11-104954r
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Building - Comnfercial
Permit #: 11 -104954 -00 -CO
Inspection Request Line: (253) 835-3050
Project Name: HARBOR FREIGHT TOOLS
Project Address: 31858 PACIFIC HWY S Parcel Number: 092104 9207
Project Description: TI - soft demo of interior finishes, floor, and walls.
Owner
Applicant
Contractor
Lende
COMMERCIAL NET LEASE
STORECRAFTERS INC
STORECRAFTERS INC
REALTY
100 BOXART ST
STOREI*9410N (11/5/12)
450 S ORANGE AVE
ROCHESTER NY 14612
100 BOXART ST
ORLANDO FL 32801-3383
ROCHESTER NY 14612
Census Category: 437 - Commercial alt / add / conversion
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 0
Existing Sprinkler System in Building?.................Yes
Number of Stories..................................................1
Plumbing to be Included?.......................................No
Zoning Designation................................................CC-C
Mechanical to be Included?....................................No
Permit for Building Shell Only? .............................No
New / Additional Sq. Feet - Total .......................... 0
CONDITIONS:
1. No construction allowed under this permit.
2. Subject to field inspection without plans.
PERMIT EXPIRES Tuesday, June 12, 2012
Permit Issued on Thursday, December 15, 2011
I hereby certify that the above i orm ion is correct and that the construction on the above described property and
the occupancy and the u e, it e * accordance with the laws, ru s and regulations of the State of Washington
�an City of F ral ay.
Owner or agent: Date: / 5
CITY OF AA
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE a
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
M
11 -104954 -00 -CO Address: 31858 PACIFIC HWY S
COMMERCIAL NET LEASE REALT FEDERAL WAY, WA 98003 -5410' -
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.
Final - Building (4050)
Approved
By Date
El
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
MY OF
Federal �CEIVI-
[�ERMIT SF MF(5 ME PL DE EN FP
COMMIMRYDEV&IAPMEM'SE c i 5 lAPPLICATION
253.8952607• FAX Y59895
«u,�„ c1ClnlfeM.,�„w,,, irnn
r-rrV r)F FEDERAL WAY '.. *"
SITE ADD � S
PROJECT VALUATION
�i� 0
ZONING
ASSESSOR'S TAX/PARCEL M
-
TYPE OF PERMIT
❑ BUIIAING ❑ PLUMBING ❑ MECHANICAL
DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
T
PROPERTY OWNER
r' PRIMARY PRONE �
7
MAI Itc It -MAIL
S G. ZY,� fie
�.6
.
MAILING ADDRESS L E-MAIL
019
CONTRACTOR
/
CTl'Y
BTATE
Z>p ` FAX
e
W BTATE CO 6 LR;E1tSE #
sapnrnwrlON DATE FEDERAL WA,Y, BgSWWW LICEIM r
NAMB PRONE
v2s /n t' ,1 - K11
APPLICANT
MAILING ADDREW
arwra
zrp FAX
PROJECT CONTACT
PIIoxE
Me individual to receive and
respond to all correspondence
MAI Itc REas E -MAI.
concerning tills application)
-
arwTE
ZIP FAX
AC7 N¢ME:o
M� E-MAIL
PROJECT FINANCING
NAMIC
Required value of $5.000 or more
OWNER -FINANCED
IRCW 19.27.095)
MAI.INGADDRRM. CITY, STATE. ZIP PIONS
I entry under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(jy that to the best
of my knowledge, the igformation submitted in support of this permit application is true and correct. 7 cert(fy that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorised 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 onlywhere such c arises out qr the reliance of the city, including its ojoUvrs and employees, upon the accuracy of the
information supplied to city as apart qrt application.
SIGNATU DATE IC - S-- p;b/l
PRINT NAME: 1-1119r,1lL Z� �lrin
,...,,,-imivaly ,., Z.uI i rage i of i k:\flandoutslPennit Application
V.-.
wr.
i
VALUE OF ALECHAMCAL WORK $
to be Installed or relocated as part
Indicate horn many of each type of f txture to be installed or red
AIR HANDLING UNITS
FANS
AIR CONDITIONER
FIREPLACE INSERTS
BOILERS
FURNACES
COMPRESSORS
GAS LOG SETS
DUCTING
GAS PIPING
r
y q% bid or estimate must be provided)
as part of this project Do not include existingftxtums to remain.
