04-104566 { lb L---
City of Federal Wayl 41110 .
Building - Co IISr
�� e, al Permit #: 04 -- 104566 - 00 - CO
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: I SOLD IT
Project Address: 31653 PACIFIC HWY S S i •D Parcel Number:082104 9196
Project Description: TI-Installation of new 84" •igh storage racks for new tenant. No plumbing or mechanical.
Owner Applicant Contractor Lender
HARSCH INVESTMENT PROPERTI PERMIT PLACE OF WASHINGTON 1 SOLD IT WASHINGTON I SOLD IT WASHINGTON
HARSCH INVESTMENT PROPERTI 37936 23RD PL S PO BOX 27013
1121 SW SALMON ST FEDERAL WAY WA PO BOX 27013 SEATTLE WA 98198-9250
PORTLAND OR 97205 SEATTLE WA 98198-9250
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: M
Construction Type: Type V-One-HR [
Occupancy Load:
TFloor Area(Sq.Ft.): 2958
1st Floor Proposed Sq.Feet 2958 Census Category 437-Commercial alt/add
Fire Sprinklers Yes Mechanical No
Number of Stories 1 Permit for Building Shell Only No
Plumbing No Will Certificate of Occupancy be Issued? No
Zoning Designation CC-F
PERMIT EXPIRES June 27,2005.
Permit issued on December 29,2004
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.
_ZinjAACji
Owner or agent: Date: 1 2/2-q /¢
411k, THIS CARD IS TO ii MAIN ON-STtE
CITY OF tommunitY Pm Develo t Inspection Record
P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104566-00-CO
Owner: HARSCH INVESTMENT PROPERTIES
Address: 31653 PACIFIC HWY S Suite D
FEDERAL WAY, WA 98003
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) 0 Foundation Wall (4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel (4215) ❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing(4285) 0 Floor Sheathing (4105) 0 Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
0 Roof Sheathing (4220) 0 Fire/Draft Stops (4095)
Sheathing NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
=signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
O Framing(4120) 0 Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved /2i
I
Approved
�By Date By 5i Date I 0rj By Date
❑ Final-Public Works (4080) 0 Final-Building(4050)
Approved Approved f
By Date By Date i q('o.
COF • O - / o
5
Federal WECEIVE PERMIT — — — _
SF MF
COMMUNITY DEVELOPMENT SERVICES ME EL PL DE EN F•
3332FEDERAL5 -8 AVENUEWAYSOUWANT •980PO BQ �I6 9 2oO't pp APPLICATION
, � TD .
253-835-2607•FAX 253-835-2 09 =tor",
Www.at gofrederal u.au.rnm
')TY OF FEDERAL WAY
The following is . :law. q r tion-an incomplete ap•lication will not be accepted. P t-. e .rint legibly(in ink)or type.
• ',' ` I•PROPERTY INFORMATION
SITE ADDRESS let Fie_ /l4// 0 , ..S.C.)/1 I'
] SUITE/UNIT#
ASSESSOR'S T' P•� # _- _ LOT SIZE (4)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaiptioo)
.. .,.. , ... ■ PROJECT INFORMATION
Te":21e
.
TYPE OF PERMIT BUILDING ❑ PLUMBING 0 MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this ermit onl
le-n f e/ t c'a/ Crus a�'m $e°' ' �' "f,5r)1/SC-a/40.71 s 'q-" gh .4 i /x Uri
PROJECT NAME(Name of Business or Owner Last Name) L )L 1) T /
• PEOPLE INFORMATION �il
OWNER
PROPERTY NAME, / 7' 7f 57 e/
`�[/,[ PRIMARY PHONE
OWNER ep (3i)3 )ZZ -Z/oa
MAILING ADDRESS Cl2- rMzd
STAIP
Po feCX -2708 / .97zor
CONTRACTOR COMPANY NAME .APPLICANT NAME OFFICE PHONE
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
5a0f7 - 4.9 go/max) G2c3 )1. 1 - 12-3.2
MAILING ADDRESS CIT , ATE,ZIP CELL PHONE
PeAl _ a tot s A` T'('J-s (253) 4,77 - f' 7$4
RELATIONSHIP TO PROJECT FAX NUMBER -
❑ Architect 0 Tenant )(Agent 0 Other(Describe) (253 )/i/O / - 441f
CONTACT NAMEPRIMARY PHONE
E- IL ADDRESS
19/n.9,,/) (�S3 ) G!/ - 1232- ba l�nv;7 row
LENDER Per RCW 19.27.095: Lender information is NAME
� „ ,
required if project value exceeds$5,000 / „_. el / y
ki
eCITY,STATE,ZIP ` I .66
PD eox 27oifr.kItoff D rN
MAILING
. ,..... .■ DETAILED IIMEDING INFORMATION . .
EXISTING USE V A K.:1 PROPOSED USE LIST/Nv- /P 1 %6//f�9 " of/'E, a
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ /. )eDD
SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER XLAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
.t
7.7A
. PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PR. +SED SQ.FT. TOTAL
BASEMENT .56 - Z9�S'8�j c7 �—�f
FIRST j8 p�gJ - OI.gD
a
SECOND #
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL EXISTDfG TOTAL PROPOSED TOTAL EXISTDYG AND PROPOSED
t
"NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ _
f'Y;.,a is }� .;. -' r te. F+s•",t •-•,1- ; T, u rs., t•z. .:..%,,,,-...,-,;.,-..4:,-.".;
Y 74. „,,,, ,, „. —�',,n; moi€ r ".<ji:,....mi.:::` 'K' e. - • _ w-3, .;s_ H_;`+F'.r v .t' �.;.!s s,-,;)''.fr.'
dr• a�.TT i•f+'� •r`a'y'-ys?c3r .,-...,��, _.�..=1. .,. . _
Indicate number of each type of fixture to be installed or relocated as part of tins project. Do not include existing fixtures to remain.
' MECHANICAL
er
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS tcomm<raa1I W OODSTOV ES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING "61-----
BATHTUBS or Tub/showcrcombo) SHOWERS WATER CLOSETS iroao MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(BauvoomsinksJ VACUUM BREAKERS
ELECTRIC WATER HEATERS
.-ii:Httrht'{3 . =S 'tN.Wit/StiteklibtleitaL,Ai Viif'/i/LVi<.. __
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 accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE 1204" Rekr24' ` . DI rCely/ 14 ►'/ izei DATE /i/ q/4 y
(Signature) (Title) ///
• RELATIONSHIP TO PROJECT 0 Owner XAgent 0 Contractor 0 Architect 0 Other
f
t
t FOR OFFICE USE ONLY
a NEW a ADDITION o ALTERATION o REPAIR d TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
t NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? n YES o NO
,,
Bulletin 11100—March 30,2004 — Page 2 of 4 k\Handouts—Revised\Pennit Application