07-106256City of Federal Way
Community Development services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Demolition Permit # -7 -1062
Inspection Request
Project Name: FAMOUS LABELS
Project Address: 1716 S COMMONS
3
Project Description: "Soft" demolition of demising walls, suspended ceiling and
to tenant improvements.
Owner
STEADFAST COMMONS LLC
1928 S COMMONS
FEDERAL WAY WA 98003 -6013
I her
the
Owner
�..p
Applicant ,
ERIC MATTISON
THE COMMONS AT FEDERAL WAY
1928 S COMMONS
FEDERAL )AAY WA 98003
w
t +.
0 -DE
(253) 831K050
fiber: 40 0 0
s prepa
s
,tor a
CTION INC
k (5!12/09)
A S
98580
PERMIT EX P y, NovZsmber 15, 2009
P rmit Issue F ember 16, 2007
the above info ion is cor and that the construction on the above described property and
I the will be ordanc 'th the laws, rules and regulations of the State of Washington
and the of Federal Way.
Date. ii'
THIS CARD IS T *ZEMAIN ON -SITE
CITY OF c : Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 106256 -00 -DE
Owner: STEADFAST COMMONS LLC
Address: 1716 S COMMONS
Federal Way, WA
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.
Final - Building (4050)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
` - RECEIVI
Federal Way PERMIT
COMMUMTY DEVELOPMENT SERV 1 g 2007 SF MF CO ME EL PL DE EN FP
33325 BTM AVENUE SOUIH • POB pLI CATI O N
FEDERAL WAY, WA 980&4 -9718
253 - 8352607• FAX 2 � ® DERALWAt L
13UILDINU DEPT.
The following is required irtformation - an incomplete application will not be accepted. Please print legibly (In ink) or type.
PROPERTY •• •
SITEADDREss l7 /� S• GomHoW-=. FCoe9,pt, kjk4 I WA q (boo3 suiTE /UNIT # F i5. F-q F -tZ
ASSESSOR'S TAS /PARCEL P -2 _L'_P Z Z AI o-- - i Q_ LOT SIZE (so
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) eE M�'hoc>
(Atmcn sepwyrc rf9eia lareft MH des"booJ
PROJECT •• •
TYPE OF PER?= ABUILDING PLUMBING ❑ MECHANICAL
>< DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descr(ption of work included on this nermit onto)
P- El- icilrc t�VSttr -1(. 1Drch"II�w =C� (�.�U.S4rJn GEI L.(r� . � tirl��.C'�ts�r-i_•L�n�_,.r; �,,,,,.,�
PROJECT NAME (Name of Business or Owner Last Hamel Rkt -(AuS LW-g*Lig'
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME
PRIMARY PHONE
A N ES
( ) - o-?
MAILING ADDRESS
CITY, STATE. ZIP
E-MAIL ADDRESS
4345 vim,
N 6o"
. sow
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
�.E• . C0risTCk_\CQcx-1 I i c .
H MIL Leg-
( 2531 ) 843 - 27VS
MAILING ADDffM
CITY, STATE, ZIP
CELL PHONE
. sow
(?65 ) Uo to - S511
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
`
FAX NUMBER
OC /OZ9195 Co 34
-, - ?GO7
(?S3) C41, - 2110$
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
EMAIL ADDRESS
SEMGVI't v33
�eIncon�r%rc. e. /.�•-
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
'�FtE COMHtn.15 ti1�y�. A'[' FeO�a -Wk`1
ER-1C, P T1 0)
- (PISIo
MAILING ADDRESS
CITY. STATE. ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect o Tenant ❑ Agent X Other
(%5 )1 4(o - 1415
NAME PRIMARY PHONE EMAIL ADDRESS
(- P TnSoi.) (ZS3 ) S3 - S O w .
NAME
t i/ba
Per RCW 19.27.095:
Lender information is required (fproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE. ZIP
PHONE
Ic
EXISTING USE 1ZETQt(L (per( PROPOSED USE 1'1 -AcIL M
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 12�, SOO
SPRINKLERED BUILDING? k YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? )o( YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 13 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
69. FT.
PROPOSED
89. FT.
TOTAL
S . FT.
BASEMENT
FIREPLACE WSIrX
COMPRESSORS
FU
FIRST
LAG SETS
PLUMBING
SECOND
A
` IAVS wath,00m sink.)
DISHWASHERS
RAINWATER SYST
THIRD
SHOWERS
( Nix R HEATERS
SINKS
ADDITIONAL FLOORS (DESCRIBE)
SUMPS
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NU ER OF FLOORS wa°r=
mom=
rover,
ronua�moer
rmM.uraoras ®sr
ranuar
'•NEW ONLY-* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type off txtur be installed or relocated as part of this project Do not existingfixtwes to remain.
MECHANICAL
Value of Mechanical Work $ S'�. d (A O F BID OR E5T7NfA1E MUST CLUDED RTIH APPLICA770N1
AIR HANDLING UNITS
EVAPORATIVE
BBQS
FANS
BOILERS
FIREPLACE WSIrX
COMPRESSORS
FU
DUCTS
LAG SETS
PLUMBING
BATHTUBS (or 7Lb /shower Co
A
` IAVS wath,00m sink.)
DISHWASHERS
RAINWATER SYST
DRINKING FOU S
SHOWERS
( Nix R HEATERS
SINKS
HOSE BIBBS
SUMPS
/ GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS MISC (Describe)
HOODS (commercW
RANGES
FRIG. SYSTEMS
URINALS MISC (Describe)
VACUUM BREAKS
WATER CLOSETS ab&"
WASHING MACHINES
I cert(jy 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 irtformation submitted in support of this permit application Is true and correct. 1 cerft 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 irtformation supplied to
the city as apart of this application.
SIGNATURE.
Authorized
o NEW ❑ ADDITION
o ALTERATION
o REPAIR o TENANT IWROVEMENT
BUILDING SHELL ONLY?
❑ YES ONO
BASIC PLAN? o YES
a NO
ZONING DESIGNATION
NEW ADDRESS REQUIRED?
❑ YES ONO
CHANGE OF USE? o YES
UP /SEPA/SU? o YES
a NO
D NO
PLATTED LOT?
o YES ❑ NO
DEMO PERMIT REQUIRED? o YES
o NO
Bulletin #100 —August 16, 2007 Page 2 of 4 k\Handouts\Pem -dt Application