06-102650City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
ki
Project Name: DAVITA BUILDING
Project Address: 1109 S 348TH ST
Demolition Permit #: 06- 102650 -00 -DE
Inspection Request Line: (253) 835 -3050
Parcel Number: 202104 9140
Project Description: "Soft" demo - interior fixtures, partitions and finishes - preparatory to tenant improvement
project.
Owner
Applicant
Contractor
NWCH INVESTMENT PROPERTIES
NWCH INVESTMENT PROPERTIES
NWCH INVESTMENT PROPERTIES
5312 PACIFIC HWY E
5312 PACIFIC HWY E
5312 PACIFIC HWY E
FIFE WA 98424
FIFE WA 98424
FIFE WA 98424
Additional Permit Information
CONDITIONS:
After fib inspection is complete W approved, please send a request for the release of your bond to Kari
Cim mail at Karh cfwmer@cityo ralway.com.
THIS CARD IS TO MAIN ON -SITE
CITY OF tommunity Developm . t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 102650 -00 -DE
Owner: NWCH INVESTMENT PROPERTIES
Address: 1109 S 348TH ST
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.
❑ Final - Building (4050)
Approved
By Date
arrors�ld�I V ILI Vb
Federai Wa►y. s 2006 PERMIT
caovmumrrnavecor�xrssRVlcr �, � 2
393ZS dm AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063 -9718
?59- 835 -36p7• PAX Y53 -d35a ���� p riJG #FPLICATIQN �C
The follouring is required it4formation - an incomplete application will not be
SITE ADDRESS T
t4'— SF MF CO ME EL P DE N 402 FP '
Please print katblp (in ink/ or
SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # CR- Q Q - LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) 3 3 3
N� +m�� atakr �W yr rmr ds.ara�l
N"PROJECT INFORAIATION
TYPE OF PERMIT ❑ BDING . 13 PLUMBING [I MECHANICAL
O DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work include on this permit onlvl
Ll
PROJECT NAME (Name of Business or Owner Last Name) c,
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME' PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
P �' f- ► F r-- ,4
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTORS REOISTRATIOM NUMBER (copy of card required with a *ch application) EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE '
( ) -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE'
RELATIONSHIP TO PROJECT
❑ Architect 0: Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
EXISTING USE 4— PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK I
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUD2ED? ❑ 4S ❑ NO
WATER SERVICE PROVIDER VEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER VEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
r
0
Indicate number of each type offtxture to be
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
_ BOILERS
_ COMPRESSORS j
.DUCTS
(er 7hb /shower Combo)
OUTLETS
MACHINES
LAVS
_ EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
as part of this project. Do not include existing
OAS LOGS
HOODS (c 04
RANGES
I}AS WATER HEATERS
WATER CLO (rouoq _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
remain.
REFRIO. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
Z cert(N under penalty of perjury that the infirmation furnished by nee is true and correct to the best of my knowledge, and farther, 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 may be made by dny person, including the undersigned, and f sled 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. J /
NAME /TITLE DATE /� / D C�
( at-4 (title)
RELATIONSHIP TO PROJECT Owner W4ent O Contractor O Architect 11 Other
n..n...:., ui nn "4j T. «........ t '1Al4 Poem? ofd Ir\Hnndnw.q %PP.rmit AnnGaAtinn
AREA DESCRIPTION
EXISTING
S2. FT.
PROPOSED
8 . FT.
TOTAL
S . FT.
BASEMENT
FIRST
SECOND
THI
FOURTH
ADDITIONAL FLOO
(DESCRIBE)
DECK (COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
rsarosso
mrv.
"NEWXOMES ONLY""
NUMBER OF BEDR M3 XERTIMATED SELLING PRICE $
Indicate number of each type offtxture to be
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
_ BOILERS
_ COMPRESSORS j
.DUCTS
(er 7hb /shower Combo)
OUTLETS
MACHINES
LAVS
_ EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
as part of this project. Do not include existing
OAS LOGS
HOODS (c 04
RANGES
I}AS WATER HEATERS
WATER CLO (rouoq _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
remain.
REFRIO. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
Z cert(N under penalty of perjury that the infirmation furnished by nee is true and correct to the best of my knowledge, and farther, 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 may be made by dny person, including the undersigned, and f sled 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. J /
NAME /TITLE DATE /� / D C�
( at-4 (title)
RELATIONSHIP TO PROJECT Owner W4ent O Contractor O Architect 11 Other
n..n...:., ui nn "4j T. «........ t '1Al4 Poem? ofd Ir\Hnndnw.q %PP.rmit AnnGaAtinn