05-105903 i
ay
Comm n •
ttyDevelopment Federal Services Building - Commercial Permit #: 05-105903-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: PACIFIC INTERNATIONAL BANK
Project Address: 31827 PACIFIC IIWY S Suite B Parcel Number: 082104 9126
Project Description: TI-Insulating and wallboarding existing demising walls. No mechanical or plumbing on
this permit.
Owner Applicant Contractor Lender
ZSCH INVESTMENT PROPERTIES 1 S D DEACON CORP OF S D DEACON CORP OF HARIVMN
1121 SW SALMON ST WASHINGTON WASHINGTON PROPERTIESSCHNEST
LLCET
PORTLAND OR 97205 PO BOX 3070 SDDEACW108NT 6/20/06 1121 SW SALMON ST
BELLEVUE WA 98009 PO BOX 3070 PORTLAND OR 97205
BELLEVUE WA 98009
Census Category: 437- Commercial alt/add
Includes: #1 #2 #3 #4
Occupancy Class: B ,
Construction Type: Type V-0
Occupancy Load:
Flo"Area(sq. ft.) x,303 0 0 0
I
Additi al ' nforma n
1st Floor Proposed Sq.Feet 2303 Fire Sprinklers Yes
Mechanical No Number of Stories I
Permit for Building Shell Only No Plumbing No
Will Certificate of Occupancy be Issued? No Zoning Designation CC-F
No Fixtures Associated With This Permit!!
CONDITIONS:
PERMIT EXPIRES Monday, May 15, 2006
Permit Issued on Wednesday, November 16, 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. r�
Owner or agent: Date: kt- 16-c ?
• Y
THIS CARD IS TO RAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105903-00-CO
Owner: HARSCH INVESTMENT PROPERTIES L
Address: 31827 PACIFIC HWY S Suite B
FEDERAL WAY, WA 98003-5409
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) 0 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) ❑ 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 By Date By Date
El 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 By
and approved. IBC 109.3.4/UBC 108.5.4
❑ Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By (If Date ��SAS By �Gv/ Date/2///05❑ Suspended Ceiling Grid (4265) El Final-Fire Department(4060) �❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
❑ Final-Public Works(4080) 0 Final-Building(4050)
ApprovedBy
Date
%
By Date By i /001.
Ilk
• 33
REC !E A 0 _
CRY OF
Federal Way NOV 1 6 20o5pERMIT SF MF (g) E EL PL DE EN FP
COMMUNITYDEVELOPMENT SERVICES
333258,.AVSD[Ifl-I•PO A3971 9 #1 v F FED,^. T�,I CATI ON - .
FEDERAL WAY,FAX
53063-9718 ��
253-835-2607•FAX 253-835-2609 SOWN r �. -
ww w.cituoffederalwau.com
The ollowin• is r-•uired i ormation-an incom•lete a,•lication will not be acce•ted. Please •rint le•ibl. (in ink)or .j.-.
• PROPERTY INFORMATTION
SITE ADDRESS 9O 1)[i* � 1A-16-- 4'tA)- f ) • SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# V a 2- 1 0 �- 1 l 0 a- LOT SIZE(sffl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page Jar lengthy legal descdptton)
• PROJECT INFORMATION
TYPE OF PERMIT )4UILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIP'ION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) 1�-C�1V 2Sm"1C
II PEOPLE INFORMATION
PROPERTY NAME to,...
. LL ���Q PRIMARY PHONE
�tf
OWNER s11 1 ' - I ��""�"C (�;) +2 -25t Oo
MAILING ADDRESS CITY,STATE,ZIP
t\2A 'J 4 tw ails
CONTRACTOR COMPANY NAME AP LICANT NAME . OFFICE PHONE
7t) 1 & r1 C ( -) �"- y
2 1 ‘..A .LING ADDRESS CI CELL
O (t Cl B
i- J (-2A06)N -
vzoi 44,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPII TION DATE FAX NUMBER (,
ZQ-0 (1-1 (7 t_ �/ i (2-B L 1'Z / 31 / Os- (0 �l�) Op
CONTRACTOR'S REGISTRATION NUMBER(copy of card req with each application) EXPIRATION DATE
i: r, A. C. �Jed
1_ 080. 0(0 //,0 /
APPLICANT COMPANYNAME � AP LI NAME , OFFICE PHONE -
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant Akgent 0 Other(Describe) ( ) -
CONTACTN" vvrit (BINARYPHONE_, ADDRESS '��n •�
LENDER Per RCW 19.27.095: Lender information is NAME � 4/ �v�`^' v
required(f project value exceeds$5,000 �� 'Y
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE 1)1 (14-1,L PROPOSED USE L
EXISTING ASSESSED/APPRAISED VALUE $ N/a VALUE OF PROPOSED WORK $ " , )
SPRINKLERED BUILDING? 14YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER `41LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 'I.AKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT {may n )
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF'FLOORS EXISTING PROPOSED n� TOTAL PROPOSEDSP
**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 CO ERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS •. WOODSTOVES
BOILERS FIREPLACE INSE GES MISC(Describe)
COMPRESSORS FURNACES GAS TER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) HOWERS ATER CLOSETS owlet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHIN INES URINALS HOSE BIBBS
' (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 for 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.
NAME/TITLE 40")r .
r . W`` DATE (,t I
( gnature) (fYU
RELATIONSHIP TO PROJECT ❑ Owner o Agent XContractor ❑Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? 0 YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT?
o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Pernut Application