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05-104798 • ,. V 7o )5 CIryof _ ( 0 4- 1 9 sF Federal Way E1� PERMIT - COMMUM7YDEVELOPMENT SERV!C SF M. C. ME EL PL DE EN FP 33325 8TH AVENUE SOUTH•PO BOX 9718 53-83607•FAX 253-WAY,WA 8352609 SEP . a P P LI CAT I O N -. luww.dSuoffedemlway.cortt i1 'J , r7� The ollowi • is h*a)fit • 111;12s.:t Wan inco •fete • •h licatlon will not be acce•te.. Please •rint • • in in or •e. J • PROPERTY INFORMATION SITE ADDRESS }-cy) - 9ki 1 45 VTta..i SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 3. . (0 5 -tom 1 - r) C (r)V LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 'n156Z kr- (Attach separa for lengthy legal desatpHan) _. alPROJECT INFORMATION TYPE OF PERMIT >4 BUILDING PLUMBING 0 MECHANICAL - 0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this Derm.it onlu) w.:1a Ill. A a.t+ \Abel 64. tip► " D►. 41' ,.• r1.1, 1-11.1r.., ��ry tit3b ( }1m (5- . ( -6-Iti1 - �-O S� �%I / I S PROJECT NAME(Name of Business or Owner Last Name) 1,1\Yr rt l(Z.L 11 a PEOPLE INFORMATION PROPERTY r145/01016 fGPRIMARY PHONEq` '/N.11142) va6tvntiae g, tike_. ( j(� 7.23 _ .f`c ADDRESS CITY,STATE,ZIP )4162 52i.)- t Oka Mt, 17P l cc ( 4)A- `1 CONTRACTOR COMPANYg_ NAME 1 •PLICANT NAME OFFICE PHONE MAILING ADDRESSgtitzl•� CITY,STAT' ZI CELL PHONE (. CITY OF'F Y BUSIN'' LIC'N`• M R I EXPIRATION DATE .'FAX NUMB) ER — r r w. . N- : t,. / / ( ) - CO CTOR'S REGISTRATI a ,, -,(c y f card required with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME�/ APPLICANT NAME OFFICE PHONE trYIC Y trintttc t?. 51 L. C;)bt.tzoi Ag"44-VA')Z'S �" XLd2 MAILING ADDRESS�{� yam•• en CITY,STATE,ZIP CELL PHONE R7(N SRIF T PROJECT t7 t , (..tc 1 WIC+ c/o[ (t./..id2 '� ❑ ArchiRELKTION tect ❑Tenant ❑Agent O Other(Describe) C.V. "' (4")"T -'92.- CONTACT rQME PRIMARY PHONE MAIL ADDRESS ul�,`t t/meq► 4.;f.ef t , 2t) )t2 i x t©Z -i.zii LENDER , t(? ar r 4,tynti^' i•t. ,,, E� Xrakz t$t.!1r,1 •f,'s,•$tt1: dX�S. SrfiS. '/ 1 • �I � /r,l .7 MAILING ADDRESS CITY,ST TE,ZIP A\ • • ■ DETAILED BUILDING INFORMATION EXISTING USE — i b i LA PROPOSED USE C fl ,CA- EXISTING ASSESSED/APPRAISED VALUE $__ _AA. VALUE OF PROPOSED WORK $ 1,O i 01...V SPRINKLERED BUILDING? XYE j!'2',./i NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES )qIO WATER SERVICE PROVIDER §LAILMAVEN a HIGHLINE C TACOMA O PRIVATE(WELL) �' SEWER SERVICE PROVIDER VEN O HIGHLINE . O PRIVATE(SEPTIC) 58D 7 D /(/ � y PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED OTAL _ SQ.FT. SQ.FT. •Q.FT. BASEMENT FIRST SECOND tgC13— i THIRD FOURTH ' ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 EXISTING PROPOSED TOTS . <� .,12.5'a`,.., l A ',,,R,.°!,, ,,,,.,ir 1 Apt? NUMBER OF FLOORS **NEW HOMES ONLY" NUMBER OF BEDROOMS ESTI t 4 rr' ELLING PRICE $ • FIXTURES. Indicate number of each type of fixture to be installed or relocated , part of this r,•.ject. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ ` . ..._4 .... AIR HANDLING UNI EV %` COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(Commerciai WOODSTOVES BOILERS FIRE CE INSERTS RANGES MISC(Describe) • COMPRESSORS + ACES GAS WATER HEATERS DUCTS "'AS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo)OSHOWERS WATER CLOSETS crakq M';� Describe) DISHWASHERS I SINKS DRINKING FOUNTAINS OP GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHIN; .t URINALS HOSE BIBBS LAVE pathroom =I VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I cert(fy 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 authorised 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 he city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE / f ,f DATE 7' -b5- (S s ) t `a (Title) RELATIONSHIP TO P•OJ ►e S' er 0 Agent ❑ Contractor 0 Architect 0 Other 3P}+f , •`9-0-0(1 0).1 f,tt'Pt)5)&Ai001 @ a it Wilt it,i6Wr)J±tit ,',)ZYe""?).jAWV1` -----'4-4.--- ' '_..s '3iiiiit).0o0'e',z)RR 3i4, x 4f,:e: ate, 'K�) ,)4,4=i t ;PO 414 ,4•47-0Z."5 a(,03 s/�J,ly(¢) �)�'L(m)�F3ku(€) ( r 016,��Ca)� `i'sf. ? 3�'`f' for ti TiWitt Ail ,do-. iiy®Je(eay r , , 3 Ifo '' EI itr ,Q Wi : �„,�;y� yrs . � r1�C� e �dS'1 �(�.) ( �o��. s1!. '�rr,,�^�w l.!LNi3fapt;� - ��,°'M �70 Bulletin#100–January 7,2005 Page 2 of 4 k\Handouts\Permit Application r � • y City of Federal Way Community Development Services Building - Commercial Permit #: 05 - 104798 - 00 - CO P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050 Project Name: INTEGRITY INSTITUTE Project Address: 33400 9TH AVE, S Suite202 Parcel Number: 926501 0060 Project Description: TI - Construction of interior walls to create a new office in an existing office space, installing a sink to existing plumbing rough -in. No mechanical work. Minor lighting alterations. Owner Applicant Contractor Lender GOLDEN STONE LLC SOUND VENTURES, INC. *DOUG I KELLY THOMAS INC HOME STREET BANK 33400 9TH AVE S 320 106TH AVE NE SUITE 100 KELLYTI148CR 1/29/06 601 UNION ST FEDERAL WAY WA 98003 BELLEVUE WA 98004 26318 ENTWHISTLE RD E SEATTLE WA 98101 BUCKLEY WA 98321 Includes: 010 It's Census category: 437 - Comm #1 #2 • #4 Occupancy Group: B Construction Type: Type II - B Occupancy Floor Ar � 15(1? ,. ............... � . Ya Fire Sris�. .. - - - -- A4echaL,. ..,; , ......., w.. Number of Stories.........: �' 2 '•- a �h r) din mil{ nl No .�� I ...,.. g y.....�... Plumbing ................. .�..,�.x �........'........ 0 Yes Will Ce ificate ofOCCUp y l»'Issued9 ....,.......Yes x Zoning Designation ................ .............................OP _ Plumbing Fixtures Description Desair tion Quantity Description Quantityl Sinks PERMIT EXPIRES April 23, 2006. Permit issued on October 25, 2005 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use� 1 be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way.. // %, / z Owner or agent: Date: City df Federal Way 0 0 Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 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 endorsed by City staff. Tenant Name: INTEGRITY INSTITUTE Address: 33400 9TH S Suite202 Permit number: 05 - 104798 - 00 Owner GOLDEN STONE LLC Name: 33400 9TH AVE S Address: FEDERAL WAY WA 98003 Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and 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 owner /occupant 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 the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. #1 #2 #3 #4 Occupancy Group: B Construction Type: Type I1- B Occupancy Load: Floor Area (Sq. Ft.): 1507 Owner GOLDEN STONE LLC Name: 33400 9TH AVE S Address: FEDERAL WAY WA 98003 Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and 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 owner /occupant 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 the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. THIS CARD IS TmO AIN ON -SITE CITY OF coommunit Develo e t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 05- 104798 -00 -CO Owner: Address: 33400 9TH AVE S Suite 202 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. ❑ Footings /Setback (4110) ❑ Foundation Wall (4115) ❑ Drainage/Downspout (4040) Approved to place concrete Approved to place concrete Approved to backfll By Date By Date By Date ❑ Re -steel (4215) ❑ Plumbing Groundwork (4190) ❑ Slab /Concrete Floor (4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Date By Date ❑ ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date ❑ ❑ Rough Plumbing (4230) ❑ Roof Sheathing (4220) Fire/Draft Stops (4095) Approved to install roofing Approved Approved By Date By Date By Date ❑ NOTE: Prior to scheduling a Framing (4120) ❑ Framing (4120) Insulation (4150) inspection; Electrical, Plumbing & Mechanical Approved to insulate Approved to install wallboard Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 1093.4/UBC 108.5.4 By Date 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 Date By Date By Date ❑ Final - Planning (4070) ❑ Final - Public Works (4080) ❑ Final - Plumbing (4075) Approved Approved Approved By Date By Date By Date ❑ Final - Building (4050) Approved By Date