04-104162City of Federal Way
Community Development Services
Building - Commercial Permit #: 04 - 104162 - 00 - CO
P.O. Box 9718
Federal Way, WA 98063 -9718 IF
Ph: (253) 835 -7000 Fax: (253) 835 -2609 Inspection request line: (253) 835 -3050
Project Name: H &R BLOCK
Project Address: 31875 GATEWAY CENTER BLVD S Parcel Number: 092104 9137
Project Description: TI - Demo (3) offices and create exit corridor
Owner
Applicant
Contractor
Lender
WELLS FARGO BANK MINNESOTY
SUPERIOR BUILDERS INC
SUPERIOR BUILDERS INC
WELLS FARGO BANK MINNESOTi
WELLS FARGO BANK MINNESOTj
PO BOX 1849
SUPER13I112132 3/4/05
WELLS FARGO BANK MINNESOTi
PO BOX 21469
MILTON WA 98354
PO BOX 1849
PO BOX 21469
SPOKANE WA 99201
MILTON WA 98354
SPOKANE WA 99201
Includes:
Census category: 437 - Comm
#1
#2
#3
#4
Occupancy Group:
B
Construction Type:
F—Occupancy Load.
L Floor Area (Sq. FQ- „
Type V - N
36
2800
1st Floor Proposed Sq. Feet .........................t.... 2900 Census Category ................. ......... .....,...... 437 - Commercial alt/add
Fire Sprinklers.. ................. No Mechanical .....: No
Number of Stories.. .....r .. ......................1 Permit for Building Shell ..........
Plumbing ......... ........: ........ ........ No Will Certificate of Occupancy be Issued? ............ Yes
Zoning Designation........ ............................. CC -F
PERMIT EXPIRES April 10, 2005.
Permit issued on October 12, 2004
I hereby certify th the above in ati n is correct and that the construction on the above described property and
the occupancy and ill acc _ ance with the laws, rules and regulations of the State of Washington and
the City of Federal
Owner or agent: Date:
City of Federal Way
i
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 Ci1y staff.
Tenant Name: H &R BLOCK Permit number: 04 - 104162 - 00
Address: 31875 GATEWAY CENTER S
Owner WELLS FARGO BANK MINNESOTA
Name: WELLS FARGO BANK MINNESOTA
Address: PO BOX 21469
SPOKANE WA 99201
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 V - N
_
Occupancy Load:
36
Floor Area (Sq. Ft.):
2800
Owner WELLS FARGO BANK MINNESOTA
Name: WELLS FARGO BANK MINNESOTA
Address: PO BOX 21469
SPOKANE WA 99201
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 TO MAIN ON -SITE -.
CITY OF � mmunity Deveiopm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 04-104162-00. 0
Owner: WELLS FARG BANK MINNESOTA
Address: 31875 GATEWAY
FEDERAL WAY,
CENTER BLVD S
WA
This card is part of your required inspection documen
s. 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 aspossible
(read left to right, top to bottom). Please schedule inspections as appropriate. Work must not
be covered
until it is approved. Check with your insp
ctor 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 backfill
By
Date
y 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
y 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
y Date
By Date
❑
Roof Sheathing (4220)
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
Approved to install roofing
Approved
inspection; Electrical, Plumbing & Mechanical
Rough -in and Fire/Draft Stop inspections must be
By
Date
y Date
signed -off and approved. IBC 109.3.4/UBC 108.5.4
❑
Framing (4120)
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
to install mud & tape
LBy
Date®
By Date
jApproved
By /Gv/ Date
❑
Suspended Ceiling Grid (4265)
Final - Fire Department (4060)
❑ Final - Planning (4070)
Approved to drop tile
Approved
Approved
By
Date
By Date
By Date
❑
Final - Public Works (4080)
Final - Building (4050)
Approved
Approved
�
P
By
Date
y Date
_L47
crtr Of 4:
Federal. Way
For otL« e� o�lr
The following is
OOMMUNlIY DEVELOPMENT SERVICES
Ge,\'j�Q530 FIRST WAY SOIJtlf • Po BOX 9714
i� FEDERAL WAY, WA 94063 -9714
