05-102985 '
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City of Federal Way Building - Commercial Permit #: 05 - 102985 - 00 - CO
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Counity Development Sery
ces
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: FEDERAL WAY HIGH PORTABLE GRADING
Project Address: 31031 PACIFIC HWY S Parcel Number:082104 9001
Project Description: Grading to prepare site for proposal to install(2) 1,792 square foot portable classroom structures and
associated pedestrian linkage.
Owner Applicant Contractor Lender
CITY OF FEDERAL WAY FEDERAL WAY SCHOOL DISTRIC HARLOW CONSTRUCTION NONE
31405 18TH AVE S 31405 18TH AVE S HARLOCCO23KG(04-24-07)
FEDERAL WAY WA FEDERAL WAY WA 98003 3102 LONG LAKE DR SE
98003-5433 LACEY WA 98503 NONE
Includes:
Census category: 999-Unkno #1 #2 #3 #4
Occupancy Group
Construction Type:
Occupancy Load:
Floor Area("Sq Ft.):
Building,Pre-con.Meeting Required No corSus Cattery 999-Unknown
Mechanical........ No Number of Sties.
Permit for Building Shell Only No Plumbing 1F No
Special Inspection Required Yes ,,�, ting Designation RS 7.2
CONDITIONS:
1.Landscaping plan is not approved with this application.
PERMIT EXPIRES January 16,2006.
Permit issued on July 20,2005
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: o - t Date: ?/20 '05
•
A . 1 • THIS CARD IS T�MAIN ON--SITE,
CITY OF Community Development Inspection Record
Federal Way . IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102985-00-CO
Owner:
Address: 31031 PACIFIC HWY S
FEDERAL WAY, WA 98003-4903
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.
0 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) ❑ Plumbing Groundwork(4190) �❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
.
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing(4220) 0 Fire/Draft Stops(4095) 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 a
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
❑ Framing(4120) 0 Insulation(4150) ❑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) ❑ 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 43,t1, Date 40 •4,0r
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K.Leral way PERMIT
COMMUNITY DEVELOPMENT SERVICES L U N 2 3 L Q Li 7 SF MF CO i EL PL DE EN FP
3332E 8mD AVENUE L SWATH•63 BOX719718 , LI C AT I O N
FEDERAL WAY.WA 98063-9718 TD / /
253-835-2607•FAX 253-835-2609 I OF F E D E /
www.cisorrederolwatl.rom BUILDING DEPT.
The ollowin• is re•aired information-an incom•late a••lication will not be accepted. Please • • t •••ly(in ink)or _j••.
/del PROPERTY INF�ORnMATION�
SITE ADDRESS , 0 6 I I '�7- A�/EL�j C r v WA SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# O 5 2 1 C A - ` e) I LOT SIZE(s I)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) FE-PE ekL L✓,kY H S — 5E E ,4T7'PcCH ET)
!Attach separate pta eJor lengthy Legal descrlptioN
• PROJECT INFORMATION '
TYPE OF PERMIT Wei PAD LNG BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onit))
pg.EP-SPC S!Th. FeD POKTA4 'Li CSP-oo t,t I NSTF.LL 21-T/ON.
NOT xc o 1, Coo c Y
_ C.LA-55'✓eec A45
PROJECT NAME(Name of Business or Owner Last Name) SITE Lv ogie- FB i - Te> L r -Fa?. l,v, r Hs ,
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER FEDERAL WRY "Pt1BLic SGHpot,S (253 )94fS -Zero
MAILING ADDRESS CITY.STATE,ZIP
31905 Lela AvE. 5. FERE L WAY 9 8 eo-
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
( )
COY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
— — — B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
G?..EENE-eAsAW41 ArZcN I-m:Ts -.I .sse AI-I L$E_ (25 3 )941 - 37
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
FD. & x' 4156 -reDeg L- j y ,Lok erKO<o3 (253 )(1 e6, - Dob
RELATIONSHIP TO PROJECT / FAX NUMBER
❑ Architect ❑Tenant 'Agent ❑ Other(Describe) (ZS 3 )`T4( - 5122
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
CALVU'J C ASAWAY (20(2 )S L8 - 5466 cAu,I•@ G�AfzC+ll"TCT$•C A
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 SC Hb _0 LPROPOSED USE t-10 t) L__
EXISTING ASSESSED/APPRAISED VALUE $ '1--- 1(.0 -���,
070, OOC VALUE OF PROPOSED WORK $ 000
SPRINKLERED BUILDING? ❑YES ,e9 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 1 110
WATER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWLR SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
640.2(.1l/,&0
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
sg. FT. sg.FT. sg.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS FSG PROPOSED TOTAL TOTAL=MSG SF TOTAL PROPOSED SF — TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS)Convou-cull WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTTub/Shower Combo) SHOWERS WATER CLOSETS mono MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS IHathroom sioo VACUUM BREAKERS ELECTRIC WATER HEATERS
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 an claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any ,e .on.including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliant f the city,i u. ng its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. �7
NAME/TITLE "t"' l7f 0 CT �k
M .E G
- DATE 6, ' Z -05
(Signature) (hue)
RELATIONSHIP TO P CT ❑ I eAgent ❑ Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
i NEW ADDITION ALTERATION n REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? _YES r NO BASIC PLAN? YES o NO
ZONING DESIGNATION CHANGE OF USE? YES a NO
NEW ADDRESS REQUIRED? YES tl NO UP/SEPA/SII? YES _NO
PLATTED LOT? ; YES 0 NO DEMO PERMIT REQUIRED? YES NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application