08-104504City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: ACE HARDWARE NORTHSHORE VILLAGE
Project Address: 35419 21ST AVE SW
Project Description: TI - Installation of mechandise racking systems.
uilding - Cu>ifiiettial
Permit #. 08- 104504 -00 -CO
Inspection Request Line: (253) 835 -3050
Parcel Number: 252103 9002
Own r
ApOicant
Contracto
Lende r
DAVID HOEK
JOHN WALKER
ACE HARDWARE
JOHN WALKER
DAVID'S FEDERAL WAY LLC
ACE HARDWARE
PO BOX 26100
ACE HARDWARE
PO BOX 8164
PO BOX 26100
FEDERAL WAY WA 98093
PO BOX 26100
TACOMA WA 98418
FEDERAL WAY WA 98093
FEDERAL WAY WA 98093
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1
#2
#3
#4
Occupancy Class:
Construction Type:
Occu anc Load:
.Floor Areas . ft.
0
0
0
0
Permit for Building Shell Only ? ....... .................No Plumbing to be Included ?... ........ ..................N
New / Additional Sq. Feet - Total .......................... 0 Zoning Designation ................................................ BN
..,��, _' �` 5,5a k�i �i� _��t �c y�� - � �, •alp x ,', >� �e�. u ? "ci��'3 � why;. e �cx �+� �. 'g,¢ `:"m q�,�L xa. �.
.,� r r �•.. rf�
PERMIT EXPIRES Tuesday, March 31, 2009
Permit Issued on Thursday, October 2, 2008
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: Z/ Date: % %"7- —U
THIS CARD IS TO MAIN ON -SITE.
CITY OF 'Wommunity Develop t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 104504 -00 -CO
Owner: DAVID HOEK.
Address: 35419 21ST AVE SW
FEDERAL WAY, WA 98023 -3058
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)
❑
Re -steel (4215)
❑
Slab /Concrete Floor (4255)
Approved to place concrete
Approved to.place concrete or grout
Approved to place concrete
By Date
By
Date
By
Date
—
❑ Underfloor Framing (4285)
❑
Floor Sheathing (4105)
❑
Fire/Draft Stops (4095)
Approved to sheath floor
Approved to install flooring
Approved
By Date
By
Date
By
Date
❑
Framing (4120)
Insulation (4150)
[]
NOTE: Prior to scheduling a Framing (4120)
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Approved to install wallboard
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 1085.4
By
Date
By
Date
Final - Fire Department (4060)
0
Suspended Ceiling Grid (4265)
❑ Gypsum Wallboard Nailing (4130)
❑
Approved to install mud & tape
Approved to drop tile
Approved
By Date
By
Date
By
Date
❑ _ Final - Planning (4070)
❑ Final - Building (4050)
Approved
Approved
_
By Date
By
i
i
For inspector reference only
0 Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
"Corr, REOWED RECEIVE.
Fe1 Way PERMIT
commvnlrVOSVBa pwffssBVlces 3 2��8• r P 2 3 20 SF )
9332S 8fff
DMUWAY, WA SOUTH - PO BOX 9718 D T I C AT �Q �
FSaBRAL WAY, WA 98063.9718
2s"3"607•FA"S343s•2609 CITY OF FE L FEDERAL AY
wumdhofful"Uhmm CDS CDS
The following is required information - an incojnplete application will not be accepted.
SITE ADDRESS
ASSESSOR'S TAX /PARCEL 0 -Z -,(; -Z f2,; 3- _ -q 0 0
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
Q_�s0 k(-
CO ME EL PL DE EN FP
v / 7 / v3
Please print iegibly (in inN or type.