GAS PIPE OUTLETS OTHER (Describe)
HOODS tcwnmenwl
HOT WATER TANKS
REFRIGERATION SYST
WOODSTOVES
0 4 A
Indicate how many of each type off&ture
to be Installed or relocated as part
Qf Otis project. Do not include existingfixtwes
to remain.
BATHTUBS (—Tb/Sha C—d*
LAVS Mand Slok4
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS 1lafchenNtmw
WATER HEATERS (Eiecmc)
HOSE BIBHS
SUMPS
WASHING MACHINES
TOTAI.;r=TURES
CRITICAL AREAS ON PROPERTY? I WATER
SEWER PURVEYOR
VALUE OF ZZMnMIG IEIPROVBAIEMPB
EXISTING/PREVIOUS USEI LOT SIZE (In Squaee Feet) EXISTING FIRE SPRINELER SYSTEM? PROPOSED FIRE SUPPRESSION
G Yes c No o Yes c No
Bulletin #100 - January 1, 2011 Page 2 of 3 kAHandouts\Pennit Application
contractors or 1'radespeople P r Friendly Page
Page 1 of 2
General/Specialty Contractor
A business registered as a construction contractor with Lltl to perform construction work within the scope
of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment
of account and carry general liability insurance.
IBusiness and Licensing Information
Name
STORECRAFfERS INC
UBI No.
602084793
Phone
5858655350
Status
Active
Address
100 Boxart St
License No.
STOREI'9410N
Suite/Apt.
Treasurer
License Type
Construction Contractor
City
Rochester
Effective Date
9/15/2006
State
NY
Expiration Date
11/512012
Zip
14612
Suspend Date
3
County
Out Of State
Specialty 1
General
Business Type
Corporation
Specialty 2
Unused
Parent Company
LIBERTY
Business Owner Information
Name
Role
Effective Date Expiration Date
CT CORP SYST
Agent
09/15/2006
WHITE, MARK A
President
09/15/2006
WHITE, STACY
Secretary
09/15/2006
KARKI, NIRMAL D
Treasurer
09/15/2006
PLANTONE, AHEDED A
lVice President
09/15/2006
Bond Information
Bond
Bond
Company
Bond Account
Effective
Expiration
Cancel
Impaired
Bond
Received
Name
Number
Date
Date
Date
Date
Amount
Date
2
OLD REPUBLIC
INS CO
1208150
06/03/2009
Until
$12,000.0006/04/2009
3
INSURANCE
GL37577H
01/01/2011
Cancelled
$1,000,000.0012/27/2010
LIBERTY
1
MUTUAL INS
837026555
09/08/2006
Until
Cancelled
12/10/2008
$12,000.0009/15/2006
CO
Assignment of Savings Information No records found for the previous 6 year period
Insurance Information
Insurance
Company Name
Policy
Effective
Expiration
Cancel
Impaired
Amount
Received
Number
Date
Date
Date
Date
Date
HARLEYSVILLE
3
INSURANCE
GL37577H
01/01/2011
01/01/2012
$1,000,000.0012/27/2010
COMPANY
https://fortress.wa.gov/lni/bbip/Print.aspx 12/13/2011
s , r-
[ITY OF
Federal Way
BUSINESS REGISTRATION
License. Number 20 -11 -104906 -00 -BL
Non -Resident Business
Registered: STORECRAFTERS INC
100 BOXART ST
ROCHESTER, NY 14612 Expires: 12/31/2012
Category: 1500 - Contractors- General Building
Conditions: This license is non -transferable.
Please notify the City Cleric's office of any change in your business such as a new
location or business name.
CopPOAAft �7 w
SHAL
H'NG�
IVO
This certifies that the above entity has been issued the registration or license listed.
City ofFederal Way Licensin# _ Ffil)E RAl _wAy wA 98063-9716, ,
MARK A. WHITE & AMEDEO ALAN PLANTONE
100 BOXART ST
ROCHESTER NY 14612
(�2AO54. rna),JAr
City Clerk, City of Federal Way