05-102111y t
City za Federal Way
mmu
Co nity Development Services Building - Commercial Permit #: 05 - 102111 - 00 - CO
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050
Project Name: NATIONAL MORTGAGE
Project Address: 31620 23RD AVE S SUITE200 Parcel Number: 092104 9051
Project Description: TI - Demo of existing wall and addition of new walls; no plumbing/mech
Owner
Applicant
Contractor
Lender
PAT RHODES
PUGET SOUND COMMERCIAL
EMERALD RENOVATIONS LLC
NONE
31620 23RD ST SUITE 218
918 SW 348TH ST SUITE C
CCOIEMERAR
FEDERAL WAY WA 98003
FEDERAL WAY WA
32233 39TH AVE S
Floor Area 1~t y
AUBURN WA
NONE
Includes:
Census category: 437 - Comm
#1 #2
#3
#4
Occupancy Group:
B
Construction Type:
Type V - B
Occupancy Load:,
Floor Area 1~t y
.............. I.........,.. 43 =Commercial alt/add Mechanical .........................
..........................: 1 Permit for Buildilm Shed Only.....!..........
Plumbing ........................ ..........
PERMIT EXPIRES November 2, 2005.
Permit issued on May 6, 2005
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 Why.
Owner or agent: Date:
/Q i •
All
V\
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V
4111 �k
THIS CARD IS TO REMAIN ON -SITE
CITY OF M Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 05- 102111 -00 -CO
Owner: PAT RHODES
Address: 31620 23RD AVE S SUITE 200
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.
Approved to insulate
❑
Footings /Setback (4110)
Approved to install mud & tape
❑
Foundation Wall (4115)
Date
❑ Drainage/Downspout (4040)
G Date `f A ?__a5
Approved to place concrete
Suspended Ceiling Grid (4265)
❑
Approved to place concrete
❑
Approved to backfill
By
Date
By
Date
Approved
By Date
❑
Re -steel (4215)
Date
❑
Plumbing Groundwork (4190)
❑
❑ Slab /Concrete Floor (4255)
❑
Approved to place concrete or grout
Approved to cover
Approved
Approved to place concrete
By
Date
By
Date
By
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)
E: Prior to scheduling a Framing (4120)
Approved to install roofing
Approved
ction; Electrical, Plumbing & Mechanical
FRough-in
and Fire/Draft Stop inspections must be
By
Date
By
Date
off and approved. IBC 109.3.4/UBC 108.5.4
❑
Framing (4120)
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By 4; Date . (•
By
Date
By
G Date `f A ?__a5
❑
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
MY OF
Federal Way
COMMUNnY DEVELOPMENT SERVICES
33325 8m AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98061.9718
253 -835 -2607• FAX 253 -835 -2609
www.cituolfederalwau. cam
9
PERMIT
APPLICATION
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The followina is re uired information - an inco fete avolication will not be acce ted. Please udzLk&-r.1%L1jafjMjn1rJ or
/ nn PROPERTY •- •
SITE ADDRESS >%(O o?Orck Q Vec _.J SUITE /UNIT # ;;20(D
ASSESSOR'S TAX /PARCEL #i !q— -L a y - 0 Ls ft LOT SIZE (sf
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(A— separate PW-for! IV- 1d- -Pt- -)
� PROJECT •' •
TYPE, OF PERMIT 8- T�UILDING 0 PLUMBING O MECHANICAL
BIDEMOLITION ❑ ELECTRICAL d ENGINEERING D FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) n
AP- RA-13 ( 14% � QAMALP -V,4. 4#��2a ..•om /1c 4- Tie L,.- I I A ,� LnA/
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME ` PRIMARY PHONE
�Q,� � ��.0
MAILING ADDRESS ITY, STATE, ZIP
-316 zd S 23 S -I !21-*�r�-� )A 003
COMPANY NAME j
LICANT NAM
6LA.,f+71-K6,J
APPLICANT NAME
OFFICE PHONE
L
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Vtw, a1
Q.�l�Jct1Ol,
4.
MAILING ADDRESS
75.3
CITY, ZIP
ri 4
CELL PHONE
A3 )'3 z�'
FAX NUMBER
(,Z) -5)$j57-
-I 166
CITY OF FEDERAL WAY BUSINESS LICE SE NUMBER
CC -n 1 - E�Kell A— #k--B
Q EXPIRATION DATE /
FAX NUMBER
L
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application(
EXPIRATION DATE
COMPANY NAME
Ttk Sou-o 06two
LICANT NAM
6LA.,f+71-K6,J
OFFICE PHONE
(A S3i ?2?
- G0()
MAILINa ADDRESS
CITY STA TE, 1P
CELL PHONE
75.3
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant 90ont ❑ Other(Describel
FAX NUMBER
(,Z) -5)$j57-
-I 166
EXISTING USE f -11.1 PROPOSED USE 5—:4 M& e_-
EXISTING ASSESSED /APPRAISE VALUE d; 6 d�. VALUE OF PROPOSED WORK $ 2S Oa
SPRINKLERED BUILDING? ❑ YE& M190- FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES
WATER SERVICE PROVIDER t7 L HAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER AKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Gat-I
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FIRST
SECOND _
THIRD
ood
3�c�-c7
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
EX MUG PROPOSED TOTAL ._....... ". .
NUMBER OF FLOORS
"ANEWHOMES 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
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Tub /shower
DISHWASHERS
GAS PIPE LETS
WASHING MACHINES
LAVS (Bathroom sinks(
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTIETO"
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS Ico
GAS WATER HEATERS
WATER CLOSETS goDeq
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
nFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cert(fy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised 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 maybe made by any perso cludin dersigned, and jtled against the City of Federal Way, but only where such claim
arises out of the relian of the city, in g it of rs an employees, upon the accuracy of the information supplied to the city as a part of
this application. (�
NAME /TITLE DATE
(Title(
RELATIONSHIP TO PROJECT O er 4rXgent ❑ Contractor ❑ Architect ❑ Other
Bulletin # 100 — January 7, 2005 Page 2 of 4 k\Handouts\Permit Application