09-101992Building - Commercial
City of Federal Way .{{,�
Community Development Services Pert #: 09- 101992 -00 -CO
P.O. Box 9718
Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q
Project Name: WOLF CHIROPRACTIC
Project Address: 1010 S 336TH ST UNIT 102 Parcel Number: 926501 0010
Project Description: TI - Minor interior demoliton to construct new partition walls, new doors, and relocate
relites. No plumbing or mechanical.
Owne
Annlicant
Contractor
Lender
OMNI PROPERTIES INC
CONNELL DESIGN GROUP
OMNI PROPERTIES INC
OMNI PROPERTIES INC
909 S 336TH ST SUITE 103
22002 64TH AVE W SUITE 2C
OMNIPI" 995BW (8/27/10)
909 S 336TH ST SUITE 103
FEDERAL WAY WA 98003 -6311
MOUNTLAKE TERRACE WA 9804:
909 S 336TH ST SUITE 103
FEDERAL WAY WA 98003 -6311
FEDERAL WAY WA 98003 -6311
Census Category: 437 - Commercial alt / add / conversion
Existing Sprm tt' fn Butldt tole icat,k 1 d?
Number of Stories .. ......... ......... .................3 Permit for Building Shell Only ?...... ..................No
Plumbing to be Included? .......... .............................No New / Additional Sq. Feet - Total.......................... 0
Occupancy # 1 - Use ................ ............................... Professional
Services/Offices
PERMIT EXPIRES Wednesday, November 25, 2009
Permit Issued on Friday, May 29, 2009
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: S— ZA --0ej
THIS CARD IS TO MAIN ON -SITE ,
a� OF *OMMU111ify Develop wt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 101992 -00 -CO
Owner: OMNI PROPERTIES INC
Address: 1010 S 336TH ST UNIT 102
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)
❑
Slab /Concrete Floor (4255)
Approved to place concrete
Approved to place concrete or grout
Approved to place concrete
By Date
By
Date
By
Date
❑
❑
Floor Sheathing (4105)
Fire/Draft Stops (4095)
—
❑ Underfloor Framing (4285)
Approved to sheath floor
Approved to install flooring
Approved
By Date
By
Date
By
Date
❑
❑
Framing (4120)
Insulation (4150)
NOTE: Prior to scheduling a Framing (4120)
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 109 3.4/UBC 10&5.4
By
Date .7 • Z .
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 -?—
Date
By
Date
❑ Final - Building (4050)
Approved
By Date
For inspector reference only
O Rough Electrical ❑ FINAL - Electrical
` Approved Approved
By Date By Date
Federal gCEIVEOPERMIT S F CO ME EL PL DE EN FP
COMMUNITY DE 25 SERV $y 9 9 2 0 Opp p LI CAT I O N
253 -835- 2607•FAX253- 835 -26 a
www.cituo 'deral. com
SITE ADDRESS
►otb SCA-K, est.
SUITE /UNIT #
ZONING ASSESSOR'S TAR /PARCEL #
1 dZ
G 5 d
NAME OF PROJECT
� CM rz-o f c,�� lJ I
4 , ' �� `"' '"'
(Tenant or Homeowner Name)
BUILDING ❑ PLUMBING 11 MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
Mi dr i 'ar
00 r r
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PRONE
PROPERTY OWNER
OlAN I Pro per-t;,e.5 Z v e • (Z53) G ro - 1045
MAULING ADDRESS, CITY, STATE, ZIP
616q S • 3 !o- + 6-t- 95U i •!2 l Q 3 q$003
E-MAIL
604 W1 - � • . wuo:�
OWNER IS ALSO:
CONTRACTOR APPLICANT PROJECT CONTACT
NAME
PRDNARY PHONE
MAILING ADDRESS, CITY, STATE, ZIP
FAX
V CONTRACTOR
WA STATE CONTRACTOR'S LICENSE #
DATE
FEDERAL WAY BUSINESS LICENSE #
E!
NAME
C 6 h D n rov
PRIBIARY PHONE
( 125) 6 76 - 6 7OG
APPLICANT
MAELMG ADDRESS, CITY, STAT `
IP � 0 i G
FAX
ZZooZ- 6u41- .tee • LJ
yzs) 77`1 - 8 Z O
PROJECT CONTACT
NAME
G�1 •1
PRMARY PHONE
(y25) 6 70 - 6 ?imp
(The individual to receive and
hit
MAIIdNG ADDRESS, CITY, STA , ZIP Sk. ZG ql0qj
FAX
respond to all correspondence
concerning this application)
ZZO02 K'h+ v-2. W • U
(L4 25) 77e4- 92147
ALTERNATE CONTACT NAME:
April F Iwl
PRIMARY PHONE
(u25) 610 - (0 70a
E-MAIL
Vicki 560 conr�lidesi
PROJECT FINANCING
<PAME
OWNER- FINANCED
Required for projects with
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $5,000 or more
(RCW 19.27.095)
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
irljormation supplied t city as a rt of th application.
12q105
SIGNATURE: DATE
F1
PRINT NAME: 1
Bulletin #100 — 4/21/2009 Page 1 of 4 k:\Handouts\Permit Application
QM
` Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include e:
AIR HANDLING UNITS FANS GAS PIPE OUTLETS _
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commemiai)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Fixtures to remain.
OTHER (Describe)
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /shower Combo) LAVS (Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen /Utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES
AREA DESCRIPTION (in square feet) I EXISTING I PROPOSED I TOTAL
FIRST FLOOR (or Mobile Home)
COVERED ENTRY
GARAGE ❑ CARPORT ❑
Area Totals I MSTM I P`°POSED I TOTAL
# OF BEDROOMS
FOR OFFICE USE
Bulletin #100 - 4/21/2009 Page 2 of 4 k:\Handouts\Permit Application