05-102734 0 0 '
r-Eiy ofFehei•alVilay
Community Development Services Building - Commercial Permit #: 05 - 102734 - 00 CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 ♦ Inspection request line: (253) 835-3050
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Project Name: RHODES&ASSOCIATES
Project Address: 31620 23RD AVE S SUITE212 Parcel Number:092104 9051
Project Description: TI-Demo and addition of walls; no plumb/mech
Owner Applicant Contractor Lender
BALLI ROAD LLC PUGET SOUND COMMERCIAL*C( EMERALD RENOVATION BALLI ROAD LLC
31620 23RD AVE S SUITE 218 918 S 348TH ST SUITE C EMERARCH967OH 03/08/06 31620 23RD AVE S SUITE 218
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 32233 39TH AVE S FEDERAL WAY WA 98003
AUBURN WA 98001
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group_
Construction Type: Type V-B
Occupancy Load:
Floor Area( Q Ft 3726 � d
Census Category„; r,w; . ........ 437 Commercial alt/add Mechanical No =
Number 'Stories N a��;.4. 1
qPyr Wing Shel Ouly .... •NO ��
Plumbing ...,,... No 1'
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PERMIT EXPIRES December 7,2005.
Permit issued on June 10,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupanteralay.ase will be in accordance with the laws,rules and regulations of the State of Washington and
the City of F dWthe
i
Owner or a ent: i n �_ Date: (0 i
o
1 `�, THIS CARD IS TO#MAIN ON-SITE
CITY OFlit ommunityDevelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102734-00-CO . - '
Owner: BALLI ROAD LLC
Address: 31620 23RD AVE S SUITE 212
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.
❑ Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel (4215) ❑ Plumbing Groundwork(4190) 0 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) 0 Floor Sheathing(4105) 0 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date ByDate By Date
.00 Roof Sheathing(4220) Fire/Draft Stops(4095) NOTE Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough in and Fire/Draft Stop inspections must be
t/1, signed off and approved IBC 109.3.4/UBC 108.5.4
By Dalio
ate Id NI 1 N.• / Date� Zl
•
12 Framing(4120) • ,❑ Insulation(4150) • �❑•
Gypsum Wallboard Nailing(4130)
•
Approved to insulate Approved to install wallboard Approved to install mud&tape
By,�1�,,� Date VO`Z‘ 405. By Date • ` By Date to--06-�j
Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) .
•❑
•
�'4 usp Final-Planning(4070)
Approved to drop tile Approved Approved
By 0ki ,.r. Date)2,_p,S , By Date By Date
O Final-Public Works(4080) ❑ Final-Building(4050)
Approved iy� Approved
By Date By i�'// Date 7045
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Federal Wa
COMMUNITY DEVELOPMENT SERVICES P"` '"`ISF MF O ME EL PL DE EN FP
333458ERALW WAY,
SOUTH•PO971 9718 APPLI CATI lit 71 U`�~
FEDERAL WAY,WA 98063-9778 TD / /
253.835-2607•fAX 253-835-2609
www.cttuoffederalwou.com dr5L Vi
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The ollowi • is re•uired in ormation-an Inco .fete • ••licatiOn w�ili iiot be acce•ted. Please •rint le•ibl in or
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MI PROPERTY INFORMATION
41
SITE ADDRESS ,3/6 2a 123 r d& Jt... ' SUITE/UNIT# Rl 2_
ASSESSOR'S TAX/PARCEL# V ( 2-. i O 44 - 7 0 > i -- °I LOT SIZE(s) 6 G f?
