05-105689 I
111
City of Federal Way • "
Community Development Services Bullding - Commercial Permit #. 05-105689-00-CO
P.O.Box 9718
Federal Way,WA 98083-9718
Ph:(253)835-2607 Fax:(253)835-2609 0 " Inspection Request Line: (253)835-3050
Project Name: NORTHSHORE VILLAGE - , , •• '-1
Project Address: 2140 SW 356TH ST 2771
Parcel Number: 252103 9002
Project Description: ALT-Remove and replace facade of existing retail building.
Owner Applicant Contractor Lender
DAVID HOEK DAVID HOEK PIONEER CONSTRUCTION RANIER PACIFIC BANK
DAVID'S FEDERAL WAY LLC DAVID'S FEDERAL WAY LLC PIONEC*963LB 06/02/06 PO BOX 11628
PO BOX 8164 PO BOX 8164 30414 SR 9 NE TACOMA WA 98411-6628
TACOMA WA 98418 TACOMA WA 98418 ARLINGTON WA 98223
Census Category: 437 - Commercial alt/add
Includes: I #1 #2 #3 #4
Occupancy Class:
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
.,.. AdditiOnat Permit*formation
Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? No
Mechanical to be Included? No Number of Stories 1
Permit for Building Shell Only? No Permit for Foundation Only? No
Plumbing to be Included? No Special Inspection(s)Required'? Yes
Will Certificate of Occupancy be Issued? No
No Fixtures Associated With This Permit!!
CONDITIONS:
PERMIT EXPIRES Thursday, April 10, 2008
Permit Issued on Monday, April 10, 2006
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: :��!'r`1/ Date: (r air
i
" N : THIS CARD IS TOOMAIN ON-SITE ,
CITY OFA et ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105689-00-CO
Owner: DAVID HOEK
Address: 2140 SW 356TH ST
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.
O Footings/Setback(4110) ❑ Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date q.Z')•0 (ca By Date By Date
❑ Re-steel(4215) ❑ Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) 0 Shear Walls(4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By W Date /o7ti jcz
❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) 0 Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
By Date signed-off and approved. IBC 1093.4/UBC 108.5.4 By (2-/ Date `fr 7/Ca
❑ Insulation(4150) 0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By L idi Date/2, 4„ O By Date
❑ Final-Fire Department(4060) 0 Final-Planning(4070) ❑ Final-Public Works(4080)
Approved Approved Approved
ByZArl Date' /t?..eri By,'O' Date 9.,z3.--..e7 7 By Date
4,❑ Final-Building(4050)
Approved
By G G, Date(d)-5N..0
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Federal Wa n- -1- 5- (0 g
7
Y NOV 0 4 2005 PERMIT
COMAWM7YDEVELOPMiNT SERVICES SF MF�E EL PL DE EN FP
33325$TM AVENUE 30(1171•FO BOX 9718
Lid
FEDERAL WAY,WA 53.8 3.971 ITY OF FED E�aPPLI C AT I O N
FEDERAL
9s 635-?60 BUILDING
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www.dtuolledemlwaa.cont ,
The oIlowi • is -. ired in ormation-an Inco •fete • •.lication will not be twee•ted. Please •tint le, •IAdh."...ii.i.L_I ' ... l
a
1•�+� ) 0
Mil PROPERTY INFORMATION
SITE ADDRESS O /
i' 3 W 3`a tp ill S
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# S46. d_( f - It. _ _ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) S'EE 0, M.18 17 A
(Attach aepar.go~fe- ttt//It deuaipio.)
■ PROJECT INFORMATION
TYPE OF PERMIT X BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit oniu)
i(J 7V2i)k/[ (1STIAI'G F-/CADt= , AAIL RcP( tek. its'rTH Ai.&W,
PROJECT NAME(Name of Business or Owner Last Name) NOIZTM Stjviee. VILLAGE gerA)L
• - • PEOPLE INFORMATION
•
PROPERTY �f NAME _ • PRIMARY PHONE f
OWNER LQ >/ 1V 5 reamt_ wr'Tv Lc, w 1T ezpickC-s (.206) (57q - ill
MAILING ADDRESS CITY,STATE,ZIP
PO fix, 8/111V i w)4 1 v,rA- 9&Yi$
1 CONTRACTOR COMPANY NAME
SELECT f `` APPLICANT NAME OFFICE PHONE -
,\J ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
B L / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME •- APPLICANT NAME OFFICE PHONE
DetW)b Hack ( ) ia79 - 5-4,C,I
MAILING ADDRESS ' CITY,STATE,ZIP - CELL PHONE
PO C il,tay Vremnh A vA- 981/8 (,9/., )lo 7 r - 514i
RELATIONSHIP TO PROJECT / FAX NUMBER
0 Architect O Tenant a Agent Other(Describe)) pri :3pk 004, 1q1 7 - %'5/
CONTACT NAME` PRIMARY PHONE
j\/1.V){� HcC]J' _ E-MAIL ADDRESS
LENDER NAME
:), ;d�.;'• " 'j'���.7.� t:-}i±.r," hS�I nil✓��:(%lig _ n��A/^1 bb Jy^/J `)�,
•-"-.,4 "•:-:%'.t ,:,1,._r C".{, ,.••{,r_��,.rl-%k '',.),PW.;. Ka 41 17‘e, / ` e Pli .—. /.
1 MAILING ADDRESS CITY,STATE,ZIP
Po 2KSA ll4).E3 1C-001/- , WA 96347,11 - (ot.).
• . • ■ DETAILED BUILDING INFORMATION •
EXISTING USE erntL H,: 7j>//;(a PROPOSED USE i'ZL�TAL Stio?p//t1G
EXISTING ASSESSED/APPRAISED VALUE $ (22'/I00)5//v VALUE OF PROPOSED WORK $ 19 Q)WO
SPRINKLERED BUILDING? ❑YES y<NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ,KNO
WATER SERVICE PROVIDER XLAKEIIAVEN a HIGHLINE O TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ,KLAKEHAVEN a RIGHLINE 0 PRIVATE(SEPTIC) ,
- PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.
-BASEMENT
FIRST .
SECONDiii _
..
THIRD .
FOURTH 11111 ' •
ADDITIONAL FLOORS(DESCRIBE) 1
DECK(COVERED?)
GARAGE 0 CARPORT ■
MOS= PROPOS=
NUMBER • LOORS --
' W 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 $ AI A
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS • FRIG.SYSTEMS
BBQS FANS HOODS Ic.ie- , WOODSTOVES
BOILERS • FIREPLA E INS RTS • r. : MISC(Describe)
• COMPRESSORS PURNAC ' GAS WATER HEATERS
DUCTS GAS PIP: dp:
PLUMBING 11, if
BATHTUBS(ofTtb/sh.w.rco• . SHOW RS WATER CLOSETS(Tonal MISC(Describe)
DISHWASHERS SIN ' DRINKING FOUNTAINS
GAS P • . LETS SUMPS RAINWATER SYST
'HIN)MACHINES URINALS HOSE HIBBS
LAVS(Bathroom Sala' 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 authorised 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 accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE 1 DiviG� SIT iS Gi LL f) ;� DATE //-1"'05--
at (Title)
RELATIONSHIP TO PROJECT 1 Owner 0 Agent 0 Contractor 0 Architect 0 Other
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application