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05-102962 IIIII City Federal Way Community Development Services Building - Commercial Permit #: 05 - 102962 - 00 - CO P.O.Box 9718 Federal Way,WA 98063-9718 S Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: BUBBLE ISLAND Project Address: 1414 S 324TH ST SuiteB109 Parcel Number: 150050 0080 Project Description: TI-Construct interior walls; counter; and work table.NO PLUMBING OR MECHANICAL Owner Applicant Contractor Lender HARSCH INVESTMENT PROPERT NW ARCHITECTURE*YOUNG KIN CS CONSTRUCTION NONE 1414 S 324TH ST 2012 DEXTER AVE N CSON**011DS(03-03-06) FEDERAL WAY WA SEATTLE WA 98109 6608 10TH ST E 98003-8444 FIFE WA 98424 NONE Includes: Census category: 437-Comm #t #2 #3 1 #4 Occupancy Group: B p y - Construction Type: Type V-B Occupancy Load: Floor Area(Sq.Ft.): J[ Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add Fire Sprinklers Yes Mechanical No Number of Stories 1 Permit for Building Shell Only No Plumbing No Special Inspection Required No Will Certificate of Occupancy be Issued? Yes CONDITIONS: This parcel is located within a Wellhead Protection Area(Capture Zone 10) and must comply with FWCC,Chapter 22, Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable. PERMIT EXPIRES February 4,2006. Permit issued on June 22,2005 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 Way. Owner or agent: Date: , r 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: BUBBLE ISLAND Permit number: 05 - 102962-00 Address: 1414 S 324TH SuiteB109 #1 #2 #3 #4 Occupancy Group: B Construction Type -- T Type V-B — — E______ J Occupancy Load: Floor Area(Sq.Ft.): 1 Owner HARSCH INVESTMENT PROPERT Name: 1414 S 324TH ST Address: FEDERAL WAY WA 98003-8444 a - $'- 0 S' -J 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 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. r • ,.. 4 A t City of Federal Way Building - Commercial Permit #: 05 - 102962 - 00 - CO Community 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: BUBBLE ISLAND Project Address: 1414 S 324TH ST SuiteB109 Parcel Number: 150050 0080 Project Description: TI-Construct interior walls; counter; and work table.NO PLUMBING OR MECHANICAL Owner Applicant Contractor Lender HARSCH INVESTMENT PROPERT NW ARCHITECTURE*YOUNG KIN CS CONSTRUCTION NONE 1414 S 324TH ST 2012 DEXTER AVE N CSON**011DS(03-03-06) FEDERAL WAY WA SEATTLE WA 98109 6608 10TH ST E 98003-8444 FIFE WA 98424 NONE Includes: Census category: 437-Comm #1 #2 #3 1 #4 1Occupancy Group: ____L___ iff._ -------d Construction Type 1 Occupancy Load L Floor Area(Sq Ft.): Census Category 437-Commercial alt/add Mechanical No Number of Stories 1 Permit for Building Shell Only No Plumbing No CONDITIONS: This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22, Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable. PERMIT EXPIRES December 19,2005. Permit issued on June 22,2005 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 Way. Owner or agent: ( Uri_ 1 fl ( ‘-`, Date: 6 ` ----e,2 - OS- • . THIS CARD IS TO ,MAIN ON-SITE ilk CITY OF ''w 2:ommunity Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-102962-00-CO Owner: Address: 1414 S 324TH ST Suite B109 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. O Footings/Setback(4110) ❑ Foundation Wall (4115) 0 Drainage/Downspout (4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date ❑ Re-steel (4215) 0 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) t❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date ❑ 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 By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 e❑ Framing (4120) 0 Insulation (4150) 0 Gypsum Wallboard Nailing (4130) Approved to insulate Approved to install wallboard Ap roved to install mud&tape Byz,v5 Date 7— l2—C�u� By 65' Date 7—/Z - By Dat •-/8 U , ❑ Suspended Ceiling Grid (4265) 0 Final-Fire Department (4060) 0 Final-Planning (4070) Approved to drop tile Approved Approved By 1'��'t Date f d i By Date By Date ❑ Final -Public Works (4080) e❑ Final- Building (4050) Approved Approved By Date By C CN Date8 • ,S • COS—e CITY OF 41411 x l�C �V — . . — "G— 22. y L2 Federal Way EL) PERMIT COMMUATIYDEVELOPMENT SERVICES SF MF CO ME EL PL DE EN FP 3332:E8DTHEAVEZEy,S0wU77-91A 80697 89774N 2 1 200A P P L I C AT I O N TD 253-835-2607•FAX 253-835-2609 / / www.cityol(ederalwaV.mm tOF FEDERAL WAY The o Ilowin• is re.tth ea 1 C• ,i on—an Inco •tete a••lication will not be acce•ted. Please •rint le•ibi (in in or •e. ■ PROPERTY INFORMATION • . SITE ADDRESS )4-)4- 5, �j241-Ill ST kf) m t_ IN Al iii/{ ci$4D 6)1 SUITE/UNIT# B 10 9 ASSESSOR'S TAX/PARCEL# I 5 0 0 S O - O 08 0 LOT SIZE(sn LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ' GL'Nii=f LoT C P.EDEOLti%Y 43iA 4i* i0c6C3 -ov - su RtG .-03301 (Attach separate page for lengthy taiga,description) - CO 2 S'o 111_4 $E I* LOTS ::.• ■ PROJECT INFORMATION TYPE OF PERMIT Al,BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onhl) To IncLtei f3U'psi • '164 5Nor . -111-12P.A ietc:lZit,k. tp;fit LL E.(zi2E(-Tiot\S• AND (1.16 u,IKt CASE.Wo1 k 5 o c I:LV1.s , t -.. n - - • 1\0 p LtA.+rvl;k i.J(i- CjLtvx o-1 c) L-C.A PROJECT NAME(Name of Business or Owner Last Name) 1,(e,E),LE )5L4-)'4Q . PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER PP/+1-LA / HAtz-50.1 14VAS )V $1 P 'i .IIS (2 )6-- - zi-o% MAILING ADDRESS CITY,STATE,ZIP I I Z i 50 SALi`ricr4 SU Ira 500 Po�-1_ LANd, 6g- 7?--v d CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE T—gp C 5 coNSfiKUCr)oNil � ,r� H'a,v� he . (2,527) 37(� - S7 7� MAILING ADDRESS CITY,STATE,ZIP CELL PHONE bf.et, lo" 5j. ,� i ; vo .qB 1.21- ( ) _ r CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER - -B L / / ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE C v 1$ fc -AE 0 I 10 S• / / APPLICANT COMPANY NAME IV i APPLICANT NAME OFFICE PHONE (Al — irEJLrLRE �0UlJ6 �INt ("2-06) - ,qj - 6O Q MAILING ADDRESSP ----AT -r__ y- /�� CITY,STATE,�-rZIPIP '. 7/� CELL PHONE C� err/� ✓ o I2 V' - ! A4 E- 1.1 5cf'T 1 J i-C W/r eta'o / FAX NUMBER •� c l.l'� RELATIONSHIP TO PROJECT ,Architect 0 Tenant a Agent 0 Other(Describe) ( ) - CONTACT NAME ,,,,,/ PRIMARY PHONE E-MAIL ADDRESS � �� !.4 r.t K! ! ('2c(,) ))4j LD- `„-t t,E.-‘• K N uc1 A-c y 4 F f oc2 a C,Q t v1 LENDER ' : rq s I: '., :*:=;.1.^: ¢,a i , cn NAME e,e 00` MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION •fes ' ).ince EXISTING USE [fit_ o R._ 12-r-4-A-1 L PROPOSED USE ORINkir,i(a s14 EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ®-YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ticNO WATER SERVICE PROVIDER ci LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) • DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS EXISTING PROPOSED TOTAL Tor i1=�Ja3tDrd tr .roT *RoeosED 3R- AI sr,g_ **NEW HOMES 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 Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS BBQS GAS LOGS REFRIG.SYSTEMS FANS HOODS(Commer�iaq WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/ShowerComto) SHOWERS WATER CLOSETS rose) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(bathroom sinks( VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify 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 work JO which the permit application is made. 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 of Federal Way,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. i NAME/TITLE % �U`� 7 �1-�- DATE 2..„c C�,� (Signature) (Title) RELATIONSHIP TO PROJECT D Owner 0 Agent 0 Contractor A Architect 0 Other F t°,55" ' w .an�nlT c . . t FO ZO !fG ® ATO .,, . , ` ,� � C G o 514..�:��'�� .� z� �E" MoD y,S"1:' ®DIKED? o p n 9410. 1, - SEPI'''-"?''',',11 .. M• m ,t'°- D,-OT t., ,, ,` g o e�M '.:.. o C IRFD � � � 0�,. .... J ` Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application