10-102030 I
City of Federal Way 4uilding - Con'imercial
Community Development Services Permit #: 10-102030-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 Request Inspection Line:
Ph:(253)835-2607 Fax.(253)835-2609 p (253)835-3050
Project Name: SUMMERS CHIROPRACTIC
Project Address: 2211 SW 356TH ST Parcel Number: 252103 9055
Project Description: REP-Tear off existing hot tar roofing; install TPO roofing system.
Owner Applicant Contractor Lender
SUMMERS CHIROPRACTIC LLC DANIEL CARASELLA NORTHWEST FINISH GROUP INC
2201 SW 356TH ST NORTHWEST FINISH GROUP INC NORTHFG993K1(7/27/11)
FEDERAL WAY,WA 98023 PO BOX 547 PO BOX 547
SUMNER WA 98390 SUMNER WA 98390
Census Category: 555 -Non-structural roofing permits
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
�4 :41
•
X51.. :'. ..
Mechanical to be Included9 No Number of Stories ,...1
Permit for Building Shell Only? .No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
0 ki€ $e si .
PERMIT EXPIRES Wednesday, November 10, 2010
Permit Issued on Friday, May 14, 2010
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 nd regulations of the State of Washington
and the ity of Feder y.
Owner or agent: Date: i/f 9 l9
IN4LUb q/f/io
•P.IA,
THIS CARD IS TO REMAIN ON-SITE
inn OF
Construction Ijection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 10-102030-00-CO Address: 2211 SW 356TH ST
Owner: SUMMERS CHIROPRACTIC LLC FEDERAL WAY, WA 98023-3059
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
0 SWM Precon Site Mtg(4400) - ❑ Initial Erosion Control(4365) Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
.El Foundation Wall(4115) 0 Drainage/Downspout(4040) ElRe-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
El Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) El Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
El Shear Walls(4245) ❑ Roof Sheathing(4220) " ElFire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By c,��` Date ,�_l C`1�\ By Date
❑ Interim Erosion Control(4370) i
ramng
❑ F
Prior to scheduling a Framing inspection; (4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 By Date
El Insulation (4150) ❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
❑ Final-Fire Department(4060) ‘ 0 Final Erosion Control (4375) El Final-Building(4050)
Approved Approved Approved
By Date By Date By ,----‘ Date /D
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
. .40-Nac,e1:\I iliPERMIT 71
- CITY OP k) °-5 SMF 0 ME EL PL DE EN FP
* Federal
COMMUNITY DEVELOBIENT SERVICES4
4r,. - 4,ftpob
ACATION . . . ...
. . . . ... . . ,
. , .. .,.. ..". , . .. ..,--)
253-835-2607.PAX 253-835-2609
wunceituoffederalwatom De
. . ... . . . . .... ... . . ...... ... .... .... ......... .... .... .....,. ......... ,......... . .. ........ . . ...... ............
aimmonissatiemar;!;::,,alomommetsonstrommommossomm.ratmestaimumin
SITE ADDRESS
c.) ( 51,1' 336 — 51-1 , -(---7-4,-e-e-t tAJ( (7 (/j II' ekq'O3
SUITE/UNIT 4/ ZONING ASSESSOR'S TAX/PARCEL
stionsiondsonsommosonsou.:.!.:: ...:), :exiMMINININERP WeINNIMMEMBEININE
NAME OF PROJECT
S livt p ircxxrim' t c-
(Tenant or Homeowner Name) U vAvvt-eC5 Cro
)(BUILDING 0 PLUMBING 0 MECHANICAL.
TYPE OF PERMIT
0 DEMOLFrION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DESCRIPTION k'a- R.O., a . ; tcl.'„,- --T-..„--;;,,,A 0-4-a+- li4- --r
Detailed description of work to 3 1
be included on this permit only
Ii-s-e.-Ct$•-r-t.v1C1\ fr'-± Li,:;1-lek %1 t.-1,----, A,,13 1-t.; 4.- -T)=,
-,
ireteginalaidateitallEatintrbegr: ::t.'";.''............................................................ ..................................................................
NAME PRIMARY PHONE
PROPERTY OWNER bp,. 6_,14, S uvvi vvt_c._(.5- (A-53 ) 37? -)1/ht/
MAILING ADDRESS JOITY,STATE,ZIP E-MAIL
i41
1111'0 t S c^i 3-- G- '1". •c-r-a fi-
r -
OWNER IS ALSO: 0 CONTRACTOR rEr APPLICANT 0 PROJECT CONTACT ...
