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05-100592City of tmity Federal Develo �ay ent Services muhi Com Building - Commercial Permit #: 05 100592 � 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: FARMER'S INSURANCE Project Address: 33310 1ST WAY S Suite100 Parcel Number: 926500 0255 Project Description: TI - Construction of new demising wall and corridor, dividing first floor into 2 suites of 2397 sqft & 3605 sqft, then doing minor demolition of walls, new construction of interior office & break room walls, minor lighting changes, installing a new sink i Owner Applicant Contractor Lender Diane Share Foreman CONNELL DESIGN GROUP *' DAVIS SCHUELLER INC Diane Share Foreman 33310 1ST WAY S 22002 64TH AVE W DAVISSI105PN 7/1/06 33310 1ST WAY S FEDERAL WAY WA MOUNTLAKE TERRACE WA 9802 20700 44TH ST W FEDERAL WAY WA 98003 -4544 LYNNWOOD WA 98037 980034544 Includes: Census category: 437 - Comm #1 FOCCUDancv Group: _ 1� B Floor Area fStt " k 2397 1 st Floor Wised Sqv F E ...................... Fire Sprinklers: .,,....: .. . : ......... Number of Stories...... - o,.. , Plumbing.................. ............................... Ye; Zoning Designation .............. ............................... OP #2 II #3 _...a ........,..__ of Occupancy be Issued? ............ Yes #4 Plumbing Fixtures F--Description ty ` Description Quantity DescriptionQuanti ' P �IQuanti S s 1 PERMIT EXPIRES September 24, 2005. Permit issued on March 28, 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 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: �� -2 CIO `�.� City of Federal Way 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 Ci , staff. Tenant Name: FARMER'S INSURANCE Address: 33310 1ST S Suite100 Permit number: 05 - 100592 - 00 Owner Diane Share Foreman Name: 33310 1ST WAYS Address: FEDERAL WAY WA 98003 -4544 mA• Y4p-tt;K, cao Building Official -7- 7 - °a' 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 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 #2 #3 #4 Occupancy Group: B Construction Type: Type V - N Occupancy Load: Floor Area (Sq. Ft.): 2397 Owner Diane Share Foreman Name: 33310 1ST WAYS Address: FEDERAL WAY WA 98003 -4544 mA• Y4p-tt;K, cao Building Official -7- 7 - °a' 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 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. '- THIS CARD IS TO MAIN ON -SITE •, .ti CITY OF 11tommunity Developm nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT" #: 05- 100592 -00 -CO Owner: DIANE SHARE FOREMAN Address: 33310 1ST WAYS Suite 100 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) Approved to place concrete By Date ❑ Re -steel (4215) Approved to place concrete or grout By Date ❑ Foundation Wall (4115) Approved to place concrete By Date ❑ Plumbing Groundwork (4190) Approved to cover By Date ❑ Drainage/Downspout (4040) Floor Sheathing (4105) ❑ Approved to backfill Approved to sheath floor By Date Approved to install siding By Date ❑ Slab /Concrete Floor (4255) By Date Approved to place concrete 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 ❑ ❑ Roof Sheathing (4220) ❑ Rough Plumbing (4230) 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 109.3.4/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 q- 7 ❑ ❑ Final - Planning (4070) ❑ Final - Public Works (4080) Final - Plumbing (4075) Approved Approved Approved By Date By Date By Date ❑ Final - Building (4050) Approved By V `� Date' �� jo U S clw- RECEIVED Federal way PERMIT COMMUNITYDEVELOPMENTSERV'c SF CO E EL PL DAENP 333258rNAVENUESOUTH•POBOXB ® "APPLICATION ID FEDERAL WAY, WA 98063 -97]8 l' 253. 