04-104376 City of Federal Way •
Community Development Services building - Commercial Permit #: 04 - 104376 - 00 - CO
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: HOLLYWOOD VIDEO
Project Address: 27320 PACIFIC HWY S Parcel Number:332204 9009
Project Description: ALT-Construct tenant improvements in newly constructed shell building. Does not include plumbing
or mechanical work.
Owner Applicant Contractor Lender
BALDRIDGE-FEDERAL WAY LLC RHL DESIGN GROUP WOODBURN CONSTRUCTION CO NONE
11825 MANCHESTER RD RHL DESIGN GROUP WOODBC*201PL 11/2/05
ST LOUIS MO 63131-4620 1550 140TH AVE NE SUITE 100 PO BOX 129
BELLEVUE WA 98005 WOODBURN OR 97071 NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: M
Construction Type: Type V-B
Occupancy Load: 190
Floor Area(Sq.Ft.): 5700 �r _
AA •141o1
�
1st Floor Proposed Sq.Feet 5700 Building Pre-ccelting#� 1Vo
Census Category 437-Commercial alt/add Fire Sprinklers Yes
Mechanical No Number of Stories 1
Permit for Building Shell Only No Permit for Foundation Only No
Plumbing No Special Inspection Required No
Total Proposed Sq.Feet 5700 Will Certificate of Occupancy be Issued9 Yes
Zoning Designation BC
PERMIT EXPIRES February 7,2006.
Permit issued on February 22,2005
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:
See ApplicationDate: See Application
n • • ( +t►
City of Federal Way Building - Commercial Permit #: 04 104376 - 00 - CO
Community Development 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: HOLLYWOOD VIDEO
Project Address: 27320 PACIFIC HWY S Parcel Number:332204 9009
Project Description: ALT-Construct tenant improvements in newly constructed shell building. Does not include plumbing
or mechanical work.
Owner Applicant Contractor Lender
BALDRIDGE-FEDERAL WAY LLC RHL DESIGN GROUP NONE NONE
11825 MANCHESTER RD RHL DESIGN GROUP
SAINT LOUIS MO 1550 140TH AVE NE SUITE 100
63131-4620 BELLEVUE WA 98005 NONE
Includes:
Census category: 437-Comm #1 #2 —ii #3 #4
T� — �}}
[-Occupancy Group: Jf __ _ — — L
Construction Type: L
Occupancy Load: T 71-
Floor Area(Sq.Ft.): N _ 7[_ -
Census Category 437-Commercial alt/add Mechanical No
Number of Stories 1 Permit for Building Shell Only No
Plumbing No
PERMIT EXPIRES August 21,2005.
Permit issued on February 22,2005
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 Way64.5/Alahl,bir Owner or agent: Date:7 2,7 QS
' THIS CARD IS TO &MAIN ON-SITE
CITY OF " CommunityDevelo m nt Iris ccti
n Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104376-00-CO
Owner:
Address: 27320 PACIFIC HWY S
FEDERAL WAY, WA 98003-6999
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.
O Footings/Setback(4110) 0 Foundation Wall (4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel(4215) 0 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) ❑ Floor Sheathing(4105) 0 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) w*
❑ 0 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) 0 Insulation (4150) ' 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
O Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
O Final-Public Works (4080) IM Final- Building (4050)
Approved AL.,, Approved
By Date By Date k
/o 3 > ' -
1K.A...-",
• RECEIV T - rl 7' 3 7---&
eFaIWay PERMIT
SF MF 0 , E EL PL DE EN
`'OMMUNITY DEVELOPMENT SERVICES
3530 FIRST WAY SOUTH• BOX 9718 APPLICATION- 1 2 6 zap
FEDERAL WAY,WA 98066 3-9718 '�P
253-661-4115•FAX 253-661-4129 204
DID
eitrintfederalwalifinn CITY
Il JOIF FEDERAf W 7 / /� / 0 Li
The ollowin• is re•wired in ormation-an incom•lete a.•lication wttt Irl icia,q-a.-d. Please •rint le•ibl in ink or -.
A [1� PROPERTY INFFORMATION
SITE ADDRESS PA-GI rC 1 I C - Y k Z-72- ST 047,32 b T ti 5 SUITE/UNIT#
?
ASSESSOR'S TAX/PARCEL# J s 2 1 D q - `/ O V q LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT X BUILDING ❑ PLUMBING o MECHANICAL
D DEMOLITIO ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descri tion of work included on this permit only)
TENANT FIN ISH . �NoR- NoN- $T>zu�D-' 4L- PAX-117-10H
WA LL5. R EL-ATTR E LE C-Tia..1 C 4 1--. c---t FE--c-c.-)r-r3, i NTD E>cI ST1 N(-7
P Nel-s ANA 5'EP_JI c . . lzwivT1ooNt?, o FF-(cE, A Nt> NVAC_
_P>r t-ANALolt..D v1-lAE .... A 5-e-P ARA-TS p -M 1-t'
PROJECT NAME(Name of Business or Owner Last Name) No 1,1.-Y w oo D VIDEO t 017470
u ?, PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 1/°LLL(IUOOD gNNTPaeTA,NM -r (JEtl$I E NEWMAN) (503 570 - 1600
MAILING ADDRESS CI'Y,STATE,ZIP
9275 5N Pott 1-t�( W«swHVtu�, D12- 97070
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
70 DETERMIMED ( 1 -
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 /� 1 /� APPLICANT NAME OFFICE PHONE
g1-11- DE-516N CiR0UP, I• f. (h� '(r.i. -,.'i L#`.r_yY (qz 7L -1677
MAILING ADD SS l.ITY,STATE,ZIP CELL PHONE
I5 / - Ave- NE 100 BELL>rvue, WA 9occs( ) -
RELATIONSHI TO PROJECT FAX NUMBER
Architect ❑ Tenant }Agent CI Other(Describe) (425) 7146 - 6 )36
CONTACT MAPr1N
, ` PRIMARY PHONE E-MAIL ADDRESS
4--A K elf (1{2517' 6 - 11677x 3011 pulakeykrildesi9n. r
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000 �x?�
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE N f'A - PROPOSED USE VI DEO STU R -/2-7 1 t I'.•.
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 57/ OCO 0r
�J c..ANDLo2-D
SPRINKLERED BUILDING? ElIRE YES ❑ NO FSUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
-' PROJECT FLOOR AREAS •
7 AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
• BASEMENT
FIRST b5W 6500
SECOND 7 W
THIRD
•
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
I TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offi cture to be installed or relocated as part of this project. Do not include existing factures to remain.
MECHA •
Value of Mech. ' al Work $
AIR HANDLING UNI EVAPORATIVE ' I G. .GS REFRIG.SYSTEMS
COOLERS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS / RANGES MISC(Describe)
COMPRESSORS F1'' 'CES GAS WATER HEATERS
DUCTS � G:.��s<`- km:,''
PLUMBING I 1 /
BATHTUBS(or Tub/shower SHOW RS WATER CLOSETS MISC(Describe)
combo) (Toilet)
DISHWASHERS SINKS DRI
FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SY
WASHING MAC ES URINALS HOSE BIBBS
LAVS(Ba m 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/TITLEiril ,•gL b65(01l OROUP/ DATE /07Z-5/°9
(Sig a (Title(
RELATIONSHIP TO PROJECT ❑ wner Agent 0 Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
NEW u ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? ❑YES ❑ NO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application