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (,.p 1'l ,k e S P 44'y(04 iqR-
(Attach separate page far lengthy legal desaipthvy
■■ PROJECT INFORMATION
TYPE OF PERMIT fitlil ING 0 PLUMBING 0 MECHANICAL
DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
7ewt a (6.1(111S AAA o- ,c e cya r4 4.trw�, . o
l(s C' �,‘c.e s) .ate Q !(
Alp A1 44.e. .r ,`Ala 7?Am?",4. . .fip re)I,ii, Qrt/
PROJECT NAME(Name of Business or Owner Last Name) ? 14 n ekes `•-of_S S O
PEOPLE INFORMATION
PROPERTY NAME
'^� l i /� (A PHONE
OWNER fV� � (`•.. 1I�S
°` S ' -OSOFs
MAILING ADDRESS CI STATE,ZIP
3126 �3r.� 4C S , CITY,
ra, Lt9 A.3 (A) Ft • 480 0:5
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ea. I letueAva. iall) (2c') 317 -S'o - -
MAILING ADDRESS TY,STATE,ZIP CELL PHONE 8 P fl
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3 2 3 3 39'' 4j 3 1out,� (J Fe- 9,-ev t ( "" )
CITY OF FEDERAL WAY BUSINESS LICENSE BER EXPIRATION DATE FAX NUMBER
Set, Bet-Tr . L 1 / (2S ex -ado
CONTRACTORS REGISTRATION NUMBER(copy of cud required with each application( EXPIRATION DATE
eAItLZ. etP% Ze2 (eZ Dj+ 3 / Sr' /46
APPLICANT GRPANY NAM CANT NA E
(� OFFICE PHONE
ruler 5O c O'aii,, overt 't'1 ore
(.Zs7) 4Z7tGoda
MAILINDDRESS CITY,STATE,ZIP - CELL PHONE
9/a- 5 3fkr"h st ALre/tLiS Vs-3)& -1537
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant Vegra ❑ Other(Describe) (AO)MI -0 CO
CONTACT PRIMARY PHONE E-MAILADDRESS+�
at�r4-� `� +�✓ P.53 )Gd6 - 7S3' L1 ;s _ Pk tfsdo.4
- � 9
LENDER d 3 , t ,e:,, .,r:r 1,1,t YZ.d x'i. NAME - ' ''� IQ 1
(.it.'•,', •I'''),C f '...t^"ydY.44.4. r'tX+Ati NVQ/�- /�
MAILING ADDRESS CITY,STATE,ZIP / �c�
■ DETAILED BUILDING INFORMATION
dam' i C�
EXISTING USE PROPOSED USE ` c
EXISTING ASSESSED/APPRAISED VALUE $ //e GOC, VALUE OF PROPOSED WORK $ /t'eeJ
SPRINKLERED BUILDING? ❑YES f.NU /FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES Miff"-
WATER SERVICE PROVIDER wkLIKEFIAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER frrAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST .
SECOND / 3) d°;
THIRD ��� U�"a
/3� ad .d
•
FOURTH ,
ADDITIONAL FLOORS(DESCRIBE) /v/
•
DECK(COVERED?)
•
GARAGE 0 CARPORT 0 f
NUMBEIC OF FLOORS z,as uio PROPOSED Toru xe r • eerR tri # p u er a
**NE
tatted
ONLY`' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be •installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL a IL-
Value of Mechanical Work $ S'C P�f 0.�E.• t f N'b i
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerciaq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING 1v/
BATH UBS Ion n,n/sn combo) SHOWERS WATER CLOSETS Roeeq: MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LA- VS(eau,momsinkai VACUUM BREAKERS - ' ELECTRIC WATER HEATERS
DISCLAIM rue
BLOCK
Jcertify 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 we k for which the permit application is made. I-urther agree to hold
harmless the City of Federal Way as to anyon,
uding costs, penes, and attorneys'fees Incurred in the investigation and defense of
such claim),which ma a made by any , on,inctud� , the un• gned,and filed against the City of Federal Way,but only where such claim
arises out of the re .nce of the l iuding its offs• rs an• ioyees,upon the accuracy of the information supplied to the city as a pari of
this application /
NAME/TITLE // DATE G.�T '
�'a ure) .(TitIe)
RELATIONSIIIP TO PR•JECT o Owner • gent ❑ Contractor 0 Architect ❑ Other
•
zl §ale +r+ eF �1•106)-:4'�lSw! �� a V-11+"; t ���n 11�i e
,:.,41� )' 61.6,..„...404,L_,
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�4?- �Co� � `Ce sir �ac ��i;� ®17 �€ 4� ®
Application
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit