04-102383 •
City of Federal Way S .
Community Development Services Building - Commercial Permit #: 04 - 102383 - 00 - CO
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: LAKOTA MIDDLE SCHOOL
Project Address: 1415 SW 314TH ST\ Parcel Number: 072104 9143
Project Description: Replace BUR roofing system
Owner Applicant Contractor Lender
FEDERAL WAY SCHOOL DIST#21 STANLEY ROOFING COMPANY IN STANLEY ROOFING COMPANY IN NONE
31405 18TH AVE S STANLEY ROOFING COMPANY IN STANLR*3755T 5/1/06
19710 144TH AVE NE STANLEY ROOFING COMPANY IN
\FEDERAL WAY WA 98003 WOODINVILLE WA 98072 19710 144TH AVE NE NONE
Includes:
Census category: 555-Non-st #1 #2 #3 #4
1 Occupancy Group: i
Construction Type: IL
POccupancy Load: _ s �
LFloor Area(Sq.Ft.): e
Census Category 555-Non-structural roofing p Mechanical No
Number of Stories 1 Permit for Building Shell Only No
Plumbing No
•
PERMIT EXPIRES December 13,2004.
Permit issued on June 16,2004
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 and
the City of Federal Way.
-N21
Owner or agent: Date: (o-
AIL THIS CARD IS TO MAIN ON-SITE e
lit
CITY OF ommunity Pm Develo nt Inspection Record
P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102383-00-CO
Owner: STANLEY ROOFING COMPANY INC
Address: 1415 SW 314TH ST I
FEDERAL WAY, WA 98023-4518
This card is part of your required inspection documents. 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.
❑ Footings/Setback(4110) 0 Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel (4215) 0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor (4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
A
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) 0 Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing (4220) ❑ Fire/Draft Stops (4095) 7 NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
❑ Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
❑ Final-Public Works (4080) ❑ Final-Building(4050)
Approved Approved
By Date By Date q/,I pi.
„irdigir- • te 0 Z.
o
ral Wa REl� - g�
y PERMIT
COMMUNITY DEVELOPMENT SERVICES
S F M F CO E E L PL D E E N FP
33530 FIRST WAY,WA9 PO BOX 971E JUN 1 APPLICATION
FEDERAL WAY,FAX
936 "•••••-
253-6614115.
/
253-ti614I15•FAX 253-661-4129
ww w.d t do Fede ral wa g.co m
CITY OF FEDERAL vci
The ollowin• is re.uired ftt drination -an in..,•fete a..lication will not be acce•ted. Please .rint le.ibl (in ink)or .
H PROPERTY INFORM((ATION°kx
SITE ADDRESS ( 5 SW 3( Li S v�t..Q* F��]1.o 0.)Ay t uJ A SUITE/UNIT#
ASSESSOR'S TAX/PARCEL # - LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(A •ch separate page for lengthy legal desoipt o,)
. . PROJECT INFORMATION
I
TYPE OF PERMIT pQ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
1� .Nb000- 424111 it gv1R �.00tn�StAz-EQvanl
(lemve s41 WA. Uok0Ai0I)
1, 1YeR•Cta,at.Q.o &QJJ 1 t0111.s o� Z VQ—co .
3 So.i i A LO*
Wit
3 kt% VAR. Mo il14q %\sjo wl
PROJECT NAME(Name of Business or Owner Last Na e) Lesko o.et\ ;d�te.SCs,„6_01 it F.W QS- III p 3`lob q
i
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Peke 1 4.)Qt P1p`ie Sckno7 (ftio.in thoncQdroQow3ylais (151)et4S -S9ZO
MAILING ADDRESS U CITY,STATE,ZIP
lobo Srow . 31V 4 Stre.4� Veileaal_ vJ Aj r W A 88003
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
S43 �o� ltibA.�►y Zua
V PIA�� T►►orhPsoA► (4t 4a3 bbtOCO
MAILING DRESS ` CITY,STATE,ZIP CELL PHONE
19110 1445 Avenue No" EaS4 Woodvu\lt2 w 98011- (to C. )1%0 -SSO%
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ / ( )
B L
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
I k 14. L. R t 3 n. 5 S I S /e 1 /tocb
APPLICANT COMPANY NAME( APPLICANT NAME OFFICE PHONE
SAILIING NADSS E\\O ll Co PK?” I ix. Y�Tk CITY, T1'1.0 w N, c GasZIP CELLIONF 481- W.� 10
MAIJIR110 1441A AuQ•nl44 00.••'41\@ast WoodlNu'tie�WA gvol 1 (-tote )'l'� 0 -SSO%
RELATIONSHIP TO PROJECT 1 FAX NUMBER
0 Architect 0 Tenant ❑Agent CI Other(Describe) ` . .�u•
Roof.vis
CONTACT NAME PRIMARY PHONE
\1 'rho e-MAIL
1 (MS 1 414 3 - fit.0 6 stnA1.e,o Inn
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION .
•
EXISTING USE (1Aixialte, %cvsse.k PROPOSED USE A
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED W RI{ $ 4,40 Let g6S✓
•
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQ D? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
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PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING S•. FT. PROPOSED S•.FT. TOTAL
SECONDBASEMENT
FIRST
THIRD
• ' I
ADDITIONAL FLOORS(DESC• :: 1=1
DECK(COVERED?) '
GARAGE/CARPORT '1411111
HOW MANY FLOORS? libighL.EOTAL EXLSTING TOTAL PROPOS • TOTAL masriso AND PROPOSED
••NEW HOMES ONLY** NUMBER OF BEDROOMS E k ATED SELLING P:. E $
•
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of t/rts prod Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ .7
AIR HANDLING UNITS EVAPORATIVE COO "S GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) • •ODSTOVES
BOILERS FIREPLACE I : RTS RANGES MIS Describe)
COMPRESSORS FURNAC GAS WATER HEATERS
DUCTS GAS P ' OUTLETS
PLUMBING
BATHTUBS Iorrun/showrCombo) SHOWERS '•
WATER CLOSETS troa<q MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES RINALS HOSE BIBBS
LAVS(Bathroom Sink - . •CUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the in ormation 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 supplied to the city as a part of
this application.
NAME/TITLE DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent ❑ Contractor 0 Architect o Other
FOR OFFICE USE ONLY
a NEW ❑ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application