06-103981 I� `*
ay
Community Devety of lopment pmeeral 1nt Services Lull ing - C.lo lmercial Permi #: 06-103981 -00-CO�
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 a Inspection Request Line: (253) 835-3050
Project Name: DISCOVER RIMS TO RENT
Project Address: 32610 PACIFIC HWY S Suite B1 Parcel Number: 162104 9025
Project Description: TI-Interior remodel of existing one-story lease space within an existing shopping center.
**Includes mechanical and pliumbing.**
Owner Applicant Contractor Lender
STERBA INC JIM EMBREE EMBREE CONSTRUCTION
P.O BOX 3482 EMBREE CONSTRUCTION GROUP GROUP INC
FEDERAL WAY WA 98063 INC 4747 WILLIAMS DR
4747 WILLIAMS DR GEORGETOWN TX 78628
GEORGETOWN TX 78628
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: M S-2
Construction Type: Type V-B Type V-B
Occupancy Load:
Floor Area(sq. ft.) 2,045 2,124 0 0
Additional Permit Information
Mechanical to be Included? Yes Number of Stories 1
Permit for Building Shell Only? No Plumbing to be Included? Yes
Special Inspection(s)Required? No New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Sales Room Sensitive Areas?(Wetlands/Slopes,etc) No
Zoning Designation BC Building Pre-con.Meeting Required? No
Existing Sprinkler System in Building') No
Mechanical Fixtures
Compressors 1 Ducts 3
Plumbing Fixtures
Lavatories • 2
PERMIT EXPIRES Thursday, September 18, 2008
Permit Issued on Monday, September 18, 2006
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: //J i2" Date: Y—/f--i
• THIS CARD IS TO MAIN ON-SITE
CITY OF '\ .Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103981-00-CO
Owner: STERBA INC
Address: 32610 PACIFIC HWY S Suite 31
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 Footings/Setback(4110) . .Re-steel(4215) �❑ Plumbing Groundwork(4190)
Approved to place concrete Approved to place concrete or grout Approved to cover
By Date By Date By Date
0 Slab/Concrete Floor(4255) .
❑ Underfloor Framing (4285) 0 Floor Sheathing (4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
0 Rough Plumbing(4230) #❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125)
Approved Approved Approved to release test
By Date By Date By Date
IS i
❑ Fire/Draft Stops (4095) 7 NOTE: Prior to scheduling a Framing(4120) �❑ Framing (4120)
Approved inspection;Electrical,P!tembing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be .
ed-off and approved. IBC 109.3.4/UBC 108.5.4 i��_ J
sign
By Date By �C Date A 3/
• ,
❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
` /j
By Date By/Ce----17 Date �U��✓ � By 4,12.e...... Date I!//
El Final-Fire Department (4060) ,❑ Final-Planning (4070) 10 Final-Mechanical(4065)
Approved Approved Approved
By Date By Date By Date
S I
❑ Final-Plumbing(4075) ►'.1 Final-Building(4050)
Approved Approved .
By Date B t_i'13bDate •�``
RECEIVED
AUG 1 0 2006 i —
i
Federal Way p ills cuu0 p WAY _D _ l U 3 `� Ff j
COMMUNITY DEVELOPMENT SERVICES _•r QE�, SF MF ME EL PL DE EN FP
3325 85,AVENUE SOUTH•PO BO s..�, •r 1
FEDERAL 3-835 07. WA 98063-9 (# .t 4'_� +(r _ �, 1 ON / EM /614i,
253-835 2607•FAX 253,835-260c. e •- I a
wu m'.dwo fi ed e rniwa ti.co w
The followin! is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
MI PROPERTY INFORMATION a, a ., ,
SITE ADDRESS ��(J& Pac7(/c to /�ALcezy SGS � UIT /UNIT# IJ/�-
ASSESSOR'S TAS/PARIG CEL# / 2 ! o 9 - ` O LOT SIZE (sfl /I1/LL
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 7�t-
(AU separate page.lrn lengthy iecai desccptior,)
• • • F' II • • I' 4 It
TYPE OF PERMIT BUILDINGIECHANICAL
0 DEMOLITION 0 ELECTRICAL/❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit oniti)
rfrr/- lmpvrwie�Ci7t t- /n *i ren4e.dei (vie/lc/5'1w,Tr7 , ene-. /case,
5/ cby-7=1A /h an le 5-ir7 5/,•orpi J c,'"174.