3 SUITE /UNIT i
TYPE OF PERMIT ❑ BUILDING ❑ PLURM13FG ❑ MECHANICAL
LOT SIZE (sf
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGEKEER13FG ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detatW desCa ption of work included on this nennit onlul
• .1' Y I - r
PROPERTY
OWNER
PROJECT
CONTACT
LENDER
WAMIX174FAW, t • G rr -
PEOPLE INFORIIIATION
NAME /
���/n/ �( fL %�'✓L
PRIMARY PHONE
/�
LING ADDRESS
CITY, STATE, TIP
EMAIL ADD
COMPANY NAME /
�,�CI� �
APPLICANT NAME
OFFICE PHONE _
MAILINO ADDRESS
CITY. STATE. ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CORTRACTOR18 REGISTRATION NUMBZA ZXPE ATION DATE
EMAIL ADDRESS t
COMPANY NAME
J
APPLICANT N. AME
�
O
PHONE
J
E
bNAMOADDRESS
ONE
A
— a
` _
L TO PROJECT r
FAX NUMBER
❑ Architect Tenant ❑ Agent ❑ Other
N"
Pr RCW 19.2n7a.t095.
ion is rpaind f1prq/set -I— --tads $5.000
bNAMOADDRESS
CITY. STATE. ZIP
PHONE
EXISTING USE - - PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED
BUILDING?
WATER SERVIC)&
❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRM? ❑
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEIIAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ NO
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
SQ. FT.
TOTAL
SO. FT.
BASEMENT
GAS WATER HEATERS NBC (Describe)
BOILERS
FIREPLACE _INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
mm31 1Ci
THIRD
UP /SEPA /SU? o YES
BATHTUBS (erTn6 /6h vW C
LAVS ls.wmm sal
ADDITIONAL FLOORS (DESCRIBE)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DECK (❑ COVERED OR ❑ UNCOVERED ?)
SHOWERS
WATER CLOSETS (romp
ELECTRIC WATER HEATERS
GARAGE ❑ CARPORT ❑
WASHING MACHINES .
HOSE BIBBS
SUMP
NUMBER OF FLOORS
ww;=m
TRWO/ID
TOTAL
MALMUSTDOW
MA&FRQM/i0 Zr
TWALSr
-NEW HOMES ONLY- NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate. number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED W=APPWCAT1019
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS NBC (Describe)
BOILERS
FIREPLACE _INSERTS
HOODS pemm r&q
COMPRESSORS
FURNACES
RANGES
DUCTS.
GAS LOG SETS
REFRIG. SYSTEMS
mm31 1Ci
UP /SEPA /SU? o YES
BATHTUBS (erTn6 /6h vW C
LAVS ls.wmm sal
URINALS MISC (Dewnbe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (romp
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES .
HOSE BIBBS
SUMP
•
I osrt{fy under penalty of pafesJl that I am the property owner or aut/u►rtsed agent of the property owner. I oert{jy that to the bat of my
knowledge, the hiformation subwaitted in support of this permit application is true and correct I cor'tUk that 1 wilt comply with alt appUcable
City of rederal Way regulations pertaining to the w uric authoi egd by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility, for o=W pane with local, state, or federal laws regulating construction or enviromnental taws.
I further agree to hold harmless the City of ledwul Way as to any claim (including costs, expenses, and attermslls'.hea incurred in the
brvestigation and d*W_ of each clab"A which magi be made by avy/ per son, inchating the undersigned, and filed against the city' but only
where such claim arises out of the reliance of the city, inchdiing its offieers and omptoyees, upon the accuracy of the iViormat[on supplied to
the ettir as a part of this application
SIGNATURE:
,2 - p
a NEW o ADDITION
o ALTERATION
o REPAIR o. TENANT IMPROVEMENT
BUILDING SE[ELL ONLY?
a YES o NO
BASIC PLAN? n.YES
a NO
ZONING DESIGNATION
CHANGE OF USE? o YES
o NO
NEW ADDRESS REQUIRED?
a YES o NO
UP /SEPA /SU? o YES
a NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED? a YES
o NO
Bulletin #100 — January 1, 2008 Page 2 of 4 MHandoutAPernut Application