07-100604City of Federai Way
rvices Buffing - Co I Pprmfio: 07-100604-00-CO
Community Development Se
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: THE WELLNESS STORE 4 oz, lee o,<
Project Address: .1640 S 318TH PL Suite D Parcel Number: 092104 9208
Project Description: TI - Demolition interior existing partitions, construction new demising wall to create 2
tenant spaces, create new WA-state barrier free restroom, new acoustical ceiling & new
lighting, includes new plumbing fixtures. Mechanical on separate permit.
Owner
Applicant
Contractor
Lender
SEATAC VILLAGE SHOPPING C
LINN-DOUGLAS CONSTRUCTION,
LINN-DOUGLAS
HARSCH INVESTMENT
1121 SW SALMON ST
INC.
CONSTRUCTION, INC.
PROPERTIES
PORTLAND OR
12846 223RD PL
LINNDCLOOOPC 9/27/07
1121 SW SALMON ST
97205-2000
KENT WA 98031-3962
12846 223RD PL
PORTLAND OR 97205
KENT WA 98031-3962
Census Category: 437 - Commercial alt / add / conversion
1 0"
Existing Sprinkler System in Building? ................. No Mechanical to be Included? ................................... Yes
Number of Stories .................................................. I Permit for Building Shell Only? ............................ No
Plumbing to be Included? ...................................... Yes Occupancy# I -Use ............................................... Sales Room
Zoning Designation ............................................... CC-C
Mechanical Fixtures
Fans................................................ 1
Plumbing Fixtures
Lavatories ...................................... � I Water Closets ................................. 1
CONDITIONS:
Subject to field inspection
PERMIT EXPIRES Monday, February 2, 2009
Permit Issued on Friday, February 2, 2007
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
61,1,,an� the Qity of Federal Way.
Owner or agent: Date:
U C
0
THIS CARD IS TO MAIN ON-SITE
CITY Or- Scommunity Developint Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-100604-00-CO
Owner:
Address: 1640 S 318TH PL Suite D
FEDERAL WAY, WA 98003
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.
E]
Footings/Setback (4110)
U Gypsum Wallboard Nailing (4130)
'0
Re-steel (4215)
Plumbing Groundwork (4190)
Approved to place concrete
I
Approved to drop tile
Approved to place concrete or grout
Date
Approved to cover
By
Date
5,Date
By
Date
By e- C ,j Date -7
Final - Planning (4070)
E]
Final - Mechanical (4065)
Slab/Concrete Floor (4255)
Approved
Underfloor Framing (4285)
Approved
Floor Sheathing (4105)
V4": Date
Approved to place concrete
Date
By
Approved to sheath floor
Final - Plumbing (4075) 13 Final - Building (4050)
Approved to install flooring
By
Date
Approved
By..4fioaj
Date
By
Date
By
fie-IC Date
% By
a Date
Rough Plumbing (4230)
Mechanical Rough-in (4165)
Gas Piping (4125)
Approved
Approved
Approved to release test
By 'C
( Date 3 - 7�
By
Date
By
Date
N E to sc e a Framing (4120)
OT ' Prior to �
Fire/Draft Stops (4095)
Framing (4120)
Approved
7hduling
Plum ug f1j
inspection; Electrical, Plumbing& Mechanical
I bi & a ical
E
Approved to insulate
raft Stop .
