10-102312w t
0Building - Commercial
City of Federal Way
Community Development Services Permit #: 10-1 02312 -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
A
Project Name: ADELAIDE ELEMENTARY SCHOOL
Project Address: / & ,3S sW 304.' "S -T—, Number: 122103 9084
Project Description: ALT - Seismic retrofit for gymnasium building.
Owner
AoDlic nt
Contractor
Lender
SID WHITE
TONY MATIATOS
J A M CONSTRUCTION INC
FEDERAL WAY PUBLIC SCHOOLS
FEDERAL WAY SCHOOL
GREENE GASAWAY ARCHITECTS
JAMCOC1946D2 (3/22/12)
31405 18TH AVE S
DISTRICT, FACILITIES
PO BOX 4158
12344 BROOKS ST SW
FEDERAL WAY WA 98003
31405 18TH AVE S
FEDERAL WAY WA 98063-4158
OLYMPIA WA 98512
FEDERAL WAY WA 98003-5433
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 0
Existing Sprinkler System in Building? ................No
Number of Stories.................................................1
Plumbing to be Included?.......................................No
New / Additional Sq. Feet - Total .......................... 0
Zoning Designation................................................RS 9.6
Mechanical to be Included? ........ .................No
Permit for Building Shell Only?... ..........................
No
Special Inspection(s) Required?.............................Yes
Sensitive Areas? (Wetlands/Slopes, etc)................No
PERMIT EXPIRES Wednesday, December 29, 2010
Permit Issued on Friday, July 2, 2010
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
the City of Federal Way.
66 Owner or agent: _ Date:
s FlURu.c� �/i�/ro
CrrY of
Federal Way
PERMIT #:
Owner:
10 -102312 -00 -CO
SID WHITE
THIS CARD IS TOMAIN ON-SITE
Construction In ction Record
INSPECTION REQU TS: (253) 835-3050
Address: 31035 DASH POINT RD SW
FEDERAL WAY, WA 98023
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.
E]
SWM Precon Site Mtg (4400)
E]
Initial Erosion Control (4365)
Footings/Setback (4110)
Approved
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
Final - Building (4050)
Approv
By DateZA&
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Foundation Wall (4115)
❑
Drainage/Downspout (4040)13
Re -steel (4215)
Approved to place concrete
Approved to backfill
Approved to place concrete or grout
By
Date
By
Date
By
Date
Floor Sheathing (4105)
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
Fire/Draft Stops (4095)
rl
Shear Walls (4245)
Roof Sheathing (4220)
Approved to install siding
Approved to install roofing
Approved
By
Date
By
Date
By
Date
Interim Erosion Control (4370)EFire/Draft
Framing (4120)
or to scheduling a Framing inspection;
Approved
al, plumbing & Mechanical Rough -in and]
Approved to insulate
By
Date
Stop inspections must be signed -off an
approved. IBC 109.3.4
B
/ Date O
E]Gypsum Wallboard Nailing (4130)
Suspended Ceiling Grid (4265)
Insulation (4150)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By
Date
By
Date
E]
Final - Planning (4070)
Final Erosion Control (4375)
Final - Fire Department (4060)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Building (4050)
Approv
By DateZA&
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
DV ::::::::::..::._: RECEIV RMIT
Federal Wag
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APPLICATION
CTy OF FEDERAL WAY
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SITE ADDRESS
SU1TEMNIT #
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FCuq AL WAY WA 9S0a3
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
0 3-
3 0 3
TYPE OF PERMIT
R BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ENGINEERING 11 FIRE PREVENTION
NAME OF PROJECT
Name/Homeowner
' r❑ 11
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SAFE�y IMPI�O�EMEI�CB
(Tenant)
Last Name
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PROJECT DESCRIPTION
Detailed description of work to
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be included on this permit only
EI.ELJ
PROPERTY OWNER
NAME
FE �R AG W Icy V T��� l �C��� J IvO• �� O
PRIMARY PHONE
53� G '� 5435
MAILING ADDRESS �G AD�
1064
�J(a1� E-MAIL
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Crry fEOERAI. WA
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NAME
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PHONE
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MAH IIYG ADDRESS
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E-MAIL
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CITY
�STATE
ZIP/
FAX
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WA ATE CONTRACTOR'S LICENSE !
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EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
6
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21131- I D
MAILING ADDRESS
P.O. 3oX LA(
E-MAIL
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APPLICANT
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ZIP_ 063
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FAX
PROJECT CONTACT
NAME
GGA' To>,1 MAT � AToS
4'6) qy k - WY7
(The individual to receive and
MAILING ADDRESS 1 1
P.o• PDX '"t1e Jp0
E-MAIL L
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respond to all correspondence
concerning this application)
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STATEO�aAA
WA
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ALTERNATE CONTACT NAME: PHONE
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E-MAIL
;np oSCii�ecS.Corr
PROJECT FINANCING
rNAME
T�RA� r��nl 1/\`��G
t 1'�WhN Y D►•, 1 `A _J
OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
1066 ST F�GERAI WAS WA 9�0C�
PHONE
a53 �t�15- 5 3
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. 1 certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state,
or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
SIGNATURE:
DATE
— /10
PRINT NAME: /
bS
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Bulletin #100 - April 14, 2010 Page 1 of 3 k:\liandouts\Permit Application
I t"-3`riffA&*ic2rWoRjr-$_:j_*
BATHTUBS (- Tb/sh..,r comb.)
(a copy of bid or estimate must be provided)
Indicate how many 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
PANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commercial)
BOILERS
FURNACES
HOT WATER TANKS (G-)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (- Tb/sh..,r comb.)
LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
AREA DESCRIPTION fin square feet) EXISTING
DRINKING FOUNTAINS
SINKS (vachen/utility)
WATER HEATERS (mectric)
...........
HOSE BIBBS
SUMPS
WASHING MACHINES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Do N6—\ y
\ Ow ONKOMW $
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRMMZR SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
h� ' IN)a`56 o Yes X No 0 Yes X No
fi
Occupancy Group(s)
Construction # of
INX W, .......... . ..
in Square Feet
Tvve Stories
-M,,,;gg
---------- ---------- ------- -
. ..........
AREA DESCRIPTION fin square feet) EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
...........
0 ....... ...
FIRST FLOOR (or Mobile Home)
Area
AREA DESCRIPTION in Square Feet
Zonstruction # of
Occupancy Group(s) Type Stories
Additional Information
XX..
... ......... ..
............
TENANT AREA ONLY
COVERED ENTRY
. ...... — -----
GARAGE 0 CARPORT 0
. ... . ..... . .....
. ...............
. .... ..
I ...... .......
... ............
..... . . . .............
............. ............
I ........... .........
I ...... I
TOTAL...
RX3ST1ffG
Area Totals
PROPOSED
................. ----
....................
................... .........................
.................................................
.. ........................................ 1*11
.............................................. .
ESTIMATED SELLING PRICE $
#OF BEDROOMS
AREA DESCRIPTION Area
Occupancy Group(s)
Construction # of
Additional Information
in Square Feet
Tvve Stories
ft.w.-p" ...........
. ..........
.........................
ADDITION
0 ....... ...
M -----------
Area
AREA DESCRIPTION in Square Feet
Zonstruction # of
Occupancy Group(s) Type Stories
Additional Information
............
TENANT AREA ONLY
Bulletin #100 — April 14, 2010 Page 2 of 3 k:\1-landouts\Perrjrit Application