07-104739 Cfty of
eral
Buildii - Commercial Permit # 7-10473 -00-erornneeeices
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: MY GYM
Project Address: 1414 S 324TH ST Suite B206 'arcel ' • ber: 151 50 0080
Project Description: TI- Structural frame for rope swing play system.
Owner Applicant Contr ctor Le . -r
HARSCH INVESTMENTS LINN-DOUGLAS CONSTRUCTION LINN-DOUGLAS STRUCT '' HAR • INVESTMENTS
PROPERTIES LLC INC IN' 4 PERTIES LLC
815 SW 6TH AVE SUITE 550 12846 223RD PL LINNDCL000' '/27/07 ' ' , W 6TH AVE SUITE 550
PORTLAND OR 97204 KENT WA 98031-3962 12846 223' ► PO'. LAND OR 97204
NT WA 9803 .2 I
•
Census Category: ommerci. t/ad. , ersio
Includes: #1Pilgt licl______ #4
Occupancy Class:
Construction Type: Ty. -B r
Occu.anc Load: f.
Floor Area(sq. ft.) 0 0 0
Additional Permit Information
E " prinkler System ilding? Yes Mechanical to be Included? No
el o odesik
1
No
Permit for Building Shell Only? No
in ' e Included Occupancy#1 -Use AssembIy for Indoor
Sports
Designation CC-F
No Fixtures Associated With This'Permit'l!
40Tc / PIifrk.s
PERMIT EXPIRES Friday, August 28, 2009
Permit Issued on Tuesday, August 28, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u, -wtll be .. ordance with the laws, rules and regulations of the State of Washington
nd the City of Federal Way.
Owner or agen . _W..! ALlAj "Le Date: - 'F- C7
ii
` • AL THIS CARD IS TiREMAIN ON-SITE •
CITY OF =" a,e Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-104739-00-CO
Owner: HARSCH INVESTMENTS PROPERTIES LLC
Address: 1414 S 324TH ST Suite B206
FEDERAL WAY, WA 98003-6001
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.
❑ Footings/Setback(4110) 0 Re-steel(4215) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) ❑ Fire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
s By Date By Date By Date
NOTE: Prior to scheduling a Framing(4120) 1❑ Framing(4120) ❑ Insulation (4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
❑ Final-Planning (4070) ❑ Final-Building(4050)
Approved Approved
By Z Date By G(Ai Date q"' 2/-07--
,
/-D7
For inspector reference only_
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECE D
•
CITY Of AUG 2 8 2007
n _7_ / 01.-/ 7 L/ /
Federal Way CITY c►FFpERar PERMIT
COMMUNITY DEVELOPMENT SERVICES
BUILDING Di. SF MF �ME EL PL DE EN FP
3332FED5 ERA WAY,NUE A 98063 9718BOX APPLICATION TD
FEDERAL WAY,WA 98063-9718 ////
253-8352607•FAX 253-835-2609 o r� i -..�",
www.cituotfederalwa9.com {{{
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS I I 31 S- L t ' Y12( +
'� SUITE/UNIT#_1.F }
ASSESSOR'S TAX/PARCEL# t 6 l✓0 0 6- "- 0 0 LOT SIZE(sf1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page/br Ienglby legal description)
• PROJECT INFORMATION
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPT, (Provide detailed description of work included on this permit only)
PROJECT
/
✓ 1) ;lel ti l ),,,,,t
PROJECT NAME(Name of Business or Owner Last Name) `` ' U, (5 r
• PEOPLE INFORMATION
PROPERTY PRIMARY PHONE
OWNER M .' 71, de /yMI5 15Z3 AAv
- c...3-3- 1,
DIMLING Al) SS STATE,ZIP E-MAIL ADDRESS
&U " DMeckt . Cie_ q zok
CONTRACTOR COMP• AME y AP LI ANT N E OFFICE PHONE
t� , C e 6,1. k:Allt• T1a-,, I,� 1 cI3e -5 '10
LING•I I. -s STATE,ZIP CELL PHONE
--Po. _ Co t' LI- gvis-n ( ) -
CnY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Nj..CI )03t) ; —CO'- 8G Q -,3i- 01 ( ) ,r - 5lcs`1
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
LA Kt AIDC 000 (1 -a 1—o1 hAilci�4„,,,-dataz).ctyn
APPLICANT O IPANY N C , APP CP,NT.NA OFFICE PHONE
i ti- � J rl,�C'�l`�je 1 V 3)q f1 - Si q0
MAILING ADDRESS L CC` S;AC lir `ELL PHONE -
RELATIONSHIP TO PROJECT
1�C®vl,Vj_Ck �1, �,�, FAX NUMBER
�
0 Architect ❑Tenant o Agent Other �-_-' ' ' �!(c r' cal - 57ci
PROJECT eNNAAM.� `P,RIIMARY PHONE E-MAIL DRESS z I
CONTACT "a J4lX. .(,N E )) '1 - 551410 I111/1-dL��(J
LENDER NAM Per RCW 19.27.095:
Vn Susb Lender information is required if project value exceeds$5,000
MAILING ADDRESS ITY,�STATE,ZIP PHONE
�-r 041441 '144 &it- SSU nc� Ok 11i:Cti ( 1 -
_- • DETAILED BUILDING INFORMATION
f
EXISTING USE P. PROPOSED USE r" is_ (��'
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 1.,Or.,-. C.)
SPRINKLERED BUILDING? 15�1(ES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? D YES a NO
WATER SERVICE PROVIDER �� `` HAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER U.AKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
0 •
• PROJECT FLOOR AREAS
o (,
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR D UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
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(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Thb/Shower Combo) - LAVS(Bathroom Sulks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSE lb(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 t .f the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a pa i. ation.
SIGNATURE: ' gag ( # ( 1'k� U hn so (fr Ol- LLC-DATE ') °----4S ( j
Property Owner and/or Authorized ti. t
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—August 16,2007 Page 2 of 4 k'}Iandouts\Permit Application