08-104759 *Building - Commercial
City of Federal Way Q
Community Development Services Permit #: 08-104759-00-CO
P.O.Box 9718
Federal Way, Fax
(253 9718
835- Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: BORG CHIROPRACTIC
Project Address: 1801 S 324TH PL Parcel Number: 250120 0060
Project Description: REP-Tear off existing torchdown roofing; install double layer of Certainteed Flintlastic
smooth torchdown roofing system.
Owner Applicant Contractor Lender
BORG CHIROPRACTIC ANYTIME ROOFING ANYTIME ROOFING
1801 SW 324TH CT 3805 162ND AVE E 3805 162ND AVE E
FEDERAL WAY WA 98003 BONNEY LAKE WA 98391 BONNEY LAKE WA 98391
SPAN 3T e.1.1531.-F
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
Ad itial . r o �ititi , v
€tn ;
Mechanical to be Included? No Number of Stories 1
Permit for Building Shell Only? No Plumbing to be Included? No
'' No Fixtures Associated it lis Permit it
PERMIT EXPIRES Tuesday, April 7, 2009
Permit Issued on Thursday, October 9, 2008
I hereby certify that the above information is ••rrect an+ hat the construction on the above described property and
the occupancy and the u will be in accordance with thz laws, rules and regulations of the State of Washington
ye
a d e City • F deral Way.
'� Cj
Owner or agent: 4 di, Date: % � 7
THIS CARD IS TOMAIN ON-SITE
CITY OF lit ommunity Development Inspecti
an Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104759-00-CO
Owner: BORG CHIROPRACTIC
Address: 1801 S 324TH PL
FEDERAL WAY, WA 98003-8505
•
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.
O Footings/Setback(4110) 0 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) ❑ 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 Date
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) El Framing(4120)
Approved inspection,Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be {
B Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 B Date
Date ,�. „ .. y
0 Insulation (4150) ❑ Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
1
By Date By Date By Date
O Final-Fire Department(4060) ❑ Final-Building(4050)
Approved Approved
r
By Date By -/-41 /Date f :5,t% /� .
i
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
CIT1/OF♦R�� et� —iL � .L
dei wa ' E R M I T Sge,
COMMUNIDYDRVELOPMENTSERVICES 9M -SF MF EEL PL DE E FP
33325 DERALWESOUTH•POBOX 9718 80cT 0 'AppLI CATI 0 N
FEDERAL WAY,WA 98063-9718 L /
253-835-2607•FAX 253-835-2609
www.dtuolfetiemlwau.am f p+. FEDERAL
�•r+'I• ER„a WAY _
The following is required informationFF -anincomplete application will not be accepted. Please print legibly(in ink)or type.
Q' • PROPERTY INFORMATION
SITE ADDRESS_ U 01 5• 3 a i L. SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# a 5 D / oZ U - Q 0 to__Q.. LOT SIZE(s•)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
Ai PROJECT DESCRIPTIO/yrovide detailed description of work included on this permit onlu)
i tri-- G ch c: +.yl i .., Ttl-,4•01...1n->
PROJECT NAME(Name of Business or Owner Last Name) 1575Y- ;A. ra I _4--) c_ Al
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER t' tc c _
)
MAILING ADDRESS I
3a. '” CITY,STATE,ZIP E-MAIL ADDRESS
4.rfJ+{ ri tuillf WA-
CONTRACTOR COMPANY NAME 1 i APPLICANT NAMME&i1 OF CE PHONE
l YY%-r_ ' c$ I'VE �1 > )2u - (e)&-
G AD RESS S I L 2-t) -.-.. re-�,J C ,T A-G, la,PHONE
?_1_l - (a --
‘1/4CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION f$ATE FAX NUMBER
( )
CONTRACTOR'S REGGISTRATION NUMBER EXPIRATION DAT E-MAIL ADDRESS
t ' I L`iS_3C 1' t,?d 1 C� 7 "ri-e_ai-� I S11
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE u}v
C ° _ ( )
jMAILING ADDR R S CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other ( ) _
PROJECT NAME PRIMARYIPHONE E-MAIL ADDRESS
,
CONTACT i (1' ) C.iCrj _3 311 —
----_ -___
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
) _
■ DETAILED BUILDING INFORMATION l
EXISTING USE PR SED USE
EXISTING ASSESSED/APPRAISED VALUE$ V UE OF PROPOSED WORK $ t.5 --#8 0.
SPRINKLERED BUILDING? o YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? LI YES u
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
f PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?) A .
GARAGE 0 CARPORT 0
=STENO PROPOSED TOTAL TOTAL=STING Sl TOTAL PROPOSED ST TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ 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.
MECIIANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerday
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTub/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.
SIGNATURE: DATE
Property Owner and/or Authorized Agent
❑NEW ❑ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application