07-104372 a
City of y Build — Commercial Permit I 7-104372-00-C
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
l ' �
Project Name: BLUEWATER CORPORATION r[
Project Address: 29404 PACIFIC HWY S i , i s P, -1 Number: 120 0081
Project Description: Alteration of storefront due to ROW widening project. **no 'lumbin L. mechani k *
Owner Applicant Contract, ''-r
JOSEPH TODRZAK JOSEPH TODRZAK HOMES AND CAB C JOS L TODRZAK
4918 185TH AVE 4918 185TH AVE HOMESCI940PC 10/3/ .• 185TH AVE
VAUGHN WA 98394 VAUGHN WA 98394 311 24TH ST E ,AU N W4 98394
ED OOD WA 98372 J
))1‘lb
Census Category: 437- mercial al o ion
Includes: #1 #4 i11116
Occupancy Class:
Construction Type:
\11
Oc ypancy Loa.•
F ,,': , ea(sq. 0 0 0
. .,;& ®ditional Pe it Information , '<, , ,,,Al
In t ......Na Number of Stories. ..i ... .'[,
P. 't for B tr Shen ®' .., No Plumbing to be included? ..... ..No
No Fixtures Associated With This Permit!I
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Sunday, September 13, 2009
Permit Issued on Thursday, September 13, 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
andthe City of Federal Way.
Owner or agent: �� Date: 9—/ ---C2 2
a
v
lit?
C.ity�o�' Federal Way �� J
Certificate of Occupancy .
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance,this structure was in compliance with the various ordinances of the City regulating building
construction or use. This caCtificate is valid ONLY when endorsed by City staff.
Tenant Name: BLUEWATER CORPORATION Permit#: 07-104372-00-CO
Address\x9404 PACIFIC H S
Includes: ,Ithi.. l „4., #2 #3 #4
Occupancy Class:- *-.:,`
Constructioli e: „r„.e.
Occupancy Load:I'
jr
Floor Area(sq.ft.) iInf 0 ,, 0 0 0
s•
•,4 EPH DRZAK
Owner Nance: 44bEPH T AK
Owner Name: x.v . . ,
Owner Address: 408 i435114 AgE ,'
VAUGH WA 90694 "/,.
4 i r it ,lit/® 0
Building fficial
iYy
The priority focus in the review and inspection made by the City prior to issuance of this Certificattwas on th matters which
experience has shown most severly affect the health and safety of the general public. Although the City h ade as c• ,-te a
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the Cit ither guaran >
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ,
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land us
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
ti THIS CARD IS TO EMAIN ON-SITE
CITY OF ." ' ''4® Community DevelopnWnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-104372-00-CO
Owner: JOSEPH TODRZAK
Address: 29404 PACIFIC HWY S
FEDERAL WAY, WA 98003-3829
This card is part of your required inspection documents. 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
arc logged on the back of this card.
.70 Footings/Setback(4110) 0 Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By C_...4,3 Dates -1'9-,7 By t"„.,) DateO . /4. b By Date
ID Re-steel(4215) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
By1 Floor Sheathing(4105) �0 Shear Walls (4245) �0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding /'� B
Approved to install roofing
Date Bs Date �r��7(o ` y Date
•
0 Fire/Draft Stops (4095) :NOTE: Prior to scheduling a Framing(4120) l 0 Framing(4120)
Approved 1 inspection;Electrical,Plumbing&Mechanical ! Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
Isigned-off and approved. IBC 109.3.4/UBC 108 5 4
By Date , By C 4.. ..) Dats/d .f f.,. 07
,0 Insulation (4150) El Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
Bye ) Date`bi/ By tDate( .ZZ_0By Date
• F�� � 7
El Final Fire Department(4060) ❑ Final-Planning(4070) [] Final-Building(4050)
Approved Approved �Ajpproved
By Date By Date By �/// i% Date fZA(/ 7 ,
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
r
cin of 0 t b 3 l ,a,
Federal Way RECEIVED PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF(6)0 ME EL PL DE EN FP
33325 817,AVENUE SOUTH•PO BOX 9718 ��''
FEDERAL WAY,WA 98063-9718 AUG 0 7 APPLICATION TD
253-835-2607•FAX 253-835-2609 / �\
V C__ /
www.cityoffecleralway.com
The following is ret Yd3liW fit j 4ncomplete application will not be accepted. Please print legibly(in ink)or type.
