02-101822City of Federal Way Community Development Services BuildingCommercial -
.r
33530 1 st Way S
Federal Way, WA 98003 6210
11v253.661.4000 Fax:253.661.4129 __j#spection request line: 253. 35.3 J
Proje
Ownei
'IEKER PROPER]
50 114TH AVE Sl
ELLEUUE WA
Applicant
SUPERIOR BUILDERS INC SL
PO BOX 1849 SL
MILTON WA 98354 PE
Ott #1
B
V.- ITT n-- uu
gel Numbe:
#3
PERMI, X IRES October 29, 2002, IF NO WORKIS STARTED.
Permit issued on May 2, 2002
I hereby certify th t i abov lnformati n is co d that the construction on the above described property and
the occupancy an t e se Zvi be in ac rda e h Ws, rules and regulations of the State of Wash' gton and
the City of Pdera a
Owner or age t. Date:
City
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at
the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endqrsed City staff
Tenant Name: BERGER ABAM ENGINEERS Perinit n " ber: 02 - 101822 - 00 `
Address: 33301 9TH S Suite200
#1 #2 #3 4
Occupancy Group:
Construction Type: Type III - One-H
Occupancy Lead;
Floor Area (Sq. Ft.): 4250 `-
Owner s SPIEKER PROPERTIES L P
Name: 1150 114TH AVE SE
Address, BELLEVUE WA
98004-914
C
Building Official Date
77ie priorityfocus in the review and inspection made by the ;Cityprior to issuance of this Certificate was on those matters which experience has shown most severely
affect the healthand safety; of the general public: Although the City has made as complete a review and inspection as is reasonably possible (within budgetary time
and personnel limitations), the City neither guarantees nor warrants to the ownerloccupant'or to any other person that this Certificate evidences strict compliance
with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use ofsaid structure or She land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
EIVED CONSTRU( LON PERMIT APPLICATION
elo
APPLICATION NUMBER: ._, - _ -
M 4PPLICATION NUMBER: - -
APPLICATION NUMBER:-
0 �TY OF FEDERAL Wi
* * quired information — Please print (in ink) or type* *
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
,.
SITE ADDRESS: <� e < S. ESSOR'S TAX/PARCEL #:
LEG _DESCRIPTION F SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LE THY): , W P, k S_
TYPE OF PROJECT (This application): Tf BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEEERING❑ FIRE PREVENTION SYSTEM
tion):
PROJECT DESCR%PTION (Provide detailed descrip
r
PROJECT NAME:
PROPERTY OWNER: NAr'IEP DAYnME PHONE:
'1ti7-77y 7
EL11MAJGADDRCSS [ RLE'I' AD€IS'"•, Clll', SiATE, ZIP).
YTIME PIa a
CONTRACTOR:' Nary w ( 3 S J 3 - P �o c -'
Cam` d v �1 LC—`-�
MnIUNG AD RfS (S`Tk ADDRESS; CITY. SR3E, ZIP): Ev[ra1Ra FEtOtaE^.
a. l c- S ` � C.; . °�
CI rY OF FEDERAL WAY i'LICENSE NUMBCR. FAX NN,IMll
EXPIRATION DAIS; a 1
coi:TRlcTcrs°S r;EGls7R.Anor, U,, ;c:r1 y / 02
... (copy
DAYTIME PtP
APPLICANT NAM[ N[:
„) Jd r ( )
MAIRUNG ADDRESS ADD"ESS: CITY, SATE, ZIP) -_ E°�:rvIwP;If� P"k'( :aE.
)
RCLATTONSHIP10PR4)ECT _. ...FAX 14UP-IBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): ( )
...E-MAIL ADDPE5�,:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION ®+®Q Q
PROPOSED USE; I PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? OYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES NO
WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: LAKrHAVEN HIGHLINE ❑ PRIVATE (SEPTIC)
..NEW RESIDENTIAL CONSTRUCTIOry ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE.
FLOOR EXISTING S . FT. PROPOSED S . FT. TOTAL
BASEMENT
FIRST be
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK p
GARAGE i
HOW MANY FLOORS.
TOTAL:.
�7 _ Indicate number of each type of fixture
c� �G"� MECHANICAL to
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE. ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATOR WATER HEATER(S)
DISHWASHER(S) WATER SYS. UM BREAKERS) ❑ELECTRIC ❑GAS
DRINKING FOUNT SHOWER(S) WASH MA M`N , UT LET
GAS PIPE T(S) SINK(S) WATER CLOSET(S) M%SC. (_^
_IN PTO
SUMP(S)
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 ' of Federal Way as to any claim (including costs, expenses, and attorneys` fees incurred in the
investigation a d defense of such Jain , which may be made by any person, including the undersigned, and filed against the City of
Federal iNay, my here such claim rises out of the reliance of the city, including its officers and employees, upon the accuracy
of the informat up lie th 'a cation.
NAME/TITLE; DATE.
❑ PROPERTY OW I-R ❑ APPLICANT 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
..
PLATTED LOT. ❑YES El NO CfiLN ADDRESS REQUIRED? ❑YES El NO
SECTION TOWNSHIP RANGE �� NEW
ANGE OF USE? ❑ YES El NO
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