15-101942RECEIVED
` APF 2015
e CITY OF
Federal Way FEDERAL WAY
CDS
PERMIT APPLICATION
PERMIT Numimit 15 _ 10 ( q-�+ 2 _ C O
TARGET DATE
d T -C,
SITE ADDRESS
SUITEMNIT M
3ZZ7� Pacific Highway South, Federal Way 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL iw
$ 45,00
CF
1 5 0 0 5 0- 0 1 3 0
TYPE OF PERMIT
DO BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Bank of America - Interior Tenant Improvement
PROJECT DESCRIPTION
Detailed description of work to
Interior tenant improvement of an existing financial bank. Work is to include:
Expanding the existing safetV deposit viewing room expanding the customer
waiting area. ceiling/tile repair & replacement, remove the existing door and
be included on this permit only
re lace with window to match existing
NAYS
PRIIIARY PHONE
PROPERTY OWNER
-Lindy Goodlin Harsch Investment Properties)
(503) 242-2900
MAILING ADDRESS
E-YAD.
1121 SW Salmon Street Suite 500
jindyqt@harsch.com
CITY -
STATE
211P
Portland
OR I
97205
NAME
Kevin Larson Andersen Construction
PHONE
MAILING ADDRESS
E -MAH.
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE 0
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE i
DAME
avid Isler (Jones Lan LaSalle, c/o Bank of Amer.)206)
358-4350
800 Fifth Ave 16th Floor
da iv d.isler am.411.com
APPLICANT
CITY
STATEZIP
FAX
SeattleA
19-8104
NAYS
PRMARY PHONE
PROJECT CONTACT
Ron Pizarro (Nelson Architecture LTD)
(425) 2ZA-9072
MAILDIG ADDRESS
E-MAM
(The individual to receive and
respond to all correspondence
4004 NE 4th Street, Suite 107-50Q
CITY I STATE
Renton WA
I ZD'
198056
FAX
concerning this application)
PROJECT FINANCING
NAME N/A
OWNER -FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
MADJNG ADDRESS, CITY, STATE, ZIP
PHONE
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 ofjleers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE 4/21/15
PRINT NAME: Ron Pizarro, Project Manager - Nelson Architecture, LTD
Bulletin #100 —January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application
a
VALUE OF MECHAXICAL WORK
MECHANICAL PERMIT $
Indicate how many o each type offixture to be installed or relocated as part o this prqjed. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (conn iai)
BOILERS FURNACES HOT WATER TANKS iG-1
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
No
Lakehaven UD
Lakehaven UD
$
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRRIRLER SYSTEM?
$
in Square Feet
Indicate how many of each type o
re to be installed or relocated as
part of this project. Do not include existing
fkmres to remain.
BATHTUBS (or7Lb/sh—c=bol
LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS Imtaban/umiryi
WATER HEATERS (Fr«aic)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING Il[PROVEMENTS
No
Lakehaven UD
Lakehaven UD
$
EXISTING/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRRIRLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
in Square Feet
X Yes ❑ No
❑ Yes X No
Bank/Bank
36,551
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area
Occupancy Groups)
Construction
# of
Additional Information
in Square Feet
a
Stories
777,7
5-7
ADDITION
COMMERCIAL — REMODEUrENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
Tvve
Stories
TENANT AREA ONLY I N/A
Bulletin #100 —January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application