15-101987Demiton
City of Federal Way
Community & Econ. Dev. Services Permit #: 15 -101987 -00 -DE
33325 8th Ave S
Federal Way, WA 98003 FILEInspection Re uest Line: 253 835.3050
Ph: (253) 835-2607 Fax: (253) 835-2609 Q
Project Name: FEDERAL WAY VETERANS CENTER
Project Address: 29404 PACIFIC HWY S Parcel Number: 304020 0081
Project Description: Demolition of existing 3800 square foot commercial building
Owner
An lin cant
Contractor
ROBIN CORAK
FREEMAN BELL CONSTRUCTION AND DEV
FREEMAN BELL CONSTRUCTION AND
MSC FEDERAL WAY VETERANS LLC
LLC
DEV LLC
1200 S 336TH ST
601 VALLEY AVE NE SUITE N
FREEMBC917DL (3/16/17)
FEDERAL WAY WA 98003
PUYALLUP WA 98372
601 VALLEY AVE NE SUITE N
PUYALLUP WA 98372
Additional Permit Information
Demolition Valuation.............................................8000.00
PERMIT EXPIRES Sunday, April 23, 2017
Permit Issued on Friday, April 24, 2015
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: Date:
1.
CITY OF
Federal Way
PERMIT #:
15 -101987 -00 -DE
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 29404 PACIFIC HWY S
Project: BWW REAL ESTATE LLC FEDERAL WAY, WA 98003-3829
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.
10-1
By
Approved
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF -4k PERM ITOAPPLICATION
Federal Way ROCIIV
APR 2 4 2015
PERMIT NUMBER I _ 10
TARGET DATM OF FEDERAt WAY
SITE ADDRESS
S IT #
a9y0q Pac;-Rc Ni ►nom Som Fk-ederat � 1 ► 9 3
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ g 0,0
3 00. Z o- 0 C 8?
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL. F DF,MOLITION ❑ ENGINEERING ❑ RRF PREVENTION
NAME OF PROJECT
Fede -rat Aja kje�e►rah5 Cewtel/
tJew•al��br. o 1� ' o m m ,tial w,W1,4
r S�
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
wl51✓ 1'edeoal Wa vete„ans LLC.
a53” 835-7(0'78
MAILING ADDRESSE-MAIL
26a So •,11.• 3 '
i c� w `q� co tica51
CITY STATE
ZIP
F-ecleral Oa
---------�_
^ _w�'±
I NAME
T----
PHONE
See 1. ��+ V% FpY y,na}ipr
_
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY STATE 2IP
-
FAX
-
FEDERAL WAY BUSINESS LICENSE #
WA STAT" ^ NTRACTOR'S LICENSE # I EXPIRATION DATE
�:R EVV113cq'1 SOL i 1u7; I i
NAME
L2o-a5- X019&5 -00-6L
PRIMARY PHONE
reerv%avj 9,elt C0V%5+rvc. li,_ a -a v
ZS3- 5
APPLICANT
MAILING ADDRESS
AJel�re�a..'�floc-
E-MAIL
CoO�lleu A� NE 5.�►
CITY
, att
STATEZIPFAA
war 9b37L
aS3-q-33.53
_
NAME Q
-Ttler
PRIMARY PHONE
256 -2_(g8 -39q5
PROJECT CONTACT
MAILIN AD`D/RESS
(001 (IG Anot NE 5J -1-P Aie1r
V
E-MAIL
WI41 f'64 --C
(The individual to receive and
respond to all correspondence
CI ^ u
STATE zIP
FAeWA
Concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized 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' f cs 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: DATE 41-24-15.
PRINT NAME: 2! Flie.wul,
Bulletin #100 - January 1, 2013 Page I of 3 k:AHandouts\Permit Application
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