-�-jcc„t n�ct\ .-- uviL 4> piw,� 0 t h,(1,0b6,
PROJECT NAME(]came of Business or Owner Last Name) OI,5C12(/e4-' [2 ice^5 1 d2 / ent
PEOPLE DWOB IIATION
PROPERTY NAME . PRIMARY PHONE
OWNER DiS6011 -' 0114S *-74,P Re1?t tr ., rrt)T p p'Reeve5 (30/ )6 2 -5/08
MAILING ADDRESS ' cITS.STATE.Z
/36 E. South Tem/de/ #/660 . /t C&ke, Gu`�, (/T" Siff//
CONTRACTOR COMPANY NAME 1 APPLICANT NAME •
OFFICE PH
OONE
••
El b eiel i 5i I . Y /iPJva/ J •V - [ /-4z/ � (5/Zy/ /
lli
MAILING
CITY.STAii...ZIP
1747E i//,a P /t/U 1 of 7,7X.7g4zg (512)�3O -G1O7r
ITS OF FEDERAL NAV'BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20-D -s 12 3 ?2b k-- BL (Z' 3�/ 'p4 ( lj) 1 -34Iyz
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
rre' leeGG / 42 k Oq ' 6O '2006
APPLICANT COMPANY NAME APPLICANT NAME • OFFICE PHONE
h//blpe, (n5-4,71 /zart& yZ y7• I/r/ 1 v -4/7
�/ J/
MAILING DRESS CITY.STZCELL PHONE
V IATION7 6tJP"'4' 5 , -' 6 v'/,TX,°N215 (5/2)00 -GI d 7'8
ROJECT /�`` FAX NUMBER
❑Architect 0 Tenant ❑Agent Other(Describe) CSG (5/0 SO 3 y�
CONTACT NAME ' ' PRIMARY PHONE E-MAIL ADDRESS
(Yep i/ Ar i (5'2)gig -q?,/ , ✓r 1 e i6 P,co l
LENDERPer ROW 14.27.095: Lender information is NAME
required if project value exceeds$5,000 Cinooree, Cen y /j- tee- exp /
' p1 f/-7C_
MAILING ADDRESS CITY.STATE.ZIP PHONE
er iL7 Gni /m , /Ne, -- •r�_-:.i 7r',2g (5/Z)gm - 7%
2c'�>Ti9i .-rr . ,, liZ�'. 1��.s rs�ic�fA,�T
A DETAILED BUILDING INFORMATION
EXISTING USE Vae. I/2"t PROPOSED USE lr /C R/415 g �7vt, i/i6
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ el,01X2
SPRINKLERED BUILDING? 0 YES XNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES X NO
WATER SERVICE PROVIDER i LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 'LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• •
1 37LOOR AREAS
1 AREA DESCRIPTION I EXISTING PROPOSED TOTAL
SQ. FT. SQ,.FT. SQ.FT.
BASEMENToji/ ) i 1
I FIRST (CX/frfl ‘-'/W c/ ) #�/JO ']� _ 9 f1 30 7 xi /3O 0'
SECOND (fn/.4.-)J1
) 1 ✓ ,/�
THIRD (m/�) 7' �� f
FOURTH (////60
, , 9
ADDITIONAL FLOORS(DESCRIBE) j
) Te if: fi
DECK(COVERED?) L�/aJ1
GARAGE ❑ CARPORT 0 !�/a) 1 I � /��V[f
EXISTING PROPOSED TOTAL TAL-EXISTING SF TOTAL PROPOSED Si ! TOTAL SF
/ / , 9O g /�o
NUMBER OF FLOORS Q
**NEW HOMES ONLY** NUMBER OF BEDROOMS /l9�Ai ESTIMATED SELLING PRICE S /Y!//.��
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 $ 6 gee)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES X MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS eX78V D pGf' 73 W.
DUCTS GAS PIPE OUTLETS (3)ptop9 e.d 'A ce j
PLUMBING
BATHTUBS IorTub/Shower Combo) SHOWERS WATER CLOSETS aaollet) MISC(Describe)
DISHWASHERS Z SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
3
� DISCLAIM:ERA! ' I.ilCB � ,
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.
E /y' DATE / /-�t/T3
NAME/TITLE i 1/.i✓1_ _ (Title
RELATI• 'SHIP ' 0 'R o J' T 0 Own"Agent )(Contractor C Architect 0 Other
FOR OFFICE USE ONLY
LI NEW _:ADDITION -ALTERATION -REPAIR _.TENANT IMPROVEMENT
BUILDING SHELL ONLY? r YES NO BASIC PLAN? c YES ::NO
rn
ZONING DESIGNATION CHANGE OF USE? YES - NO
NEW ADDRESS REQUIRED? r YES r NO UP/SEPA/SU? `YES NO
PLATTED LOT? -YES r NO DEMO PERMIT REQUIRED? YES - NO
Bulletin#100-January 1.2006 Page 2 of 4 k\Handouts\Permit Application