03-104249 i •
City°unity eralvel Way Building - Commercial Permit #:03 - 104249 - 00 - CO
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: EVERGREEN BANK
Project Address: 1300 S 320TH ST Parcel Number: 082104 9241
Project Description: ALT-Install a drive-up ATM machine.
Owner Applicant Contractor Lender
CARIBOU LAND AND CATTLE CO JPC ARCHITECTS*MARK ANDER JMS CONSTRUCTION CO,A DIVIS NONE
PO BOX 862 355 110TH AVE NE JMSCOC*150RS(12-10-03)
ELLENSBURG WA 98926 BELLEVUE WA 98004 JMS CONSTRUCTION CO,A DIVIS:
8575 WILLOWS RD NONE
Includes:
Census category: 437-Comm I #1 #2 #3 #4
Occupancy Group:
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq,Ft.):
Building Pre-con,Meeting Required........ .........No Census Category 437-Commercial alt/add
Mechanical.. ......... .......................... No . Number of Stories .....,,. .i
Permit for Building Shell Only.... No Permit for Foundation On ........ ! „.No'
Plumbing..... No Special Inspection Required......„. No
Will Certificate of Occupancy be Issued? No
CONDITIONS:
Contact Jane Gamble at 253.661.4120 for final landscape inspection
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject
proposal.
PERMIT EXPIRES March 27,2004.
Permit issued on September 29,2003
I hereby certify that the above information is correct and that the construction onthe 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: , - Date: �3 P'4.s
POS 'HIS CARD ON THE FRONT OF BUILDI T(
CITY OF
.: Federal Way BUI !NG DIVISION r •
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-104249-00-CO
OWNER'S NAME: CARIBOU LAND AND CATTLE CO. & EVERGREEN BANK
SITE ADDRESS: 1300 S 320TH
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDEI_Th-OGR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL _ Gas piping
( ) Si?��ATHING - f.cf F:c:or
( ) S '..aAR WALLS -- –
O Et.:EECT2ICAL ROUGH-IN Ditch Cover
_:,2/D1KAFTSTGPS — --
ALL THE ABOVE MUST BE APPPOVE�' PRIOR TO F'RAMI G INSPE;.:T:Oi-i
( ) FEAMING/F• tESTOPPING him ‘03
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SI r : HOCKING
() INSULATION: Floors Walls 1/ ✓(. :flit•.
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETiaif'K
() WALLBOARD NAILING /0/9(03 f () SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO UILDING DEPARTMENT FINAL
BUILDING FINAL /0 " / 7 " b G-
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
it . •- S CO
CEIVED CONSTRUCTION PERMIT APPLICATION
CITY OF APPLICATION NUMBER: CS- L 01'121i cl,-00
Federal Way SEP 1 6 2003 APPLICATION NUMBER: - -
CITY
�OFtn(FEDERAL WAY APPLICATION NUMBER: - -
**The foliLY46 U9e�ifirIl information—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• PROPERTY INFORMATION
SITE ADDRESS: 1300 S v �ZGT sr. ASSESSOR'S TAX/PARCEL#: Q 2_ t j Qq_ c- LA 1_
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): C t� Z4I L6T Z
C F D - _ A # 1-1-A-4 8LAQb-Obi() 1ZE -4',gi 9'joc 1-1.-AL '� k) � of mE y c E. ).t � ,� 8 -—
• PROJECT INFORMATION
TYPE OF PROJECT(This application): 'BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
o ELECTRICAL` ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Mi3D s c.AT O5 - /
=r9cA3c a X45 Regi> -C-t) ` 1TrAu-._ . rco iV 4 L
tvl Ac -ci.E ktTY )4 x-N sc'ALLA�.xvry car kT,Nt,
PROJECT NAME: EVE -bg I V AVIA
• PROJECT INFORMATION
PROPERTY OWNER' NAME: • DAYTIME PHONE:
c- 9 t. CATCLe co ( \) 6`x`l -1413 -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
Qb ,* 662-j'i=LLQ ,UJB ��et zcp
CONTRACTOR: NAME: DAYTIME PHONE:
vS C 1(uu—r ( ) t� - i'�IS
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
' S"75 VJ X.Li. r'ROI.' lY 9'605-2- ( ) °1 -
CITY OF FEDERAL WAY BUSINESS LICENSE NU ��BER: / FAX NUMBER:
10 - Q Q 10 3°Ra--'c O-BL (2-42 .3iAg2
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
IAA of citt,etz(t)
,
CONCo 0 9 Z L t2 4 'I (5'1 04 Zq
APPLICANT: NAME: DAYTIME PHONE:
PEN s Ell j - A-Izoti'c -TJ (142.5 ((``�0/��' -92D°
MAILING ADDRESS STREET ADDRESS; ,STATI,ZIP): EVENING PHONE:
it CP111 AVE- N '10f): iaeu kc w4 `WAD`-( ( ) `t -
RELATIONSHIP TO PROJECT: / / FAX NUMBER:.,,,BE�
ARCHITECT o TENANT o OTHER(DESCRIBE): (tt2 (e31 -6200
E-MAIL DDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR letjl)I$Gt,e .1rik S (-0'
• PROJECT INFORMATION
EXISTING USE: c ,K./l EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 3, '000 1,00
PROPOSED USE: 75414. PROPOSED VALUATION FOR IMPROVEMENTS: $ 3C .0®0
SPRINKLERED BUILDING? ❑YES )NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES `INO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) /,
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION O **
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST Co RR Co/ t3$ 9'10 CfllG
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? q r _
TOTAL: 671 t J 62/R i`y�b C \ E
• FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ 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: 1 t ( $l - 466
DATE:
❑ PROPERTY OWNER )APPLICANT o CONTRACTOR
FOR OFFICE USE ONLY:
o NEW ❑ADDITION o ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? o YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES o NO
PLATTED LOT? o YES o NO CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.atyoffederalway.com