04-101929City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 C
RI� A °J
Project Name: DISCOUNT TIRE COIL
Parcel Number: 092104 9286
Project Address: 31414 PACIFIC HWY
Project Description: TI - Upgrade to 2 existing restrooms to comply, with WA State barrier -free requirements, remodel of
mezzanine to create a new office and storage room, ceiling grid and minor lighting changes. Project
includes plumbing & mechanical.
Building - Commercial Pe #:04 -101929 - 00 - CO
Inspection request line: 253.835.3050
Owner
Dana Plaza Lie *Plaza Llc Dana
31260 PACIFIC HWY S
Applicant
IVARY & ASSOCIATES, ARCHITE(
551 NE 65TH ST
FEDERAL WAY WA 98003 -5448 'SEATTLE WA 98115
Includes:
Census category: 437 - Comm #1
-------- ------------- _— _...y.� -_�T�. B
Area
-- 5188
lst Floor Proposed Sq F.eet.,, ....... . :_ 47W
Census Category .............. ......................... :. 437 - Commercial alt/add
Mechanical ............... Yes
Perot for Building Shell Only.— ........................ No
Contractor
M S INC
Lender
TIRE CO OF WASHING
CMSIN * *193PN 7/28/04 DISCOUNT TIRE CO DEPT 900
16855 WOODINVILLE- REDMOND 1 20225 N SCOTTSDALE RD
WOODINVILLE WA 98072 1 SCOTTSDALE AZ 85255
#2
2nd Floor Proposed Sq. Feet, ............. .. .
.....988
Fire Sprinklers "
" No
Number of Stories ........... .. ...... .
..........2
Plumbing....................................... - -..... Y
Yes
W'll C r
-0i -- - -- 1 ,.
Total Proposed Sq. Feet ........... .................
..........5188 i e
Zoning Desiz ration ............. ............................... BC
Plumbing Fixtures — IQuanti—!,
- -- – Descn tion Quanti – p _ -- – –
Descn tion
Description - '_uantdyl C __ P— _= 2 sink– 5 - -- 2
nk ng Fountains AIL 1 Lavatories
Water Closets I� 2
Mechanical Fixtures
�_— Description - hC�uantity Description tQuantityi
F— Description iQuanti ^I
Fans 2
- ns _ -�
PERMIT EXPIRES November 29, 2004.
Permit issued on June 2, 2004
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.
p
Owner or agent: 6)-7 ^-" Date:
THIS CARD IS TO ",MAIN ON -SITE
CITY OF t;ommunity Developmeat Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 04- 101929 -00 -CO
Owner: WAYNE (VARY
Address: 31414 PACIFIC HWY S
FEDERAL WAY, WA 98003 -5404
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. Cm -going inspections
are logged on the back of this card.
❑
Footings /Setback (4110)
Approved
❑
Foundation Wall (4115)
❑
Drainage/Downspout (4040)
Insulation (4150)
Approved to place concrete
Approved to install mud & tape
Date
Approved to place concrete
Approved to backfill
By
Date
By
Date
By
Date
❑
Plumbing Groundwork (4190)
❑
Slab /Concrete Floor (4255)
❑
Re -steel (4215)
Approved to place concrete cr grout
Approved to cover
Approved to place concrete
By
Date
By
( Datei _2 — CJ
By
Date
❑
Floor Sheathing (4105)
❑
Shear Walls (4245)
❑
Underfloor Framing (4285)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
Date d. .,
By
Date
❑ Roof Sheathing (4220)
❑ Rough Plumbing (4230)
❑ Mechanical Rough -in (4165)
Approved to install roofing
Approved
Approved
By
Date
By
Date
By
Date
❑ Gas Piping (4125) ❑
Approved to release test
By Date By
❑ Framing (4120)
!�/� Approved to insulate vJ
By 7 Date J
❑ Suspended Ceiling Grid (4265)
Approved to drop tile
By Date
By
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
Approved
inspection; Electrical, Plumbing & Mechanical
Date
` 3
V
Rough-in and FireMraft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 108.5.4
❑ Gypsum Wallboard Nailing (4130)
Insulation (4150)
Approved to install wallboard
Approved to install mud & tape
Date
By Date 4
❑
Final - Fire Department (4060)
❑
Final - Planning (4070)
Approved
Approved
By
Date
By
Date
❑ Final - Public Works (4080) ❑ Final - Mechanical (4065) ❑ Final - Plumbing (4075)
Approved Approved , 1 Approved
By Date By G Date �� �� y C/\.J Date
A)
IV
❑ Final - Building (4050)
Approved
By C Date -4 S
cadmIIVRY DEVELOROVT SRRWM
13530FAMT WAY StX TTf •IDB2Y9718
FELYRALWAY, WA 5&1631718
74715• FAK' 2;83667.418
MA 1;
ASSESSOR'S TAX /PARCEL w: �+ L o =�. - 6 SQUARE FOOTAGE OF LOT: `7 /2gD •3�
iropn� -pP uw 11.4 ota sun io sx . �T w ALt
LEGAL DESCRIPTION (e.g.: Ache Estates, Lot 1) = 4 rr mp WIU� ewle�t� j61�h1 �'i G .
