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08-104928
04. ` • Ouilding - Commercial City of Federal�lllay r Q Community Development Services Permit #: 08-104928-00-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: NORTHSHORE VILLAGE Project Address: 35425 21ST AVE SW Parcel Number: 252103 9002 Project Description: TI-Demising 4000 sq/ft to 2116 sq/ft,791sq/ft & 779 sqft of space,constructing partition walls,(3)restrooms.No mechanical or plumbing on this permit. Owner Applicant Contractor Lender DAVID HOEK DAVID HOEK DAVID'S FEDERAL WAY LLC DAVID HOEK DAVID'S FEDERAL WAY LLC DAVID'S FEDERAL WAY LLC PO BOX 8164 DAVID'S FEDERAL WAY LLC PO BOX 8164 PO BOX 8164 TACOMA WA 98418 PO BOX 8164 TACOMA WA 98418 TACOMA WA 98418 TACOMA WA 98418 Census Category: 437- Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Type IIF-B Type III-B Type III-B Occupancy Load: Floor Area(sq.ft.) 2,116 791 779 + 0 Existing Sprinkler System in Building9 No Mechanical to be Included? No Number of Stories 1 Permit for Building Shell Only? No Plumbing to be Included? No New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Sales Room Zoning Designation BN # mo S � ,, 34�i. ° y rri, 9 � , I . f� yx OS,z' ''' �fF3 ..� , .. CONDITIONS: A SEPARATE ELECTRICAL PERMIT IS REQUIRED FROM CITY OF FEDERAL WAY. PERMIT EXPIRES Saturday, July 4, 2009 Permit Issued on Monday, January 5, 2009 I hereby certify th. e -bov fo, ati. is c•rrect and that the construction on the above described property and the occupancy d t use ill •: in ac ordai a with the laws, rules and regulations of the State of Washington '441-11.1i/s'"::`°,, decal Way. Owner or ageit: ��' Date: U2 THIS CARD IS T MAIN ON-SITE „ « , CITY OF Community Develop nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-104928-00-CO Owner: DAVID HOEK Address: 35425 21ST AVE SW FEDERAL WAY, WA 98023 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) ❑ Re-steel(4215) ❑ Slab/Concrete Floor(4255) Approved to place concrete Approved to place concrete or grout Approved to place concrete By Date By Date By Date - 0 Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Fire/Draft Stops(4095) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date . NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) ❑ Insulation(4150) inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4/UBC 108.5.4 B ( Date I ©_4 By Date ,❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved By * '---,Date Vie,Q#1 By7; Date •Z — , By Date ❑ Final-Planning(4070) ❑ Final-Building(40 0) Approved Approved By Date By ' „2 Date2 lI 4 . For inspector reference only 0 Rough Electrical 0 • FINAL-Electrical Approved Approved By Date By Date 10/10 .008 18:23 FAX Z53(1014040 uttY Dr reaeraJ, WAIY t . RE VED / 04 7 Fe .. eg" deral Way , PET COMMU141 1'GPVEWPMENf SERVICES 0 CT 17 f'tht TY (rpt �1n `^� SF M ' C EEL PI, DE EN n 3ssaF DERAm AVCY4uE3WA 5• ir1 5718 AY PLICATION a .L I�,/N J/(g FEDERAL FAX 58063-$8 0 r?. 0 / 3 / / O 7g�7'd Ix . 'Y ®F FEDERAL WAY 1i1 VV The fallowing,is required inforrneeig en incomplete application will not be accepted. Please print letgil>lp(in ink)or type. '[' M P.ROPI RTY IIN`tz'ORMl1Tk'1(V y� ` SITE ADDRESS_ 55142.5- J f 2 5 ."6 AV. S•iii. c'i�...i i 4l/ ItC-_ ASSESSOR'S TAX/PARCEL# oZ.5... el / Q a- i...I2 .. LOT SIZE(sP LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) _ .. (almehopa in eibehet dey sorra ae.crs iton! iii'1 O,ILC'1`INFO .: TYPE OF PERMIT )(WILDING C7 PLUMBXNQ IMECRANICAL ❑ DEMOLITION 0 EIXOI•RICAL 0 EriQIMZS5I.twe ❑ FIBE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on,this permit.ordtil •- 10 'f.a L I 06! _ :. .,. r. .. 