10-102636 'v"
City of Federal Way • "'Building - Com> ier.cii Community Development Services Permit #: 1 0-1 02636-00-CO
PO.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax (253)835-2609 p Q
Project Name: NORMAN CENTER
Project Address: 33250 21ST AVE SW . Parcel Number: 132103 9028
Project Description: TI-Interior finishes included but not limited to demolition,cutting,patching and salvaging,
metal fabrications,and finish carpentry.Mechanical and plumbing included on this permit.
Electrical on separate permit.
Owner Applicant Contractor Lender
FEDERAL WAY SCHOOL DIST TONY MATIATOS WESTMARK CONSTRUCTION FEDERAL WAY SCHOOL DIST 210
210 GREENE GASAWAY ARCHITECTS INC 31405 18TH AVE S
31405 18TH AVE S PO BOX 4158 WESTMCI012D3(3/30/11) FEDERAL WAY WA
FEDERAL WAY WA FEDERAL WAY WA 98063-4158 6102 N 9TH ST SUITE 100 98003
98003 TACOMA WA 98406-2036
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: E
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 9,094 0 0 0
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Existing Sprinkler System in Building? Yes Mechanical to be Included? Yes
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Elementary/JR/SR Sensitive Areas?(Wetlands/Slopes,etc) No
Schools
Zoning Designation RS 7.2
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Ducting 1 Fans 2
- :,,.;.:4,"",* „.»,.t 2'.3..f/' e: Y`- =r •:'•;•1''''4*:.• • _ 4 nyfi; !k:;:,'•'.:':'. 4!''4 £ °; ,F"it
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Dishwashers 2 Drains 4 Laundry Washer Outlets 1
Lavatories 5 Showers 1 Sinks 6
Uriinna� , D Z 1 Water Closets 7 Water Heaters 1
s UN s )\ / f RMIT. EXPIRES Monday, January 10, 2011
\ 1 Permit Issued on Wednesday, July 14, 2010
I hereby certify tha 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 f b
l 7 the City of Federal Way. \
Owner or agent: Date: i 0
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• THIS CARD IS T MAIN ON-SITE '
CITY OF �`� Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-102636-00-CO Address: 33250 21ST AVE SW
Owner: FEDERAL WAY SCHOOL DIST 210 FEDERAL WAY, WA
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.
0 SWM Precon Site Mtg(4400) 0 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
El Re-steel (4215) ❑ Plumbing Groundwork(4190) .0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Appr ed to cover Approved to place concrete
By Date By //f DateVid By Date
O Underfloor Framing(4285) 'CI Floor Sheathing(4105) �El Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By� 3 Date a1 — I. a
o Mechanical Rough-in(4165) ❑ Gas Piping(4125) CI Fire/Draft Stops(4095)
Approved Approved to release test Approved
By /�!� Date //20/D By Date By C � Date % -1�^t v
'❑ Interim Erosion Control(4370)
Prior to scheduling a Framing inspection; 1 *El
Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
I` Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 Bye J Date_ , -\ '
o Insulation (4150) ' ❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud& e Approved to drop tile
By Date By /j r f Date e leAvD By Date
El Final-Fire Department(4060) El Final-Planning(4070) 0 Final Erosion Control(4375)
Approved Approved Approved
By Date By Date By Date
13 Final-Mechanical(4065) ❑ Final-Plumbing(4075) El Final-Building(4050)
Approved Approved Approved
By -72I i.1/13ate 1/3/1 By � %Date VW B`y� Date 7'—g -/6
❑ Rough Electrical Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
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��a PERMIT SF MF CO ME PL DE EN FP
Federal WNN 2 3
} APPLICATION u /a
COMMUM7YDEVEIAPMENf SERVICES
253-835- 011OIVTEDERAL WAY •
CDS
SITE ADDRESS SUITE/UNIT•
3a50 ati AVE Sw CCUP AI. way, W A RWa3
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL•
$ .00)000 R51,1 1 3 a i o 3 - q o a %
TYPE OF PERMIT a BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) I30t34\,ba4 CENC6 R T 04M4r I MpRoV E MEir5
tErtAISC 'M vGMEAs Itica tIG, �UC *sr' W& ) To OcAncimoll,
PROJECT DESCRIPTION 1` ``� c `' u� CA�{� 1r� '`
Detailed description of work to C.kAnGl. �' ? AIJC , 7 '1 AGIE *am. f leAk I `O)S)c�1.�pt`S'\
be included On this permit Only CASK )\g% F�JJ 94.5) MCc1�a13tc t. Aso EIsctRIc,AL
W
PROPERTY OWNER qCRaI, 4. SCAoc.. otS 'c& CT No. a\o (�53S q45 5CGS
3MAt>�oG ll. S E-MAIL Fw6c,Q.0c5
F CX.9% \ WAY it 'ggoo3
Top NAME G AYti�rl.c)
PHONE
MAILING ADDRESS E-MAIL
e/CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAT SUSINESS LICENSE I
G,REG.14E cmwky Aacvc s (7.535 (Ai-JAY(
APPLICANT
WARM DRESS
R15 0 E 0 1l s.COM
TFCCO`L w A`1 W 'Sloo6
FAX
individualPROJECT CONTACT tato receive and GAP:. To ry 1 t AT I A-Co�.� 03)941-4937
respond to all correspondenceo
concerning this 'C AX"15% ;Om/LI t i C5,corn
FpoE ,
\AN. ZIPCgo611
PHONE
PROJECT FINANCING (NAME
EA .i 1 ❑
Required value of$5,000 or more
C D `+ WAY P"a '\I '
l5 OWNER-FINANCED
(RCW 19.27.0951 WAN
MAILING ADDRESS.MIT. ` `- �r11..
STATE. PHONE
$V �rv ,`41\ "ttco3
I certify 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 authorised 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 a part of this application.
SIGNATURE: r[ . - DATE &111.3
PRINT NAME: 4. _l
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
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u •
MECHANICAL FIXTURES' •
nue or NPLINANKI&L A /�r '/�)O (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS a FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDONER FIREPLACE INSERTS HOODS rommeniad)
BOILERS FURNACES HOT WATER TANKS)G.,)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
^"t DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type of f ixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or'Mb/Shower Combo) S LAVS)Hand sink.) TOILETS WATER PIPING
ii DISHWASHERS RAINWATER SYSTEMS ÷ URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 6 SINKS(Kitchen/Utility) 1 WATER HEATERS(neario
HOSE BIBBS SUMPS WASHING MACHINES 28 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMP'ROVEIIE1 TS
Do 1A6C KEW Li4.01E4 LAkEONN $
EXISTING/PREVIOUS USE LOT SIZE(In Sgw>R FNt) EXISTING FM SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
4.11 . x Yes❑ No ❑Yes ly No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY (1)( _ —_�_�_ ---__--•
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
ammo PIRIVOIM) TOTAL
Area Totals
NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BED 0Oj0MS PI�
COMMERCIA W/ADDITION
AREA DESCRIPTION in Area Fent Occupancy p(3) Construction
on stories
Additional Information
NEW BUI.Dnra
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area Constructiof
AREA DESCRIPTION is P, {Occupancy Group(s) an : Additional Information
TOTAL BUIIAING %Ogg €OVO.ATkW AL M.- 1
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application