07-102711 City of Federal Way
Community Development Services Demolition Perm #: 07-102711-00-DE
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: WET SEAL
Project Address: 1916 S COMMONS Unit B-16 Parcel Number: 762240 0010
Project Description: Soft demolition work preparatory to tenant improvements,including removal of one
partition wall,acoustical ceiling tiles&grid,flooring,shelving/racking&toilet room.
Owner Applicant Contractor
ERIC MATTISON JEM CONSTRUCTION INC JEM CONSTRUCTION INC
STEADFAST COMPANIES LLC 29506 8TH AVE S JEMCOI*033DD (5/12/09)
1928-B S COMMONS ROY WA 98580 29506 8TH AVE S
FEDERAL WAY WA 98003 ROY WA 98580
Additional Permit Information
PERMIT EXPIRES Saturday, May 16, 2009
Permit Issued on Thursday, May 17, 2007
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: •,-" -l'N\ /. Date:
a -fo-O
Federal RECEIVE �• Ili— - _7_1_7
CITY OF �Ap
ay PERMIT a�D SF MF CO ME EL P I EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8T"AVENUE SOUTH•PO BOX AY 1 7 2007, 1T/
FEDERAL WAY,WA 98063.9718 p p L I C A T I O N
253-835-2607•FAX 253-835-2609 'O�' FFEDE��RALTTWAY
The following is regiDD't!'4�ybtMtttibf-an incomplete application will not be accepted. Please print legibly(in ink)or type.
O PROPERTY INFORMATION
r
SITE ADDRESS LI L' �S) C(M.inti( N S SUITE/UNIT# 13--/(y,--/(y,( /
ASSESSOR'S TAX/PARCEL# l0 2 6Z V __(2- 3_0 �C J_Q LOT SIZE(sj7 zoo 8
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
DOMOL l-hoN C. so Pr)
R0.11- ,I.,,, wA.Z�\ 5 (-b.-L ,..43 3 sA c b w1 c.c L L..-, C�r.,o 1 s{a-etc- iR..00, ,, ,.,,1
`r�>,1�' cyuw.
PROJECT NAME(Name of Business or Owner Last Name) tA-N12-f c,- >'t L
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY/ PHONE �
OWNER ) E-MAILADDRESS
-`/�y/ O
MAILING ADDRESSCITY,STATE,ZIP
2.041 1 5 w I2 S I �a , 1CA •
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
E,t&. CoNSTr<csckw -774.) _ � (253 ) Es43 - .�� .5
MAILING ADDRESS C S CITY,STAA]TE,ZIP CELL P3HONE
4151NCITY OF FEDERAL WAY BUSINESS LICENSE NUMBER R l EXPIRATION DATE FAX NUMBER)
-SS I
r
(23 )843 (
p I / CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
,1H..e'�j�+ b
�/ ' _IS CMZ L o 5 L o c T
APP IC. T� COMPANY NAME APPLICANT NAME OFFICE PHONE
CAnt1rAt, ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT L..)10A hMv (253 ) &CS(p - S517 r
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PRO••SED USE
\.
EXISTING ASSESSED/APPRAISED VALUE$ N `VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FI:.-' UPPRESS :.e_SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN,-'"`❑ HIGHLINE 0 TAC. 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAV' 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCP PTION EXISTING PROPOSED TOTAL
SQ.FTIO - SQ.FT. SQ.FT. ,
BASEMENT • .
FIRST
SECOND
THIRD •
ADDITIONAL FLOORS(DESCRIBE) .
DECK(0 COVERED OR 0 UNCOVERED?) ,,
GARAGE 0 CARPORT 0 �'
NUMBER OF FLOORS mo PROPOSED 3mia. TOTAL EXISTING Sr TOTAL.PROPOSED Sr' TOTAL Sr
"NEW HOMES ONLY** NUMBER OF BEDROOMS / ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A Y OF BID OR ESTIMATE MUST BE INCLU WITH APPLICATION)
AIR HANDLING UNITS EVAPORATI COOLERS — AS PIPE OUTLETS WOODSTOVES
BBQS FANS `' '/ GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSE HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LO REFRIG.SYSTEMS
•
PLUMBING
BATHTUBS(orTub/shower combo) LAV.S(Bathroom Sinks) '`:URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HE RS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
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.
NAME/TITLE �it,e1l1. ti�✓�� )1.2 \ DATE 5-/?-C)7
(Signature) (Title)
RELATIONSHIP T OJECT ❑ Owner 0 Agent 0 Contractor ❑ Architect 0 Other
o NEW o ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? , o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100-April 2,2007 . Page 2 of4 k\Handouts\Perrnit Application