08-104078 Building - Commercial
City of Federal Way i ,;n
Community Development Services Permit #: 08-104078-00-CO
P 0.Box 9718 .
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax.(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: NORTHSHORE VILLAGE
Project Address: 35415 21ST AVE SW Parcel Number: 252103 9002
Project Description: TI-Construction of demising walls to create(3)tenant spaces for known tenants.
Occupancy to be by separate permits
1 \)
Owner _,u• ant Contractor Lender.
DAVID HOEK DAVID HO .K DAVID'S FEDERAL WAY LLC DAVID HOEK
DAVID'S FEDERAL WAY LLC DA I' rERAL AY LLC PO BOX 8164 DAVID'S FEDERAL WAY LLC
PO BOX 8164 PO BOX 8164 TACOMA WA 98418 PO BOX 8164
TACOMA WA 98418 TACOMA WA 98418 k TACOMA WA 98418
l
Census Cate:I:
37 - Commercial alt/ add /conversion
Includes: #2 3 #3 #4
Occupancy Class:
Construction Type: Type Ill -B
d ......--
Occupancy
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
Existing Sprinkler System in Buildings Yes Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included9 No New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Monday, March 9, 2009 L
Permit Issued on Wednesday, September 10, 20►8
I hereby certify that the above information is correct and that the construction on the :eov. -s• ' pro and
the occupancy and the use will be in accordance with the laws, rules and regulatio oft ";I:. =te of Washington
and the City of Federal Way.
Owner or agent: A / Date: --jd rd8
q t.0)47 ()?
qlpirc
THIS CARD IS TO REMAIN ON-SITE
CITY OF - Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104078-00-CO
Owner: ROYAL PLAZA ENTERPRISES INC
Address: 35415 21ST AVE SW
FEDERAL WAY, WA 98023-3058
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) ❑ 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
0 Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Fire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
If Framing(4120) Insulation 4150
NOTE: Prior to scheduling a Framing(4120) ❑ g ❑ ( )
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 ; i5 -.-? Date-Z-17 z,1 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 Date By Date
For inspector reference only
O Rough Electrical O FINAL-Electrical
Approved Approved
By Date By Date
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3 I Ogir
253435-2607. , 5- � U 2 9 Zoo�PPLI CATI O N riD
09
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WAY
The following is required Mstation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY
PROPERTYINFORMATION
•_�-•
•
SITE ADDRESS e( $T IN S v . 3s4ir• Al :/�
•
I ASSESSOR'S TAX/PARCEL F ,,_- — —— LOT SIZE(sl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
ranch*Worley Me A1'161,1041180 gimaiPdani
• PROJECT INFORMATION
TYPE OF PERMIT (,BUILDING 0 PLUMBING ❑ MECHANICAL
O DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this Hermit onhi) .
1 iA/14S i A) 4 w/11--t.S ii 6 U i t_6/ 1 61554:fttLA--- —
(9-C.Ctira„.7"/ try crefre., c. .A_ rao.v• •
PROJECT NAME(Name of Business or Owner Last Name) /V02.7 h CW C 104-4-46 E
• PEOPLE INFORMATION
PROPERTYPRIMARY PHONEOWNER NA" v 1 S
C'k- Vi AY LLC . - n-C__ 00c )6.7 y' - 561,/
MAILING ADDRESS CITY,STATE, E-MAIL ADDRESS
"0 6 ox' f9/loy Viten/074i/4- '.P4'
CONTRACTOR COMPANY�� APPLICANT NAME OFFICE PHONE -
MAILING ADDRESS art,STATE,TIP CELL PHONE
CITY OP FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTOR'S REOIWIE& Iox NUMBER EXPIRATION DATE EMAIL ADDRESS
APPLICANT COMPANY NAME Q2- APPLICANT NAME OFFICE PHONE -
( )
MAILING ADDRESS 'v CITY,STATE,TIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECTN PRIMARY PHONE E-MAIL ADDRESS
CONTACT /j1,Gn k`1C (amv ) 4:7 i - cce(G /
LENDER NAME Per RCW 19.27.095:
Lender tnjbrmatfen is required if prefect sates exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP • PHONE
t
U DETAILED BUILDING INFORMATION
III
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ ,$. '/5J c.) -
SPRINKLERED BUILDING? 0 YES o NO FIRE SUPPRESSION SYSTEM PROPOS•ED/REQUIRED? 0 YES o NO
WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGELINE 0 TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
0 PROJECT FLOOR AREAS
' "•4 AREAIWORIPTION EXISTING PROPOSED TOTAL
ti SQ.FT. SQ.FT. SQ.FT.
HAS-11
EMENT
•
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
sRosrsro PROVOS= TOLL TOTAL MIMsaa TOTAL PROPOassr TOTAL Br
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.
MECHANICAL
Value of Mechanical Work$ N /4' (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS "••DSTOVES
BBQS FANS GAS WA z - '4 ' MISC(Describe)
BOILERS FIREPLACE INSERTS ••DS Ia...dw
COMPRESSORS FURNACES RANGES
DUCTS - GAS LOG S- - REFRIG.SYSTEMS
PLUMBING
BATHTUBS(.rTub/sh...r• LAVS Leven..sea URINALS MISC(Describe)
• DISHWASHERS RAINWATER SYST VACUUM BREAKERS
D"41 ,A i, c I UNTAINS SHOWERS WATER CLOSETS Ine.q
• RIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certifly under penalty of perjury that I am the property owner or authorised 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 cornet I certify that I will amply 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 net remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
I farther agree to hold harmless the City of Federal Way as to any claim/including costs, expenses, and attorneys'fees incurred in the
investigation and d4fense of such°label, which may be made by any person, including the rmdersigned, and filed against the city, but only
where such claim arises the reliance o the city,including its officers and employees,upon the accuracy of the information supplied to
itthe city as a part of this •n.
SIGNATURE: `l .� ' I DATE g-a-5-6 8
• •. , Owner and/or Authorized Agent
•
o NEW a ADDITION a ALTERATION a REPAIR a,TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 lalandouts\Permit Application