10-101218 t
City of Federal Way 0 • Building - Commrcial
Community Development Services Permit #: 10-101218-00-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: LAKOTA MIDDLE SCHOOL-GYMNASIUM
Project Address: 1415 SW 314TH ST Parcel Number: 072104 9143
Project Description: TI-Soft Demo of select and limited items within structure.
Owner Annlicant Contractor Lender
ROD LELAND WM DICKSON CO WM DICKSON CO
FEDERAL WAY PUBLIC 3315 S PINE ST WMDICC*108J7(4/1/11)
SCHOOLS TACOMA WA 98409 3315 S PINE ST
31405 18TH AVE S TACOMA WA 98409
FEDERAL WAY WA
98003-5433
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
i °i„ 7,a '� �^ ( >` " ;"'..,�i �! h��''�" y� " r,, . s
Mechanical to be Included? No Number of Stories 1
Permit for Building Shell Only? No Plumbing to be Included? No
PERMIT EXPIRES Monday, September 20, 2010
Permit Issued on Wednesday, March 24, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t e use will ' accordance with the laws, rules and regulations of the State of Washington
and a City of F eral Way.
Owner or agent: 6475%-r )44• Si1C*C4PJ Date: -;/Z4-11'"I°
1 (MML6 l.S/<<
THIS CARD IS TO AIN ON-SITE
CITY OF • Construction Ins tion Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-101218-00-CO Address: 1415 SW 314TH ST
Owner: ROD LELAND FEDERAL WAY, WA 98023-4518
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.
El SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
ID Re-steel (4215) El Slab/Concrete Floor(4255) ,CI 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) ❑ Fire/Draft Stops(4095) to Interim Erosion Control(4370)
Approved to install flooring Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; Framing(4120) LJ Insulation (4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Date By Date
0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
Final Erosion Control(4375) El Final-Building(4050)
Approved Approved
By Date By /i Date ....7. A5//r
CI Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
KECILVED
• A. MAR 2 , . tit - 10 L , LL
r2< P■ RMIT SF MF • ME EL '_ It EN FP
Federal roFFES
COMMUNITY DEVELOPMENT253-8 SERVICES
253-835-2607•FAX 253-835-2609 CD #' ' CAT I O N
www.dtuoffederatwau.com
SITE ADDRESS
(-115" SV.) 'WI"` WA- ; °3
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
c _ 1 1 o L - e I L3
NAME OF PROJECT yy 11- ' �^
(Tenant or Homeowner Name) 1 rJ i. I W Ly .�,(; ci cLo ks l -c c, 1'1 .�t t e �>c h�7
0 BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT ;,,g- XDEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME] r. � PRIMARY PHONE
PROPERTY OWNER cGVJlyeZ,rw ctlD154Vit�' (ZZ SI )' 1S - c'tl
MAILING ADDRESS.CITY,STATE,ZIP E-MAIL
31t{OC 1lt" Aoc co-ft.
OWNER IS ALSO: o CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME I PRIMARY PHONE
WM• 01,1 ( (Zc3 )4/1 -"Hr)
CONTRACTOR MAILING ADDRESS.CITY,STATE,ZIP FAX
7A lc ;,,iA+tPe1I- ,w IVA x )y42_ - 1 -1
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
WMDIa In T/ 'I / Di /
NAME PRIMARY PHONE
APPLICANT �M r),,,k.r� C . (2(4 )tl "Z.. - kVA
MAILING ADDRESS,CITY,STATE,ZIP FAX
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and C*. It ,.LNc • • t..Vws WcdSce (z ' ) 541 -
respond to all correspondence MAILING ADDRESS,CITY.STATE,ZIP FAX
concerning this application) tai(% WJE toi,h �v�Jt,�u.l�c 16.0°- 14141,1 ,11 3'y (lac ) 6,2. -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAME t
� L.
Required for projects with riAVI e -{LOY.1‘5 . Ls� 9�t 5 �% 0 OWNER-FINANCED
value of$5,000 or more MAILING ADDRESS.CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( )
1 cert}fy under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred
in the investigation and defense of such claim),which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppled to the i a part of this application.
SIGNATURE: ;MA__ rel$I. DATE 3112 I 2 10 '
PRINT NAME: „) 0rYN, S11) w(aA.• n,
f\,)
Bulletin#100-January 1,2010 Page 1 of 4 k:\I-Iandouts\Permit Application
ta 0
MECHANICAL FIXTURES
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture 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(cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING 4FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
BATHTUBS(or?ib/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
PROJECT�V<ALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
J
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
3,12,. Ac.rc.4 Dd Yes❑ No ❑Yes 0 No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT _,_.,_..__.._._..._...._._,_._.._..._._...,_.._,._.._..__.__.._.._.._._,.,._,_ _
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVEREDENTRY „_._.._......................_..,,.......,,...........,...._.._............._..._...,..._........,..,...._._.
DECK ' . .................._.._.._.....
GARAGE ❑ CARPORT ❑
OTHER(describe)
ING
Area TotalsEXIST
PROPOSED
**NEW HOMES,ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NE' /ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW$UILDfN
ADDITION ... .. _
COMMERCIAL REMODEL/rENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-January 1,2010 Page 2 of 4 k:\Handouts\Permit Application