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97-102828 6) 7-- tbaSIdis CITY ' 'F FEDERAL WAY PERMIT NO: BLD9r--©468 33530 First Way South :f;;;; ,..,I 1: _.. .,It :1:: i'',11:i! P L:::f:;;!'11:,;It 'T. ISSUED: 12/05/97 Federal Way , WA 98003 Building Inspection Requests 253-661-4140 BY: FC 253-661-4000 EXPIRES: 06/03/98 ADDRESS :625 S 314TH ST NO . : 082104-9035 PROJECT DESCRIPTION:TI - INCREASE TO CLASSROOM/WORKROOM AREAS f. OWNER ::::m--- ---.._,__-.___,__- CONTRACTOR __ ---_.,-.._;._ I MIRROR LAKE ELEMENTARY SCHOOL x OWNER IS CONTRACTOR ' FEDERAL WAY SCHOOL DISTRICT 625 S 314TH FEDERAL WAY WA 98003 i 1 j 1•-0100 *** CONTRACTORS, PLEASE USE LOCATION CODE 1132 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% *** 1 BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:URBA FEES: TYPE OF WORK:TEN USE:COM 1ST.: 800: 0:sf STORIES • 1 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLAN CHECK FEE $ 227.18 CENSUS CATEGORY •437 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 349.50 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm ; SBCC SURCHARGE * $ 4.50 :E1 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft PLCK-FIR comml only* $ 17.48 TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 40000 SIDE • 0.00 ft WATER SERVICE..:FED FINAL PLAN CHECK...* $ 0.00 :5N :? :? :? DECK: 0: O:sf REAR • 0.00:ft SEWER SERVICE..:FED OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:07/30/97 : 40: 0: 0: 0: TOTL: 800: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 598.66 S PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 .N<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0 AS HWT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0 BBQ • 0 MISC • 0 50+ TON • 0 J DISH WASHERS • 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 L...._.______.--_ __-.- __. _____.__.._......____...-. 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INF►:MAT10N FUR HED BY ME IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CII Y OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT `/ /4 / DATE /z- FILE COPY r r ,a CIT' Of FEDERAL WAYPEF'MI F NO: BLD97--0468 ,335n0 F t t"'4t Way South ill 1., .1.. No4 P I i,;y Ful . T I- : (JL:0, 1 -lay 4 7 A Federal Way, WA 98003 Building It i , , !3`,. it. I. 2)3-661 -4000 ! 06/0: ,' i?CO sed o! 'oz /98 N/ AI)DRr`T',:625 £ ', , Ill r,T NO. : tt02104 <Ai ' mono- DUS(f.i I-'i 'off: F1 - INCREASE to CLASSROOM/WORKROOM AREA', /1?4°06 a 3 HA 1((A. . OWNER z,s:� rr xnt,� � �r rata :- r� :arn, tsrr t,nL * CONTRACTOR R... .._, c,rr:..rw.;:;, .,, i lk _,n.a:•:. . ..::;.._ .:.. 2_. _. :: MIRROR LAKE ELEMENTARY S€H00L OWNER IS CONTRACTOR I FEDERAL WAY SCHOOL DISTRICT 625 S 314TH FEDERAL WAY WA 98003 41-0100 ' f2Pk@AY^Y'".SC �:..aS.:c;.drStmC,*w.;nt,YLfCM=::.-.A..:.:: tib::.:.r..r.: Y..'.1: Y.6.;.....: Y.m..t: 'FAY+.•...•..:%W."^..tflTW yY.:c':;T'...::....SLr2.91.'A:L-i.^,'=SCYLCL S.^*SSC X:*X'.?. at if:{.':LYXL..s»Y.C:6.R'PJM._.;....:..II.IsIIR!'YS"SflA.R_:::YSSt.>L..:..ti........A::'#tY S:ta4 ut:Yt4L"1EC:CA:f.Yh*At.T+`+'+�iS�iCG.4N *** CONTRACTORS, PLEASE USE LOG1TIuN COAT 17,4 Uti"i 'XtrotiC't6 SALES IAX FOR PROJECTS MINN TIE CITY Of FEDERAL NAY. TAX RACE - 8.6% UI ss. ..''-.snas Vic:-stssal[Y:Yare+mSW .e__.rri:. $ •:,r'.e .plpuran '�I**tC. •a a ^a..;a_.SCCCC:•xx,c a.:sa ..,t.._r..s '...-....:a.,_x:....:.c.n'r..a',ew:.;saCLCttCCC :::::i...:......eaCtCC i'.a.;.ru'e.:.x_-,r,4: aa.o....._.cam.:eat a......asci:crxexrwuur.'kat*rYRYSCs• BLD:':X NEC?:_ PLM?: FIR -EXIST -PRO{ --- MILLING UNITS: 0 i COMP PLAN UREA FEES: TYPE OF WORK:TEN USE:COI 1ST.: ;1 : 0:sf ct0FIL .... ..,: 1 i REQUIRED PARKING,.: O SPRTNtti:=- :1 P!AN CHECK FLE $ 227.18 CENSUS CATEGORY.....:437 2ND.: : O:st' '`10111 .., . , . I,. 1' r HAZARD CIASC BUILDING PERMIT....* $ 349.50 OCCUPMM:Y GROUP-.------- 3PD. M: O;sf ''X1114$':ON- Pl`0�'IPEI SE IBA r FIRE FON.., it m SBC( �:UP�_NARGE * $ 4.50 :E1 :? :? :? : OTHR: 4I; 0:sf -.kV. . is 0 'PONW........ a Oa it POI Ple Ptecoal only* $ 17.48 TYPE OF CONSTRUCTION Bim: ,,.: EL- 4F:t1 PROP $. 40000 sIDE ... .....: 0.00 it WATER SLE""«RCE ,:WW U FINAL PLAN (TICK...* $ 000 :5H :? :? :? : 7. KM 0: tf$f r,E,a).. ...,.... ,! tJU:tt 'LWER SERv1rE.,:FE.D �tt�►tu) Fee gy W OCCUPANI LOAD- 4 O s � IIECE it�..