09-101417 T ! 0 3uilding - Commercial
City of Federal Way Q
Community Development Services Permit #: 09-101417-00-CO
P.O.Box 9718 n
Federal Way,WA 9863-9718 1 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 y p Q
Project Name: AMERICAN FAMILY INSURANCE
Project Address: 27400 PACIFIC HWY S Suite D Parcel Number: 872992 0010
Project Description: Ti-Interior remodel only,non-load bearing partitions to create(2) offices.No plumbing or
mechanical.
Owner Applicant Contractor Lender
JEFF KRAFT HORIZON RETAIL HORIZON RETAIL
NEIL-WALTER COMPANY CONSTRUCTION CONSTRUCTION
1940 E D ST SUITE 100 1458 HORIZON BLVD HORIZRC072N5 4/15/11
TACOMA WA 98421 RACINE WI 53406 1458 HORIZON BLVD
RACINE WI 53406
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 12
Floor Area(sq. ft.) 1,123 0 0 0
Additional Permit information
Existing Sprinkler System in Building? No Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Professional
Services/Offices
diikor R,'��'n ,,,,,,:,,,,,,,i..:,,,41,,,,
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im
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Monday, October 1 . 109
Permit Issued on Wednesday, April A 1 0
I hereby certify that the above information is correct and that the constru4i• on the above described property and
the occupancy and the use will be in accordance with the laws, les regulations of the State of Washington
an• he City of Federa
Owner or agent: s;r/ /1/ ? Date: �� -(27
h� t�
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ref' VAw
V
. i. THIS CARD IS TO•EMAIN ON-SITE •
CITY OF 1•,....• CommunitY Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09-101417-00-CO
Owner: JEFF KRAFT
Address: 27400 PACIFIC HWY S Suite D
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.
0 Footings/Setback(4110) ❑ Re-steel(4215) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
0 Underfloor Framing(4285) ❑ Floor Sheathing (4105) ❑ Fire/Draft Stops (4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
NOTE: Prior to scheduling a Framing(4120) ❑ Framing (4120) ❑ Insulation (4150)
inspection;Electrical,Plumbing&Mechanical i Approved to insulate Approved to install wallboard
1 Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4 1
B� Date 00-09 By Date
❑ Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By �Cij Date 4-2Z- Q9 By Date By Date
El Final-Planning(4070) ( ❑ Final-Building(4050)
Approved Approved
By Date lI,-y—V= Date S---- (7 —al
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
CITY OF ,�� � 90-, — d A, ( 4 `
Federal way PERMIT
VI 8R,1"5 2009 SF MF 68)ME EL PL DE EN FP
3332E ST"AVENUECOMMUNITY SOUTHDEVELOPMENTSER•63 BOX 8` APPLICATION P L I C A T I O N TD
FEDERAL WAY,WA 98063-9718
253-835-2607. /
UMW( uoFAX253-835-459FoF E,�E R A, ii
The following is requirelil'})Gmation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
1� t ' _ C• PROPERTY INFORMATION
SITE ADDRESS;��}X 4V0Cik,the 1iLA- SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sfl
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
`-1'ht5 I4;t( &L. Cti t �'ktom r-Q m.cc,e ( n�l — (lie 1.6;(( irt -(ek(( iter1-e,1 c ti-' rico 4
b-Q -O paA, -Z-V(cos -E-0, Fe -&.. 'on dtit cpace j re(o C ci k. a P 133 LLV.i54-n
(i c3(4-1-S -(-o (1-CC)C11/10 o Ci-ak JvlC vit‘tu o twpict l i ,.-, , , ---;-1 .- :-- - .
PROJECT NAME(Name of Business or Owner Last Name) A or-t tv" Ca.,VAC,ll✓Y1 i I ' IRS(A-r- -in(,
• PEOPLE INFORMATION
PROPERTY NAME ((�� r (� f PRIMARY PHONE c2
OWNER }.(til �A u' \AI'V1�cc vt, / �t c E v-ct.r4- C753 )T1' -cZ Lti V
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
t'1'W }as-c- t CI-e-tc-17.%1 k /Do -raccinG-c/ GLUT, eteq ( Jk,r4fr+6cnli(u;aik✓.ccvvL
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
lkof...zc,A .-t.IN-0.z.1 C_zvksAhr «,„ -Rost Car -o, (-20j-) 9 i9S. -6140
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
IS ° 60Nr�Z-CD0 br,,1e S(-,.I,v^-le.�:cmJ-; u!.L. 53/77 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
�Q -- b_,. i0, v,. -Oo-t°JL I Z(3(O O e7 (a49a) $ S -4(44O
DCONTRACTOR'S REGISTRATION NUMBER EXPIATION DATE C`1 E-MAIL ADDRESS
CCM. I-(0 ff Z. R Ca a N5 Y //5"/, '
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
He tc.v- Rg4-et_Z( C.avis uc.r a R0S2 0eVri0 Yid (2&C)-)$6,6 -4/4O
MAILING ADDRESS CITY,STATE,ZIP _ CELL PHONE
/x500 11orC7cvt _44'A 5 �--2.JGtu,'(- Lei 53/77 ( ) -
RELATIONSHIP TO PROJECT / FAX NUMBER
0 Architect 0 Tenant ❑Agent V Other C,)Vt S`c-cc-C (02ba )8((S -6p-to
PROJECT NAME //�� PRIMARY PHONE E-MAIL ADDRESS
CONTACT eROSk 0rWlGv-to (a(o -) a(o5 OLIO Ll!O rose_oc^e,�llOrercvt,r2 2(. vrt
LENDER NAME Per RCW 19.27.095:
M Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE C) c I c 9L PROPOSED USE Dc-f i;
EXISTING ASSESSED/APPRAISED VALUE$ _ .s VALUE OF PROPOSED WORK $(R7, 0D(), co
SPRINKLERED BUILDING? ❑ YES d NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES k NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
'., .
• PROJECT FLOOR AREAS
AREA DESCRIPTION • EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
FIRST
1, i 3 —Z5"-" t 11 a-3
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
16+ Indicate number of each type of re to be installed or relocated as part of this project. Do not include existing fixtures to remain.
VMECHANICAL
Value of Mechanical Work$ (4 COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
N
AIR HANDLING UNITS EVAPORATIVE COOLERS -- GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSEERTS HOODS(Commordal)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
`yih PLUMBING
V BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS . SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEF.TERS SINKS WASHING MACHINES
HOSE BIBBS / SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, 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 o . -•lication.
SIGNATURE. (:,
DATE Q q - 15-09
Property Owner and/or Authorized Agent
FOR OVVCitP-:t .0 i
o NEW o ADDITION o ALTERATION D REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES D NO BASIC PLAN? o YES D NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES D NO UP/SEPA/SU? o YES D NO
PLATTED LOT? D YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-January 1,2009 Page 2 of 4 k\Handouts\Permit Application