18-102594Building - Commercial
City. of Federal Way Permit #:18-102594-00-CO
Community Development Dept.
33325 Sth Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: SAGHALIE MIDDLE SCHOOL
Project Address: 33914 19TH AVE SW Parcel Number: 192104 9033
Project Description: TI - Tenant improvement to include replacing a fire door with a new fire door. No plumbing or
mechanical.
Owner Applicant Contractor Lender
MIKE BENZIENFEDERAL WAY BRIAN HUMPHREYSFEDERAL WEST MARK CONSTRUCTION OWNER IS LENDER
PUBLIC SCHOOLS WAY PUBLIC SCHOOL INC
33330 8TH AVE S 1211 S 332ND ST 6102 N 9TH ST SUITE 100
FEDERAL WAY WA 98003-5433 FEDERAL WAY WA 98003 TACOMA WA 98406
Census Category: 437 - Commercial alt / add / conversion
Includes:
Occupancy Class:
# 1
#2
#3
#4
Construction T e:
Occupancy Load:
Floor Area (sq. ft.)
tionai € t Infarnnati
1 #
Mechanical to be Included? ................................... Nb ' Number es................................................... I
Is this an Online or O.T.C. application? .................. NO Permit for Ming Shell Only? .............................. No
Plumbing to be Included?..--
.................................. No
Total Valuation: 15,000.00 t
N ?Xtures Ass to ith This Permit 11
PERMIT EXPIRES Wednesday, 30 January, 2019
Permit Issued on Friday, August 3, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use wi4be in accordance with the laws, rules and regulations of the State of
shington and the City of Federal Way.
Owner or agent: Date- g
rITY OF Z-
F6deral Way
THIS CARD IS TO kFMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18 102594 00
Project: Mike Benzien
Address: 33914 19TH AVE SW
FEDERAL WAY WA 98023
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CA RD. 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.
i❑ Initial Erosion Control (4365) FI]
Footings/Setback (4110) Re -steel (4215)
To be done PRIOR to breaking ground
Approved to place concrete Approved to place concrete or grout
By Date By
Date By Date
Q Slab/Concrete Floor (42.55) 0
Underfloor Framing (4285) ® Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor Approved to install flooring
By Date By
Date By Date
El
Fire/Draft Stops (4095)
0
Interim Erosion Control (4370)
Approved
Approved
By
Date
By
Date
E
duling a Framing inspection;
mbing & Mechanical Rough -in
Stop inspections must be signed -
approved. IBC 109.3.4
®
Framing (4120)
to
Insulation (4150)
El
Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud &
By
Date
By
Date
By
Date
Suspended Ceiling Grid (4265)
13 Final - S K F & R (4060)
19 Final - Planning
Approved to drop tile
?er N„�J -& Approved
A [)proved
By Date
By Date 4/
By Date
0
Final Erosion Control (4375)
t s
Final - Building (4050)
Approved
Approved
By
Date
By
Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
RECEIVED
JUN 13 2018
A�k PERMIT APPLICATION
CITY OF CITY OF FEDERAL WAY
(IMMUNITY DEVELOPMENT PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 + IcrmitcentW!ec1 offederaiw .corn
PERMIT NUMBER I S _ ) u - 13L ` C, D 13
TARGET DATE
SITE ADDRESS
?3 � i Y
f � -,= Ayr S-�
SUITE/UNIT #
PROJECT VALUATION
$ ,000
ZONING
�712
ASSESSOR'S TAX/PARCEL #
l
3
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
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PROJECT DESCRIPTION
Detailed description of u)ork to
I
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be included on this permit only
NAME `� r _ 1
PRIMARY PHONE
PROPERTY OWNER
MALIJN ADDRESS c , j
-45
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E-MAIL
ZIP
N7'�J�IC r<•%"7S I �tQ� ((e'�i�/ C
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MAILING ADDRESS {^ r i I
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CONTRACTOR
CITY
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F��� -z �S LICENSE #
NAME ��! Gi ✓1 l.ti ✓� i �Cm ' -.?
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APPLICANT
MAILING ADDRESS r
g
8TA ZIP
FAX
PROJECT CONTACT
NAME
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MAILING T RESS p � � �� � � �
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(The individual to receive and
respond to all correspondence
concerning this application)
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STATA
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PROJECT FINANCING
NAME
OWNER -FINANCED
When value is $5,000 or more
(RCW 19,27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 authorized 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 of this uppU 11
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SIGNATURE:
DATE t
PRINT NAME: l 1 u 0
yt, '�[ ✓� -r _.
Bulletin #100 - January 29, 2016 Page 1 of 2 k:UIandouts\Permit Application
VA
MECHANICAL PERMIT LUE OF MECHANICAL WORK
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existin_gfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (co=er,;at)
BOILERS FURNACES HOT WATER TANKS (Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
VA LUE OF PLUMBING WORK
Indicate how TaSM of each type offUture
to be installed or relocated as
part of this projecit Do not include existin . xtures to remain.
BATHTUBS (or Tab/Shower combo)
LAVS (Hand Si,ks(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Klmbco/utility)
WATER HEATERS (El.rt w)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVYOUS USE
j
LOT SIZE )In Square Feet)
-• -•- J
EXISTING FIRE SPRINKLER SYSTEM?
Yes ❑ No
PROPOSED FIRE SUPPRESSION SYSTEM?
�:i Yes &- No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
�.._...._......�...
f^• »,�
FIRST FLOOR (or Mobile Home)
w
SECOND FLOOR
W
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
M............_.._....... ............. _..... _
OTHER (describe)
Area Totals
EXISTING
PROPOSED
TOTAL
.._....... _
"NEW HOMES ONLY**
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square FeetType
Occupancy Groups)
Construction
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet
_ e Stories
TOTAL BUILDING
G, 1^ Y
f
F / I
1 /
I
TENANT AREA ONLY
/ (- t '
�,• �'� �!)
/I
PROJECT AREA ONLY
%2.
Bulletin #100 -January 29, 2016 Page 2 of 2 k:UIandouts\Permit Application