835.2607• FAX 253.835.2609 r1 C r� A 1 www.cituofted"alwau. CITY OF�n1F�ftEN�1u��G�IR�AnL WAY The followina is reatfff'�k`�YtYVt111t� 'X— an incomplete application will not be accented. Please print leg y (in or MimplelF SITE ADDRESS ASSESSOR'S TAX /PARCEL # - LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) )0a) far ierg-y ieg., --p—) SUITE /UNIT # ) 0 0 LOT SIZE (sf 0. S F TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) ►'v,i 0A y- AWA I ?fvt Abwi- q,44 44 PROJECT NAME (Name of Business or Owner Last Name) i" a* i'WAA, PEOPLE •- • PROPERTY OWNER C•Z•�i�7aL•I! Z•�7 (Seaf%v y- 2,005) APPLICANT NAME PRIMARY PHONE C✓��tnM.�iuc /Wt4 (ZS) fSS- -5$2fv MAILING ADDRESS CITY, STATE, ZIP 12 q s k w. i�( r1c� i (sue I bejil2v� t vi 14 1voocz, COMPANY NAME 0 W & l s &AA4VtA�, PLICANT NAME APPLICANT NAME �'A- OFFICE PHONE (yam 775 -1 00 MAILING ADDRESS 20'10 0 qq� k U) CELL PHONE ► - CITY, STATE, ZIP L9nrlc� v0d. U 4 W-Q— CELL PHONE ( - ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER D 0 -t 0 S 3 -B EXPIRATION DATE M Q FAX NUMBER (�LS)- 7f7-52-01 _ _y L CONTRACTORS REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE 10/ /05 Q&�f1SS L i0 5 I COMPANY NAME PLICANT NAME OFFICE PHONE MAILING ADDRESS 21.0 D Z G �f Air. t t) CITY, STATE, ZIP Mo u uR44tttt L W A 'SD;' CELL PHONE ► - RELATIONSHIP TO PROJECT V&- Architect ❑ Tenant ❑ Agent ❑ Other (Describe) FAX NUMBER (L41j-) 774 -6-24-1 CONTACT xAMEi Vr Q A,1,-J/i�� I LENDER 'ONE E -MAIL ADDRESS 6)0 - b (ID 0I V CCk-06 catwlkk-, E, U1�li'• Co rti STATE, ZIP EXISTING USE (Y YVLGC PROPOSED USE (i Lit EXISTING ASSESSED /APPRAISED VALUE $ 11 'LL, -), Cj 01) VALUE OF PROPOSED WORK $ I -300 SPRINKLERED BUILDING? ❑ YES Qi0 FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES *NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) • • AREA DESCRIPTION EXISTING PROPOSED Value of Mechanical Work $ TOTAL S . FT. S . FT. S . FT. BASEMENT BBQS �i +- HOODS (comineroig BOILERS ERTS �� O FIRST DUCTS (� 77 ETS 46 3 d SECOND GU THIRD N f� FOURTH yV A ADDITIONAL FLOORS (DESCRIBE) N DECK(COVERED ?) GARAGE ❑ CARPORT ❑ f -3 2-&d NUMBER OF FLOORS ERI O PROPOSED TOTALO"XA:r 81i' 1, = '1'WtAL kkQk 8P ; �, w'AG4X y s,,,, , * *NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS COOLER GAS LOGS BBQS /AES HOODS (comineroig BOILERS ERTS RANGES COMPRESSORS GAS WATER HEATERS DUCTS ETS BATHTUBS (- Tab /Sh— rcombo) DISH WASHERS GAS PIPE OUTLETS WASHING MACHINES LAYS (Bathroom Sinks SHOWERS _L SINKS SUMPS URINALS VACUUM BREAKERS WATER CLOSETS (Toilet _ DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS REFRIG. SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) I certify under penalty of peryury 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 of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAMEITITLE V DATE _U J (Signature) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent V (u"`( ❑ Contractor SArchitect ❑ Other Bulletin #100 — January 7, 2005 Page 2 of 4 k \Handouts\Permit Application