03-103386 •
City of Federal Way
Community Development Services Bu� Com ercial Permit #:03 - 103386 - 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 JR GH
Project Address: W TH T Parcel Number: 072104 9143
Project Description:' I-Ad s _ 's>< wall to split existing space into 2 rooms;MECHANICAL ONLY on this permit
Owner licant Contractor Lender
FED RAL WAY PUB. S S GREEN ASAWAY ARCHITECTS FEDERAL WAY PUBLIC SCHOOL NONE
3 5 18T •VES 44 PO BOX 4158
DERAL W• •A 9 103-543 EDERAL WAY WA 9 63 31405 18TH AVE S
FEDERAL WAY WA 9800 NONE
Inclu
Censu tego . 437-Comme 1 • #2 #3 #4
Occupan oup: S-3
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.): 1700
1st Floor Proposed Sq.Feet 1700♦ Cen Category... -Commer 1 alt/add
Fire Sprinklers No r echan Yes
Number of Stories 1 ' `ermit for 'Iding Shell Only o
Permit for Foundation Only No ' mbing
Will Certificate of Occupancy be Issued? No Se 'five Areas"
Mech• ical Fixtures
Description - t ®eSCrip ion Quantity
Air Handling Units
CONDITIONS:
No building all encroach onto • s uilding ••tback line ore men or not own.
Building setba are: 20 feet ont; 5 feet side . fe rear.
All new and reface igns uire a separat• 'gn . e li ion re ew.( CC,Sec.22-335(g)(6))
This decision shall not ive compliance with - ♦ o ederal Way codes,policies,or standards relating to the subject
proposal.
A Planning inspection must be scheduled and passed for ro i op units PRIOR to final building inspection.Please call David
Lee at(253)661-4154 during normal business hours to schedule an inspection.Mechanical rooftop screening is at the
discretion of the City of Federal Way.
PERMIT EXPIRES February 16,2004.
Permit issued on August 20,2003
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.
Owner or agent: �j �' Date: ��a+ ��
PO THIS CARD ON THE FRONT OF BUIL.;
CITY of •
Federal WayBUILDING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-103386-00-CO
OWNER'S NAME: FEDERAL WAY PUBLIC SCHOOL
SITE ADDRESS: 1415 SW 314TH
() FOOTINGS/SETBACKS () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTC"_'..
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPING 9 — 2 — G W
THE ABOVE,MUST BE APPRQVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO'APPLYING SHEETROCK
() WALLBOARD NAILING //7/o � � () SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED ,
• • •
INSPECTION LOG
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
X71 f /_ v\kei C I ASS f J 01'p 64, 'O-14, j `k Z
'flPirj
EQ i
CONSTRUC•N PERMIT APPLICATION T
I CITY OF Vile EIV
` AUG 2 0 2003 APPLICATION NUMBER: P,- l- Q3 Z &C
Federal Way APPLICATION NUMBER: - [CITY OF FEDERAL WAY (APPLICATION NUMBER: - -
BUILDING DEPT.
'''The following is required information-Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
:: I, PROPERTY INFORMATION
SITE ADDRESS: 14 S 4W 314 TU 51r ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Std A-- G
,1-... IN PROJECT INFORMATION
TYPE OF PROJECT(This application): Cf BUILDING o PLUMBING 0 MECHANICAL 0 DEMOLITION
o ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed derscription): L )thi/A (t�IIerak 1700 S >s CDtrhnt.thr ` rpace besrdt(
OF) corr)dois /n4 RL•O 7_eiea-1 pULpi rsrop,,,..s 4 ,rwo o
PROJECT NAME: 1--k.14-01. ,IurAr 11t• L Si,.. (
<I-PEOPLE INFORMATION
PROPERTY OWNER: NAME: If � DAYTIME PHONE:
I-edf/w� �h�ay S oa 1 rlct (�o. �to ; (.P5 3) Syr - sti.3 o
MAILING ADDRESS(STREET ADbRESS;CITY,STATE,ZIP):
1066 S. 32-04'L. Si. Fd11-J (Ai , L/& 76003
CONTRACTOR: NAME: 1 DAYTIME PHONE:
�w rQ1 ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I. EVENING PHONE
( ) -
I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTORS REGISTRATION NUMBER: I EXPIRATION
PIRATION DATE:
(copy of card required) /
I
APPLICANT: NAME: /- 1 DAYTIME PHONE:
(- v;•-, G�Stiwwo (A�3) 9k1 — y ?s7
MAILING ADDRESS(STREET ADDRESS;CITY, ATE,ZIP): EVENING PHONE
PO, RO%4 411s$ d rJ LA 1 1-J '3i63 ; ( o ) S(S —_‘,166
I RELATIONSHIP TO PROJECT: i FAX NUMBER:
O'ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): ( 153) ILI/ —52
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER APPLICANT o CONTRACTOR
._ - ■ DETAILED BUILDING INFORMATION 'I..'
