04-104020Clty or Fed Way
CorrununityDevelopment Services Building - Commercial Permit #: 04 -104020 - 00 - CO
evel
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-7000 Fax: (253) 835-2609 Inspection request line: (253) 835-3-050
Project Name: FEDERAL WAY CITY HALL PARKJNG ;a.T EXPANSION
Project Address: 700 S 333RD ST Parcel Number: 926500 0180
Project Description: NEW - Construction of a new 2' - 9' keystone retaining wall on north and west side of new City Hall
parking lot
Owner
Applicant
Contractor
Lender
CITY OF FEDERAL WAY
STATE CONSTRUCTION INC *BILI
STATE CONSTRUCTION INC *BILI
NONE
PO Box 9718
12029 SE PETROVISKY RD
STATEC1967KD (5/11/06)
RENTON WA 98058
12029 SE PETROVISKY RD
PO Box 9718 !Federal Way, WA 98(
RENTON 'NA 98058
NONE
Includes:
Census category: 565 - Fence/ #1 #2
Occu _n_ey Group:
Construction Type: - -
Occupancy Load:
Floor Area (Sq. Ft.):
- �-- #3 #4
Census Category ................................................. 565 - Fence/retaining wall Mechanical........................,....................... No
Permit for Building Shell Only.. ......................... No Plumbing ......... -...................................... No
Zoning Designation ........................................... OP
PERMIT EXPIRES April 4, 2005.
Permit issued on October 6, 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 actor ance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: _
THIS CARD IS TO REMAIN ON-SITE
CITY OF 1A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04 -104020 -00 -CO
Owner:
Address: 700 S 333RD ST
FEDERAL WAY, WA 98003-6342
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)
❑
Foundation Wall (4115)
❑ Drainage/Downspout (4040)
Approved to place concrete
Approved to place concrete
Approved to backfill
By
Date
By
Date
By Date
❑
Plumbing Groundwork (4190)
❑ Slab/Concrete Floor (4255)
❑
Re -steel (4215)
Approved to place concrete or grout
Approved to cover
Approved to place concrete
By
Date
By
Date
By Date
❑
Floor Sheathing (4105)
❑ Shear Walls (4245)
[]
Underfloor Framing (4285)
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)
to Scheduling a Framing (4120)
Approved to install roofing
Approved
ctrical, Plumbing & Mechanical
ERough-in
ire/Draft Stop inspections must be
By
Date
By
Datepproved.
IBC 109.3.4/UBC 108.5.4
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
❑
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
❑
Final - Fire Department (4060)
❑ Final - Planning (4070)
❑
Suspended Ceiling Grid (4265)
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
City OFederal
evcl Way Building - Commercial Permit #: 04 -104020 - 00 - co
Community Develrr,:,,,ut Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-7000 Fax: (253) 835-2609 Inspection request line: (253) 835-3050
d
Project Name: FEDERAL WAY CITY HALL PARKING LOT EXPANSION
Project Address: 700 S 333RD ST Parcel Number: 926500 0180
Project Description: NEW - Construction of a new 21- 9' keystone retaining wall on north and west side of new City Hall
parking lot
Owner
Applicant
Contractor
Lender
CITY OF FEDERAL WAY *CITY OF
STATE CONSTRUCTION INC *BILI
STATE CONSTRUCTION INC *BILI
NONE
PO BOX 9718
12029 SE PETROVISKY RD
STATECI967KD (5/11/06)
FEDERAL WAY WA 98063-9718
RENCON SVA 98055
12029 SE PF-TROVISKY RD
RENTON WA 98058
NON C
Includes:
Census category: 565- Fence/ #1 #2 #3 #4
Construction Type:
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category ................................................. 565 - Fence/retaining wall Mechanical............... No
Permit for Building Shell Only .................... . No Plumbing.................. No
Zoning Designation.............................................OP
PERMIT EXPIRES April 4, 2005.
Permit issued on October 6, 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.
Owner or agent: Date: 1Z L
THISTCARD IS TO REMAIN ON-SITE
�',rw •<. j:..rL ts..i€ Way 3 'V]l.�i ,SPECTIO" l^.i',' v...,)-1 f iii_il':\L (-.JJf i,.�_ _•i:...
