08-101430 ty of
ICommunity Development Services .Buildii - 1 1!I ercial Permit 01)8-101430-00-CO
P.O.Box 9718 ' 41
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kb:(253)
Federal 835-26Way07WA Fax:98063(253)9718 835-2609 Inspection Request Line: (253) 835-3050
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Project Name: POLE FITNESS
Project Address: 29100 PACIFIC HWY S Suite 3-4 Parcel Number: 042104 9073
Project Description: TI-Demolition of an existing, non-bearing wall,infill existing doorway between suites 4 &
5,remove existing sink and cabinet and cap off sink.
\
Owner Applicant Contractor Lender
BEATRICE RHODES BEATRICE RHODES 1000 TOWN CTR NE
1000 TOWN CTR NE 1000 TOWN CTR NE TACOMA WA
TACOMA WA TACOMA WA 98422-1193
98422-1193 98422-1193
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
. x k" a fits 1 }} y,, /� , iii moi_. 2kr
y-2 ,,'�a uaa w ria. —,', R#�e � 3eS� n � a� a ---
Existing Sprinkler System in Building? NO,, Mechanical to be Incl:i ed?. No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit!!
CONDITIONS:
No reconstruction work allowed on this permit.
PERMIT EXPIRES Wednesday, March 24, 2010
Permit Issued on Monday, March 24, 2008
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: ` '�"� A Q(�e - Date: 2- f 0%
DATE INSPECTOR AREA AND TYPE OF INSPECTION
E•-1>82 i0 14. ss .
' 4110 THIS CARD IS T(EMAIN ON-SITE .
CITY OF RF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 8353050
PERMIT#: 08-101430-00-CO
Owner: BEATRICE RHODES
Address: 29100 PACIFIC HWY S Suite 3-4
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.
0 Final-Fire Department(4060) 0 Final-Building(4050)
Approved Approved
By Date By A 1 Date —1,14„oar
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved
Approved
By Date By Date
• Building Division
Ak CITY OF • 3325 Eighth Avenue South
�. Federal WayBox 9718
Fe Federal Way,WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: k PERMIT#: o -‘6 t 6
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i Y
14. siN
IF YOU HAVE ANY QUESTIONS CALL (253) 835- 1 to
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF
CARD FOR DETAILS.
LA - l I-- a`Zr '
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
Building Division
CirTY OF • 33325 Eighth Avenue South
v„* „., Fed a ra I VVay Federal Way,WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: a q.t c ‘i") PERMIT#: 1.0b -06
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IF YOU HAVE ANY QUESTIONS CALL (253) 835- to l , a
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
�.�A ERIE® - I a C �
Fe��Wa
CONMIJNI79'DBERV/CES PERMIT - /,>
� SF MF CO E EL PL DE EN FP
333258 AVENUEVEWPMENf SOUTH•PoliOSX 9718 MAR 2 4 2.Q08
C AT I O N
FEDERAL WAY,WA 98063-9718 ATD
253-835-2607•FAX 253-835-2609 / /
>�.�L� de.aLt OF FEDERAL vv
The following is required in/j ton-an incomplete application will not be accepted. Please print legibly(in ink)or type.
((�� ia. PROPERTY INFORMATION
SITE ADDRESS_lotk.Cb u VCCL '�"L L . l LAi 1 S �- uJ - SUITE/UNIT it ,7 4 Lc
ASSESSOR'S TAX/PARCEL 9 __ __ LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy!get description)
1% PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
..DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Ve. NUl .C>il V1 Vim.11 S 1 CtoSe_ I n�Zrio u2 d (sO —
PROJECT NAME(Name of Business or Owner Last Name) ? �\ &-s
t4 PEOPLE INFORbIATION
PROPERTY NAME �7 PRIMARY PHONE
OWNER &CCS kT(CC P 1-'Y�_LIQ dc-3 (z 2Dn 2.• -Qat c
MAILING ADDRESS Svc: 1 e)0 CITY,STATE,ZIP E-MAIL ADDRESS
\L u 6 Tbu,snc eAk_x- 1€- c Uv, u&t q V Z-Z
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
a/3 IN e r— ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME p OFFICE PHONE
. vt,LG La ) C 0 - U\.C,V► V;urivnc��-6er (ZSR) --2(:)9 - O Z..�( 0
MAILING ADDRESSa CITY,STATE,ZIP CELL PHONE
0\ 0 (\ Ce.,, r�E -C-ctr_ t\ , WA 93 4 Z2 (tom) -709 -c U - o
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect o Tenant pr.A,gent 0 Other ( ) -
PROJECTNAgM l v`{/l�` PRIMARY PHONE E-MAIL ADDRESS
CONTACT V .t'.- �Ct-1 ime,,\-her f j) -709 -U 2_4 o
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
/9 DETAILED BUILDING INFORMATION C
EXISTING USE i Ci u,CL✓' PROPOSED USE \aci lQ� "i"V1�SJ
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ '1 S U 0
SPRINKLERED BUILDING? a YES ikNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ANO
WATER SERVICE PROVIDER K.,LAKEHAVEN ❑ HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER Y-LAKEHAVEN ❑ HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
•r.
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
LASTING PROPOSED TOTAL TOTAL=STEM ST TOTAL PROPOSED OP TOTAL Sr
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FA FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECFIAMICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION
AIR HANDLING UMTS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER . ERS M1SC(Describe)
BOILERS FIREPLACE INSERTS HO•='(comm.rd.Q
COMPRESSORS FURNACES GES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS pr Tub/Shower Combo) LA :.tivoom s URINALS MISC(Describe)
DISHWASHERS ' NWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(r'ow.t
ELECTRIC WATE' :s•TERS SINKS WASHING MACHINES
HOSE BI:': SUMPS
SIGNATURE
• I certify under penalty of perjury that I am the pro•erty owner or authorised 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 authorised 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, i eluding its officers and employees, upon the accuracy of the information supplied to
. the city as a part of this application. 2�
SIGNATURE: DATE ✓ ` 1°2)
Property Owner and/or Authorized Agent
•
a NEW o ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pennit Application