05-100552City Federal Way Ailding - Commerc'lal Perm #: 05 - 100552 - 00 - CO
Commuu nity Development Services
P.O. Box 9718
Federal Way, WA 48063 -9718
Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050
Project Name: GI JOE'S
Project Address: 35020 ENCHANTED PKWY S Parcel Number: 219260 0570
Project Description: TI - Relocating drinking fountain, frame (3) walls, and (3) doors.
Owner
Applicant
Contractor
Lender
GI JOES INC.
ROBERTSON & OLSON *RUSS KLI
ROBERTSON & OLSON *RUSS KLI
NONE
9805 BOECKMAN RD
16821 SE MCGILLIVRAY BLVD SU
ROBER00O27BA
WILSONVILLE OR 97070
VANCOUVER WA 98683
16821 SE MCGILLIVRAY BLVD SU
Occupancy Londe,
VANCOUVER WA 98683
NONE
Includes:
Census category: 437 - Comm
#1
#2
#3
#4
Occupancy Group:
M
Construction Type:
Occupancy Londe,
Floor Area( !
Census Category ,�4.,..... , ....... .................. . 437 -Commercial alt/add Fire Sprinklers................................................. Yes-
................ .. ....................... No Number: of Stories ......... ....i ...,....... ..........1
r
Permit for Building Shell Only ........................ „..No Plumbin$ ...... ............. .............. ..... Yes
Will Certificate of i0Wwanev beIssued7........... - No Zoning Designation.,
Plumbing Fixtures
Description ._1FQ_u_ant7itY E Description Quantity F Descri Lion Quantity
Drinking Fountains
1.011K "I"TOMIT
This decision sh ive compliances with future City of Federal Way codes, policies, or standards relating to the
subject prop / A F I �. N ®H LE D
�
l /] PERMIT EXPIRES October 9, 2005.
Permit issued on April 12, 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 Way.
Owner or age e- Date Z-
THIS CARD IS TO MAIN ON -SITE
CITY OF Community Develo m nt Inspection Record
p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 05- 100552 -00 -CO
Owner: GI JOES INC.
Address: 35020 ENCHANTED PKWY S
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.
❑ Footings /Setback (4110)
❑
Foundation Wall (4115)
❑
Drainage/Downspout (4040)
Approved to place concrete
Approved to place concrete
Approved to backfill
By Date
By
Date
By
Date
❑
❑ Re -steel (4215)
❑
Plumbing Groundwork (4190)
Slab /Concrete Floor (4255)
Approved to place concrete or grout
Approved to cover
Approved to place concrete
By Date
By
Date
By
Date
❑
Floor Sheathing (4105)
❑
❑ Underfloor Framing (4285)
Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By Date
By
Date
By
Date
❑ Roof Sheathing (4220)
❑
Rough Plumbing (4230)
❑
Fire/Draft Stops (4095)
Approved to install roofing
Approved
Approved
By Date
By
Date
By
Date
❑
NOTE: Prior to scheduling a Framing (4120)
❑
Framing (4120)
Insulation (4150)
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 108.5.4
By
Date
By
Date
❑
❑
Suspended Ceiling Grid (4265)
❑ Gypsum Wallboard Nailing (4130)
Final - Fire Department (4060)
Approved to install mud & tape
Approved to drop tile
Approved
By Date
By
Date
j By
Date
❑ Final - Planning (4070)
❑
Final - Public Works (4080)
❑
Final - Plumbing (4075)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑ Fin - Building (4050)
Approved
Date
My OF o
Federal Way
COMMUNITY DEVELOPMENT SERVICES
33325 8TH AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA -98063 -9718
253- 835 -2607• FAX 253 -835 -2609
wuna.cityoffederalway mm
The foIIowincq is
SITE ADDRESS
PERMIT
APPLICATION
- an incomplete application will not be
SF M CO E EL PL DE EN FP
rccepted. Please print legibly (in ink) or tune_
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # _ - LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot i) � L f= 1�T7/V fYjDS w as
lAttach separate page for lengthy legal d— iptionf
TYPE OF PERMIT ILDING aE54 LUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
1-1)
APPLICANT
CONTACT
LENDER
EXISTING USE
N ME PRIMARY PHONE
(ib3
MAILING ADDRESS SCI ITTY, STATE, ZIP
C.4 J Z
COMPANY NAME
APPLICANT NAME
OFF�IICEE PHNE'/��'
MAILING A DR
`
/l
MAILING ADDRESS
CITY, ATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINOSS LICENSE NU ' EXPIRATION ATE
FAX NUMBER
P NT�/(R�A,�CTORS REGIS- TrRATIIO'�N NUMBER copy of card required with each application) EXPIRATION DATE
! !
L) 5
� L\ 11 0— :7
COMPANY NAME
APPLICANT NAME
/OFFICE PHONE
1 -
MAILING A DR
CITY, STATE, ZIP
(CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
( -
N E PRIMARY PHONE MAIL ADD S
F-) - -(,tl
,A
er�CW9 7�951�nder information is
NAME
apr,'oject value exceeds �5 OOO y
MAILING ADDRESS
CITY, STATE, ZIP
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING? S' YES ❑ NO
WATER SERVICE PROVIDER i L HAVEN
SEWER SERVICE PROVIDER HAVEN
PROPOSED USE _ .4 fL
VALUE OF PROPOSED WORK $�sSCJC7
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES G
• HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
• HIGHLINE ❑ PRIVATE (SEPTIC)
�i
i
t
t
AREA DESCRIPTION
EXISTING SO. FT.
PROPOSED S . FT.
TOTAL
BASEMENT
o ALTERATION
o REPAIR o.TENANT IMPROVEMENT
FIRST
SECOND
+
BASIC PLAN? o YES
ONO
ZONING DESIGNATION
THIRD
FOURTH
CHANGE OF USE? a YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP /SEPA /SU? o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED? o YES
o NO
DECK(COVERED ?)
GARAGE /CARPORT
HOW MANY FLOORS?
TOTAL EXISTTFG
TOTAL PROPOSED
TOTAL EXISTING AXD PROPOSED
.. - -__.. .-.., r.,, Arr v ** ATTTTAI PQ nlF' RRnPC)OMS ESTIMATED SELLING PRICE $
JYG YY JJVaraar... �. -
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 /Sho..er combos
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS (Bathroom Sinks
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS (comet —wj
RANGES
GAS WATER HEATERS
WATER CLOSETS Roukq
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
{certify 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 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 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 of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME /TITLE DATE A ®�
1 5. ( ign (Titles
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent XP ontractor ❑ Architect ❑ Other
FOROFEICEIISE�ONLY�, ,;
a NEW: o ADDITION
o ALTERATION
o REPAIR o.TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES ONO
BASIC PLAN? o YES
ONO
ZONING DESIGNATION
CHANGE OF USE? a YES
o NO
NEW ADDRESS REQUIRED? o YES o NO
UP /SEPA /SU? o YES
o NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? o YES
o NO
F
Bulletin !1100 — March 30, 2004 _ Page 2 of 4
k \I iandouts — Revised\Permit Application