05-100211City rnuai Federal
Devel Way Building - Commercial Permit #: 05 - 100211 - D2, CO
Commuaity'Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050
Project Name: BOATERS WORLD
Project Address: 31319 PACIFIC HWY S
Parcel Number: 082104 9181
Project Description: TI - Add demising walls and bathrooms. Changing out existing single entry door to double entry door.
Project includes plumbing & mechanical. 3/25/05 - Revised to add walls for a new meeting room and a
restroom floor sink. REVISED 4 /19/05: To add securi
Owner
Applicant
Contractor
Lender
ALEXANDER HAAGEN OPERATIN
SKYWARD CONSTRUCTION INC
SKYWARD CONSTRUCTION INC
KIMCO REALTY CO.
3500 N SEPULVEDA BLVD
15908 NE IOTH AVE
SKYWACI966BB 1/2/06
39104 FREMONT HUB
MANHATTAN BEACH CA
RIDGEFIELD WA 98642
15908 NE 10TH AVE
FREMONT CA 94538
90266 -3638
37324
RIDGEFIELD WA 98642
Includes:
Census category: 437 - Comm #
#1 #
#2 #
#3 #4
Occupancy Group: M
M M
M
Construction .. '. T
T' e V N T
Type V- N
Occuparic 3
359' 1
125
Floor Area ( .... r, ...`:,.: 1
10783 3
37324
.................
Mechanical Yes
{.Nils. wliY }YJ Ki s ......
Permit for Building 311e0 .. „No
Will Certificate of Occupancy be Issued? ........Yes
Plumbing Fixtures
yN
Designation............................................. CC -F
Description Quantityj I Descri tion Quanti I Description Quanti
Drains 4 Gas Pipe Outlets 1� Lavatories 4�
Sinks �',� Urinals 2 Water Closets
Description Quanti
Ducts ]�
Mechanical Fixtures
CONDITIONS:
Description Qua7n*
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the
subject proposal.
O
PERMIT EXPIRES October 16, 2005.
Permit issued on April 19, 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 Wa .
Owner or agent: ak. Date: 05
City of Federal way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the Uniform Building Code certifying that at
the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Address: 31319 PACIFIC S
Permit number: 05 - 100211 - 02
#1 #2 #3 #4
Occupancy Group: M M
Construction Type: Type V -
Occupancy Load: 359 125
Floor Area (Sq. Ft.): 10783 37324
Owner ALEXANDER HAAGEN OPERATIN
Name: 3500 N SEPULVEDA BLVD
Address: MANHATTAN BEACH CA
90266 -3638
Building Official
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely
affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (within budgetary time
and personnel limitations), the City neither guarantees nor warrants to the owner /occupant or to any other person that this Certificate evidences strict compliance
with each and every ordinance or regulation of the City or the Stare of Washington affecting the construction or use of said structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
i
.y
City u of uY} Development Services Federal Way Building - Commercial Permit #: 05 - 100211'= 0
Community CO
P.O. Box 9718
'Federal Way, WA 98063 -9718
Ph: (253) 835.7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050
Project Name: BOATERS WORLD
Project Address: 31319 PACIFIC HWY S
Project Description: TI - Add demising walls and bathrooms.
Project includes plumbing & mechanical.
restroom floor sink.
Parcel Number: 082104 9181
Changing out existing single entry door to double entry door.
3/25/05 - Revised to add walls for a new meeting room and a
Owner
Applicant
Contractor
Lender
ALEXANDER HAAGEN OPERATIN
SKYWARD CONSTRUCTION INC
SKYWARD CONSTRUCTION INC
KIMCO REALTY CO.
3500 N SEPULVEDA BLVD
15908 NE 10TH AVE
SKYWACI966BB 1 /2/06
39104 FREMONT HUB
MANHATTAN BEACH CA
RIDGEFIELD WA 98642
15908 NE 10TH AVE
FREMONT CA 94538
90266 -3638
RIDGEFIELD WA 98642
Includes:
Census category: 437 - Comm
Floor Area
Census CakIM ..:c a ..................
Mechanical ......... ....,.=. ...............<...a, ...........
M M
e V y'll Type V - N
A59 125
10783 37324
Permit for Building SleO .... ....... „'No Plumbing ...+ Yes
Will Certificate of Occupancy be Issued? ............ Yes Zoning Designation..... ............................................. CC -F
Plumbing Fixtures
Description Quanti Description ! Quantity Description Quart `
Drains 4 Gas Pipe Outlets 1 Lavatories �4
Sinks 1 Urinals Water Closets
Mechanical Fixtures
Description Quanti Descri tion Quanf Description Quantityl
Ducts 1
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the
subject proposal.
