03-105144 12ro2cC.7 W. lN21 c , . .,. v
• i •
City Federalof Way
Community
Development Services Building - Commercial Permit #:03 - 105144 - 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: LA WEIGHT LOSS
Project Address: 31835 PACIFIC HWY S UnitE&F Parcel Number:082104 9196
Project Description: TI-New demising walls,partition wall,2 bathrooms,&acoustical ceiling
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-Comme #1 I #2 —1 #3
t #4
Occupancy Group: M
Ili — - -- — —
Construction Type: L Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
-----
1st Floor Proposed Sq.Feet 2400 Census Category 437-Commercial alt/add
Mechanical No Number of Stories 1
Permit for Building Shell Only No - Plumbing Yes
Will Certificate of Occupancy be Issued9 Yes Zoning Designation CC
• Plumbing Fixtures
I • Description Quantity[ Description__. "'quantity]_ Description -1,JQuantltyl
Lavatories 2 Water Closets 2 Water Heaters —17-2-----1
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 14,2004.
Permit issued on November 18,2003
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. f
Owner or agent: 1 Date: ,
POS'' IS CARD ON THE FRONT OF BUILDi
CITY JF �
4111416 Federal Way
BUIING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-105144-00-CO
OWNER'S NAME: HARSCH INVESTMENT PROPERTIES LLC
SITE ADDRESS: 31835 PACIFIC S UnitE & F
( ) 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 Roof _ Floor
() SHEAR WALLS
O ELECTRICAL ROUGH-IN Ditch Cover
O F E/.DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
O FRAMING/FIRESTOPPING
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 BUILDING DEPARTMENT FINAL
( 0....'tILDING FINAL t - ) ,7 G - - '-
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
EECEIVED e�
REc vED 0 . CONSTRU!ON PERMIT APPLICATIGN
1003
NovAPPLICATION NUMBER: J D 1 8 2IPyIP6 OF FEDERAL WAY APPLICATION NUMBER: 03- 45-1 �-
DING DEPT,
CITY OF FEDERAL WAAPPLICATION NUMBER: - -
BUILDING DEPT.
**The following is required information—Please print(in ink)or type** �,�ytA
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. 1Y
22i� ;� ( / ■C PROPERTY INFORMATION
SITE ADDRESS: _'?I • :' -1'164`)'C Ft O) C1 — (3i - -C--,F ASSESSOR'S TAX/PARCEL#:a a ca 1
� ,1
v{- 5_ I c.
cp
LEGAL DESCRIPTION SUBJE0jPROPERTY(ATTACH SEPARATE �SCRIPTION IF LENGTHY): L(* -6 pt (
/ ��i -� T A- 0J _i � ► 4 - r e r W 1110_116 i1914QC,ErrlIr
0 ^llob3 I llo r k.r- 4 Lix• k NI A1 L4 ,i nco _.
• PROJECT INFORMATION
TYPE OF PROJECT(This application): 'BUILDING o PLUMBING o MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL to ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 1 ,I(1 6Q)iy11 v1QlI.�
— J..t6) Ta.,,-4,---tion
yl:0.11a o2 basalrtrn5, ( d,-c+ C'e171�1`MS SF.F. Dart-ut ) n4( Q i'Y1CX��`� Cal
( p ,i-r-t t' Cita_ ' Ce t I t ti (1vx
PROJECT NAME: ( ,I LcQJ1- 1.t- -T:7
• PROJECT INFORMATION
PROPERTY OWNER: NAME:/'r6CA DAYTIME PHONE:
MAILING ADDRESS(SITPTREET ADDRESS;CITY,STATE,ZIP). (503)q-)3
q�3 - 0(341
ng I \,_ 4,0 v5()..01m1 , Q-f- h arvL. (3q q-a-�'-
CONTRACTOR: NAME. \ DAYTIME PHONE:
Lino-, ; •.�c..) CLIi rt.l(^-h'l�n LLC (c-7-1-')) c2 - r. ,
MAILING ADDRESS(SIRE c'DRESS;CITY,ST TE,ZIP): EVENING PHONE:
,170, ss le( *,+ Lucy ciSibl4 i -581q ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
QL - 1 .03gf - CLQ 53 )63 - 51ot#
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) L L fL h( b C. L-j) (DO ?C, q /a 1 106
APPLICANT: NAME: DAYTIME PHONE:
Li nil-- ---1,10.5�L ,---41 -kcv. LLC 3 )l 5 - 1a6
MAILING ADDRESS(STR �DRESS;CITY,STATE,ZIP: EVENING PHONE:
iP0 . " . S46 ICI �f e.,+- G0145V1I 1 -5- (Ci ( ) -
RELATIONSHIP TO PR JECT: I �,+— FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER(DESCRIBE):C^in�,4C ►UY ' U53) 340
-
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: n PROPERTY OWNER o APPLICANT )(CONTRACTOR )3(,tj Id (Inn_ .i. ' .
fn , nn ■ PROJECT INFORMATION
`
EXISTING USE: '' &kQ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: I PROPOSED VALUATION FOR IMPROVEMENTS: $ q I i (5,-.)-,,s
SPRINKLERED
t,
SPRINKLERED BUILDING? >0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES ❑ NO
WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTIONY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
.illi{i C `-{0�'
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
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: n ELECTRIC ❑ GAS
PLUMBINGpU�=a r
BATHTUB(S) Z LAVATORY(S) URINAL(S) 2 WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) 2- 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 information supplied to� the city as a part of this application.Ceorcisivqk_i
NAME/TITLE: C�r 1 '"1ll�l� 1JI ? ��� DATE: I /1 "
PROPERTY OWNER o APPLICANT 0C01RACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION o REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES o NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES o NO
PLATTED LOT? o YES o NO CHANGE OF USE? o 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