12-100621r
98u icant
Contractor
City of Federal Way
SEATAC VILLAGE SHOPPING
S G FOUST CONSTRUCTION INC
Community & Econ. Dev. Services
CENTER
33325 8th Ave S
SGFOUGF911KJ (5/12/13)
Federal Way, WA 98003
BOTHELL WA 98021
23502 25TH DR SE
Ph: (253) 835-2607 Fax: (253) 835-2609
PORTLAND OR 97205
Project Name: HOME GOODS
Project Address: 1718 S 320TH ST
Building - Commercial
Permit #: 12 -100621 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9208
Project Description: REM - "Soft" demolition of interior finishes preparatory to tenant improvements.
caner
98u icant
Contractor
Lende
SEATAC VILLAGE SHOPPING
S G FOUST CONSTRUCTION INC
S G FOUST CONSTRUCTION INC
CENTER
23502 25TH DR SE
SGFOUGF911KJ (5/12/13)
1121 SW SALMON ST
BOTHELL WA 98021
23502 25TH DR SE
PORTLAND OR 97205
BOTHELL WA 98021
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.) 1 0 1 0 1 0 1 0
Existing Sprinkler System in Building?.................Yes
Number of Stories.................................................1
Plumbing to be Included?.......................................No
Mechanical to be Included?....................................No ,
Permit for Building Shell Only? .............................No
New / Additional Sq. Feet - Total .......................... 0
PERMIT EXPIRES Tuesday, August 7, 2012
Permit Issued on Thursday, February 9, 2012
I hereby certify that the above informa ' n i correct and that the construction on the above described property and
the occupancy and the us III b ' a r nce with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: -Z— 20/�
CITY OF 'ON&
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -100621 -00 -CO Address: 1718 S 320TH ST
SEATAC VILLAGE SHOPPING CES FEDERAL WAY, WA 98003
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.
❑
SWM Precon Site Mtg (4400)
❑
Initial Erosion Control (4365)
Final Electrical
Approved
Footings/Setback (4110)
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
❑
Foundation Wall (4115)
❑
Drainage/Downspout (4040)Re-steel
Final Electrical
Approved
(4215)
Approved to place concrete
By
Approved to backfill
Approved to place concrete or grout
By
Date
By
Date
By
Date
❑
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
®
Shear Walls (4245)
Roof Sheathing (4220)
❑
Fire/Draft Stops (4095)
Approved to install siding
Approved to install roofing
Approved
By
Date
By
Date
By
Date
❑
Interim Erosion Control (4370)
Framing 4120
g ( )
eduling a Framing inspection;
Approved
bing & Mechanical Rough -in and
Approved to insulate
Date
EFire%rafftt't:Stop
inspections must be signed -off andBy
By
Date
pproved. IBC 109.3..
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
E]
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop the
By
Date
By
Date
By
Date
Final -Fire Department (4060)
E]
Final Erosion Control (4375)
0
Final - Building (4050)
Approved
Approved
Approved
By
Date
By
Date
By Gv • Date -�
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY orOERMIT
Federal Way
COMMUNITY 3-835-2 07- F P6II LS EIV L I CA T I O N
253 -835 -2607 -FAX 25 0 ..moi
u'L"El rrygi (•(]Frb!4' . [i C4Di
S CO ME PL DE EN FP
SITE ADDRESS
% I OF F5DERAL3I)j cam'. .
SUITE/UNIT !1
PROJECT VALUATION:)ZONING
ASSESSO/R'''S TAXX/PARCEL #
$ /O� DOD, OZ.
C — C
U - D
TYPE OF PERMIT
t:LNG❑ PLUMBING ❑ MECHANICAL
MOLDIITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
0 ch
l
PROJECT DESCRIPTION
Detailed description of work to
be included on this
r5'�,yr� �'7�u� . r.•� ��� f� /
permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
sir e G
2a3 - ;73 -0�2 Y
LING ADDRESS
E-MAIL
'
CI
/ D! &le
STATE
ZIP
'i
PHONE
o - �/z
MAIL
jPG ADDRESS
E-MAIL
CONTRACTOR
CITY61
//
STATE
ZIP
FAX
o e
%S6e2 /
yz'r 6>7 -/ 7
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE I
NAME
PHONE
I
MAI NG ADDRESS
E-MAIL
APPLICANT
3s- (2 z .2 2
CITY
IWA
STATE
ZIP
p�
FAX
PROJECT CONTACT
NAME
PHONE
(The individual to receive and
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
EMAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
Required value oj$5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
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 o is application.
SIGNATURE: DATE
/
PRINT NAME: G t�� a f
Bulletin #100- January 1, 2011 Pagc 1 of 3 k:\Handouts\Permit Application