EXISTING USE: �f1„,.dt7 I EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
W.
PROPOSED USE: SCLLO 0 1 PROPOSED VALUATION FOR IMPROVEMENTS: $ W So y 0 D .
SPRINKLERED BUILDING? ❑ YES d NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: t5/LAKEHAVEN ❑ HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: tri LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONI •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
.. ■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT 1/41/.^, /�
FIRST
q5-
Is/ I€t Se
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
_ "_�:`■..FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.(
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC a GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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 daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the Information supplied to the city as a part of this a ication.
NAME/TITLE: �"rayi�j�%�� DATE: 01. -0 I
❑ PROPERTY OWNER a APPLICANT a CONTRACTOR
_FOR OFFICE USE ONLY:
`U NEW. a,_o"ADDITION , rL ALTERATION ,:idr a REPAIR . `o TENANT IMPROVEM
ENT
CENSUS CODE:
:ZONING,DESIGNATION:.[
",,,,.,, �" , � x�r .��.. BUILDING`SHELL"ONLY?:ar�YES' •'❑ NO
COMP PLAN DESIGNATION
�� � ABASIC PLAN? �nYES ,`'=❑ NO,:"-
SECTION „ ,TOWNSHIP RANGE #_ :NEAiADURESS REQUIRED?.�.. _D YES4i .•'❑:NO
-.PLATTED LOT?- ":''❑YES}.>:< I NO CHANGE OF USE? =•.74 . 0 YES :'`'fl NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtvofedera Iwav,com
. cion.ction Permit Fee Calculation fiCet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!*******
Building,mechanical,and fire prevention system fees are based on the following schedule.
TABLE A
TOTAL VALUATION FEE FACTOR
(1)$1.00 to$500.00 (1)$30.00
(2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus • It .r•.y ...ii.n.l LI,,i or fraction thereof,to and including
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$90.00 for the first$2,000.00 plus 516,00 for each additional 51.000,00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00
(4)$504.00 for the first$25,000.00 plus 513.00 for each additional 51.00000 or fraction thereof,to and
Including$50,000.00
(5)$50,001.00 to$100,000.00
(5)$829.00 for the first$50,000.00 plus$9,00 for each additional$1,000,00 or fraction thereof,to and
Including$100,000.00
(6)$100,001.00 to$500,000.00
(6)$1,279.00 for the first$100,000.00 plus IS SI or fraction thereof,to and
including$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$4,079.00 for the fist$500,000.00 plus$6,00 for each additional$1,609.00 or fraction thereof,to and
Including$1,000,000.00
(8)$1,000,001.00 and up
(8)$7,079.00 for the first$1,000,000.00 plus$1,50 for each additional$1,000.00 or fraction thereof.
Bold number Is the base fee for the specified Increment
Italic/zed underlined number/c pre feelmraddltionalSpecified Increment
PLUS: Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District#39 surcharge,commerdal only.
Add$4.50 for WA State Building Code Coundl,plus$2.00 per unit for duplex&above.
**Electrical,plumbing,and mechanical fees are calculated separately*4
■ BUILDING
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
In MECHANICAL-:
PROPOSED VALUATION: )5 000
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5) ,
IN FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
■ PLUMBING
Base Fee Number of Fixtures
$26.00+{ X$9.00/fixture} _ (8) Estimated Permit Fee
Estimated Permit Fee
X .65 = (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)