04-100153 III
City of Federal Way uildinQ - Commercial Permit #: 04 - 100153 - 00 - CO
Community Development Services b
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: LA WEIGHT LOSS
Project Address: 31835 PACIFIC HWY S SuiteE Parcel Number:082104 9196
Project Description: TI-Two interior partition walls and installation of one door
Owner Applicant Contractor Lender
HARSCH INVESTMENT PROPERTI LINN-DOUGLAS CONSTRUCTION, LINN-DOUGLAS CONSTRUCTION, NONE
HARSCH INVESTMENT PROPERTI LINN-DOUGLAS CONSTRUCTION, LINNDCLOOPC 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:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: _ M
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.): 1200 ± RH
1st Floor Proposed Sq.Feet 1200 Census Category 437-Commercial alt/add
Mechanical No Number of Stories 1
Permit for Building Shell Only No Plumbing No
CONDITIONS:
All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6))
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES July 18,2004.
Permit issued on January 20,2004
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.
` �' / - 4
illOwner or agent: eiP0:.. /�t`^A Date: � —
1/2/fr
q / - ffil77144vlc 4P/07/4 0 .
POSTTIS CARD ON THE FRONT OF BUILDIN •
41/4 CITY OF
Federal Wa BUIL TNG DIVISION
ILINSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 04-100153-00-CO
OWNER'S NAME: HARSCH INVESTMENT PROPERTIES
SITE ADDRESS: 31835 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 Water piping
() ROUGH MECHANICAL Gas piping
( ) SHEATHING P'2of Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
_., E,DRA ISTD
( Th ,_, i _ vI?,_
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING /12//0 V
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING () SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
() FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BU LDING DEPARTMENT FINAL
() BUILDING FINAL / Z 6 -
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
( 5 /61074 A. P544 ( D, T
RE.Cilk
�p
,JAN 2 0 ZOOS CONSTRUCTION PERMIT APPLICATION
AwtCITY OF ,,' ",,,," OERA-WM APPLICATION NUMBER: . .-
FederalINA
�.uiLo NG DEPT' APPLICATION NUMBER: O - f P Q Lia -
APPLICATION NUMBER: - -
**The following is required information–Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
1���
(
• PROPERTY INFORMATION
SITE ADDRESS: 31 p:J� 1G t7 CAli E ASSESSOR'S TAX/PARCEL#:0 i g2 1 4 1
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION
o ELECTRICAL ❑ ENGINEERING� ".4o FIRE PREVENTION, 11. SYSTEM
PROJECT DESCRIPTION(Provide detailed description): • !U)(' u14 -inv. Tt,>rh"h'�(y‘ wal5 ()yai
un--AMA-ion o ccnsz ci C pe;t' I
PROJECT NAME: L44 I.IJ:; 4k . LOSS
1
• PROJECT INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
501 MIx .s-trnov1+ 'P►rop•.►-- �5 (563) -
MAILING ADDRESS(STREET ADDRESS;CITY,STA IP):
I I Qi Su) Sats noY, & oe-h cerci, OR gloNS
CONTRACTOR: NAME: DAYTIME PHONE:
Link- X.Itk,5 �� 5-En tc +(y‘ LL 6%3 ) 103K - i k
MAILING ADDRESS(STRE DDRESS;CITY,STVE,ZIP): EVENING PHONE:
o. Stick 4 ►it IAA- q�1l4- 5S19 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 1 FAX NUMBER:
- - (-355 ) 63o - 3,-toy-
CONTRACTOR'S REGISTRATION NUMBER: C EXPIRATION DATE:
y
(copy of card required) L L N D ! 0 0 0 ?C 1 /c l 1 os
APPLICANT: ME: ,\^ DAYTIME PHONE:
INGIADDRE55(STREET ;CITYA o�\l.Y l I l,L cza PHONE:) lo3� /C
0. 5 c l G1 a -}- I ca qEVENING Mi4 58-6 ( )
RELATIONSHIP TO PROJECT: /` f _ A�_UY_ FAX NUMBER:
❑ARCHITECT ❑TENANT OTHER(DESCRIBE): CINATIl ( J)) (97jb - 04
E-MAIL ADDRESS: J
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 0 APPLICANT CONTRACTOR )V Z IInh-d• . , • •
• PROJECT INFORMATION
EXISTING USE: • . -i I EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
+ VO
PROPOSED USE: I PROPOSED VALUATION FOR IMPROVEMENTS: $ -' 5q0(•"‘\
—
SPRINKLERED BUILDING? \YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
•
**NEW RESIDENTIAL CONSTRUCTION ONLY**
1
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. I TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
I GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) _ FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• 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 informatio0.4.lied t e,city as a part of this application. ' 'n I,
NAME/TITLE: I' � DATE: 'w� �O��
❑ PROPERTY OWN• ❑ APPLICANT ONTRACTOR
FOR OFFICE USE ONLY: 1
❑ NEW o ADDITION 0 ALTERATION 0 REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES o NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑ NO
PLATTED LOT? ❑YES o NO CHANGE OF USE? ❑YES o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cityoffederalway.com