04-103430 1
• • •
City of Federal Way •+•
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ounity Development Services Demolition Permit #:04 - 103430 - 00 - DE
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: FAMOUS FOOTWEAR
Project Address: 1804 S COMMONSParcel Number: 762240 0010
Project Description: Demolition of interior demising walls in preparation for new tenant improvement work
Owner Applicant Contractor
STEADFAST SEA-TAC I LLC& JIM YODER S D DEACON CORP OF WASHINGTON
1928 S SEATAC MALL 20411 SW BIRCH ST SUITE 200 PO BOX 3070
FEDERAL WAY WA NEWPORT BEACH CA 92660 BELLEVUE WA 98009
98003-6013 (253)941-3770
CONDITIONS:
No construction work to occur until building permit is approved and issued.
PERMIT EXPIRES February 23,2005.
Permit issued on August 27,2004
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
p
Owner or agent: Date: ti
THIS CARD IS TO MAIN ON-SITE
CITY OF _4 community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-103430-00-DE
Owner:
Address: 1804 S COMMONS
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 Final-Building(4050)
Approved
By /ii Date y/9/®5
4-„,. . .
lii.V-- ( 0 3 430 1
Federal Way .a .---,-,,',:.,'•,'...j ".2,11')t- • P ' i RVI IT
CES SFM OMEE • OSP NFP 1
COMMUNITY DEVELOPMENT SER 1
33325AVENUE SOUTH•PO BOX 9778 P P L I C AT I O N
FEDERAL WAY,WA 98063-9718 n f _TO
253-835-2607•FAX 253-835-26 2 {I /
www.dttto/ledera/waa.com r',<d a.l
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The following i-a�tiv i/-•- trlfi tiWikik an incomplete ap.Iication will not be accepted. •lease .rint legibly(in in•, • type.
.,. . MI PROPERTY INFORMATION
SITE ADDRESS /go 1 (5 ((J .i 41.011S SUITE/UNIT# "`�
L4it
ASSESSOR'S TAX/PARCEL# (0 2. Z 0 JI- 0 eD 1 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descnptioa)
■ PROJECT INFORMATION > • .-
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DCRIPTION(Provide detai d description.ret.w - ✓' t.�of work included on this permit only) ��
�P.W)t) I +4ZC.t� pi 'e-r .,2c. s V LIC Csr( do bn-t, c).... ct v d
PROJECT NAME(Name of Business or Owner Last Name) -rite_ Corm &#v.Q4 - t-cuivlCr �. 7-u lea.,
• PEOPLE INFORMATION
PROPERTY NAME , /� PRIMARY PHONEj
OWNER '- CC2 \VCr I `c 1c" $ OBJ.7.
) - O 17
C7C)
MAILING ADDRESS CITY,STATE,ZIP
a0"1 11 5-i.x) • 0e104 &ea J- ) CA-I q 2_c„,4,o
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
6 -ecicur. 5co T=4.44,-e,. ( L -) - 57338
MAILING CELL
i' (5ADDRESS
i e� � se 2 � p(�,�CITY.STATE
t, 4 `(t`t (2O PHONE 8 - 1 Z103
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - - / / (4. )45'11 - i$82—
B L
CONTRACTOR'S REGISTRATION NUMBER)copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
51--eGA 4 aim plea * (q't'j) g}5 z -a-tco
MAILING ADDRESS �A CIT ,STATE,ZIP CELL PHONE `
*C�`f 115 c0 av'4 h '4°- r i- cit_12 ( ) _
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAMEl,►aPRIMARY PHONE E-MAL ADDRESS
' ( -., - l (.253) ?3'I -(o l Si he" �+C
att.04%
LENDER Per RCW 19.27.095: Lender information is. NAME
required if project value exceeds$5,000
! MAILING ADDRESS CITY,STATE,ZIP
, - .■ DETAILED BUILDING INFORMATION ' 96
.�
EXISTING USE �'P , Q� )'N PROPOSED USE ,% 96
� AAy
EXISTING ASSESSED APPRAISED V UE $ A / - VALUE OF PROPOSED WORK $ ; , 6041
SPRINKLERED BUILDING? L'N� ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER tidjAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER biLAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
. ' PROJECT FLOOR AREAS • .
. -
AREA DESCRIPTION I EXISTING SQ.Y"i`. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? oTAL C1QSTD'G TOTAL PROPOSED TOTAL EXISTIRO APED PROPOSED
*NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
,- -_
Indicate number of each type of fixture to be nstalled or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
/
3 AIR HANDLING UNITS / EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS / FANS HOODS(commsrsiat) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)/
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS l� GAS PIPE OUTLETS
PLUMBING L
BATHTUBS(or Tub/ShouerCombo) SHOWERS WATER CLOSE 15(-rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
47/ LAVS(satirroom Sulks) VACUUM BREAKERS ELECTRIC WATER HEATERS
<.. _ ' - =;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 reliant of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
a NAME TITLE DATE (510\62/
/ ( ignature) c, (Title)
t RELATIONSHIP TO PROJECT b Owner 0 Agent o Contractor 0 Architect ther
f
FOR OFFICE USE ONLY'
E ' _
o NEW o ADDITION o ALTERATION D REPAIR o TENANT IMPROVEMENT
i. BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES o NO
f ZONING DESIGNATION CHANGE OF USE? o YES o NO
t NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? D YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES D NO
,S
Bulletin 11100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application