14-104648 c 7
OBuilding - Commercial
City of Federal Way
Community&Econ.Dev.Services Permit #: 14-104648-00-CO
33325 8th Ave S olio r
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: PAYLESS SHOE SOURCE
Project Address: 31847 PACIFIC HWY S Parcel Number: 082104 9206
Project Description: REP-Replace and replace existing siding preparatory to painting.
Owner Applicant Contractor Lender
JEYO LLC JEYO LLC OWNER IS CONTRACTOR
5545 173RD AVE SE 5545 173RD AVE SE
BELLEVUE,WA 98006 BELLEVUE,WA 98006
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories I
Permit for Building Shell Only? No Plumbing to be Included? No
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Monday, March 9, 2015
Permit Issued on Wednesday, September 10, 2014
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: st„ � ``r Date: / .---'O -s
0
‘Pli ``.
4,,,,.„,„ ..,A, THIS CARD IS TO AIN ON-SITE
Federal WayConstruction In ection Record
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 14-104648-00-CO Address: 31847 PACIFIC HWY S
Project: JEYO LLC FEDERAL WAY, WA 98003-5409
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.
Prior to scheduling a Framing inspection; El
Framing(4120) El Final-Building(4050)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 'BY �`t Date r+ �1 'By '\. Date �t (24
�1 't`- r
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• CITY OF ,,f • PERMIT APPLICATION
Federal Way
( RECEIVED
SEP 1
I 0 2014
PERMIT NUMBER ` 4 _ 0 - G 4 _
TARGET DATE O F FED ERAt
SITE ADDRESS SUIT#
3 y ., '1 Pet iC Hwy S f= ederAt W4. 1 , wa ' ?CO3
PROJECT VALUATION ZONING ASSESS7 T PAI # 1 11 r
$ 8c0 U—
OG
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION El ENGINEERING ❑ FIRE PREVENTION �
NAME OF PROJECT t FA/ S)- SO_ _6jL
Par1� lc. s1 1y� vCpIUCEw. eh
PROJECT DESCRIPTION K e P Iuc S a i.-5 o ,. t o P P c v t 1 c i..S of' s c-At k •
h d
Detailed description of work to W e S 1 5 1 d e F . + N - l ci V , I n rept-A1-k,, u v p 1 1„ t l ^5
be included on this permit only
+ he b,, i i i .,3 .
NAME PRIMARY PHONE
PROPERTY OWNER 7 E Y e LL C b 2 5 ^ 9 5
MAILING ADDRESS E-MAIL
S5L15 ) 13 rd Ave S
CITY STATE ZIP
Bellevae CC 1,
NAME (.� PHONE
` t, avo Inc 2S3 -- b31 --- tk9'
MAILING ADDRESS E-MAIL
CONTRACTOR f 5 3 S ti/ 3 II 4 ti S t
CITY STATE ZIP FAX
Fe4tt-c,l Wc, wA ciko23
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
F-1 14 Rl yt c
NAME PRIMARY PHONE
LISa SL % n fI2. 5 ci 5'1 1 25 6
APPLICANT MAILING ADDRESS E-MAIL
5.5LI 5– i13yd Ave SE
CITY STATE ZIP FAX
Beilev..te tvA c1'2eCC
NAME PRIMARY PHONE
PROJECT CONTACT 1- I S it S o >,,. N x S 'ci s- 1 - 12. 5-1
(The individual to receive and MAILING ADDRESS E-MAIL
E
respond to all correspondence 5 y S 1131-A A° 5
concerning this application) CITY STATE ZIP FAX
Bellevue WA qkC e
NAME
PROJECT FINANCING 0 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'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: 1 - "'!�', DATE 9 / 1 G / 2 c t
PRINT NAME: I.-l S A Soh „
Bulletin#100–January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many 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(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type o f fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Showescombo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
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)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application