02-105057 r •
• •
e
City of Federal Way
Community Development Services Building - Comme ' , Pe 't #:02 - 105057 - 00 - Co
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 nspecti I request line: 253.835.3050
Project Name: COSTCO BAKER I EPARTM 3
Project Address: 35100 ENCHAN .D W Parcel Number: 219260 0180
Project Description: CO-Changeout o (3)o ns s , ection,w: • nection,and drain connections.
O ' .licant Contractor Lender
COSTCO F.SALEVE HE PL G JOIN THE PLUMBING JOINT NONE
1809K„:1 TH ANN
AN WA 98033E51 UNIO• ENE:055 351 UNION AVE NE
RENTON WA 98055 NONE
Includes:
Census cate(Tccuc •437 Comm • —#2 ; — -1■
CConstruction Type: �,- _ —1
A ML
Occupancy Load:
LFloor Area(Sq.Ft.):
Census Category 437-Commercial alt/add Me ical. lir.... Yes
Number of Stories 1 it for B g She I my
Plumbing Yes
" - mbi Fixture;
1 Other Plumbing�Fixture 1lir
than cal Fixtures
,,Des n101)..., Cr-1t ,. vs °i . r: -.. . 10 -.m 7De 1', a_I l
Ranges =— 3
IC)
PERMI EXPI Ma 2 I IF NO WORK IS STARTED.
ifi sue n Nov. ber 13,2002
I hereby certify that the above information is co - . th e construction on the above described property and
the occupancy and the use will be in accordance ' - ii e law les and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: 7A/3 - v/�
7?--
r �
CITY OF • Building Division
FederafWay • PBFirst Way South
P.O.O.Box 9718
Federal Way 98063-9718
Phone 253-661-4115
Fax 253-661-4129
INSPECTION NOTICE
ADDRESS: Z -/d547'
#: 3J 51e0 f1?C I qri1, tA�
g1eGir i c A fAA 11 t _S prier I o a<ii / bui /AIN '
IF YOU HAVE ANY QUESTIONS CALL ill l'C/7d //1253) 661- 4i267
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
ii/Zo1.9
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE Page / of
• •
�ErzRL CONSTRUC I ION PERMIT APPLICATION
N).\> Fly APPLICATION NUMBER: Oa- Q �Q -
APPLICATION NUMBER: -
• APPLICATION NUMBER: _ _ - - _
**The following is required information-Please print(in ink)or type**
I
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
• - - ■ PROPERTY INFORMATION
SITE ADDRESS: 3570a 1-nitam41 PKiv 5.,• ASSESSOR'S TAX/PARCEL#: A ± 9 a 6 0 - .40g ? a
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
-::-..-;:;....'.....:-.:-_7-_-.- ,. IN 'PROJECT INFORMATION-:.>-
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING 1$MECHANICAL ❑ DEMOLITION
El ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Proviide detaile description): C Q , D k 3 o - ,j e .FO r e
Gets 6°hh ry J (Na zCr c ncc onS k`41 i Ca111-A4.1-l°hS
J
PROJECT NAME: C05i1C01 Q r 6 80./Z y 6 ('4 s.
- . ■ PEOPLE INFORMATION
T-
PROPERTY OWNER: NAME: tJ- / DAYTIME PHONE:
SrG� 5-J)rC J /te-
( ) -
MAILING 3S/0Q ADDRESS
ADDRESS;CITY_
STATE,
Fels((vv',wk. 7f603
CONTRACTOR: NAME: ,PTr�, (-r4e Piu�)Ai �Oiw DAYTIME PHONE:(
40-51 a?-7-3
MAILING ADDR�E,S(/5(STREET ADIgfttESSS;;CIf',STTA/TTEEE,ZIP)): ��/"�/�//'��, ��y�/ 1r -
357 �Y K(1S✓1 Ave v '`�' V 1 a n " ' v / D O 7 ( yNnING PHONE:
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER NUMBER:2-21-3
2' Q - 4 . L 06o `f3- OO. L (' 5 a-21- o/Y)
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) 1f INiQ rQIjRloD / JT lO
g+
APPLICANT: NAME: DAYTIME PHONE:
Ce'e,d 614/1/
,is
lyy(STREET
EVEN
NG PHONE:
U / D("(tti li SDILve ST Y P) � o iI I�� ! fJOV7 (44312-YI3- 33-4 '
RELATIONSHIP TO PROJECT: J FAX NUMBER:
CI ARCHITECT El TENANT MOTHER(DESCRIBE): G ( ) a� -040
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: CIPROPERTY OWNER CIAPPLICANT tx CONTRACTOR 2.---••••""'"‘".-‘
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
'
1(L} 0
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ LI
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTIOWLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRO: $
■ PROJECT FLOOR AREAS •
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
•FIRST
•
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
...:.—•--..�-...gd.gw --. _... .- ..��.,..,��.:�,,..;� wt�'FIXTURESr«.::.b7F�....:,...,.,.�,'.:�L�:;.�.�:�,�:..�.4.:,..�.:�...-.�.,.� -...«�„n..
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) 3 MISC.( 0(r2 iS )
COMPRESSOR(S) FURNACE(S)
DUCT(S) _ GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC IX GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET ,O O•Ll D)
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) I MISC.( �.. '\ u r
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(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of the information supplied to the city,as a part of this application.
NAME/TITLE: &CI(g.c."‘ ) /W4teilf'114teh V DATE: !/L/3
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
;FOR OFFICE USE ONLY <.
❑=NEWS -;: :❑ ADDITION Li ALTERATION CI REPAIR __,:._❑TENANT IMPROVEMENT:`€
CENSUS,CODE .LOT SIZE .
ONTNG DESIGNATYON
'BUILDING SHELL ONLY?, ❑YES _❑ NO
'COMP LAN DESIGNATION "� }_ ,Y4 BASIC PLAN? D ES NO`' .r. ' `
*SECTION { = `TOWNSHIP, 'r RANGE NEW ADDRESS REQUIRED? ,. . :.:❑ YES f,❑ NO,-:';'
=PLATTED LOT? ❑IYES ❑ NO '• CHANGE OF USE? ` - `❑ YES =';❑
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUP 1•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.cityoffede21wa Y-4om