PERMIT #: 04 -104020 -00 -CO
Owner: CITY OF FEDERAL WAY
Address: 700 S 333RD ST
FEDERAL WAY, WA 98003- 92
cai_ .: � I; (i ill !- icquircd I ,,)CLII cr,l::, S,_hcdulcd inshctli(,ns C.nd is no( o;: -.i;.- W) �'1 1
Ina�ccl� ;uc as close to scqucnti;j lei'! �op c..- c :chalu',. must not
I. t,,. ri ,,rm•ccl. Chcrl; tt tr .. r, r Thr rit
an IoRgcd on the baci: of [his card,
i• -
Appioved to place concrete Appio�ed to place concrete App:u\ LJ to b.icluill
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) ❑ 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) ❑ 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
By Date By Date signed -off and approved. IBC 109.3.4lUBC 108.5.4
❑ Framing (4120) ❑ 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 Date
of AN
Federal Way T PERMIT
ERVICES
33325 MUNITY 8TH AVENUE SOUTH • POPMENTO BOX 9718 ®�/��0��}
FEDERAL WAY, FAX
98063-9718 f r �,�, I ATI N
253-835-2607• FAX 253-835-2609 ci fi Y C F F L L A
unaw.dlunRetferoiurau.mm DEP •� •
BUILDING
ASSESSOR'S TAX/PARCEL # e
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
_ 14
0
SF MF CQ E EL PL DE EN FP
[D
�r S(Hi JUNIT #
LOT SIZE (sj)
(Attach separate page for lengthy legal description)
TYPE OF PERMIT Q i CJILD&G ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
V v
APPLICANT
ONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
MAILING ADDRESS CrrY. STATE, ZIP
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
MAI DDRE$$C t
CITY, STA
CELL PHONE
( -
OE -LED WAY BUSINESS LICENSE NUMSER
EXPIRATION
FAX NUMBER
--B
L
CONTRACTORS REGISTRATION NUMBER (copy of card required with each applications
EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe) f'f' _/
( -
NAME i/ PRIMARY PHONE E-MAIL ADDRESS
"Ile I
Per RCW 19.27.095: Lender i4ormaEion is
NAME
required. if project value exceeds $5,004
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED/APPRAISED VALUE $—
SPRINKLERED BUILDING? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER 0 LAKEHAVEN
PROPOSED USE
VALUE OF PROPOSED WORK $ IT 'CEJ
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SUPTIC)
PROJECT FLOOR AREAS
--
��
AREA DESCRFPTIpN
EXISTING SQ. FT.
PROI•,,jED t3 . FT.
TOTAL
BASEMEN'
❑ ALTERATION
❑ REPAIR 6 TENANT I.MPROVEMENT
FIRST
❑ YES ❑ NO
BASIC PLAN? a YES
SECOND
ZONING DESIGNATION
THIRD
n NO
NEW ADDRESS REQUIRED? o YES ❑ NO
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DE CL{ (COVERED?)
GARACEjCARPORT
HOW MANY FLOORS? TOTAL. WSTRG TOTAL PROPOSED TOTAL EMSTWO AND PROPOSED
—NFWHOMES ONLY"` NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
r '-
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
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (-Tub/Sho—Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
IAVS Its.,�i—o , smr-)
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (co-mcmiail
.RANGES
GAS WATER HEATERS
WATER CLOSETS tToaeq
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that the I"formation 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 6e 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 &I'
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 9"Ontractor
(Title)
❑ Architect ❑
FOR OFFICE USE ONLY
o NEW Ia ADDITION
❑ ALTERATION
❑ REPAIR 6 TENANT I.MPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN? a YES
o NO
ZONING DESIGNATION
Clutter, OF. VSE? 0 YES
n NO
NEW ADDRESS REQUIRED? o YES ❑ NO
UP/SEPA/SU? ❑ YES
o NO
PLATTED LOT? ❑ YES o NO
0DEMO PERMIT REQUIRED? o YES
o NO
Bulletin 11100 — March 30, 2004 r Page 2 of 4 k\Handouts — Revised\Permit Application