08-100286 4***„. THIS CARD IS TO EMAIN ON-SITE
CITY OF ommunity Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835.-3050
PERMIT #: 08-100286-00-ME
Owner: SEATAC VILLAGE SHOPPING CENTER
Address: 1810 S 320TH ST
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.
El Mechanical Rough-in (4165) E Gas Piping(4125) Final-Mechanical(4065)
Approved Approved to release test Approved
By G Date (_Z.�� as, By Date 13. 7 Dates—•
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
c.,.:� RECEIVE/ch - 1 D 0 .9,1(6
Federal Way RMIT
cOMMUMTYDEVEWPMENT SERVICES JAN
SF MF CO CEL PL DE EN FP
33325 8Ty AVENUE SOUTH•63 971 9718 f-�'Y R°P p L I C AT I O N 'm C/
FEDERAL WAY,WA 98063-9718 / /
253-835-2607•FAX 2
www.cituofledera t f OF FE®
The following is required i (tl�7rnw#ion-an tERAL ncbd'tj Tete application will not be accepted. Please print legibly(in ink)or type.
V J • PROPERTY T INFORMATION
SITE ADDRESS_ /goo 5 32 c4`` r c FTE 2 u_ 3i4 SUITE/UNIT#
-1 [
ASSESSOR'S TAX/PARCEL# 0 _._- 1 l! y - l 1 (� LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT IDBUILDING 0 PLUMBING i4//ECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
PROJECT NAME(Name of Business or Owner Last Name) 4 i-turl c- 3 c
II PEOPLE INFORMATION
PROPERTY NAMEC` i �jj ,� PRIMARY PHONE
OWNER $t cL`fR_(.— V t'lL9 `J&-JP`' Cx'c ( ) -
MAILING ADDRESS CITY,STATE, P E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME [� OFFICE PHONE
Ttµl7°L.- yt vl.` C.Di- p v i tiros✓''' -(i J Jth Y,G;'l'.0 (2'C3) 5-7(G, -Gl
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
i1fl i g sl�i1,/) 1 u!►''r `I rOC)j ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20-0 - I®i 9 r q -cat) 81_,_ /2/31/or- (2-33 ) &-7‘ - ??3 y
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE MAIL ADM
J /MI
I Kia�Ec-L fel /P�2�/ f G.w�i - z.OuL4 o‘•rvrt
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
3 4 NE AS 0cki-taedcsc ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant o Agent o Other ( ) -
PROJECTNAM PRIMARY PHONE E-MAIL ADDRESS
CONTACT a3 r4tr,b 3Cl v::C...+PS (2Ckc )>icI - ( f(a
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
illtI r
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL PXISTMO SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture,too be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
lueofech 1 27' .�IJ(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
Value of Mechanical Work$
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
f DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBEVG
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 /
4 SIGNATURE: 3—�'�—— DATE I 4S o r
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? D YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES D NO
PLATTED LOT? D YES o NO DEMO PERMIT REQUIRED? D YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application