(l:,f3E/ : 40: 0: 0: 0: TO a i, O: f if1MERV SURFACE: 0 st ANSITIVL AREAS?.:H ;r6-usclstC,nflaa.a aaa:- 'oars ae�x;;•tcawc.*Cot=^...a 6i'hl CC s y F' ,:.4 A.,S*t....__y+etF�n asa:waceYWMY�tatS*t" CC vfl:;a::rrsx.A-cC,sss-sa¢s...c...:-.CC,:;...:.ti':»w,u�_r mxsxmaea»smxrasa uc z:':6+:::. FUEL TYPES.:? ? FANS....,,...,: O BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS ' C TOTAL FEES $ 598.66 S PIPING.: 0 ft HOOD 0 0-3 TON.,...: 0 BATH TUBS • 0 DRINKING FOUNT.: 0 .fC100K..: 0 DUCT WORK.....: 0 3-15 TON....: 0 SHOWERS 0 SUMPS • 0 j a S HNT • u WOOD.'TOVES...: 0 15-30 TON...: 0 LAVATORIES . 0 VAC BREAKERS...: 0 COMV BURNER: 0 FURO/I00K • 0 30-50 TON..,: 0 SINKS • 0 DRAINS • 0 HT10 • 0 MIS(' • 0 50+ TON.....: 0 DISH WASHERS : 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL RANKS--------- ELEC NIR HEATERS : 0 OTHER FIXTURES.: 0 RANGE......: 0 <:10,0O0 (FM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS : 0 GAS LOGS 0 > 10,000 CFM: 0 UNDERGROUND.: 0 k,'3</NtkY::7aacxX6..,K�.'1'.r:]ffi'A"J�'X:4.ii1:l.:XT6•Sbi.SIC..S:1l LsilY.)d'i'•.JFitNi+'�`:T�.ILA�.:I9CSAI::SRf1Y:itG.9t9YJR'4'h1Mik4:Zil{�,%:iiffi::i' Sr..:LR,...::r C>Jta9 G,SOt:€.s.r.ICS05Y t.CCmmt.:a.'gY..,RS:a,cr '*C'lt::::s:.X1:Cti':]:W=.]%2::LS t'.C'ik*10MQ5'....TFet lS r-.6JYG ZlflSme Y:.-: PERMITS EMPIRE 100 DAYS AFIER ISSUANCE 11 NO WI IS STARTED. RESIB1NIIAt Mm GRADING PERMITS EXPIRE Olt YEAR AIM DATE Of ISSUAIICE. I CERTIFY MAT INC INE 11011 FNWNI', ED BY NE I5 TRUE AND CORRECT 10 TIE NEST OF NC KNOULEl1GE AND III APPLICABLE (.I Y OF i E DERAL. NAY REQUIREMLNIS VIII If NET. r. OWNER OR AGENT 4., ... :..;,4 .. _ i it,V DATE 5 �7 ` / ' FIELD COPY N\) 41k 7SETBACKS & FOOTINGS Date By 2 O tiN ,ATION WALLS Date By ................................................................................................. ....................................... ........................................................ ................................................................................................. ....................................... ........................................................ 3 PLUMBING GROUNI WORK' Date By 4 SLAB INSULATION Date By 5 FOOTING%DOWNSPOUT:::DRAINS Date By 6 UNDERFLOOR:FfiAIpIING Date By 7 SHEAR WALLS Date By rLtiMB1G ROUGH-IN Date By ................................................................................................. 9 ................................................................................................ ................................................................................................. GAS.........Nti�.................................................. ................................................................................................. ................................................................................................ Date By ................................................................................................. ................................................................................................. ................................................................................................. ................................................................................................. 10 MEGHANICAti<ROUiH>IN €<> > >> ................................................................................................. ................................................................................................. ................................................................................................. Date By ................................................................................................. ............................................................................................... 11 ................................................................................................. ................................................................................................. Date By •.. . ...................................................................... 