4 - S' ' 4 M£CU A- CA_ L _Ca-vi)E1t.. . e-x PROJECT NAME(Name of Busi nee4 or Owner/AV'Irani/II H04171 S1*J,' ¶,f IL.4./4G G . . j,.pI ctpl.L: ,ina.'tilznan.'i'iON E PROPERTY 1)AV 5 fE) W 1' I-4-C_ ( )G71 -544 . ..,MNG ADDRFi - - WI.ftATE.xst -""" e-ViAlLADDR2SS po $o !4 : 'tJ' I CONTRACTOR COMPANY NAME /APPLICNT NAME OPPICE P ON'. S`'] MAILING ADPREP.4 CM.STATE.El? CELL.PHONE r\ . 1 CITY OF FEDERAL WAY btieerte.4`YJ'CENSe I WMBER ERP1RA'l7ON DAA"-' FAX NUMBER " CONTRACTOR'S PJAi A.TLONNUMBER EXPIRATION DATE IP.MAILADDRESS ' APPLICANT COMPANY NAm:0 APPLICANT NAME . OFFICE PIION13 MAk1N6 A$DRES5 cn ,S97A"17i.2I1) CELL PRONE C ) - REE.ATIONSNiP TO PRW 7' I.i' L 0 Architect 0 Tenant 0 Agent a Other _ ( ) PROJECT NAME �y� ` /- LL�� may, P` .IM1�� x Feat /- E-NAIL At bREs8 CONTACT 4' V 1 R d i�a+Yi_) 47 9 X�� — LLIYDER NAME /�' 1 Per RCW 19.27.095r l/ W !`slider itijbrmatinn is required if project value egCearrs$5.000 MAIl.6igAC)IRESS . '3E.3 PHONE t ( ) - �j II rJETAILED BUILDING INFOR ITATION EXISTING USE JL— PROPOSED ME I ,t� c ) EXISTING ASSESSED/APPRAISED VALUE$ 1\] 1f/1#v�`" J VALUE OF PROPOSED WORE: & 3 f, 21 r SPRINKLERED BUILDING'? c YES ,(NO FERE SUPPRESSION SYSTEM PROPOSED/REgIrilzED? L7 TES )1 NO WATER SERVICE PROVIDER • LAKERAVEN O flU 1ILI E o TACOMA ❑PRIVATE(WELL) SEWER SERVICE PROVIDER _ LAKERA'VEN U RIGULE'IE a PRIVATE SEPTIC) 1U/1U.�"UA.IO 10:44 raA LO.Ooi..nu 3o 4..10..y vi a•vu®•c.* ..m 0 W t'RO.ILC'T 1.1 fl R AR1;A,S AREA DESCRIPIION EXIST'hb(G PROPOSED 1 TOTAL SQ.FT- SQ.F'r, J .F'r. BAsetvtiv PI`ST {aro-d Ttia v SECOND Tal D ADDmONAL FLOORS(DESCRIBE) DECK CD COVERED OR ■ UNCOVERED?) GARAGE G CARPORT 0 ~ , _ ___ NUMBER OF FLOORS *trauma - atomise TOTAL -. — TOreiexremL rtnmsr TOr.N21o:rmair - rarsr.sr 'YEW HOMES ONLY"' NUIVIBER OF BEDROOMS ..„ ESTIMATED SELLING PRICE S_ • FIXTURES iIndicate number of each type 4f we to be� part of this project. Do not include eristirgfixtures to r2maM. 144Aw,, TAX. _-. Value of Mechanical Work$ '.1"--- -: �, fie:.i OF' •e -~ •TE MUST 8E INCLUDED WITH APPLICATION) _ AIR I(ANDLINC UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOWES 55gs FANS GAS WATER HEATERS _-.- MISC Peecrlbe) BOILERS FIREPLACE INSERTS _ MODS tcam,,,..o41 COMPRESSORS FURNACES RANGES ,dia ._, DUCTS GAS LOG SECS - REFRIG.SYSTEMS pr. nw — SE:P.�R*T"e- PERM hT SA.TIrT[Jss;.r•r u/ene+or Campo? LAVs ttotk..om ti.gaa — URINALS iynSC lDescrtbcl DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS ) WATER CLOSETS tenia0 ELECTRIC WATER BEATERS SINKS WASHING MACHINES HOSE 51555 SUMPS SXC,xNATU I aertt&under penalty gf perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the in fiontatfon submitted in support of this permit application is tris and correct.I eert y that I will amply with all applicable City of zelerar Way regulations pertaining to the work at tor1zed by the issuance of a permit.I understand that the issuance of this permit does not remove the owners responsibility for compliance with focal,state.or federal laws raga/ail/1g construction or enelranmenta!Iaays. I further agree to hold harmless the Cit/of Federal Way as to any claim(including costs, expenses, and attorneys'fees tncucrea in the investigation and defense of s. .1 • oil which may be made by any person, including the undersigned, and filed against the city,but only where such claim arises Oat of�;reliance o the ctgi. Including its dicers and amp/ogees,.upon the accuracy of the infbnaattvn supplied to the city as a port of this appii/4 . / b? t3IONATURE: -i(,[u� ADATE /Ln f "d if Pro. Owner and/or Authorlred Agent j tItANi J) U.0F '.E� r '. f 1S ' o NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT BtriLDING SHEILONLY? a YES a NO DASIC PLAN? a FEB ❑NO ZONING DESIGNATION CHANGE OF USE? a YESa NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO PLATTED LOT? a YES a Na DEMO PERMIT 'e- !UT�DZ a YES a NO Sandia in 00-January 1,2008 Page 2 of 4 lalandoutAPerrnit Application