04-101123 •
City of Federal Way • •
Community Development Services Building - Commercial Permit #:04 - 101123 - 00 - CO
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: DOLLAR TREE
Project Address: 31014 PACIFIC HWY S Parcel Number:785360 0200
Project Description: Tear off existing built up roofing system. Install new base sheet and(2)courses of hot mop roofing
material. Top with ceramic granular top sheet for a Class B system.
Owner Applicant Contractor Lender
TACOMA GOODWILL INDUSTRIE HAIGHT ROOFING CO,INC*CHUG HAIGHT ROOFING CO,INC*CHUC NONE
714 S 27TH ST 4910 15TH AVE NW HAIGHRC269QK(5/2/04)
TACOMA WA SEATTLE WA 98107 4910 15TH AVE NW
98409-8130 SEATTLE WA 98107 NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.): m
Census Category 437-Commercial alt/add Mechanical No
Number of Stories 1 Permit for Building Shell Only No
Plumbing No
PERMIT EXPIRES September 22,2004.
Permit issued on March 26,2004
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.
Owner or agent: Date: Lj2/' " a 27
111.611:11011\0\14
1
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, ' • SITE
INSPECTION LOG
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
*Vey ✓ m at= .�4/5"ez;X47.,) .moo a -
Avpro.i/(' dF G'..-r,HfiY 9 T 5/DE.
POSTS CARD ON THE FRONT OF BUILDIN
ACITY OF
Federal WayBUIL NG DIVISION
SITE INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 04-101123-00-CO
OWNER'S NAME: TACOMA GOODWILL INDUSTRIE
t vJY
SITE ADDRESS: 31014 PACIFICvSojn-n+
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
O DRAINAGE: Line () Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMINC
( ) ROUGH PLUMBr G: DV/ J Water piping
( ) ROUGH MECHANICAL— Gas piping --
( ) S n .AT�i1\TC — - --- --?ocf — - - -- — -- — — —
( ; ±"AR WALL:,- -- — -- =—( _:_.EC RICAT.;tC•`.{� `- T� DitchCcver
( )
.r E'_"' -+.BOYE n,t:ST BE APPROVED PRIOR TO FRAMINC ION
( ) FRAMING/FIRES i CPPmr•:'
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKINC
( ) INSULATION: Flocrs Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING () SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL
() PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
• • FILE
INSPECTION LOG
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
3/n/'i/ �L-� ' P -/ of //vJ e770// ,2-0 o/c
Sf f ri/A Of 4' V fl1 Sr" S/OE,
POSTOIS CARD ON THE FRONT OF BUILDIN
CITY OF
Federal Wa BUILMIG DIVISION
YFILE INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 04-101123-00-CO
OWNER'S NAME: TACOMA GOODWILL INDUSTRIE
1•�wY
SITE ADDRESS: 31014 PACIFIC Sound
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL Gas piping
( ) SHEATHING Roo -- Fl•xr ----
( ) SHEAR WALLS —
( ) ELECTRICAL P.CUa:` '2; 'etch Cover —
( ) F E/DRAFTSTCP
"` :i T.°i'N AIYi;'`IE MUST BE :IPPRCVED?RIOR TO FRAMING Ii+I3PE C'[:-Of
( ) FRAMING/FIRESTCPPTNG
THE ABC V2 MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKINC
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
( ) WALLBOARD NAILING ( ) SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
RECEIVED • COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718
CITY OF, FEDERAL WAY,WA 98063-9718
Federal Wa AR 2 6 2004 PERMIT APPLICATION 253 www41i5•federalway6com129
For Once Usdfiq•E OF 4. ��4 �Y Lk — 1 Q-1_ / oz 3 -
:0 TD: / /
BUIL �'' I 0L
The ollowin• is re•uired in ormation-an incom•fete a••lication will not be acce•ted. Please •rint le•ibl in ink or t •e.
• PROPERTY INFORMATION
SITE ADDRESS: 31014 Pacific Highway South SUITE/APT# •
ASSESSOR'S TAX/PARCEL#: 7 a 1---z Ie 0 - (') i t 0 SQUARE FOOTAGE OF LOT: 7S ' ?( -Y P.
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)45:;"5:;- �/f'r .0 L•776 ,' ,4 i- /A)% f.Jw'/l Q�J ijo 3i;i-,.0 3 c'
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only): Remove existing roof system
to plywood deck. Nail new base sheet, set 2 plies of Malarkey 501 Ply Sheet in Hot
Asphalt & cap with 1 ply of Malarkey 601 set in Hot Asphalt. Install new coping
metal at perimeter. Total 26,400 sq. ft.
PROJECT NAME(Name of Business/Owner Last Name): Dollar Tree Store
• PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE.
OWNER: Union Bank of America C/0 Lawrence T. Musil ( 425-1483-8115
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
P.O. Box 627 Bothell , Washington 98041-0627
CONTRACTOR: NAME COMPANY OFFICE PHONE:
Chuck Mahlum Haight Roofing Co. , Inc.(206 ) 784-8414
MAILING ADDRESS(STREET ADDRESS;)• CITY,STATE,ZIP CELL PHONE:
4910 - 15th Avenue Northwest Seattle, WA 98107 (206 ) 920-1906
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE. FAX NUMBER:
- - - / / ; (206 )784-1058
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) / /
LENDER: NAME: DAYTIME PHONE:
(If Proposed Value>$5,000) N/A ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
Chuck Mahlum -Haight Roofing Co. , Inc. (206 ) 784-8414
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
4910 - 15th Avenue Northwest Seattle, WA 98107 (206 )920-1906
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect ❑ Tenant N Other(Describe): Contractor (206 ) 784-1058
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor XI Applicant E-MAIL ADDRESS:
• DETAILED BUILDING INFORMATION
EXISTING USE: Commercial Retail PROPOSED USE: Same
EXISTING ASSESSED/APPRAISED VALUE $ l/?O" S-(19 .*- VALUE OF PROPOSED WORK: $ 99,909.00
SPRINKLERED BUILDING? YES )-NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES ❑ NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD N/A
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial( WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING N/A
BATHTUBS(or Tub/shower combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sulk 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 reliance of the city, including its officers
and employees, upon the racy of the information supplied to the city as a part of this application.
NAME/TITLE: Project Manager DATE: 3/26/04
(Signature) (Title)
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant Xl Contractor 0 Architect 0
FOR OFFICE USE ONLY:
o NEW ❑ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION: CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100-January 13,2004 Page 2 of 4 k:\Handouts-Revised\Permit Application