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02-104547City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 • f Building - Commercial Permit #:02 - 104547 - 00 - CO Project Name: FEDERAL WAY FIRE DEPT #63 Inspection request line: 253.835.3050 Project Address: 33414 21ST AVE SW Parcel Number: 132103 9062 Project Description: TI - Provide new connection along perimeter of truck bay, classroom, or beanery area. Also adding plywood shear panels in south bay only. No plumbing or mechanical. Owner Applicant Contractor Lender FIRE DIST 39 FIRE DIST 39 FIRE DIST 39 FIRE DIST 39 31617 1ST AVE S 31617 1ST AVE S 31617 1ST AVE S FEDERAL WAY WA FEDERAL WAY WA 31617 1ST AVE S FEDERAL WAY WA 98003-5201 98003-5201 FEDERAL WAY WA 98003-5201 Includes: Census category: 437 - Comm #1 #2 #3 #4 Occupancy Group: Construction Type: —� Occupancy Load: Floor Area (Sq. Ft.): Census Category ................................................. 437 - Commercial alt/add Fire Sprinklers................................................. Yes Mechanical ................................................. No Number of Stories ................................................ 2 Permit for Building Shell Only ............................ No Plumbing ................................................. No Zoning Designation ............................................. RS 5.0 CONDITIONS: This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the subject proposal. PERMIT EXPIRES April 13, 2003, IF NO WORK IS STARTED. Permit issued on October 15, 2002 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use wil be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date:Z— PERMIT #: 02 -104547 -00 -CO OWNER'S NAME: FIRE DIST 39 SITE ADDRESS: 33414 21ST SW ( ) FOOTINGS/SETBACKS ( ) DRAINAGE: Line ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV ( ) ROUGH MECHANICAL ( ) SHEATHING ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH -IN FIRE/DRAFTSTOPS ( ) FRAMING/FIRESTOPPING BUITING DIVISION INSPECTION RECORD INSPECTION REQUEST PHONE #: 253-835-3050 ( ) FOUNDATION WALL, ( ) Connection. MUM Water piping Gas piping Roof Floor ( ) INSULATION: Floors Walls ( ) WALLBOARD NAILING ( ) ELECTRICAL FINAL ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL Ditch Cover Attic QE Viii O :° (??R EETI20CA.� ( ) SUSPENDED CEILING ° t)��ITPYT�I�S BC7ILpNG TN�IL B ��N�TLNIS APPROVED� 0" uv Rj�LRECEIVED OCT 1 5 2002 i CONSTRUCTION PE MIT APPL TION APPLICATION NUMBER: APPLICATION NUMBER: APPLICATION NUMBER: - C1kPiT bl s 1A6 aired information – Please print (in ink) or type** BUILDING DEPT. Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. ■ PROPERTY INFORMATION SITE ADDRESS: 13y/7 p� l ' 141% eS, L J, ASSESSOR'S TAX/PARCEL #: LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):�c; ©uAAeTFiC D C Sed 71 CTI / � 7dt�iy :5EJlP" � l A. i!..A21! rNS M CTS lYl��!�Ir4Al. /At gelog e,6 7/ j., ),4 ESCG°e7°/ 7/&is-)Cxi* gO /iC/Pt'S PROIECT INFORMATION`—: TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): -1�eD ✓ PROJECT NAME: SST/ S Wl (� (� /� „/�� C S PEOPLE• • PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: DAYTIME PHONE: e-/eAc cd til &>1 T q MAILING ADDRESS (STREETADDRESS; CITY, STATE, ZIP): ,�/ (o! ? / � �I��r S• FC7/ L�"/Z� � � l4 �/ ,c..1Q 9p o0 NAME: DAYTIME PHONE: - MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE - �1 (copy of card required) /L At NAME: r TC'-.✓ ADDRESS; CITY, RELATIONSHIP TO PROJECT: ❑ ARCHITECT []TENANT ❑ OTHER ( DESCRIBE):_ CONTACT PERSON FOR THIS PROJECT: 1!5! PROPERTY OWNER ❑ APPLICANT U s.) 3 4 - 7AC7 FAX NUMBER: (-;y"3 ) g,V & E-MAIL ADDRESS: ❑ CONTRACTOR 1 [vdei,c-�Azlfh EXISTING USE: 69E- ST47iCAIJ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ �79710 PROPOSED USE: SA rw� C PROPOSED VALUATION FOR IMPROVEMENTS: $ -1 r- O SPRINKLERED BUILDING? ❑ YES Of NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: 00 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: If LAKEHAVEN ❑ HIGHLINE 11 PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTIO NLY** r � NUMBER OF BEDROOMS: ESTIMATED SELLING P : ■ PR03ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT _ FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILER(S) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTOR(S) Indicate number of each EVA RATIVE COO AN( ) RE LACE INSERT N CE S) TR) P PE OUTLET(: _ LAVATORY(S) RAIN WATE SYS, SINKS) SUMP(S) of fixture GAS LOG(S) REFRIG. SYSTEM(S) HOOD(S) WOODSTOVE(S) RANGE(S) MISC. ( ) HEAT SOURCE: ❑ ELECTRIC ❑ GAS WATER HEATER(S) VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS WASH MACHINE OUTLET WATER CLOSET(S) MISC. ( ) ■ ' 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 sup lied to th a part of this application. NAME/TITLE: DATE: ❑ PROPERTY OWNER A APPLICANT PO CONTRACTOR OOMMUNTTY DEVELOPMENT SERVICES r 33530 FIRST WAY SOUTH r PO BOX 9718 r FEDERAL WAY, WA 98063-9716 • 253-661-4000 • FAX: 253-661-4129 www.cltvoffedemlway.com