PERMIT EXPRtES September 21, 2005.
Permit issued on March 25, 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 W y.
6
Owner or agent: f(.0 Qom— Date: ✓���� ��
City of Federal Way
}
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the Uniform Building Code certifying that at
the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: BOATERS WORLD
Address: 31319 PACIFIC S
Construction Typ
Occupancy Load:
Floor Area (Sq. F
01
a2
M
M
peV -N
T. V -N
359
125
10783
37324
Owner ALEXANDER HAAGEN OPERATIN
Name: 3500 N SEPULVEDA BLVD
Address: MANHATTAN BEACH CA
90266 -3638
Building Official
Permit number: 05 - 100211 - 01
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely
affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (within budgetary time
and personnel limitations), the City neither guarantees nor warrants to the owner /occupant or to any other person that this Certificate evidences strict compliance
with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
THIS CARD IS TO "'MAIN ON -SITE
CITY OF %.ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -305b
PERMIT #: 05- 100211 -00 -CO o
Owner: KIMCO REALTY CO.
Address: 31319 PACIFIC HWY S
FEDERAL WAY, WA 98003 -5427
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.
❑ Re -steel (4215)
Approved to place concrete or grout
By Date B�
❑ Underfloor Framing (4285) ❑
Approved to sheath floor
By Date By
Plumbing Groundwork (4190)
Approved to cover
+k' L Date
Floor Sheathing (4105)
Approved to install flooring
Date
❑
Slab /Concrete Floor (4255)
❑
By
Foundation Wall (4115)
Approved to place concrete
Date
❑
By
Dramage/Downspout (4040)
Approved to backfill
Date
❑ Footings /Setback (4110)
Approved to place concrete
By Date
❑ Re -steel (4215)
Approved to place concrete or grout
By Date B�
❑ Underfloor Framing (4285) ❑
Approved to sheath floor
By Date By
Plumbing Groundwork (4190)
Approved to cover
+k' L Date
Floor Sheathing (4105)
Approved to install flooring
Date
❑
Slab /Concrete Floor (4255)
❑
Approved to place concrete
By
Date
❑ Mechanical Rough -in (4165)
Approved to drop file
❑
Shear Walls (4245)
Approved to install siding
By
Date
❑
Roof Sheathing (4220)
❑
❑
Rough Plumbing (4230)
Final - Planning (4070)
❑ Mechanical Rough -in (4165)
Approved to drop file
Approved to install roofing
Approved
Approved
Date
Approved
Date
By
Date
By
Date
By Date
❑
Fire/Draft Stops (4095)
(VOTE: Prior to scheduling a Framing (41jbc
❑
Gas Piping (4125)
Approved to release test
Approved
inspection; Electrical, Plumbing & Mechan
Rough -in and Fire/Draft Stop inspections muBy
Date
By
Date
igned -off and approved. IBC 109.3.4/UBC 1
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
B
Date 3
By
Date
By Date 3
]
Suspended Ceiling Grid (4265)
❑
Final - Fire Department (4060)
❑
Final - Planning (4070)
Approved to drop file
Approved
Approved
By
Date
By
Date
By
Date
❑
Final - Public Works (4080)
❑
Final - Mechanical (4065)
❑
Final - Plumbing (4075)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Final - Building (4050)
Approved
By Date
1) ATE INSPECTOR AREAkND TYPE INSPECTION
THIS CARD IS TO ?''MAIN ON -SITE
CITY OF r,ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 05- 100211 -01 -CO
Owner:
Address: 31319 PACIFIC HWY S
FEDERAL WAY, WA 98003 -5427
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 release test
Approved to place concrete
By
Approved to place concrete
By
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
❑
