19-105294 Building - Commercial
City ofFederal Way Permit #:19-105294-00-CO
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: LAKE GROVE ELEMENTARY SCHOOL
Project Address: 303 SW 308TH ST Parcel Number:072104 9180
Project Description: NEW-Construction of a retaining wall that is 4'to 8'in height.
Owner Applicant Contractor Lender
MICHAEL SWARTZFEDERAL TAMMY CAMPBELLFEDERAL FORMA CONSTRUCTION OWNER IS LENDER
WAY PUBLIC SCHOOLS WAY PUBLIC SCHOOLS COMPANY
1211 S 332ND ST 33330 8TH AVE S PO BOX 11489
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003-5433 OLYMPIA WA 98508-1489
Census Category: 565-Fence/retaining wall
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included' No Number of Stories 1
Is this an Online or O.T.C.application? No Permit for Building Shell Only? No
Plumbing to be Included? No
Total Valuation:30,000.00
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PERMIT EXPIRES Monday,4 May,2020
Permit Issued on Wednesday,November 6,2019
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 accor;=nce 'th the laws, rules and regulations of the State of
W shing -i a 1' the of Federal Way.
_ 116
Owner or agent: Date: 1
THIS CARD IS TO REMAIN ON-SITE / •
CITY OF
'044Construction Inspection Record
Federal way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 105294 00 Address: 303 SW 308TH ST
Project: MICHAEL SWARTZ FEDERAL WAY WA 98023-3957
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.
.D Footings/Setback(4110) •0 Foundation Wall(4115) a/Q Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete i Approved to backfill
By '1 Date 11 7 / By Date )Z 4 - tBy Date
0 Re-steel(4215) 1 El
Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date .�By Date By Date
® Floor Sheathing(4105) ® Shear Walls(4245) ® Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
El Fire/Draft Stops(4095) Prior to scheduling a Framing inspection; El Framing(4120)
Approved Electrical,Phrmbing do Mechanical Rough-in Approved to insulate
and Fire/Draft Stop inspections must be signed-
By Date off and approved. IBC 109.3.4 Ey Date
•
ID Insulation(4150) 1 El Gypsum Wallboard Nailing(4130) El Suspended Ceiling Grid(4265)
Approved to install wallboard I Approved to install mud&tape Approved to drop tile
By Date �;By Date By Date
.
1:1 Final-S K F&R(4060) El Final-Building(4050)
Approved ^1 1;1440
Approved
.BY Date ..BY A Q Date J.G-a
•
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED PERMIT APPLICATION
CITY OF
Federal Way NOV 0 1 2019 PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway.com
urn'OF FEDERAL,WAY
}
PERMIT NUMBER / ;v
TARGET DATE
SITE ADDRESS SUITE/UNIT#
303 SW 308th St,Federal Way,WA 98023 Not Applicable
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$30,000 Single Family-1-unit 0 7 2 1 0 4—9 1 8 0
7,200 sf RS72 V
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Grove Elementary School Rebuild
See Sheet S022 of the Permit Resubmittal drawing set for the addition of a note to clarify that Retaining Wall ID"D"will be
PROJECT DESCRIPTION used at the service where retainingof the hill occurs.Wall ID's"A"through
Detailed description of work to yard "C"are supplementary retaining wall
be included on this permit only designs for site retaining walls as needed.
NAME PRIMARY PHONE
Michael Swartz,Federal Way Public Schools 253-391-9243
PROPERTY OWNER MAILING ADDRESS E-MAIL
1211 South 332nd Street mswartz@fwps.org
CITY STATE ZIP
Federal Way WA 98003 253-945-5959
NAME PHONE
Dan Eygabroad,FORMA Construction Company 360-754-5788
MAILING ADDRESS E-MAIL
P.O.Box 11489 dane@formacc.com
CONTRACTOR
CITY STATE ZIP FAX
Olympia WA 98508-1489 None
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
FORMACC878OR 09/19/2021
NAME PRIMARY PHONE
Dr.Tammy Campbell,Federal Way Public Schools 253-945-2010
APPLICANT MAILING ADDRESS E-MAIL
33330 8th Avenue South tcampbell@fwps.org
CITY STATE ZIP FAX
Federal Way WA 98003 253-945-2011
-
NAME PRIMARY PHONE
PROJECT CONTACT Casey Moore,Federal Way Public Schools 253-945-5935
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 1211 South 332nd Street cmoore@fwps.org
concerning this application) CITY STATE ZIP FAX
Federal Way WA 98003
NAME .-. .. . .
PROJECT FINANCINGOWNER-FINANCED
Federal Way Public Schools
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
33330 8th Avenue South 253-945-5930
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 o his ap• • on. TT
SIGNATURE: �( - DATE �O / I ' V
PRINT NAME: ' `l L L e\ . W .C
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application