TYPE OF PERMIT (This application(: V BUILDING o PLUMBING o MECHANICAL ❑ DEMOLITION
o ELECTRICAL o ENGINEERING o FIRE PRE{7�IEENT�ION_ SYSTEM. `
PROJECT DESCRIPTION (Provide detailed description of work included on this permit ord L k �1 l t laaI 1 V p%4l'z
PROJECT NAME (Name of Business /Owner Last Name):
PROPERTY
OWNER:
CONTRACTOR:
W tt* �n+(s•�
pW11Mtt-
LENDER:
pf7mpomd v r. , t6mm
APPLICANT:
NAME: P1 S 4i
%7 PHONE:
) T'i -4-01
t MAILING
gl� D FI�g�EET AD RESS „a/
11
CITY, STATE, ZIP �L
NAME
CM5 Gu1�N
C.OMPPPAAfJNY�I
--•
OFFICE PHONE:
4t iF ) ` * �j3o0
LING ADDR S3 STREET ADDRESS j:
�"" I►�JOplNUlu� /1�7Moud
0
CITY STATE, ZIP A
(puj4LAM,Uu/�
CELL PHONE:
(�F'L5) -
-CITY OF FE --DE RAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE:
j L
FAX NUMBER:
( .S) 46,
CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE:
(mpF of o d ragdred tnh out mmmklo) -- 5 — — /
NAME:
1 W (0.
PHONE: -
DAYTIME PHONE:
� t
MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP
NAME: I 1 I w ` f 444— j
I Vj&" Y
(L4 f0I j;-'S
MAILING S
/pie- C7G ;n4 t-
STATE, �
S
4L PHONE: 23
(SS
RELATIONSHIP TO PROJECT:
Architect o Tenant o Other (Describe}:
FAX NUMBER:
so (' ) ,�j t, r - 80 `L f
AREA DESCRIPTION
EXISTING SQ. FT.
PROPOSED SQ. FT.
'TOTAL
BASEMENT
FIRST
SECOND �+�I.Fl1.SNil
GZ.°o$
O
G%r�Q
+
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE) �e
DECK (COVERED?)
GARAGE /CARPORT r-- ---__.
HOW MANY FLOORS?
®
�°
" *NSW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: S
adicate number of each type of fixture that is to be installed or
AGCHAMCAL
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS for Tub /shower Combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS pathm smk
EVAPORATIVE COOLERS
.� FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
Z-� SINKS
SUMPS
URINALS
VACUUM BREAKERS
as part of this project. Do not include existing fixtures to
GAS LOGS REFRIG. SYSTEMS
HOODS)COmme.cl,q WOODSTOVES
RANGES MISC (Describe)
G" WATER HEATERS
WATER CLOSETS aw q MISC (Describe)
DRINKING FOUNTAINS
RAINWATER SYS
HOSE BIBBS
ELECTRIC WATER HEATERS
I cevto underpenalty 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 Pbderal Way as to any claim (including costs, expenses, and attorneys' fees
incurred in the inosstigatton a defense su ciatvn), which may be made bg any person, including the undersigned, and
flied against the City of ay, bu my bane such claim arises out of the reliance of the city, including its DAUS s
and employs", upon of t bS f iced to the city as a part of this application.
NAME /TITLE: DATE:
V I s/,-- �
RELATIONSHIP to PROJI10f. oMoperfy Ownezf 'W Applicant ❑ Contractor \t/IArchitect ❑