Underfloor Framing (4285)
❑
Floor Sheathing (4105)
❑
Shear Walls (4245)
Approved to sheath floor
❑ Final - Fire Department (4060)
Approved to install flooring
Approved to install siding
By
Date
By
Date
By
Date
❑
Roof Sheathing (4220)
❑
Rough Plumbing (4230)
o scheduling a Framing (4120)
Approved to install roofing
Approved to release test
Approved
By
Date
By
Date
Mechanical Rough -in (4165)
Approved
By Date
❑
Gas Piping (4125)
❑
Fire/Draft Stops (4095)
o scheduling a Framing (4120)
Approved to release test
Approved
rical, Plumbing & Mechanical
=Fire/Draft
e /Draft Stop inspections must be
By
Date
By
Date
roved. IBC 109.3.4/UBC 108.5.4
❑ Gypsum Wallboard Nailing (4130)
❑
Insulation (4150)
❑
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date . 3 aj�
By
Date
By Date �Z4r_
Suspended Ceiling Grid (4265)
❑ Final - Fire Department (4060)
❑ Final - Planning (4070)
Approved to drop til
Approved
Approved
By
Date AV
By
Date
By Date
❑
Final - Public Works (4080)
Final - Mechanical (4065)
Final - Plumbing (4075)
Approved
Approved
Approved
By
Date
By
Date Z5 105-
By Date4j %_
By I
Final - Building (4050)
j Approved
/1 fS J Date t& 'b5-
e
RECE
a JAN 1 9 2005
Federal Way(� ,HERMIT
COMMUNITYDEVELOPMENTSERV!QLTY OF FEDERAL W
3332FEDERAL WA SOUTX • PO BOX 9778 BU I LD I NG iP ' P LI C AT I O N
53-83 -2 WAY, .Y 98063-9718
253- 835.2607• FAX 253- 835 -2609
www.afgo(ederalway. mm
SF MF db-0
E EL PL DE EN FP
D Z / 1 /
is reautred information - an incomplete application will not be accepted. Please prtnt tegtbty (in tn►y or
SITE ADDRESS 7�51 31 A 4"NQ S SUITE /UNIT # Ia I V
ASSESSOR'S TAX /PARCEL # 0 -& Z C - l -L -8 L LOT SIZE (s)
0'9 Ztoy I81 3a FG Pwr tx CCrrjere 07 llz OT r-1 of
LEGAL DESCRIPTION (e.g. AcmeEstates, Lot 1) 5E1 OFS`=(' `n- 7A-07R 154ALA W LtL 6F S>J SIwP�7 131�.21�i
(Attach a �mle p.ge for lengthy legal deecrpdo,�
PROJECT •' • •/
TYPE OF PERMIT BUILDING B'PLUMBING D MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
Aoo kepT1*12 -"A :RI1 A1lv\4 N•�.► 1 115 -Ea Mkt
PROJECT NAME (Name of Business or Owner Last Namo
0 PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME
APPLICANT NAME
PRIMARY PHONE
MAILING ADDRESS
-fyq In
CITY, STATE, ZIP , f
�^ f
154
MAILING ADDRESS
, STATE, P
CELL PHONE
(Sa31 x,10 - �I
COMPANY NAME
FAX /NUMBER
APPLICANT NAME
'e
OFFICE PHONE
( 3(6d 54(p - I(oa5
MAILING A13DRESS
l `1D$ (AC Jbr" i411EN
CITY, STAIE ,ZIP
'eld PJX
CELL PHONE
L9!53) 3D -9Z LX)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
--B
EXPfRAT10N DATE
L f ,1 �'l 105'
FAX NUMBER
(2SL�)s - ILf30
CONTRACTORS REGISTRATION NUMBER (copy or card required with meh apPHoation(
5K- \A 14- 0 z
EXPIRATION DATE
v //d2 /RmL
COMPANYNAME
APPLICANT NAME
OFFICE �PHONE �/
(-:?L - L(X'Z�
S 2
i
154
MAILING ADDRESS
, STATE, P
CELL PHONE
(Sa31 x,10 - �I
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent 8'6ther (Describe)
FAX /NUMBER
` ,
V
PRIMARY PHON,,EII,, i
E-MAIL ADDRESS
Per RCW 19.97.096: Lander Information is
NAME \
co
required If project value exceeds $5,000
-
MAILING ADDRESS /.
CITY, .ZIP
y u
a ,�
f
EXISTING USE I PROPOSED USE DiT� Wes( II� fn
EXISTING ASSESSED /APPRAISED VALUE $ rQ VALUE OF PROPOSED WORK $ (/
SPRINKLERED BUILDING? 0 YES V NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ NO
WATER SERVICE PROVIDER VEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL
SEWER SERVICE PROVIDER VEN ❑ HIGHLINE ❑PRIVATE (SEPTIC) i
VI
(,1
C
f
AREA DESCRIPTION
WASTING
S . FT.
PROPOSED
FT.
