04-103481M
City of Federal Way Building - Commercial Permit #® ® 10:
Con-milluity Development Services
33530 1 st Way S
Federal Way, WA 98003-6210
Pb: 253.661.4000 Fax: 253,661,4129 Inspection request I
Project Name: SCARE PRODUCTIONS
Project Address: 1928 S CONMONS SuiteF-5 Parcel Number: 762
Project Description: TI - Interior 8' walls for haunted house; Space "F-511 (update 9/21/04 - address)
In"Mer I Applicant I Contractor I
SCAR
1705 �
DES P
- Comm
I
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: SeeAp -cab-on Date:
. ph
City of Federal Way
Certificate Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at
the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed o Ci staff
Tenant Name: SCARE PRODUCTIONS Permitnumber: 04 - 103481 - 00
Address: 1928 S COMMONS SuiteF-5
Occupancy Group: A 3 i
Construction Type Type V N
Occupancy Load 256
Floor Area (Sq. Ft.):34®
- e._ aw...._... m..
----------
Owner NONE
Name:
Address:
NONE
Building Official Date
The priorityfocus in the review and inspection: made by the Cityprior to issuance of this Certificale was on those matters which experience has shown most severely
affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (within budgetary time
and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or to any otherperson that this Certificate evidences strict compliance
with each and every ordinance or regulation ofthe City or the State of Washington affecting the construction or use ofsaid structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises:'
Federal a
PERMITSF wEL PL DE EN FP
dtxdNrsFas�Es .
33325 8- AVENUE SO PO BOX 9778 APPLICATION
FROS WAY WA """' 978&' $
ut
S343S-2 7• PAX 2. 3s- a n(
Rqmu-'AL�Lo Oct—
The fllowEg wl �cunivn - an incornpleta liction will not Ere accepted.. Please print legibly (irx Erl orPe.
SITE ADDRESS ,. l c ` ter+ t: SL—" T
-y
ASSESSOR'S TAX/PARCEL # ! 2 rL D LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) d l
(Attach s p—fepaye f-1—gthy legd d—ipdon)
TYPE OF PERMIT eBUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
3 fg�tAIlk Ce to �w
loon
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY NAMEC --- PRIMARY PHONE
OWNNER S l"- 111 se,
MAILING ADDRESS .CITY, STATE, ZIP -- - -- --
CONTRACTOR COMPANY NAME - APPLICANT NAME OFFICE -PHONE
MAILING ADDRESS CITY, STATE, ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER (coppof card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME
APPLICANT NAME
p
OFFICE PHONNEE
{/
''. MAILING ADDRESS
CITY, STATE, ZIP _,,., '...
CELL PHONE
6).5 .5
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( zpf ) 3'?/ - 35'2c�
RELATIONSHIP TO PROJECT _- --
- -- -
FAX NUMBER- -
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
CONTACT
NA,MrE� I ::
PRIMARY PHONE
3 `l2c-)
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LENDER er. w'j9:2' ai95. , Lender ijmf`ormation its
NAME
regc�dr d pr act due . cds $5;000
a. MAILING ADDRESS
CITY, "STATE, ZIP
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $
VALUE OF PROPOSED WORK
e
` SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
s WATER SERVICE PROVIDER EILAKEHAVEN ❑ HIGHLINE
❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKERAVEN ❑ HIGBL
❑ PRIVATE (SEPTIC)