04-100266 City of eWay
Communityity Development Services Building - Commercial Permit #:04 - 100266 - 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: SHOES 'N FEET
Project Address: 31653 PACIFIC HWY S SuiteE Parcel Number:082104 9196
Project Description: TI-New interior demising wall,WA barrier-free restroom,acoustical ceiling grid&tiles,including
plumbing and mechanical.
Owner Applicant Contractor Lender
HARSCH INVESTMENT PROPERTI LINN-DOUGLAS CONSTRUCTION, LINN-DOUGLAS CONSTRUCTION, HARSCH INVESTMENT PROPERTI
HARSCH INVESTMENT PROPERTI LINN-DOUGLAS CONSTRUCTION, LINNDCL000PC 9/27/05 HARSCH INVESTMENT PROPERTI
1121 SW SALMON ST PO BOX 5819 LINN-DOUGLAS CONSTRUCTION, 1121 SW SALMON ST
PORTLAND OR 97205 KENT WA 98064-5819 PO BOX 5819 PORTLAND OR 97205
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: M r
YP yP _1I, IConstruction Te: T e V-N
Occupancy Load: 77 E-- —
Floor Area(Sq.Ft.): 2310 _ -
1st Floor Proposed Sq.Feet 2310 Census Category 437-Commercial alt/add
Fire Sprinklers Yes Mechanical Yes
Number of Stories 1 Permit for Building Shell Only No
Plumbing Yes Will Certificate of Occupancy be Issued? Yes
Zoning Designation CC-F
Plumbing Fixtures
L Description Quantity Description Quantity � Description ' __-]Quantity
[Lavatories 1 Water Closets 1 Water Heaters 1
I ___,1
Mechanical Fixtures
Description 'Quantity Description iQuantity Description _ ;Quantity
Ducts II 1 I Fans 1
i
PERMIT EXPIRES July 25,2004.
• Permit issued on January 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.
Owner or agent: R LVYOJVJ(.L Date: 'Al—04,
POST HIS CARD ON THE FRONT OF BUILDI r;
. CITY OF
Federal Way BUI ING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 04-100266-00-CO
OWNER'S NAME: HARSCH INVESTMENT PROPERTIES
SITE ADDRESS: 31653 PACIFIC S SuiteE
() FOOTINGS/SETBACKS () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
D NOT POUR SLAB UNTIL THE AB VE IS APPROVED
�ri /� 3 G'* 4'2
O UNDERFLOOR f
O ROUGH PLUMBING: DWV i/Z /0if
Water piping Ø
( ) ROUGH MECHANICAL Gas piping
() SHEATHING Roof Floor
( ) SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPING 2. Ll—
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK `� 1
( ) WALLBOARD NAILING 2/510 V ( ) SUSPENDED CEILING Z- Z -
THE ABOVE MUST BE APPROVED PRIOR TO TAPING I R INSTALLING CEILING TILE
() ELECTRICAL FINAL Z r - Oei
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL_Z
THE ABOVE MUST BE APPROVED PRIOR TOB ILDING DEPARTMENT FINAL
( ) BUILDING FINAL Z - 2_44-/�� C'
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
i • .
INSPECTION LOG
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
Aft. • 0 COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO DOR 9718
CITY of �/ FEDERAL WAY,WA 98 063-9 718
Federal Way PERMIT A ICATIO 253-661-41t5•FAX:253-6614129
wwm.n t yn(federahunq.mm
-- �A.� 2 zo�4 /yam) /1 //^/
For OQice Use Oril i T llf'"i L Ll CFSL-11 b v _` - — Tie /
. it 1 '
BUILDING DEPT A.
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: 3( (06-5 h cif-It tity0 - lir,„) SUITE/APT # E \coh"'
ASSESSOR'S TAX/PARCEL#:0 % a 1 Q q - j J SQUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION (eg:Acme Estates,Loi 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION . .
TYPE OF PERMIT(This application): `BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION
0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit Only): Leu) ( P -(i.>1- day,(5i c,
cc' Loc a.1) ADA- bc&Lhroc 1 uzkeiyiecti ) cluc*uocxtZ. I acres J
link. ..10.d1.. 1 � - ' a C.Ar.
•
PROJECT NAME(Name 0 Business/Owner Last Name): 'A i S E #
■ PEOPLE INFORMATION
PROPERTY NAME: -�,� `,,� 1 i C PRIMARYRI, PHONE:
OWNER .`th In0Q5111-614- .CT ' 11Q5 13 (5t3) cj - c
MAILING ADDRESS(STREET ADDRESS;): I CITY,STATE,ZIP
I lob/ 5—Qyncxn &treQ± ►---I-fay,d, OR "<oS
CONTRACTOR I9 cumpet."\ OFFICE PHONE:
LI Ihh-�L►� �1 - CL,o�, L:. Mt'e. f�a,--cQ.t�‘; ( 53)(o - /d _
le SLMAILIADD ( ETA ESS,la^k,): CI qieinsf . Z A (CELL oPHONE:
3 -
-cfl'
C F FEDERAL WAY BUSINESS L NS_E NUMBER: EXPIRATION DATE: FAX NUMBER:
1 — L c2 3 — 0v ;Z/ Si / 03 ( 53) clic - oo
CONTRACTOR'S REGISTRATION NUMBER: ` ' `'Ill EXPIRATION DATE:/
(copy of card required with each application(L_ I !V p . �, L)9 C P Cd 9 '1 7 ) /0J
LENDER NAME: i ,/�` DAYTIME PHONE:
(If Proposed Value>$5,0001 L j� ( -
MAILING ADDRESS(SIRE T ADDRESS;(: CITY,STATE,ZIP )
APPLICANT: NAME: COMPANYOFFICE PHONE:
Imo--Vd4 3 [Inn-.1ittc(5 �//��C�nsin.t dieh 6153 ) (o 3£s - /c $
MAILING ADDRESS(STREET ADDRESS): CI STATE,Zile...) EVENING PHONE:
0. ZIC51,. SV ( )
6 4�r 4-, I,� q SSD l�
RELATIONSHIP
LATIONSHIP TO PROJECT: /' FAX NUMBER:
0 Architect 0 Tenant *Other(Describer Cie-Vac-4a— (A.5 ) 630 - 34014-
L
CONTACT PERSON FOR THIS PROJECT: o Property Owner contractor o Applicant E-MAIL ADDRESS:
bi.616 4 I Inn-c')ruo 51\
• DETAILED BUILDING INFORMATION -
EXISTING USE: OW I I PROPOSED USE: J'!JI'L_ n
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ , (.' !0
SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ TACOMA [7 PRIVATE(WELL)
SEWER SERVICE PROVIDER LAKEHAVEN LI HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJE' OR AREAS
AREA DESCRIPTION EXISTI♦ 'SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
,;33'O OIndas to
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 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 $ i'WV
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS I FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/showorcombol SHOWERS I WATER CLOSETS(Toile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sunk 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 arty 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: �/r/� 9,� , 3. v (+Cj CIO A �Y, DATE: ) c 1 D - (
V (Signature) (Title)
RELATIONSHIP TO PROJECT: ❑ Property Owner ❑ Applicant Contractor ❑ Architect 0
FOR OFFICE USE ONLY: `,
o NEW o ADDITION ❑ALTERATION ❑REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN. ❑YES o NO
ZONING DESIGNATION: CHANGE OF USE? o YES ❑ NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? e YES c NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO