04-104398 •
City of Feder Way •• •
Community Development Services Building - Commercial Permit #: 04 - 104398 - 00 - CO
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 SuiteD Parcel Number: 082104 9196
Project Description: TI-Interior partition walls,acoustical ceiling,ADA bathroom,and duct distribution.With plumbing
&mechanical.
Owner Applicant Contractor Lender
HARSCH INVESTMENT PROPERTI LINN-DOUGLAS CONSTRUCTION, LINN-DOUGLAS CONSTRUCTION, NONE
HARSCH INVESTMENT PROPERTI LINN-DOUGLAS CONSTRUCTION, LINNDCL000PC 9/27/05
1121 SW SALMON ST PO BOX 5819 LINN-DOUGLAS CONSTRUCTION,
PORTLAND OR 97205 KENT WA 98064-5819 PO BOX 5819 NONE
Includes:
P
Census category: 437-Comm
#1 #2 it #3 #4
I—Occupancy Group M J
Construction Type: Type V-N -I
Occupancy Load
I Floor Area(Sq.Ft.): 2958 _dff-- ±
1st Floor Proposed Sq.Feet 2958 Census Category 437-Commercial alt/add
Mechan'cal Yes Number of Stories 1
Permit for Building Shell Only No Plumbing Yes
Will Certificate of Occupancy be Issued? Yes Sensitive Areas9 No
Zoning Designation CC-F
Plumbing Fixtures
Description Quantity r Description Quantity ;_ Description 1 uantity
Lavatories 1 r Other Plumbing Fixtures 1 ater Closets !f 1
Mechanical Fixtures
[ — Description Quantity Description Quantity Description —1Quantityi
D cts --�r 1
PERMIT EXPIRES April 25,2005.
Permit issued on October 27,2004
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. r
Owner or agent: ktirl- ( '` 7....k...e.andi.N. Date: 64thes,ps7 gi0454
bilin- v ..l i. CtrIlln,te97 A,\.,
LTHIS CARD IS TO&MAIN ON-SITE ' .
CITY 0:4 4t:ommunity Development Inspection ,Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104398-00-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.
0 Footings/Setback(4110) 0 Foundation Wall(4115) ❑ 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) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By DateBy Date
•[O Underfloor Framing(4285) EI Floor Sheathing(4105) �❑ Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
♦ ♦ -
.❑ Roof Sheathing(4220) ❑ Rough Plumbing(4230) �❑ Mechanical Rough-in (4165)
Approved to install roofing Approved n Approved
By Date By !yam Date /� // �/k' B Date
�/ �� �i 12../x'_. d
0 Gas Piping(4125) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)1'
Approved to•release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC I09.3.4/UBC 108.5.4
By Date By Date11
❑ Framing(4120) 0 Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
to insulate Approved to install wallboard Approved to install mud&tape
ILE22:iipproved
Date / 11 ; 1 II '' By Date By Date
Suspended Ceiling Grid (4— 265) ,❑ Final-Fire Department (4060) ❑ Final-Planning (4070)
Approved to drop tile Approved Approved
By- , Date '�AZ.\ 1 By a( Date //3/0/r By Date
❑ Final-Public Works (4080) I❑ Final-Mechanical (4065) �j Final-Plumbing (4075)
Approved Approved C " Approved
•
By Date ` By LAi Date 1 2 e 27•c�,� B, A Date Z i_
•❑ Final- Building(4050)
Approved
By gi/f2
Date i/! vr-
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CITY OF
Federal WayRE.CEIVED
PERMIT
COMMUNITY DEVELOPMENT SERVICES 7 �nOA SF CO E EL PL DE EN FP
33530 FIRSTFEDERAL WAY
WAYSOUTHWA98063•PO B-971OX J3I l l AY PP L I C A T I O N TD
, / /
253-661-4115•FAX 253-661-4129
www.cituoifederalway.com
OtTY OF FEDrrEnI FApLL TWAY
The oilowin• is � •Y hldltlbti=an incom•lete a••lication will not be acce• d. Please • nt le•ibl in ink or t j,
PROPERTY INFORMATION ;�
SITE ADDRESS: Il ,twi ' IIS :A— ' I SUITE/UNIT# �1 J
•
ASSESSOR'S TAX/PARCEL# 0 CIS iz2.. d - c1 _t>7 & LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT y,BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
t A ails; anax4iCC Q oQt (i , PiDA b& rose I ou.c*
PROJECT NAME(Name of Business or Owner Last Name) I 4r\
((i Tit
PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER -- CYSlr, ` (10Q5
-_1Q14
5 5 ) - =R"il.'�,
MAILING ADDRESS CITY,STATE,ZIP
flaI xm -p ao , OR gtlaCS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Unw\-�tc6 C Yui-i-Is'A') li.�Q.Y'Th i`) ( 3) 63`b - Ida8
LINCTCY,STATE,ZIP q 4 (,),930)3(-6
CELLPHONE
G ADDR—ES 53 i - 4-a30,CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
r2 (=—L i———I C 3 (1".• 11 B L 1( / 3l / (953) (D
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
L i m i`I DC, Lo Q Q -PC, 09 /al / 05
APPLICANT COMPO AME APPLICANT NAME OFFICE PHONE
aS c ( )
MAILING ADDRES CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ``I:1 Other(Describe ri '{cy' ( )
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
i arc. / tiw, to . - I • s iletZI,hn-d• •_A.•COn^
LENDER PerRCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000 1 -
MAILING ADDRESS CITY,STATE,ZIP
��)) DETAILED BUILDING INFORMATION id
EXISTING USE C ID• i R Ll I PROPOSED USE ." .i I
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ .j/I : i)iLli
SPRINKLERED BUILDING? )(YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
ANT
FIRST r n
SECOND
THIRD
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 offirture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 3t>
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS)commaromk WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
I DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/Shower Combo) SHOWERS 1 WATER CLOSETS froilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS 7 i ( 4 r
GAS PIPE OUTLETS SUMPS RAINWATER SYST V n-1--
Qr y�
WASHING MACHINES URINALS HOSE BIBBS ' n+t W0. V
LAVS)Bathroom sinks) 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 accuracy of the information supplied to the city as a part of
this application. est r,,,, /�}, ,���/
NAME/TITLE lJ✓ JVV. DATE lJlok,�WT
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
u NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit Application