09-103860 ` 1 wilding - Commercial •
City of Federal Way Q
Community Development Services Permit #: 09-103860-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph (253)835-2607 Fax:(253)835-2609 p q
Project Name: EAGLE TIRE
Project Address: 1515 S 344TH ST Parcel Number: 889700 0030
Project Description: REP-Fire damage inspection only
Owner
Applicant Contractor Lender
JOHN KUROSKY BELFOR USA GROUP INC BELFOR USA GROUP INC
1515 SW 344TH PL 3826 WOODLAND PARK AVE N BELFOUG99OBJ (12/14/10)
FEDERAL WAY WA 98003-6805 SEATTLE WA 98103 3826 WOODLAND PARK AVE N
SEATTLE WA 98103
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
upancy Load:
Area(sq. ft.) (3 0 0 0
viix
t1 r of
Mechan�cGe Trial +
Permit for Build. t ly? ,µ, urti i ng t �, d ' .
ft
urn a fed "I his Permit 1! �
P 2 �
PERMIT EXPIRES Tuesday, April 6, 2010
Permit Issued on Thursday, October 8, 2009
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 agent: ■ft,. ,i `_4 Date: /0 O 9
rrpmu1
THIS CARD IS T MAIN ON-SITE ` t '
CITY OF • Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-103860-00-CO Address: 1515 S 344TH ST
Owner: JOHN KUROSKY FEDERAL WAY, WA 98003-6805
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.
1 El SWM Precon Site Mtg(4400) El Initial Erosion Control(4365) ❑ Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
O Foundation Wall(4115) 0 Drainage/Downspout(4040) El Re-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
O Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
O Shear Walls(4245) El Roof Sheathing(4220) Fire/Draft Stops(4095)
Approved to install siding Approved to install rooting Approved
By Date By Date By Date
El Interim Erosion Control(4370) prior to scheduling a Framing inspection; Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 1093.4 By Date
El Insulation (4150) El Gypsum Wallboard Nailing(4130)' 0 Suspended Ceiling Grid (4265) '
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date , By Date
▪ Final-Fire Department(4060) El Final Erosion Control(4375) El Final-Building(4050)
Approved Approved Appr ved
By Date By Date ,By Date jt'J,/i /tJ
1
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
i
�.�. !�RECE - ,L s&12
Federal Way E R M I T s MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICD CT 0 4 2 Ap p LI CAT I O N /
253-835-2607.FAX 253-835-2609 pp//!!��` VV AY
-
www.d ", �ii" • . RAL VVA 1
Z � e c ' �S,a�v-+ � "': , 'a�
., ....: .....,..,..Ya- .x✓...,...., .... ..S o L..YV wi'a.,..,.,F S xFo. i.., F<<.aR .. .,t.. if ,rz by ..n<. ,�..F c.w. fv ✓
Y
SITE ADDRESS
t5 t5 5. 3y4 5A- Fedeen_A NA/A_y , wA. 95'0 03
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
607 pc../4i Fr 9 7 0 v - 0 6 3 d
zr a S .Fi�AP
J !t4 $ !' .
y3d '�du n ° :; r3{'' r. it , .�a;,:�,..,��'
's� �; �..1«��-,� ,..���,,,� ��..�,C�u .� ��-
NAME OF PROJECT
(Tenant or Homeowner Name) E A G L-E 71 R E
BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑rD-EMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
r 1 t"e. D Q-M G-.C P R.e loci...(R • , _`
■ 1.
PROJECT DESCRIPTION Q
Detailed description of work to
be included on this permit only
,•.,:v✓ ,7 �. ..-:' # fin' .{t - g, :' ---' *�.• '� `,� r �. .':
�i. W.: ,,.f '� w, e,A� ,�' „�o-�, ; rr
a...ka. !Lvi'rv: d ra»s- .m-„..,...,sacn,k,.s.b's
NAME PRIMARY PHONE
PROPERTY OWNER "3-"ohm A4. K uQo,s&4 (206 )(a?2-- COO
MAILING ADDRESS,CITY,STATE,ZIP • q /6 0 3 E-MAIL
151$' S. 3441+” s?- Federc-t_ wAcy, w As
OWNER IS ALSO: ❑ CONTRACTOR ❑ APPLICANT ❑ PROJECT CONTACT
NAME ( PRIMARY PHONE
13�2( r USA 012.00P (.266 )<03Z-atop
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
�� woodLr..«4L eg_me . &1. ��)63z _s�8�
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
eF .Aoc/G 990/5f /a / 1c/ /io ...?D-0/-/e3 99 7-00-di
NAME PRIMARY PHONE
APPLICANT 4' -' 'r ce6-4- G.P�dL° C�E'CcG� -) (244) 917 - 7/crlc
MAILING ADDRESS,CITY,STATE,ZIP FA
��/03 FAX 70G 6 32- - s-ceP
38'26 l�vooC�/ac.c�'c1f'�-r�,C/�'A) . cf'2wf5yP, A/�. ( ) `/
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and ZEF/I Cj A LeGG (204 )eir - 7/8 9
respond to all correspondence Mamma ADDRESS,CITY,STATE,ZIP . /U 3 FAX
concerning this application) 3,5'2.4 w /x,01/0�,�P N. 0�� � ( )6 3 L -1 $',&p 7
ALTERNATE CO ACT NAME: PRIMARY�Y/PHHONE E-MAIL
rhea y/anus (lOG )4r- -6-413Y cre4c'/e99 'us.ivefi ., Cm.,.
PROJECT FINANCING NAME
_� ❑ OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING AD'' =.S,C r TE,ZIP PRIMARY PHONE
(RCW 19.27.095)
! •
I certify under penalty of perjury that I am the pro perty owner or authorised agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and/filed against the
city,but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE:.4. r.`=i%� DATE /0 --C-0
PRINT NAME: "A L./
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
MEC1►NCAL FIX� ,;.
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gam)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or'htb/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchm/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
0 v k-4 r2/
$ 9e 000. pi srr/c T RI/64c $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home) — —�
SECOND FLOOR —_.
COVERED ENTRY ______ ____-------------__
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe) __..
R0STIDO PROPOSED TOTAL
Area Totals
**NEwHODfES OI)U.Y'
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL NEW/Al.') .O
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMtRC,IAL .REMODEL/TEN I1P1 VEMENT
AREA DESCRIPTION Area Construction #of
Occupancy Groups) Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY'
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application