04-100813 r• r r...%
•
Cmmunitof edevel Way Building - Commercial Permit #:04 - 100813 - 00 - CO
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129t. � ���D� INSPEC1 ll}spectlon request line: 253.835.3050
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Project Name: SHOES'N FEET
Project Address: 31653 PACIFIC HWY S SuiteE Parcel Number: 082104 9196
Project Description: TI-Interior partition walls,some ductwork,millwork and 1 sink for new breakroom.
Owner Applicant Contractor Lender
HARSCH INVESTMENT PROPERTI LINN-DOUGLAS CONSTRUCTION, LINN-DOUGLAS CONSTRUCTION, HARSCH INVESTMENT PROPERTI
I IARSCH INVESTMENT PROPERTI L1NN-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 1
Occupancy Group: M
Construction Type: Type V-N
-11
Occupancy Load:
Floor Area(Sq.Ft. : 2293 F--.- i
1st Floor Proposed Sq.Feet 2293 Census Category. , :4"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
Description Quantity L Description - Quantity Description Quantity
Sinks 1
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Ducts 1
PERMIT EXPIRES September 5,2004.
Permit issued on March 9,2004
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: 4:illitilEiZ_L ►' (4'4L7 Date: 3- C} - v`T
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at
the time of issuance,this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: SHOES'N FEET Permit number: 04- 100813 -00
Address: 31653 PACIFIC S SuiteE
#1 #2 #3 #4
Occupancy Group: M
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.): 2293
Owner HARSCH INVESTMENT PROPERTIES
Name: HARSCH INVESTMENT PROPERTIES
Address: 1121 SW SALMON ST
—PORTLAND OR 97205
FMK• YLta--r C80
,y/�3/op-
.
`�1
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely
affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time
and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance
with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
I•
•
• • r POSOIS CARD ON THE FRONT OF BUILD.
41/4 CITY OF
Federal Way BUILyING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 04-100813-00-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
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV 3/2 Lv/vY /.,f Water piping 3/2.%/0
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRS;/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING 3 —2S—6Ak, C
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED- PRIOR TO APPLYING SHE ETROCK
() WALLBOARD NAILING 3/2 1/d y / () SUSPENDED CEILING i9,f 3/6V
THE ABOVE MUST BE eztr-r,
APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() G ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL /V%
( ) FIRE FINAL -� g/ /a f�
THE ABOVE MUST BE APPROVED PRRIOR TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL 4-#3/04
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
RECEIVED
COMMUNITY DEVELOPMENT SERVICES
33530 FIRST WAY SOUTH•PO BOX 9718
my of �•� FEDERAL WAY,WA 98063-9718
Federal Way MAR 0 9 200 !RMIT. AI PLICATIO 253-661-4115-FAX:253-661-4129
p��,,y'��f�� I � �'�,�pA
www.tittioffedernlwaq.corn
For Office Use Only. BULDP/si `Ly'E`PT. •,• / - / ( • - �, ,ii"
- / /
The oilowin• is re.uired in ormation-an incom•lete a.•lication will not be acce.ted. Please .rint le.ibl (in ink)or .
■ PROPERTY INFORMATION
SITE ADDRESS: 3i(p53 ?Lc:4 �Q •� „ . -- E SUITE/APT# E.
ASSESSOR'S TAX/PARCEL#: Q q - q 4 SQUARE FOOTAGE OF LOT: ,r. .1
LEGAL DESCRIPTION leg:Acme Estates,Lot 1)
I (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 0 FIRE PREVENTION SYSTEM
1 PROJECT DESCRIPTION (Provide detailed description of work included on this permit onig): ,41Q.yi`peQ'l`^''t'�'r7
�r C9.9 i Cc p&* l f eu.>-►+ , � �c�ttx -t j P k J,)cartC� �"".
1
PROJECT NAME(Name 0 Business/Owner Last Name): )1' n- I, i,
• ■ PEOPLE INFORMATION
fPROPERTY NAME: PRIMARY PHONE:
OWNER .,, . ► 1 :,I . '• (5:::Z) (41(2
b )tea ( 5°C)MAILING ADDRESS(ST•SET ADDRESS;(: CITY,STATE,ZIP
{1r
?la! `Lt)ScLlrr,m - -sliA Ri-- ?(. 44(1.l�c�a oR.- q� d a
1 CONTRACTOR I N�E, COMPANY OFFICE PHONE:
�Jl1�I Q_ VY1Cl/ .63 .inn--a. i•!l , Cfre6v461(x6-3) (s 3S - lea�S
MAILING ADDRESS(STREET ADDRESS;): CITY, TATE,ZIP CELL PHONE:
).2v-do 5&ot71.3,1ol, 6 Tp(aei.. 614- t Lu4 �i 1 rab(12 ) - (-oil.;
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
0.1 aiiaao - ® _ia_af4s' - CD / / ( s& G30-
ICONTRACTOR'S REGISTRATION NUMBER: (( EXPIRATION DATE: _
(copy of card required with each application)L. 0 U D C �. o o 6 P C, q / -) / 05
LENDER NAME: DAYTIME PHONE:
M(IfProposed Value>$5,000) (A )
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP (
APPLICANT: N E: e- COMPANY, OFFICE PHONE:
� F�9 ��nn ao �n -
65-3)(0-Mi 1,: .)4MAILING ADDRESS(STREET ADDRESS): CITY STATE,ZIP EVENING PHONE:
�a 3,-dl. "pcae ( Q8a31 ( ) -
RELATIONSHIP TO PROJECT: h�,,` FAX NUMBER: L
0 Architect ❑ Tenant `(Other(Describe) CC.Atr—' (A53) 0 `�C- J
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: 0 Property Owner ontractor 0 Applicant
bat Idw 14111-CI.43una5.
• DETAILED BUILDING INFORMATION - -
EXISTING USE: PROPOSED USE: - • ��%- 11
EXISTING ASSESSED/APPRAISED VALUE $ 'ALUE OF PROPOSED WORK: $ 5.-%
SPRINKLERED BUILDING? YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO
WATER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
■ PROJECT FLOOR AREAS
•
AREA DESCRIPTION EXISTINGSQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST .j , 22 b —
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 112-0°
Value of Mechanical Work $
AIR HANDLING UNITS APO' •TIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS HOODS(commercial) WOODSTOVES
BOILERS PLACE INSERTS RANGES MISC(Describe)
COMPRESSORS 'IRNACES GAS WATER HEATERS
DUCTS AS PIPE OUTLETS
PLUMBING
BATHTUBS(orTub/show,rcombo) SHOWERS WATER CLOSETS(Tone) MISC(Describe)
DISHWASHERS , SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sink 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,mpl ///� upon the accuracy of the information`' supplied to the city as a part of this application.
NAME/TITLE: __c3 '1�W,1 G•�Q�q CON-cialCt S�V' DATE: 3`
(Signature) ` (Title(
RELATIONSHIP TO PROJECT: 0 Property Owner 0 Applicant Itontractor 0 Architect ❑
FOR OFFICE USE ONLY:
o NEW o ADDITION o ALTERATION ❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION: CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? n YES n NO DEMO PERMIT REQUIRED? ❑YES ❑NO