20-102195-Building Permit Application-06-10-2020-V1CITY OF =
Federal Way
PERMIT NUMBER
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterCcityoffederalway.com
TARGET DATE
SITE ADDRESS 6UITE/UNIT #
3350513th Place S, Federal Way 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL #
$ 95,000 OP- Office Park 9 2 6 5 0 3 _ 0 0 5 3
TYPE OF PERMIT
X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
CCS Federal Way Office and Day Center Improvements
PROJECT DESCRIPTION
Detailed description of work to
Tenant improvement ro'ect of existingshell buildingto create new office spaces and associated finish upgrades to office and existing
day center.
be included on this permit only
NAME
PRIMARY PHONE
Catholic Community Services of Western Washington (Bill Hallerman)
(206) 771-3131
PROPERTY OWNER
MAILING ADDRESS
EMAIL
100 23rd Ave S
BillHall@ccsww.org
CITY
STATE
ZIP
Seattle
WA
98144
NAME
PHONE
MAILING ADDRESS
EMAIL
CONTRACTOR
CITY
STATE
IF
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
Bill Hallerman
(206) 771-3131
APPLICANT
MAILING ADDRESS
100 23rd Ave S
EMAIL
BillHall@ccsww.org
FAX
CITY
STATE
ZIP
Seattle
WA
98144
PRIMARY PHONE
NAME
PROJECT CONTACT
Chrissie Seilie
(206) 787-1389
(The individual to receive and
respond to all correspondence
MAILING ADDRESS
402 15th Ave E
EMAIL
cseilie@eworks.org
CITY
STATE
ZIP
FAX
concerning this application)
Seattle
WA
98122
PROJECT FINANCING
NAME
® OWNER -FINANCED
When value is $5, 000 or more
(RCW 19.27.095)
MAILING 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 officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
�/
SIGNATURE: DATE // _ [o 64 a�
PRINT NAME:. W of --
Bulletin #100 — February 19, 2020 Page 1 of 2 UHandoutsTermit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how manm of each type of fixture to be installed or relocated as. art of this project. Do not include exLstinfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (comet —j)
BOILERS FURNACES HOT WATER TANKS (Gay(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$
Indicate how many of each tt e a
utur'e to be installed or relocated as earl of fius ro ect. Do not include exisun rt?s to remain -
BATHTUBS (orTub/Sh,w-C—bo(
LAVS (Had Si,ks(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Ka nh—/Ucmgl
WATER HEATERS (Ei—t,ic)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
None
Water District
Public
508.700
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
A-3 (Day Center), B (Office
19,980 SF
❑ Yes X No
❑ Yes X No
Space), M (Salon)
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL
13ASEME-NT
FIRST FLOOR (or Mobile Home)
SECOND n-OOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
EXISTING PROPOSED TOTAL
Area Totals
"NEW HOMES ONLY*
ESTIMATED SELLING PRICE $ # OF BEDROOMS
FOR OFFICE USE
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction Stores Additional Information
Square Feet Type
,NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
S ware Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAI.. BUILDING
4,590 SF
A,3 (Assemhiy), 0 (Susiness)
V-B
1
TENANT AREA ONLY
4,590 SF
A-3 (Assembly), B (Business)
V-B
1
PRoaECT.Awj A ONLY
4,135 SF
A 3 (Assembly), 8 (Business)
V-8
1
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application