00-103114L
f
City of Federal Way
Conemmity Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
• 9
Building - Commercial Permit #:00 -103114 - 00 - CO
Inspection request line: 253.661.4140
(3:30pm cut-off for next day inspections)
Project Name: FEDERAL WAY FIRE DEPARTMENT
Project Address: 33414 21ST AVE SW Parcel Number: 132103 9062
Project Description: COM ALT - Remodel existing sleeping area to create 3 individual sleeping rooms.
Owner
Applicant I
Contractor
Lender
FIRE DIST 39
FEDERAL WAY FIRE DEPARTME1,
KING COUNTY FIRE DISTRICT 39
NONE
31617 1 ST AVE S
31617 1 ST AVE S
KINGCFDO23ND (8/l/00)
No
FEDERAL WAY WA
FEDERAL WAY, WA
31617 1ST AVE S
No
98003-5201
98003
FEDERAL WAY WA
NONE
Includes:
Census category: 437;- Comm
#1 #2 #3 #4
Occupancy Group:
B
Construction Type:
Type V - One -HR
Occupancy Load:
8
Floor Area (Sq. Ft.):
794.5
Building Pre -con. Meeting Required ...................
No
Census Category .................................................
437 - Commercial alt/add
Fire Sprinklers .................................................
Yes
Mechanical.................................................
No
Number of Stories................................................1
Permit for Building Shell Only............................
No
Permit for Foundation Only.................................No
Plumbing .................................................
No
Special Inspection Required ................................
No
Total Proposed Sq. Feet .......................................
794.5
Will Certificate of Occupancy be Issued? ............
No
Sensitive Areas? .................................................
No
Zoning Designation .............................................
RS 5.0
PERMIT EXPIRES November 27, 2000, IF NO WORK IS STARTED.
Permit issued on June 15, 2000
I hereby certify that the above ormation is correct and that the construction on the above described property and
the occupancy and the use wi be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way. /
Owner or agent: Date:
POSSIS CARR ON THE FRONT OF BUILDI0
EJZf-l�
CM OF G BUILIDNG DIVISION
-� ED
VV iffy INSPECTION RECORD
PERMIT #: 00 -103114 -00 -CO
OWNER'S NAME: FIRE DIST 39
SITE ADDRESS: 33414 21ST SW
( ) FOOTINGS/SETBACKS
( ) DRAINAGE: Line
INSPECTION REQUEST PHONE #: 253-661-4140
Request must be received by 3:30 PM for next day inspection
( ) FOUNDATION WALL
DO NOTVOUR CQNCRETEa 1. ABOVE IS APPROVED
( ) Connection
D0 NOT POUR SLA$ UNTIL TE`ABOVE IS APPROVED,,,
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
( ) ROUGH MECHANICAL
( ) SHEATHING
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING
Water pip
Gas pipin
Roof
Ditch Cover
Floor
THE ABOVE MUST BE APPROVED PRIOR TO' INSULATING OR SHEETROCKING
( ) INSULATION: Floors.
( ) WALLBOARD NAILING
Walls Attic
J () SUSPENDED CEILING"
THE AB0VX,A1[U1$T0K,APPRQVED PRIOR<TO%TAPING ORINSTALLING.CE NG TILE'`.
O ELECTRICAL FINAL 07 - / 9 D O,
( ) PLANNING FINAL
`-,DONOT OCCUPY .THIS -4 *DING.UNwT'IL BUILDING FINAL �S:APPROVED
w' ,, V E D $UII,DING Dnwor4
` OF G 33530 First Way South
M 3 1 2000 Federal Way, WA 98003
�_ Q (253)661-4000
.�% /
JL WAY Fax (253) 661-4129
v� i BUiLDtNG DEPT.
APPLICATION FOR BUILDING PERMIT
I SE PRINTAPPLICATION
Name
. ,, }::..tom..:.. .
' . . #'.....:.................
Company Name cc _
Federal WayBusiness License #
#
00
Phone Fax
V Site address
7 ��f
ass
Tenant name
State
Lot #
o,?02
Assessor's Tax #
Contact Person
t9 re-xf sS .
,6
Phone o? �� Q 7
Fax
7' ��O
Building Ow is Name
c
ee- DT
Expir tion Date
--2DOo
Address
Ci L
State &M
Zi ®3
Phone?d? to
Description of Work cEXIS 71/V C
.SAIA�r-7 /AJ4'
idL
4W004f rO /Al Dl ✓/ t7 1101—
Name (F,M,L)
Address
-?1,6
Cit E aL State
Contact Person Day Phone ,2 Othe P ona Fax a S.
AJ 50 5-?'? - 7 zo 7 � q- � 3 S� 9V6 J.?o 9
:...
. ,, }::..tom..:.. .
' . . #'.....:.................
Company Name cc _
Federal WayBusiness License #
State Zi
Contact Person
Phone Fax
Address
City
State
Zi
Contact Person
t9 re-xf sS .
Phone o? �� Q 7
Fax
7' ��O
Contractor's # (card must be presented)
Cv / SCF
O a: Iilb'-O
Expir tion Date
--2DOo
Verified v Yes O No
Name n
f+ Ilk 6—
Address
City
State Zi
Contact Person
Phone Fax
LEGAL DESCRIPTION
�� so • a dD F�. �f %%- ,�l/o,!°T/�rI �,io �', D.� ���- t?�sT 40o rY o/�T.SL
LA --s7- .4 -AD
X24.02% ox .rec, i ;W&JAj SA ,,0 a/ A/. ep,v 6e' f ZxSr
Please Complete Reverse Side
Permit includes:
..<..,....�.i, isdng Use .����/t %
Building ❑ Plumbing
�-
roposed Use
❑ Mechanical ❑ Other
Type of Work: ❑
Residential ❑ New
Commercial ❑ Addition
A Remodel
❑ Repair
❑ # of bedrooms
❑ Garage
❑ Deck
❑ Shed
Enter 1 st Floor Q ai Vj sq ft 2nd Floor sq ft
Area Basement sq ft Decks ft
3rd Floor sq ft
Garage sq ft
Existing Floor Area 9 a
Proposed TotalArea
3 sq ft
sq ft
Water Availability ❑
—sq
Sewer Availability ❑ On -Site Septic System
Availability ❑
ProjectValuation
I $ pQ O . d 0
Zonin e .t4sS
Lot Size BOO
Existing Bid Valuation
$
70
i'i.:.�2`>`6i:.: ufifovS:.'?�:}S:i;+:;fik+t::�6:lias`• aC >�;?}
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
' i::isiYii:iSiG':i]$::;i::^'•::�jfif::..v':±•'f,•:2:iYi{:r..4i•.:i{ j:j<i.:i?r
�j��1 �y�[}K;�; p .vOiA'•.•}}iii
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals
Bathtubs
Dish Washers
Drinkin
Showers
Electric Water Heaters
Sum s
Lavatories
Washing Machine
Drains
Lawn Sprinklers
Fountains I Other
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and con-ect to the best of my knowledge, and further, that I am authorized by the owner of
the above premises to perform the rk for which permit application is made. I further agree to save hamrless the City of Federal Way as to any claim (including costs, expenses, and
attorneys' fees incurred in investiga i n 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 lance of the city inclu� cern and employees, upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent
w
lifv5ro `.�f18I99
Date:��� v