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08-100220City of Federal Way Community+ Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 i BUSing - Commercial Perm #: 08- 100220 -00 -CO Project Name: TERRA STAFFING Inspection Request Line: (253) 835 -3050 Project Address: 1640 S 318TH ST SUITE B 1° - 4 Parcel Number: 092104 9208 Project Description: TI - Interior modifications to tenant space including partition walls, accessible restroom, acoustical ceiling and doors & hardware. Plumbing & mechanical included. Owner Applicant Contractor Lender HARSCH INVESTMENTS LINN- DOUGLAS CONSTRUCTION LINN- DOUGLAS CONSTRUCTION HARSCH INVESTMENTS PROPERTIES LLC INC INC PROPERTIES LLC 815 SW 6T11 AVE SUITE 550 12846 223RD PL LINNDCL000PC (9/27/09) 815 SW 6TH AVE SUITE 550 PORTLAND OR 97204 KENT WA 98031 -3962 12846 223RD PL PORTLAND OR 97204 Floor Areas . ft. 1,813 KENT WA 98031 -3962 0 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: T' e V- B 2cc , anc Load: Floor Areas . ft. 1,813 0 0 0 Additional Perr;'tflllw Batt Existing Sprinkler System in Building? ................No Mechanical to be Included ?.. ......: .................Y" Number of Stories ................... ..............................1 Permit for Building Shell Only ?............................ No Plumbing•to be Included ? .......... ............................Yes New / Additional Sq. Feet - Total.................,........ 0 Occupancy # 1 - Use., .......................... ...................Professional Zoning Designation ............................................... .CC -C Services /Offices Mechanical Fixtures Fans................. ............................... 1 Plumbing Fixtures Lavatories ........ ............................... 1 Sinks............... ............................... 1 Water Closets.. ............................... 1 Water Heaters . ............................... 1 CONDITIONS: Subject to field inspection with plans. PERMIT EXPIRES Friday, January 15, 2010 Permit Issued on Tuesday, January 15, 2008 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the us ill be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: c Dater !City of Federal Way ` Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: TERRA STAFFING Address: 1640 S 318TH ST SUITEB Permit #: 08- 100220 -00 -CO Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V - B Occupancy Load- Floor Area (s q. ft.) 1 1,813 1 0 1 0 1 0 Owner Name: HARSCH INVESTMENTS PROPERTII Owner Address: 815 SW 6TH AVE SUITE 550 - . ^ PORTLAND OR 97204 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 severty 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 of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and / or occupant of the premises. . ' 1 THIS CARD IS TO JJMAIN ON -SITE CITY OF tommunityDevelopmrnt Inspection Record 'Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 08- 100220 -00 -CO Owner: HARSCH INVESTMENTS PROPERTIES LLC Address: 1640 S 318TH ST SUITE B 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) ❑ Re -steel (4215) ❑ Plumbing Groundwork (4190) Approved to place concrete Approved to place concrete or grout Approved to cover By Date % By Date Bye (�� Date ❑. Slab /Concrete Floor (4255) ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) Approved to place concrete Approved to sheath floor Approved to install flooring By Date By Date By Date ❑ Mechanical Rough -in (4165) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125) Approved Approved Approved to release test By <_- L j Date By Date By Date NOTE: Prior to scheduling a Framing (4120) ❑ Fire /Draft Stops (4095) ® Framing (4120) Approved inspection; Electrical, Plumbing & Mechanical Approved to insulate Rough -in and Fire/Draft Stop inspections must be By Date signed -off and approved. IBC 109.3.4/UBC 108.5.4 By Date r r� ❑ Insulation (4150) Approved to install wallboard By Date Final - Fire Department (4060) Approved By 7 r�' Date Final - Plumbing (4075) Approved ❑ Gypsum Wallboard Nailing (4130) Approved to install mud & tape BY-4L& Date(—T(-0A ❑ Final - Planning (4070) Approved By Date ❑ Final - .Building (4050) Approved By Dat ® Suspended Ceiling Grid (4265) Approved to drop tile i By Date ❑ Final - Mechanical (4065) Approved By Date For inspector reference only O Rough Electrical O FINAL - Electrical Approved Approved By Date By Date RECEI D 'o Federal way COMMUNITY S ER VIC E AAN 15 2 008 PERMIT SF MF O E E EN FP 33325 8m AVENUE SOUTH • PO -BOX 97 $ FEDERAL WAY. WA 98063 9718 -T 253- 835 2607• Fe2 5V APT�I C ATI O N 0 / o e X 6F FED E The following is required Rion - an incomplete application will not be accepted. Please print legibly (in ink) or type. SITE ADDRESS C0q1(':J\ \ SUITE /UNIT # ASSESSOR'S TAX /PARCEL # LOT SIZE (s,) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate na9efar lengthy legal deserlptWr ) TYPE OF PERMIT BUILDING ,PLUMBING C " CHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this hermit onlu) PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER NAME � � �, �� C h'-'nc' ►. `Jlir nQl? f' 1 , 5 PRIMARY PHONE (was) - 535 OFFICE PHONE (.253) 0 ,3R - r 4 o MAILING ADDRESS 13 to - , - C . STATE, ZIP ��,; r L4 �55vcx� E- ADDRESS OG- CONTRACTOR APPLICANT PROJECT CONTACT LENDER EXISTING USE COMPANY NAME C_t v - , APP C�( )N,,',�. NAM�E /j �� AP• PLICANT NAME 1 , . ma'-(L5 OFFICE PHONE (.253) 0 ,3R - r 4 o LING ADD C . STATE, ZIP CELL PHONE CELL PHONE eft t,,^ qXqA CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER j EXPIRATION DATE FAX NUMBER o - of - t Q3� — - Pte. CONTRACTOR'S REEGISTRATION NUMBER R EXPIRATION DATE E-MAIL E -MA ADDRESS 1 _0 C.L o l-'u M ' 0?'1 — O� b,,At COMPANY NAME APP C�( )N,,',�. NAM�E /j �� OFFICE PHONE jG CITY, STATE, ZIP - twe try Cc PHONE ( ) 55 (G - NG ADD STATFr, Z� Ley CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent R Other e4t, ' FAX NUMBER NAME PRIMARY PHONE E -MAIL ADDRESS ) �3c - 5(% a �Ihh- E Per RCW 19.27.095, Lender Wormation is required (fproject value exceeds $5,000 MAILING ADDRESS 1,3U10 k(e _ c ( CITY, STATE, ZIP - twe try Cc PHONE ( ) 55 (G - EXISTING ASSESSED /APPRAISED VAI SPRINKLERED BUILDING? ❑ YES PROPOSED USE I VALUE OF PROPOSED WORN $;aC , Ctcc FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER 74 AKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER )( LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) 9 4 AREA DESCRIPTION EXISTING FT. PROPOSED SQ.FT. TOTAL SQ. FT. BASEMENT BBQS FANS GAS WATER HEATERS MISC (Describe) FIRST FIREPLACE INSERTS HOODS (commercial) COMPRESSORS SECOND RANGES DUCTS GAS LOG SETS THIRD PLUMBING ADDITIONAL FLOORS (DESCRIBE) p + LAVS (Bathroom sinks) URINALS MISC (Describe) DISHWASHERS DECK (❑ COVERED OR ❑ UNCOVERED ?) VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS GARAGE ❑ CARPORT ❑ ELECTRIC WATER HEATERS I SINKS WASHING MACHINES NUMBER OF FLOORS SUMPS er<uro�u � 70TALMgrnro1r TOM'. MWOSED ar rorwsF "AFEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type off fixture to be installed or relocated as part of this project. Do not include existing futures to remain. Value of Mechanical Work $ (A COPY OF BID OR ESTRUA7E MUST BE EVCLUDED WrIH APPLICA770M AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS PLUMBING BATHTUBS (or 1Lb /Shower combo) p + LAVS (Bathroom sinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS Irouet) ELECTRIC WATER HEATERS I SINKS WASHING MACHINES HOSE BIBBS SUMPS I cert(jy under penalty of perjury that 1 am the property owner or authorized agent of the property owner. I cert(fg that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I cert(fy 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, orfederal 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 4f the information supplied to the city as apart of this application. SIGNATURE: U ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR BUILDING SHELL ONLY? ZONING DESIGNATION NEW ADDRESS REQUIRE PLATTED LOT? Bulletin #100 — January 1, 2008 1- 14 -L)y ❑ TENANT IMPROVEMENT ❑ YES ❑ NO BASIC PLAN? o YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO ❑ YES ❑ NO UP /SEPA /SU? ❑ YES ❑ NO ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Page 2 of 4 k\Handouts\Pennit Application