12 INSULATION ••••• •• ••• Date By .................................................................... LAY 13 GWB - 1ST ER »< Date By 14 GWB -2ND LAYq'>: :::......;::................. .................................................................................. Date By ................................................................................................ ................................................................................................. ................................................................................................ ................................................................................................. 15 SUENIIEDOEIIsING > < ................................................................................................ Date By 16 Date By 17 .... .:........ Date By ................................................................................................. 18 ................................................................................................. ................................................................................................ Date By ............. .................................................................................. 19 BUILDING'f�1AL Date 5`lf1 By 3 ✓� ` l7� es-if-Sick 20 OTHER Date By CD0193(Rev 4/97) C BUILDING DIVIS G OR EC EIV 33530 First Way Federal Way,WA 9, 3 ® 19 (206)661-x, JUL Fax(206)661-41 F FEDERAL W GITY UILDING DEPT.AY APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION # ? LC) / v 04G S EIMER ?•h Address COt 5 50 -61444^4 ^ Tenant(if known) Lot# Assessor's Tax# 17-1 tZee)tz— L. •r�(--1;P...14'1.16Fe cz-`1 08 Z-l 0 4- q-0 35 Building Owner's Name Address =T�•1 "'�/�L W(AZ` AVpt SG . City yJ LAK 'State A • Zip qgicr3.3 I Phone 2ces. q 41. 010 Nature of Work 14L G3rr Kf Name (F,M,L) Address 1 act L3 t 5 SrTV%" c crrT-- A City ��_L'M State • Zip " 444- Contact Person Day Other Phone Fax `4N1LltE' S3L02.6L.D a53.531_e114f. BUIL ...................... Company Name Address City State Zip Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No Name 'tctT t5 Address 2a 13134- 5"-r. -01. A City T"P•.c'©tY\/� State ag' 144- (•/V-3n. Zip Contact Person._ t-14 111.417 Pze .GzcCoFz53 .S'3i* etIrl LEGAL DESCRIPTION Cir" Sl Z off- t•-k. /4 cs-t 541/er- fO►kf —momu, tb1'P Z( N CN ) up.A.) �E ,ys- l t`c G c..oc„tirry ( Please Complete Reverse Side sting L Use a @ G O CTLI >��>�_:'?:% ?' iEi �� ''r'Sc?r:'i�ii' 3��'':;33y'�. (..--. .. : .:............. ..: ..:;.: , 9 �.o •oposed Use 5'l� Permit includes: 1Z Building 0 Plumbing 0 Mechanical 0 Other Type of Work: 0 Residential 0 New d. Remodel 0 Number of Units_ ❑ Deck 0 'Commercial 0 Addition 0 Garage 0 Shed 0 Other Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area t 1 Sc' sq ft Area Basement s. ft Decks s. ft Gara.e s. ft Pro.osed Total Area 1 t SO s. ft Water Availa li /r Sewer Availabilit On-Site Septic System Availability 0 Project Valuation $ 40 t ODU Zoning ---1 . Z I Lot Size j>3 '4$U 4) Existing Bldg Valuation s-i( -P1,925 SOL; 'i ttNERMiiilgaiMMENNimakagn Name x`i F�, ) 60( t s1/ i Address City w -JlState Zip .ECfAMCCAL.CONTl7A o _ ::::..:::::: Contractor Name Address City State i Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No PLUMBINGMONTRACTORMEMEma Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No •KUIVIBINGMIxT1JRE cc•uNT: Water Closets Sinks rLk pals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heate Sumps Lavatories Washing Mach. a Drains Total Fixture Count IIIICA,I... 7C�IIT.Ct UN1IT::::. . . .::.:,<.. MECHANICAL EVALUATION ONLY $ Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt .. Hood Boilers Above Ground Cony Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Total 1Jrfit OoUtjt DISCLAIMER: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 pert it application is made.I forth, agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and attor!ieys'fees incurred in investigation and defense of such;a),ibe), * 'ch ma .•e by any person,including the undersigned,and filed against the City of Federal Way,but only where.such claim arises o of the r- 'ance of city chic -o� loyees,upon the accuracy of the information supplied to the city as a part of this application. bp Owner/Agent: ////�''/ Date: ,(14f C.T /r97 BUILDIMG.APP / Bcv¢ED 12/11/96