PERMIT APPLICATIOI�F 353661,115•
FAX 4536611/49
mtuui. cit w+frcdcml�uov. mm
R inns tp'l
FW File Number: /I "-i -
- an
2--
fete application will not be
SITE ADDRESS:)
ASSESSOR'S TAX /PARCEL #: _ _ —. _ _ _ - _ _ — _ SQU
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
( OOV SUITE /APT #
OF LOT: 7SO Oc f)
separate page jor Ienginy
or
PROnCT WFORKATION
TYPE OF PERMIT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detaile description of work inclu ed on this permit onlul: �'� O
( r k � z t- t)<-7-+ CO t-r`i �b r—
PROJECT NAME (Name of Business /Owner Last Name): ` a-
• PLE 1 • ON
PROPERTY
OWNER:
CONTRACTOR:
LENDER:
(If Proposed Value > $S,0001
APPLICANT:
S.0�q PRIMARY
't�ING ADDR�SO� (STREET � ( ).� CITY, STATE, I
NAME
COMPANY
OFFICE PHONE:
Cl0
M LIN(0 - SS (STREET ADD13�S�
! \ ^ASTE�� /�
II
CELL PHONE: �
q3�
CITY OF FEDERAL WQQ``AY BUSINES(3((LILICENSE NUMBER:
------ - - - - --
EXPIRA(TIIO/N DATE:
/ /
FAX NUMBER:
17-17
CONTRACTORS REGISTRATION NUMBER:
S 1 \ P
1�
E 2 U
EXPIRAT/t�ON DATE:
(copy of cud required with uch application)
NAME:
DAYTIME PHONE:
( '
MAILING ESS (9TREET ADDRESS;):
CITY, STATE, ZIP
NAME:
COMPANY
OFFICE PHONE: -
(
MAILING ADDRESS (STREET ADDRESS):
CITY, STATE, ZIP
EVENING PHONE:
RELATIONSHIP TO PROJECT:
❑ Architect ❑ Tenant ❑ Other (Describer
FAX NUMBER:
( -
Sc.ki'i_--IZ 10
CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner ❑ Contractor ❑ Applicant
EXISTING USE: 0 t`L(f PROPOSED USE: 0 �—+ c11-C C
EXISTING ASSESSED /APPRAISED VALUE $ �z 4 06roi VALUE OF PROPOSED WORK: $
SPRINKLERED BUILDING? ❑ YES <NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED ?: ❑ YES >IO
WATER SERVICE PROVIDER LAKEIIAVEN ❑ HIGHLUNE ❑ TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER EHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
e v
�— ■ PROJECT FLOOR AREAS
AREA DESCRIPTIO
EXISTING S . FT.
PRdE1MD S . FT.
TOTAL
BASEMENT
`7
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED ?)
GARAGE /CARPORT
HOW MANY FLOORS?
Taro rxtrnr+c
rotor eteorosm
TOTAL Earnr+c AND Peoroseo
'•NEW HOMES ONLY" NUMBER OF BED
OOMS: ESTIMATED SELLING PRICE: $
idicate number of each type of fixture that is
to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAMCAL
Value of Mechanical Work $
AIR HANDLING U "�
- -_-- ...,_...._.__._.- .._.... ant rx�g REFRIG. SYSTEMS
EVAPORATIVE COOLERS ... °' "' °' °'- ---
BBQS
FANS HOODS co t WOODSTOVES
BOILERS
MISC (Describe)
COMPRESSORS
FURNACES GAS WATER HEATERS
DUCTS
PE OUTLETS
PLUMBING
BATHTUBS (o Tub /Sh. m1.t
SHOWERS WATER CLOSETS (raiktl MISC (Describe)
DISHWASHERS
SINKS DRINKING FOUNTAINS
GAS PIPE OUTL
RAINWATER SYS
WASHING MAC INES
URINALS E BIBBS
LAVS Io,u,r�m ik
VACUUM BREAKERS ELECT WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 autho
. ed by the owner of the above premises to perform the work for which the permit
application is made. I further agree to h
Id harmless the City of Federal Way as to any claim (including costs, expenses, and
attorneys' fee incurred i the investiga
n fense of such claim), which maybe made by any person, including the
undersigned, a d f e t the o
eder y, but only where such claim arises out of the reliance of the city,
including its of s d e oy , up
th ac r y of e information supplied to the city as a part of this ap lication.
NAME /TITLE:
DATE:
(Signaturcl
_ (TUkI
RELATIONSHIP T PROJECT: ❑ Properi
' 0,.Vncr ❑ Applicant Aractor ❑ Architect ❑
FOR OFFICE USE ONLY:
❑ NEW o ADDITION o
TERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES
lo NO
BASIC PLAN? o YES a NO
ZONING DESIGNATION:
CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES
o NO
UP /SEPA /SU? o YES o NO
PLATTED LOT? o YES
❑ NO
DEMO PERMIT REQUIRED? o YES ❑ NO
Pagc 2
9