NAME PRIMARY PRONE
a 0 ritt wtst Fi'4,t'sk2,4e. 6),,,,,..; ) ( 3 ) AP,1 - 333 t
t
MAILING
CONTRACTOR ADDRESS,CITY,STATE,ZIP FAX
P.C. 18 ,ti. 5,./yvi et 4.4- kill- W31 a (253 ) - 4-1/04
WA STATE CONTRACTOR'S LICENSE 0 1 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE•
7 /ezi. ' ii ao-o.ii--- la,24,7T-00-et_
NAME PRIMARY PHONE
APPLICANTC--.----re,s_i_1, c„,.._
t (6153) c:11 - 333
MAILING ADDRESS,CITY,STATE,ZIP FAX
,
O. B9.bc s -1--i 5 e,vvvrt-e—r w'A- ct C.37 0 (AS 3 )W, - Li-70 C
i
PROJECT CONTACT NAME PRIMARY PHONE
t i
(The individual to receive and b".-v•-t.-c_.-‘, C -c—s-e-[101--- ( 2s3 ) ,,..10 -333(
respond to all correspondence suaLnIG ADDRESS,CITY,STATE,ZIP FAX
concerning this application)
P....o.._ BA til 5 u,,,,et-e-r kr fj- q S'3 9'0 (ASI, )!FIA4, - q 7o
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
-
, ci c-43-,ro_se_[10.6)e.44 co.it vt tt
PROJECT FINANCING NAME
,Erii4NER-1PINANCED
Required for projects with
-
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
/further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this angle
i
SIGNATURE: ,. 4.------. . DATE 57 1 3)1 0
PRINT NAME: b,..,,A- J- -TS'. C--,,,ro,f-,-cli c, •
Bulletin#100—January 1,2010 Page 1 of 4 k:\Handouts\Permit Application
• . •
iiiiiiiiiiiiiiiilligiiiiiiiiiiiiiiiiiiiIIIMINSiiiiiMilif:REIMEURANICAUFDCIIY1411.0..V V!..-.!L..: ---,:::::igiiIiiniiii!iiiiiiiiiiggiiiiliiiiiiiiiiiii:iiiiiiiiiiiiig-HingamiNimin '
Value of Mechanical Work$ -' (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be '•_filled or relocated as part of this project. Do not..- ,•e existing fixtures to remain.
-AIR HANDLING UNITS FANS GAS PIPE 0 0 - OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOO•: commenael)
BOILERS FURNACES • WATER TANKS(G..)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTTOVES t
•
HOlniSMEMBENNERIMiniiiiiiiiiiiiiiiiiiiiiiiiiiffigE
Indicate number of each type of e to be installed or relocated as part of this project. Do not • • - existing fixtures to remain.
BATHTUBS(or Tub/Shower co...- LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINA - OTHER(Describe)
DRAINS SHOWERS V UM BR KERS
DRINKING . AINS SINKS ISdeben/urtay) WATER HE RS(Hectrid
HOSE - :BS SUMPS WASHING CHINES TOTALFI7 S
1.
'7.57-Thiiii:i!iiNiiiiiiiiiiiiiiii.0 I. l 1ERAL INEORMA Pi
VALUATJIIo
ATER PURVEYOR SEWER PURVEYOR VALUE OF E7asTmO IMPROVEMENTS
• i -7l
$ 1 $
.\ ^�. ln../PREVILOT SIZE(In Square Feet) E7OSTANG FIRE��'RII KLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ 'es❑ No- ❑Yes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPO- D TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
c.OND FLOOFL>....::
COVERED ENTRY
1DE
GARAGE 0 CARPORT 0
OTHER(describe# : #
` Z O8T1IG PROPOSD TOTAL
Area Totals
- WEWHO ONLY ',
ESTIMATED SELLING PRICE$ #OF BEDROOMS
<:::: >:::>. O. . :.. ... . . : ... . : /ATII)ITIO ..: .
>:::. ;::: ER+��.I,.....:SIE . ... ..:.:.. . ::>;:::::::.....::::.:.:.: ..::. . .....
Group(S)AREA DESCRIPTION Area Construction #of
OccupancyGrou s Additionallnformation
in quare Feet Type Stories
NEW BUILDING
,.
ADDITION
AREA DESCRIPT •N Area Construction #of
Occupancy Groups) Additional Information
in Square Feet Type Stories
...... ..........
TOTAL.BUILDI <
TEN T AREA ONLY
PR AREA ONLY -
Bulletin#100—January 1,2010 Page 2 of 4 k:\1Iandouts\PermitApplication