TOTAL
80. FT.
BASEMENT
EVAPORATIVE COOLERS
BBQS
FANS
FIRST
/4,_5
I-or)
DUCTS
SECOND
CHANGE OF USE?
lot = io18
o NO
THIRD
o YES o NO
UP /SBPA /SUP
FOURTH
a NO
PLATTED LOT?
a YES o NO
ADDITIONAL FLOORS (DESCRIBE(
DEMO PERMIT REQUIRED?
o YES
a NO
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
awrees
na.oem�`
°
e�
'•NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of
or relocated as part
ACCXAMCAL F
TERATION
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS
GAS PIPE OUTLETS
BATHTUBS (o<7Lb /shm.m CO bq
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAYS (Bathroom sirasi
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
GAS LOGS
HOODS jcommmeiaq
RANGES
G" WATER HEATERS
WATER CLOSETS iroaeq _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
to remain.
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
7 certgy under penalty, of perjury that the In/ormation furnished by me is true and correct to the best of my knowlodye, and farther, that I
am authorised by the owner of the above premises to perform the work far which the permit application to made. I jhrther agree to hold
harmless the City of Pederal Way as to any claim linchrdtng tests, expenses, and attorneys' Jas incurred in the insgtiyatton and dg/ena qJ
such clalntb which may be made by any person, Including the undersigned, and ftled against the City q/Rderal Way, but only where such own&
arias out of the reliance of tho city. ine ng its and onWtogees, upon the accuracy of the iq/ormation supplied to the city as a part of
this application.
NAME /TITLE � DATE 'S
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent 0015ontractor ❑ Architect ❑ Other
a ADDMON
TERATION
a REPAIR- AuIT IIIPROmanT
BUILDING SHELL ONLY?
131!K a N
BASIC PLAO
o YBB
a NO
ZONING DESIONATION
-
CHANGE OF USE?
o YES
o NO
NEW ADDRESS RBQMRtDf
o YES o NO
UP /SBPA /SUP
a YES
a NO
PLATTED LOT?
a YES o NO
DEMO PERMIT REQUIRED?
o YES
a NO
Bulletin #100 - August 19, 2004
Page 2 of 4
k\HandoutslPermit Application
ti
�
r
Permit Fee Estimate Worksheet
d Building Permit 0 Mechanical Permit 0 Fire Prevention System Permit
PROPOSED VALUATION: tk 1 Z Sh (BOO .00
FEE FACTOR FROM TABLE A: Number: Q_ (a) Base Fee:
(b) Additional Increment Fee: A 7.50
{Valwtlon nom permit apoicado base fee laoamMY1000 Rand W m nea� whoe rnant er
(�) f u7 5'b } /1000 = (e —�
OR
For valuations between $501.00 and $2,000 only:
(VatraWrr from pemat appgratlo base fee km nrent) /100 Rand W to nearest whole number
(Ct){ 1 /100 = (d)
value from (d) vale from (b) .9
Base Fee �m (a vale from (h) Permit fee
Permit Fee: ! '1I + 1$l. _ (g) 6 1. qu? qz
Plan Review Fee:,$ 1,4G rob cg) X .65 = (h) ` q�3. 5 Fee
P�mY_ c Fee from (� �!V 2 G.L� . p�� �
FW Fire Department Surcharge: f 4to -7. X .15 = (h)
(COMMERCIAL ONLY)
0 Building Permit 0 Mechanical Permit 0 Fire Prevention System Permit
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
(t)
(a) Base Fee:
(b) Additional Increment Fee:
(VakWm Gan Pramt aPOICO - Aeae fee Inaanrrt) /1000
OR
For valuations between $501.00 and $2,000 only:
(VaAntbn from wnat ap kMw baos foe hntrunan*1100
(o) (
VaAre Tram (d)
(e) X
vale Ram (b)
= (f)
Base fee from (a) value from (f)
Permit Fee: +
Plan Review Fee:
Pan* Fee horn (g)
X .65 = (h)
= (g)
Plan Review Fee
Rand W to nearest whole amber
/1000 = (d)
Rand W to nearest whole number
/100 = (d)
Permit Fee
Perrot Fee from (g) Surdsarge Fee
FW Fire Department Surcharge: X .15 = (l>
(COMMERCIAL ONLY)
COMMUNITY DEVELOPMENT SERVICES • 33325 C AVENUE SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 - 9718.253 -835 -2607 • FAX: 253. 835 -2609