,-.)5 a'I 1:5r 4qx'.r i
(41 3i ',Ccl-, ( 'Th: c.,,,!+ f'u-t 67,r-e- rrop,) 4 ='Y) :h: .4' ncaf�.�;;-e.-a. "-; 4-s-- '^�2a.rr�G, i -Jl
Fj n' , C pe.,( '_ l":.'"'; --t.1 \,1 Eiq '✓J`y (s.:rra ' ',,,r 4fir.4), ^1,z+^,!4^.
PROJECT NAME(Name of Business or Owner Last Name) .6.-f--is vw"' ii--/= Pcr1'!-t) lx, ?'
::, . - ... :....... .. ...... -•: . ;.,.,,. PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ':''''`:) iii (:_i?.,tJ bk'511':c4. ( )
MAILING ADDRESS CITY,STATE,ZIP
/
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
L t. //
r !I'tf`er1 2 <XJ`� a7cJ:.,( /y� f F% ✓ -5L2-7-•
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
35 1 C7 i c-4t; PL k)E C..70,r,,t, r5, i,04, tle5.2,-),3 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ / (7)C0 ):[)••f-1 - 5L) -
-B L '
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
i-( E P.- 1 1c M c 0 3 -5 O (v, f / 2_4- /
oc
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
A j..1 9 L t)c,0 -IL il,,sfc0 (25.1; ) 3c?a -Z`-t'2- ._
MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE
2.2-15 ,�.1 'oii-1 574. 3 -r c-aN,�,, j ii...1,41 ers 4122 ( z$3) 6 '/ - 305-0
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other(Describe) (15.3 )3< 3 - 2-5-7
CONTACT NAMNAME ` • PRIMARY PHONE E-MAIL ADDRESS 11�
bC.. . J01))0SfVC:P:S. . . (.-.).). � L2.- .2- C. ilk,ie, -iiic, p LtYlw,„,,
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
,
■ DETAILED,BUILDING INFORMATION' , , " ' `'?
EXISTING USE Pc€r}Grv5 I=rk PROPOSED USE P =- bQj ll.3 tip C----)py (;)
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ S 000 l ''C'ctn3fly
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
S
: :PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS =smut PROPOSED Toru �',ta ' �5,n i 1 g ti 1fi,, 1 a,4
..i�,.. ... P5 i_., 2�1�,.3 ax i7_r �l,:s.rle .k.{,Ks 5, x
**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(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orhxb/shower combo) SHOWERS WATER CLOSETS(tune MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS •
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Si ) 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.
41 :7
NAME/TITLE 0
DATE
f Signature) (Title)
RELATIONSHIP TO P•_+JECT El Owner 0 Agent 0 Contractor 0 Architect 0 Other •
•
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