01-101811City of Federal Way Commity Development Services Building - Commercial Permit #: 01 - 101811 - 00 - CO
un
33530 1st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.305
Project Name: VACATION MARKETING
Project Address: 1627 S 312TH ST
Parcel Number: 092104 9162
Project Description: DEMO - Non-structural interior alteration to existing building for interior demolition only. Remove
existing furnishings and features to prepare for tenant improvements under separate permit (no
structural or exterior work).
Owner Applicant Contractor Lender
Robert Shin I DAVIS SCHUELLER INC DAVIS SCHUELLER INC NONE
PO BOX 169 P.O. BOX 237 DAVISSI105PN 7/1/01
SNOQUALMIE PASS WA 98068-01 , MOUNTLAKE TERRACE WA 9804 1 P.O. BOX 237
MOUNTLAKE TERRACE WA 9804 NONE
Includes:
Census category: 437 - Comm #1 #2 #3 #4
Occupancy Croup:
Construction Type:
Occupancy Load:
Floor Area (Sq. Ft.):
Mechanical............. .................................... No Number of Stories ................................................ I
Permit for Building Shell Only No Plumbing ................................................. No
PERMIT EXPIRES November 3, 2001, IF NO WORK IS STARTED.
Permit issued on May 7, 2001
1 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:
CUWF ,— CONSTRUC 3N PERMIT APPLICATION
PPLICATION NUMBER: -
AY a 7 APPLICATION NUMBER:
APPLICATION NUMBER:
-.ji I r OF FEDERAL WAY - -
*The follaww"W9 nformation — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORMATION
1/ 1
SITE ADDRESS: 1 6 '1-7 S D Z }� S i- ASSESSOR'S TAX/PARCEL
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ ■ s
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIOLLN (Provide detailed
s i ,+ - —' C GI U S rL A/ [Le
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
iption):CL�✓-=_ 1NfLI_dy" r�/h/�(— �1/r�✓�!
NAME-
IC be,4 S 4
DAYTIME PHONE:
( ems) 939 - 13do
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_
MAILjj1G ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
NAME:
DAYTIME PHONE:
M LING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP).,
AV r1 �� T rry
�r 1 �Id
W G I U
EVENING PHONE:
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
a
Q ,�I
EXPIRATION DATE:
l l
(copy of card required) Q V s
O L. ram'
APPLICANT: NAME: T ) DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, ATE, ZIP): EVENING PHONE:
RELATIONSHIP TO El ARCHITECT PROJECT: FAX NUMBER:
El fI OTHER( DESCRIBE): L�i7 r -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
INFORMATIONDETAILED BUILDING
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $_
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER- ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
■ PROIECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) _ HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACEINSERT(S) RANGE(S) MISC.( }
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINALS)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
ElELECTRIC ❑ GAS
= • : ■ 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: 1Y1tI\ F�f4��rr DATE:
❑ PROPERTY OWNER ❑ APPLICANT 1 CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES ❑ NO
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 - FAX: 253-661-4129