r , M
' • PROPERTY INFORMATION
SITE ADDRESS 2 q QC)<// PAL/%-.L Xll✓j/ `S�� feiee -J j,.,Iv SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# >t 4 C.) 2 C7 - C) C/ ( LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 7UILDING 0 PLUMBING 0 MECHANICAL
i/❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (
(Provide detailed description of work included on this permit onlu)
Aof 4-b Or. 64 ric 0' s(, /LC{'K j '7Fb A\ //moi'J /e...... C,:ly 1"6JaGk
ROJ.f if f4:.) 6c &n,(9/6-4rd�
PROJECT NAME(Name of Business or Owner Last Name) oe Art d edt'L (_ /v 2
NI PEOPLE INFORMATION
PROPERTY NAM J� ieL
/�� PRIMARY PHONE
OWNER \c)� trc, c YZR JL /`"'< <i/ (Loa-it c -moc
MA G ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
Z q 4/c ti Aa c -1 c Al / S fie 444--—'Ai 14 g.e+.§i' mat ;u tee)(3):eu%/fag.
i,..) Mk• i.a1d
CONTRACTOR COMPANY NAME APP ANT NAME OFFICE PHONE
�`0/e6 S /1N® 00/1)- me 6)41 eoi v-rs (go )ir63 -z o
Ivy LING ADDRESS CITY,STATE,ZIP CELL PHON
/(3/i d�,sr & rho %', Q�372 (a- 3)..i/O -6-2 9
C TY OF EDERAL WAYBUSINESS LICENSE NU BER EXPIRATION DATE FAX NUMBER
4o ( rL -2 �,L,s 1-- 7--
COPY of cord required CONT TOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each application L CC&
1 /* i 0 1 9,,y o Pe 70- o_3,- 00,
APPLICANT COMPA//``ppp,,,,tt�AM ice
� APP CANT NA t\�'�n/ �^7 Q OFFICE PHONE`,[ J
I✓ C �+l�f � CITY,STATE,ZIP �.1(�-L/ 1( (Z66)CELL N 44 - / 8 ) c
MAILINGE
/Ago
oSq nALi� v gejelf I1
ELATIONSHIP TO PROJECT+j/ ��taOky OA 4 (FNUMBER 9 -/�`
Architect ❑ Tenant ❑Agent ❑ Other ( ) -
PROJECT ✓✓✓ NAME • nn PR ARY PHONE n �p E-MAIL ADDRESS
CONTACT J T(4C Pz A k (Gd) 7 D 6-'-1 TJ V o
LENDER NAME Per RCW 19.27.095:
V (� Lender information is required if project value exceeds$5,000
MAILI ) ES�S`"�, - CITY,STATE,ZIP / PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE ho. (-be)EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ e)
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
��� AREA DESCRI' N EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ.FT.
BASEMENT �.-,
FIRST
/ .
SECOND
THIRD /
ADDITIONAL FLOORS(DESCRIBE)
/ NN
DECK(0 COVERED OR 0 UNCOVERED?)
f
GARAGE 0 CARPORT 0
=STIR PROPOSED TOTAL • TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUM ER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
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 COPY OF BID OR ESTIMATE ,'d ST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS - EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS . S GAS WATER HEATERS MISC(Describe)
BOILERS FI' PLACE INSE: HOODS(Commercial)
COMPRESSORS FUR CES RANGES
DUCTS GAS LO e. TS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom s s) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYS . VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information nishe• • me and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perfo the toot- or hich the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including c• - - penes, 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 • t - city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /'��J
' NAME/TITLE /Ai DATE �/� CJ /
ignature) (Title)
RELATIONSHI•er' •I ECT wner 0 Agent ❑ Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o 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? 0 YES o NO DEMO PERMIT REQUIRED? ❑YES o NO
Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\Permit Application