0 _i msp mus
n
Rough-inand Fire/Draft Stop inspeetions must be
By
CW Date
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By
%
j Date 3- 7,02
__._7
Li
Insulation (4150)
U Gypsum Wallboard Nailing (4130)
Lj
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By
/)
Date
OF
By
5,Date
0
Final - Fire Department (4060)
'E]
Final - Planning (4070)
E]
Final - Mechanical (4065)
Approved
Approved
Approved
By
V4": Date
% By
Date
By
Date
Final - Plumbing (4075) 13 Final - Building (4050)
Approved
Approved
By
fie-IC Date
% By
a Date
ctTYOF RECEIVED i
jo� -0- - -1 -0 -DL-ay
Federal Wav PERMIT E EL PL DE EN FP
COMMUN17Y DEVELOPMENT SERVICESEB 0 2 2007 SF MF ( co
33325 "VENUE SOUTH I PO BOX 9718
Ff 7DEPIL "" "'I �806
253_835-2607- FAX 253_8MYk APPLICATION nT
www.cituoffederalwau.com QF: FWPWRAI, Wjy
SOWING COT, '
Thefollowing is required irtformation - an incomplete application will not be acceptecL Please print legibly (in ink) or type-
SITE ADDRESS I (C -rU , �;), <:�J-b - <,.� K�L-t-
ASSESSOR'S TAX/PARCEL # 0- Cl C>? t C) + - a C)
SUITE/UNIT #
LOT SIZE tsfi
LEGAL DESCRIPTION (e.g. Acrne Estates, Lot 1) \, x�f z:j t I Iv I A Wt-/
ti=h -p—w pg�f- -L��ft &g.1 d—otbV
N PROJECT INFORMATION
TYPE OF PERMIT BUILDING JMBING CV/MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on
1')0 &Az-% t o z, t ' qa-% ,r,- ".-Y, r-z. -, An r"",in n b
PROJECT NAME (Name ofBusiness or Owner Last
PROPERTY
OWNER
NAME
'AoeMMM+5
PRIMARY PHONE
1 (5b3 ersi -
MAILING ADDRESS
MAILING ADDRESS
ssi tr
[—qN STATE
146',4'?ja,'rzd'P, oQ ci iaa-�
E-MAIL ADDRESS
I
CONTRACTOR
COPY of card "tred C:*
with each application
APPLIC,ANT
PROJECT
CONTACT
LENDER
C9MPANY NAME
Link, - D�AAR�Rc�
I APIPLICANT NAME
It 1rr1&,CL4t5
&It!
OFFICE PHONE
a53)(a3s -laag
MAILING ADDRESS
TL G DRESS_j
O".M S-r6l q
ZIP
AWIUA q%IA-
CELL PHON
0'W*)3-R
-49(0 1
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
b I
(35C
EXPIRATION DATE
FAX NUMBER
Lq55) ID30
�W
CONTRACTORS REGISTRATION NUMBER
L Kj'b CC, C)w-pC__,)
EXPIRATION DATE
C
7 _a'l - al
E-MAIL ADDRESS
CCMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
REIATIONSHIP TO PROJECT
eV L-Qb-KX-ky
FAX NUMBER
o Architect o Tenant El Agent k'other FV ra
-4
NAME PRIMARY PHONE E-MAIL ADDRESS
0 DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK s 2-5, 1)
SPRINKLERED BUILDING? c YES 16 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER LAKEHAVEN ii HIGHLINE ii TACOMA [I PRIVATE (WELL)
SEWER SERVICE PROVIDER. f=HAVEN ci HIGHLINE o PRIVATE (SEPTIC)
M
P -r RCW 19.27.095:
L
Lender information is required Vproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
0 DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK s 2-5, 1)
SPRINKLERED BUILDING? c YES 16 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER LAKEHAVEN ii HIGHLINE ii TACOMA [I PRIVATE (WELL)
SEWER SERVICE PROVIDER. f=HAVEN ci HIGHLINE o PRIVATE (SEPTIC)
M
EXISTING PROPOSED
SQ. FT. I SQ. FT.
TI-IIRD I I I
ADDITIONAL FLOORS (DESCRIBE) I I I
E07
SF TOTAL PIMPOSM Sr
TOTAL
TOTAL &F
NUMBER OF FLOORS I I I I I I
-AfEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offwture to be installed or relocated as part of this project. Do not include existingfmiures to remain.
AfECHANWAL
Value ofMechanical Work 00
(A OF BID OR ESYTMATE MUST BE VVCLUDED WTM APPLICA77ON)
AIR HANDLING UNrIS
EVAPORATIVE COOLERS
GAS PIPE OUTLET'S WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (c.--w)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
PL47MUMVG
UP/SEPA/SU?
BATHTUBS (orTub/Sho—C—W
LAVS JBth—. Si�k�)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (rollet)
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certify under penalty ofpedury that the irtformation 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 Flederal 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 per-son, including the undersigned, andfiled against the City ofPederal Way, but only where such claim
arises out qf the reliance of the city, including its ojDficers and employees, upon the accuracy of the trIformation supplied to the city as a part of
this application.
NAAM/TITLE I I —I ' %W
%+— I - (Signature)
RELATIONSHIP 1"04ROJECT 0 Owner D Agent
0 Arc;�t',,ct Wther.
o NEW E:, ADDITION
o ALTERATION
Ei REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY?
ci YES ci NO
BASIC PLAN?
Ei YES
u NO
ZONING DESIGNATION
C GE OF USE?
o YES
ci NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/SEPA/SU?
o YES
El NO
PLATTED LOT?
ii YES o NO
DEMO PERPET REQUIRED?
ci YES
u NO
Bulletin #100 — Januaty 1, 2007 Page 2 of 4 Mandouts\Pertnit Application