07-101585r
City of Federal Way
Community Development Services Demolition Perm.. #: 07- 101585- 00 -DE�
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835.2609 Inspection Request Line: (253) 8355 -3050
Project Name: HIM OFFICE DEMO
Project Address: 29418 PACIFIC HWY S Suite A
1 Parcel Number: 304020 0085
Project Description: Demolition of interior walls to prepare for new tenant. No plumbing or mechanical.
Owner
Applicant
Contractor
SAWYER TOM ENTERPRISES INC
BRONZ CONSTRUCTION CO
BRONZ CONSTRUCTION CO
2016 38TH ST NW
33004 44TH AVE S
BRONZCL972BS 1/10/09
GIG HARBOR WA 98335
FEDERAL WAY WA 98001
33004 44TH AVE S
FEDERAL WAY WA 98001
Additional Permit Information
CONDITIONS:
Subject to ield inspection.
THIS CA" IS TO REMAIN ON -SITE
CITY OF _ %,ommunity Developm_ -t Inspection Record,
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
y
PERMIT #: 07- 101585 -00 -DE
Owner: SAWYER TOM ENTERPRISES INC
Address: 29418 PACIFIC HWY S Suite A
FEDERAL WAY, WA 98003 -3829
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 y �I /�
RECEIVED
Federal Way MAR 2 7 2007 PERMIT -20'
COMMUNITY DEVELOPMENT SERVICES
33325'8 - AVENUE SOUTH•�I Y FEDERAL
FEDERAL WAY, WA 980b3 "'p p LI C AT I O N
.253- 835- 2607•FAX253 -835 -2 ILDING DEPT
un ,.dlwlfedemhaml.wm
SF MF ME DEL PL OE EN FP
TD
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS C� L{) is C'�C r1' o' H (_ �/ 1� "'"" CL aid WA Itic'r _3 SUITE/UNIT # A7 .
ASSESSOR'S TAX /PARCEL # G v' - �' J LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
tAOaoh -7—ft Paeefor le W&Y legal d --ph -q
PROJECT e
TYPE OF PERMIT UILDING O PLUMBING O MECHANICAL
EMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
n _
PROJECT DESCRIPTION (Provide detailed Cription of work included on this permit onto)
PROJECT NAME (Name of Business or Owner Last Namel
PROPERTY
OWNER
CONTRACTOR
COPY of evd •ogWl
with SEA eppllentlon
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
N PEOPLE INFORMATION
NAME,
PRIMARY PHONE
MAILING ADDRESS
S. Nlty>>a�
CITY, STATE, ZIP
a?ry �✓lc
E -MAIL ADDRESS
CITY, STATE, ZIP - °-
PHONE
COMPANY NAME -
APPLICANT NAME f
OFFICE PHO'NE�
MAILING ADDRESS
C1 Y, E, ZIP
CELL PHONE -
CITY OF FE RAL WA BU NESS LICENSH NUMBER EXPI ON DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER - EXPIRATION DATE
D Za 00
E -MAIL ADDRESS
/j/bri %Mts such./ rntS
COMPANY E -
APPLICANT NAME
OFFICE PHONE
4 ) _
MAILING ADDRESS
CITY, STATE, ZIP -
CELL PHONE
RELATIONSHIP TO PROJECT
0 Architect 0 Tenant 0 Agent 0 Other
FAX NUMBER
NAME PRIMARY PHONE E- MAILADDRESS
- NAME
Per RCW 19.27.095:
Lender igformation is required if project value exceeds $5,000
MAILING ADDRESS �- -
CITY, STATE, ZIP - °-
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
SPRINKLERED BUILDING? 0 YES XNO
WATER SERVICE PROVIDER LAKEHAVEN
SEWER SERVICE SERVICE PROVIDER�LAKEHAVEN
ukkd) 0119 D)7ib31
Ct—'re—
.�i
VALUE OF PROPOSED WORK $ 13s.1
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? 0 YES (NO
• HIGHLINE ❑ TACOMA 0 PRIVATE (WELL) \
• HIGHLINE 0 PRIVATE (SEPTIC)
s„2
AREA DESCRI1W
EXISTING PROPOSED
3 , FT. S . FT.
TOTAL
S . FT.
BASEMENT
BUILDING SHELL ONLY?
o YES ONO
FIRST
a YES
a NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
o YES
THIRD
NEW ADDRESS REQUIRED?
o YES o NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES
a NO
PLATTED LOT?
DECK (O COVERED OR O UNCOVERED ?)
DEMO PERMIT REQUIRED?
a YES
GARAGE 0 CARPORT
NUMBER OF FLOORS
sxarteo
PeoPOSSO
TOTAL
co �
re sTM sr
=Tr PRawsas OF
TOTAL er
"NEW HOMES 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
Du.CT8S
BATHTUBS Ior Tubishour Combo)
DISHWASHERS _
DRINKING FOUNTAINS'
ELECTRIC WATER' HEATER,'
HOSE BUW§
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH
EVAPORATIVE COOLERS
FANS
-
FIREPLACEINSERTS
FURNACES
GAS LOG 3ETS'
LAVS (Bathroom sink4
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
-.OAS WATER HEATERS
HOODS (cammerdaq
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (foaeq
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I 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 clatml, which may be made by any person, including the undersigned, and flied 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 G
r
RELATIONSHIP TO PROJECT D Owner ❑ Agent ❑ Contractor
(Title)
o Architect
❑ Other
a NEW n ADDITION
o ALTERATION
o REPAIR ti TENANT IMPROVEMENT.
BUILDING SHELL ONLY?
o YES ONO
BASIC PLAN?
a YES
a NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
❑ YES
a NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
a YES
a NO
Bulletin #100—January 1, 2007 Page 2 of 4 MHandoutAPermit Application