05-101610 •
eral
City munity evel Way Building - Commercial Permtttt #: 05 - 101610 - 00 - Co
Community DevelopmeMt Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: 2505 S 320TH ST Suite 620
Project Address: 2505 S 320TH ST Suite620 Parcel Number:797820 0535
Project Description: TI-Install walls and doors for new tenant.
Owner Applicant Contractor Lender
J&Y Investment J&Y Investment J&Y Investment NONE
13714 SE 75TH ST 13714 SE 75TH ST
NEWCASTLE WA 98059 NEWCASTLE WA 98059 13714 SE 75TH ST
NEWCASTLE WA 98059 NONE
Includes:
Census category: 437 Comm- #1 #2 f #3 #4
Occupancy Group:
Construction Type: _ ,_-
Occupancy Load
I Floor Area(Sq.Pt:): -----Hr
Census Category 437-Commercial alt/add Mechanical No
Number of Stories 6 Permit for Building Shell Only No
Plumbing No
PERMIT EXPIRES October 5,2005.
Permit issued on April 8,2005
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: { Date: t f/r ts_S
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AIL _4 THIS CARD IS TC: MAIN ON-SITE
CITY OF F ,;�;,
illt ommunity Develop ><tnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101610-00-CO
Owner: J & Y INVESTMENT
Address: 2505 S 320TH ST Suite 620
FEDERAL WAY, WA 98003
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
are logged on the back of this card.
❑ Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout (4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel (4215) t❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor (4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing (4285) 0 Floor Sheathing (4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
Roof Sheathing(4220) Fire/Draft Stops (4095
El Roof ❑ P \ ) NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
•
•
.❑ Framing(4120) �❑ Insulation (4150) �❑Gypsum Wallboard Nailing (4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
133 (6 Date z —1 5'vim`By Date GS, Date A - /6:- O
• i
IJ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By4r Date i
';'t ?-- By Date By Date
❑ Final-Public Works (4080) Final-Building(4050)
Approved Approved
\��
By Date B �`�� Date fl
REcEivE� �� - 1 oL121s2
Federal Way PERMIT '�
COMMUN1TYDEVEIAPMENfsERVICE�,A SF MF( ME EL PL DE EN FP
33325EtNAVENUE,WA 9•POBOX9718 " o $ zAPPLI CATI ON
FEDERAL WAY,WA 98063-9718
253-835-2607•FAX 253-83
www.cityrieY OF FEDERAL WAY
BUILDING DEPT
The oliowin• is re.uired in orma n-an incom•lete a.•lication will not be acce•ted. Please •rint le!ibl_ (in ink)or p
PROPERTY INFORMATION ,
SITE ADDRESS ^Lj l ' '3 s - 1 9'T SUITE/UNIT# ;jt /6.L4
ASSESSOR'S TAX/PARCEL# 7 q 7g Z C) - O -S 3 LOT SIZE (s/)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT (BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
/eMMPIIZC1h7L T. .1
PROJECT NAME(Name of Business or Owner Last Name) /1/ ' Dew-7w 1-. , /z/MY -
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER S /Nve9 4"mT LLQ- (ag"3) 2 - St Fs
MAILING ADD CITY,STATE,ZIP
/ SE. -7 Nei...5(447 a r 40/9 17A67
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Y K v Py771/1rT 114- �`o/t!� C, Kr�NC-t (a5,),9” -' 8
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/ 5E '7y7-#1. 4'T Nee/do-714-LE 41N,961 oi )cpsI -4-'i
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent 0 Other(Describe) (793)731 - 50nq
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
9ccf C , ). - _gid: k N— K o2E?l D 2diIL'[.tel
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
III DETAILED BUILDING INFORMATION
/�
EXISTING USE ('(./4/0£ 4 L PFF1 Ce. PROPOSED USE t 1/f/✓)G ( 4L OFf iC�
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 6 ') '
SPRINKLERED BUILDING? K YES H NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? /Q YES 0 NO
WATER SERVICE PROVIDER $.LAKEHAVEN ❑ HIGHLINE i-( TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER %LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
Goa
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
Sg.FT. Sg.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)`_
U TH Flo o T L 1 SDZ, A 7e
DECK(COVERED?)
GARAGE ❑ CARPORT❑
EXISTING PtOPO® TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number ojeach type offuxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHA
CAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSI EMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING MISC(Describe)
BATHTUBS(0,mb/shower Combo) SHOWERS WATER CLOSETS nbikU
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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.
NAME/TITLE re. DATE > 475
igatu ] (Title)
RELATIONSHIP TO PROJECT AO ❑ Agent 0 Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
r,NEW ❑ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? c YES ❑NO BASIC PLAN? c YES ❑NO
ZONING DESIGNATION CHANGE OF USE? (i YES ❑NO
NEW ADDRESS REQUIRED? , YES ❑NO UP/SEPA/SU? r YES ❑NO
PLATTED LOT? ii YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application