07-102687Comm n'ityG veopmenit #: 07-102687-00-C
Cty of Federal aytServices Building - Commercial PermC)
P O Box 9718
Federal Way, WA 98063-9718 Inspection Request Line: 253 835-3050
Ph: (253) 835-2607 Fax: (253) 835.2609 p q
Project Name: NIEMEN GLASS
Project Address: 34621 16TH AVE S Parcel Number: 889700 0080
Project Description: ALT - Installing (2) awnings to the side of the building. (1) over the entrance on the north
side and (1) over the window on the east side, facing the right of way.
Owner Applicant Contractor Lender
FRANCINE O. HOYT SIGN -TECH ELECTRIC SIGN -TECH ELECTRIC
14117 12TH SW 5113 PACIFIC HWY S SUITE 12 SIGNTEL988BG 1/7/08
SEATTLE WA 98166 FIFE WA 98424 5113 PACIFIC HWY S SUITE 12
FIFE WA 98424
Census Category: 437 - Commercial alt / add / conversion
Includes:
Occupancy Class:
Construction Ty e:
occupancy Load:
Floor Area (sq. ft.)
#1
#2
#3
#4
0
0
0
0
Additional Permit Information
Mechanical to be Included?... No Number of Stories..................................................1
Permit for Building Shell Only9............................ No Plumbing to be Included? .......... ,......... .................. No
New / Additional Sq. Feet - Total .......................... 0 Zoning Designation ................................................ BC
No Fixtures Associated With This Permit H
PERMIT EXPIRES Thursday, July 2, 2009
Permit Issued on Monday, July 2, 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
the City of Federal Way.
Owner or agent: Date: 4�rC
THIS CARD IS TO rFMAIN ON -SITE
CITY OF Community Development Inspection Record
_� �.= '`
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-102687-00-CO
Owner: FRANCINE O. HOYT
Address: 34621 16TH AVE S
FEDERAL WAY, WA 98003-6803
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
—
❑
[]
Underfloor Framing (4285)
Re -steel (4215)
❑ Slab/Concrete Floor (4255)
Approved to place concrete or grout
Approved to place concrete
Approved to sheath floor
By
Date
By Date
By
Date
❑
Floor Sheathing (4105)
❑ Shear Walls (4245)
❑
Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By Date
By
Date
❑
Fire/Draft Stops (4095)
❑
Framing (4120)
NOTE: Prior to scheduling a Framing (4120)
Approved
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Rough -in and Fire/Draft Stop inspections must be
By
Date
signed -off and approved. IBC 109.3.4/UBC 108.5.4
By
Date
❑
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)
❑
Final -• Building-(4050) -
❑ Final -. Planning .(4070)
Approved
Approved
Approved
By
Date
Ey Date
By
Date .�•
4z'�
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Federal Way Zoos PERMIT SF M ' CC? ME EL PL DE EN FP
COMMUNTly
AVENUE
` I CATI ON
3332E D AVENUE SOUTH • 63 BOX 9718 \ P ` _ Hza:
FEDERALWAY. WA 53-83 -260 �V1 A 253-835-2607•FAX 253�35-2609 Djf+ �is� �.
The following is required �uttolt - an incomplete application will not be accepted. qlf Please print legibly (in ink) or type.
SITE ADDRESS �` I I y f i SUITE/UNIT ii
g 7 0 C( _ 0 Q T �/ LOT SIZE (sf1
ASSESSOR'S TAX/PARCEL � � n
r, Q 7�Jp GI WvI Plr Oyer ��e lry+•�r►la�•�I �8 �Gtrl'/�'.s
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) .J r �
�tuarh y, nm pMefir fe :Nw LWW ac-ScnPunn)
TYPE OF PERMIT 81BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description
//of tuorrk included on thhis permit onIrtl
S �' d�fE'
-I I ,.I —/ --.
01 /
PROJECT NAME (Name of Business or Owner Last Nnrne)
PFtfMARY PHONE
PROPERTY NAME [ ?F3
OWNER [YMIuLnDDRESS
MMUNGADDR.ESS my. STArF 41'
& - cnm
OMPANY NAME APP1dCM17 tYAu OFFICE PlIONE
co�vrl;A O/e�,'C II����� I's/ (gh )
5. vJ le,,(`I SPA , ZIP
cal. PHOINE
JNC hl]D12F5S C PE
CITY OF i•T:F]L•:RAL WAY BUS ESS LlC(;lt1.^� NLIM6ER [:XPiRATTON GATE PAX NUM31 Eli
CON'IRAUPOffS NF.GWINAT10N N'JmDuR GXYIi+n'iION r7ArE F.•MAU.ADDRESS
5j G,ll T�L 5'�81�G o� �7 ob' �i�ra Is'r,f��tie/c,r;
rk6 �>}, app]Icaxloo
APPLICANT N , C OFFICE Pr -LONE
COHir'Ab'Y NAME I ..r/dTrr ��i. [ 3
APPLICANT �/ �IP(;fr�cIPFtnne'S� - h
MAI NG nP111R J CITY. JCTE. ZIP
FAX NUMBER
RELAMONSHWTUFMM . 1[�17 ! -�Sz`
❑ Architect ❑ Tenant 1lAgent ❑ Other
PROJECT
CONTACT
LENDER
( ib O-
PerRCW 15.37.vS5:
Lender lqArmudw+ is required
value exceeds $5,000
HONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 0
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN o MGFII.INE ❑ TAICOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT■O•
AREA DESCRY. PION
AREAS
EXISTING PROPOSED TOTAL
Sq.- FT. S . FT. cw FT.
BASEMENT
FIRST
SECOND
'THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
r_ctnTa..n
eaoro®
caret
rwruexrm++c BY
�oreciRormry sF
ronusv
-NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ __
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include ex(stLW f Lxtures to remain.
Value of Mechanical Work $
(A COPY OF BID OR ESI7MA7E MUST BE INCLUDED WrM APPIdCA770N1
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS icommecclap
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or'11ib/Shower Combo)
LAYS i[tnhn••-ti SbAs)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS nb&tj
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
I certify under penalty of perjury that the l formation 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 4f the city. incWding lts qfftaers and employees, upan the accuracy of the information supplied to the city as apart of
this application. .; 1
NAME/TITLE
(s�e�
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent t
FOR 4�IC1� iI9E ilPl[ !)
❑ NEW ❑ ADDITION
BUILDING SEA. ONLY?
ZONING DESIGNATION
NEW ADDRESS REQUIRED?
PLATTED LOT?
❑ ALTERATION
YES ❑ NO
❑ YES ❑ NO
❑ YES ❑ NO
mow- W15ry.21
-2
Contractor ❑ Architect ❑ Other,
❑ REPAIR ❑ TENANT INMMOVEMENT
BASIC PLAN?
CHANGE OF USE?
UP/SEPA/SU?
DEMO PERMIT RE
❑ YES ❑ NO
❑ YES ❑ NO
❑ YES ❑ NO
Ll YES ❑ NO
Bulletin #100 - April 2, 2007 Page 2 of 4 MandoutslPermit Application