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09-103026
_ • • Building - Commercial "-r.. , City of Federal Way Community Development Services Permit #: 09-103026-00-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: JAVA BILLIARDS-LIFE CHIROPRACTIC BLDG Project Address: 34507 PACIFIC HWY S Parcel Number: 202104 9107 Project Description: REP-Removal of existing asphalt built up roofing and installation of new modified bitumen roof system. Owner Applicant Contractor Lender CMBA 5 LLC ASSOCIATED ROOFING INC ASSOCIATED ROOFING INC 13219 NE 10TH PL PO BOX 82894 ASSOCRII62O6(5/6/10) BELLEVUE WA KENMORE WA 98028 PO BOX 82894 98005-2726 KENMORE WA 98028 Census Category: 555 -Non-structural roofing permits Includes: #1 #2 #3 #4 • Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq.ft.) 0 0 0 .0 4 '�t lrnal a rrna ' e"T ? 44,4,1-,. Y�� Mechanical to be Included? No Number of Stories. ...... 1 Permit for Building Shell Only? No Plumbing to be Included9 No FixturesAssociated PERMIT EXPIRES Tuesday, February 2, 2010 Permit Issued on Thursday, August 6, 2009 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: 0: `, . Date: S l f a fiNk1).91> /iz14o • DATE INSPECTOR AREA AND TYPE OF �I�SPECTION 8-CI • C. c ..) r 544A, IA © k . -�g•ate! G c- .) A-[/ rr• <SAS C pow,/Se , THIS CARD IS TO AIN ON-SITE CITY OF 0 Construction Ins ction Record ' Federal Way INSPECTION REQU TS: (253)835-3050 PERMIT#: 09-103026-00-CO Address: 34507 PACIFIC HWY S Owner: CMBA 5 LLC FEDERAL WAY, WA 98003-6879 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) C3 Foundation Wall(4115) 0 Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date • 0 Re-steel (4215) ❑ Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) Approved to place concrete or grout Approved to place concrete Approved to sheath floor By Date By Date By Date Floor Sheathing(4105) ❑ Shear Walls (4245) . Roof Sheathing(4220) Approved to install flooring. Approved to install siding Approved to install roofing By Date By Date By iitiDate es_ 1 gam, Vq g 0 Fire/Draft Stops(4095) • Framin Prior to scheduling a Framing inspection; (4120) Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate ByDate Fire/Draft Stop inspections must be signed-off and ByDate approved. IBC 109.3.4 0 Insulation (4150) 0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud&tape Approved to drop tile By Date By Date By Date 0 Final-Fire Department(4060) Final-Building(4050) Approved Approved By Date By Ai 0---"Date // /r • For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved . By Date By Date RCI ERMIT - 1D 3 o a-4 ~ SF MF ..--.)AE EL PL DE EN FP�ederal WayA COMMUNITY DEVELOPMENT SER UG 0 6 200APPLI CATI O N / / 253 835 2607 53 835 2609 www cit fpt si. F. FE®ERA WAY , cos ., , , SITE ADDRESS3 I/56 7 Piicir j c llvvy Sough SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL# t ; 0 - I o 9 1 0 7 F/160.r f)ti NAMEOF PROJECT ll d$ v 1.4 L-/ ello i c.:.. (Tenant or Homeowner Name) --) X BUILDING 0 PLUMBING 0 MECHANICAL TYPE OF PERMIT 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION Refs" t ore eXl5'fr(06 &501a1+ eu (14- (AP rrtarilz PROJECT DESCRIPTION (41 S-t t 1 C,"ti--;1, o,P f-f L4 7 '`YIo cti-q ed b1 io Detailed description of work to be included on this permit only m®,P S yjfery) , NAmE PRIMARY PHONE PROPERTY OWNER 1./Y) B I'r Ap. 6 LL / / Ale (x/2,5 3- Z Y 7 3 MAILING ADDRESS,CITY.STATE.ZIP E-MAIL )3219 AtC 10 f L &/f vu& 97v OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT r/ NAME PRIMARY PHONE A5r-ra*Ct1�d . -�,' L)V (2C4 ..Z`f- Mc- CONTRACTOR Th. rx ADDRESS.CITY,STATE.ZIP FAX g zm -1 I` mC 9g0 aob)36-z30`3 WA STATE CONTRACTOR'S LICENSE# TION DATE FEDERAL WAY BUSINESS LICENSE S / SSC RE 16 2b(c) 4 i /0 2,0 00- !03017-Co--BL NAME �y n PRIMARY PHONE APPLICANT1-1/14--( (1-3 (oi L ( ) - MAILING ADDRESS.CITY.STATE.ZIP /�' FAX PROJECT CONTACT A IA-t.Cit ,��r Q n ( )PRIMARY PHONE/` (The individual to receive and v��-, E-��e-v-, /-I-a1.ei +eGC ^�kQ (-2.1)434)(1 - 4/ ST" respond to all correspondence MAILING ADDRESS.CITY.STATE.zip _, � FAX concerning this application) T.®. `X g-22 44 f(12 q g o-2.1, `� ( '�,3pY- .3'O3 ALTERNATE(ANT NAME: PRIMARY PHONE E-MAIL 'Pearl 1( S4e ei� (2J()3Cf-V c( b 76¢3soc(a l PROJECT FINANCING - 1 OWNER-FINANCED Required for projects with value of$5,000 or more MAILING ADDRESS,CITY,STATE.ZIP PRIMARY PHONE (RCW 19.27 095) t( 1 - I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any person, including the undersigned, and filed against the city,but only where such claim arises ut of the reliance of the city, including its officers and employees, upon the accuracy of the informationied to the ci as a p of this application. 6/tAtA, iSIGNATURE: DATE i te\O PRINT NAME: I I.J-1 A.M. E I 1 NI e Bulletin#100-4/21/2009 Page 1 of 4 k:\Handouts\Permit Application IPS 4111) MECHANICAL FIXTURES Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED) Indicate number of each type offixture to be installed or relocated as part of this project. Do not inch lydP existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLirtb OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commerctat) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PLUMBING FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not induct..existing fixtures to remain. BATHTUBS(or Tub/Shower Combo) LAVS(Hand Stoics) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kttchen/UtIltty) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS 00 $ ( (o, 3 °. - $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? 3 , (,75 ❑Yes❑ No ❑Yes ❑ No RESIDENTIAL AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECONDFLOOR _........___..___....---..._._...._..._.._._.____..._.._...__.._.._._._..._._._._._.--._-- COVERED ENTRY DECK GARAGE ❑ CARPORT 0 OTHER(describe) �sxma PROPOSED TOTAL Area Totals "NEW HOMES ONLY-- ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL NEW/ADDITION AREA DESCRIPTION Area Construction #of in Square Feet Occupancy Group(s) ape Stories Additional Information NEW BUILDING ADDITION COMMERCIAL REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Construction #of in Square Feet Occupancy Group(s) Type Stories Additional Information TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100-4/21/2009 Page 2 of 4 k:\Handouts\Permit Application