04-101178 f • r
s* ' • •s 1
City of Federal
Community Development Services Building - Commercial Permit #:04 - 101178 - 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: KO-AM TV
Project Address: 720 S 320TH ST Parcel Number:082104 9266
Project Description: Antenna relocation
Owner Applicant Contractor Lender
CAPITOL SQUARE L L C KO-AM TV*SHELLEY KO* SIGN-TECH ELECTRIC NONE
PO Box 18194 728 S 320TH ST PH G SIGNTEL988BC 01/07/06
FEDERAL WAY WA 98003 SIGN-TECH ELECTRIC
PO Box 18194 !Seattle,WA 98118-0 \ 33759 9TH AVE S NONE
Includes:
Census category: 437-Comme #1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.): I
Census Category 437-'Commercial alt/add Mechanical No
Number of Stories 1 Permit for Building Shell Only No
Plumbing Na-
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES September 28,2004.
Permit issued on April 1,2004
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.
_ lL/ / 6
Owner or agent: _ c Date:
�t
POS' IIS CARD ON THE FRONT OF BUILDI* '
CtT7 OF �+ � �
Federal a BUILDING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 04-101178-00—CO
OWNER'S NAME: CAPITOL SQUARE L L C
SITE ADDRESS: 720 S 320TH �j
() FOOTINGS/SETBACKS / .l�i � / O FOUNDATION WALL
x ,... NA a ~0 g 'flPI.:.. ,.xis.. .:,; . .... t'.�., , VV$1 P?.O1i A '' E V
( ) DRAINAGE: Line ( ) Connection
��'"'"�� RR X# , Y Y e
* k E �f. :zx ..; -a b i Y •c�,a f 0 �Yk.' B +'�i �t rmyl
':,r,_.n,�c._,,,.: ',. q.�„2:,w$,1w., .x 6, :�r .�- __w,s..,,. -, .."�ser;,,+..w .... �w"�' .», s�:tee+' e..�x:te� ,3.x� ,./`"' ., ''
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL _ Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN_ Ditch Cover
( ) F1RE/DRAFTSTOPS
( ) FRAMING/FIRESTOpPING
, > kio.:9 m; mwe.Y)ro _�. \ gY
w:6 xt0 rowla. m
( ) INSULATION: Floors Walls Attic
y,,,�:w- z e3, mom:•.: a 9 ., 3Y _,..- 1 Y w'a e Y D g tl 9E_ '-' ' o
( ) WALLBOARD NAILING ( ) SUSPENDED CEILING
() ELECTRICAL FINAL S--6- Q 17� �V
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
in
() BUILDING FINAL S' G 0 'V G
a i Y �
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COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718
CITY OF�� FEDERAL WAY,WA 98063-9718
Federal way RMIT APPLICATIO C 0 2536614115•FAIL 253-6614129
www.tityoffederalway-mm
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For Office Use Only: ��'' -
FW File Number: lam; r i S - 1 / N,h
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The ollowin• is re•uired in ormation-art incom•fete a.•lication will not be acce'ted. Please •rint le.ibl (in ink)or -.
■ PROPERTY INFORMATION
SITE ADDRESS: '---7a1 a s 3--c.s F- . 1-,J . 1J At e-) 3 SUITE/APT# (9
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION •
TYPE OF PERMIT(This application): \] BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTIONNSYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only): (,1 e n i"V re-4:c tk'F,4't,.p'l
PROJECT NAME(Name of Business/Owner Last Name): / --•:,—, -A --ni 'Re f ece i h Avv-i- Mtn 0�
•
• • PEOPLE INFORMATION
PROPERTY NAME: PRIMARY PHONE:
OWNER - .v'LL ,: f A.. (• -c., ) '--7- - t F ,:z)
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP r
P f3 e,x / ),3 4L S,e,...t-e , / .; J,,(6.
CONTRACTOR NAME --, COMPANY OFFICE PHONE:
<,;.,))JoI ' bLy t? .,_),eorki �- t` ()-1. 3 ) SYR., - 4'.-r j cl 6
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
- 3h( :.j tri. AIA-P. s t__1- . 6.JA ci,p1v 5 (> 3 ) ./3 - 34(7C
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
19_-,9 - / v .1 :'a' -cc-, r_3' z_ "..Q/ .3/ /Ci/ ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) - / /
LENDER NAME: DAYTIME PHONE:
(If Proposed value>$5,000) ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY / OFFICE Pi�,ONE:
3-e. t-
4/1 L L__ /(' j A Al 71, (-)n )Ju- - c 37
MAILING ADDRESS'(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
)'4 3v)--'4,` `g . '<, F /-, WI =3,3'6-63 (Z}3 ) 33 a - .P113
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect ❑ Tenant ❑ Other(Describe): (,:,S73 )C1(16 - s.-v)
)
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner 0 Contractor 0 Applicant E-MAIL ADDRESS:
• DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ -‹"Strci
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. _ PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH 1
ADDITIONAL FLOORS(DESCRIBE) I
DECK(COVERED?)
GARAGE/CARPORT 1
HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED j
"NEW HOMES ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ 1
■ FIXTURES I
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 $
1
- AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Gommem.l) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS 11
DUCTS GAS PIPE OUTLETS
PLUMBING
i�
BATHTUBS(or Tub/sbo rCombo) SHOWERS WATER CLOSETS(-rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS 11
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Botbroomsu* VACUUM BREAKERS ELECTRIC WATER HEATERS
i
■ 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 emplo es, upon the accuracy of the information supplied to the city as a part"VI
this application.
NAME/TITLE: _�11� V ' / " DATE: "l I 1 /tr
(Signature) (Title)
RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant o Contractor 0 Architect 0
FOR OFFICE USE ONLY:
o NEW ❑ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES a NO
ZONING DESIGNATION: CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? ❑YES a NO
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