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07-100612City of Federal Way Community Development Services BLAing - Commercial Permit. #: 07-100612-00-CO P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050 Project Name: WORILD VISION ProjectAddress: 3450S344THWAY Suite110 Parcel Number: 222104 9040 Project Description: TI - Tenant improvements to include new walls and interior updates. No plumbing or mechanical. Owner Applicant Contractor Lender LBA REALTY TODD BORSETH SUPERIOR BUILDERS INC WORLD VISION INC 660 SW 39TH ST BORSETH ARCHITECTS SUPERBI112D2 3/4/09 PO BOX 9716 RENTON WA 98055 624 BEACH AVE PO BOX 1849 FEDERAL WAY, WA MARYSVILLE WA 98270 MILTON WA 98354-1849 98063-9716 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: B I '�fl�VZ qtnictinn Tvnp.- a V��P!6 �Area (so. ft.) 1 8.628 1 0 1 0 ... _1 0 1 T"7w' Existing Spil .... y Number of Stories .............. Plumbing to be Includeffl.. 1401 nBuildi4:� ........... zl�'�N'e ................................... 2- ................................... No Zoning Designation ............................................... OP-111 Permit for Building Shell Only9 ............ Occupancy #1 - Use .............................. No Fixtures Associated With This PermitH PERMIT EXPIRES Sunday, March 1, 2009 Permit Issued on Thursday, March 1, 2007 I hereby certify that ab va, info all i correct and that the construction on the above described property and the Occupancy an th e e in or nce with the laws, rules and regulations of the Sta shington _�7 7o a the 'ty of Federal Way 7aZ < Owner or agent: 11� Date:—, Fie 11118 16 ........... No ............... Professiqclir4�' Services/Offices I hereby certify that ab va, info all i correct and that the construction on the above described property and the Occupancy an th e e in or nce with the laws, rules and regulations of the Sta shington _�7 7o a the 'ty of Federal Way 7aZ < Owner or agent: 11� Date:—, Fie 11118 16 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: WORLD VISION Address: 3450 S 344TH WAY Suite][10 Permit #: 07-100612-00-CO Includes: # 1 #2 #3 #4 Occupancy Class: B Type: Type 11 - B —Construction — Occupancy Loach 87 —Floor Area (sq. ft.) 8,628 0 0 0 Owner Name: LBA REALTY Owner Address: 660 SW 39TH ST RENTON WA 98055 Building —ace D 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 sevedy affect the health and safety of the general public. Although the City has made as complete a re view 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 shucture or the land upon which itis situated. Such compliance is the responsibility of the owner and/or occupant of the premises. THIS CARD IS TO RIPMAIN ON-SITE CITY OF k_�ommunity Developmc,.A Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07-100612-00-CO Owner: LBA REALTY Address: 3450 S 344TH WAY Suite I 10 FEDERAL WAY, WA 98003 This card is part of your required inspection document& 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. Workmast 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) '0 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) E] Underfloor Framing (4285) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date NOTE: Prior to scheduling a Framing (4120) E] Framing (4120) Insulation (4150) 1� inspec!tion. Electrical, Plumbing & Mechanical rabl g : Approved to insulate Approved to install wallboard f . _ Rouah-in and Fire/Draft Stop inspections must be t St I I jgggne�d-off and approved. IBC 109.3.44J11C 108.5. By Date By Date Gypsum Wallboard Nailing (4130) F1 Suspended Ceiling Grid (4265) Final - Fire Department (4060) Approved to install mud & e Approved to drop tile Approved By te JI /—I ;z By Date By Date Final - Planning (4070) Final - Building (4050) Approved Approved By Date Date je—Z6,0 4 t1l=UF-1VED Federal WaY FEB 0 2 7 PERMIT A COMMUNITY DEVEZOPWNT SERVICES FEDERAL wAy. N'980'63�9'79rf'—y OF FE0EF? 253-661-4115- 2.53-661-4129 BUILDING �&RPLICATIO N The followinq is — an incomplete L(�o ez - Lo SF MF(COO ME EL PL DE EN PP [D 4Z i" will not be accepted. Please or C SITE ADDRESS SUITE/UNIT # ASSESSOR'S TAX/PARCEL # IZ2—� 0 4(v LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) t%41F=;7 4�4MF-> LZ)7 (Aff.� rc�f., I�Vhy 1�a d�onpdm) PROJECT MFORMATION TYPE OF PERMIT XBUILDING "�WUMBINb 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL o ENGINEERING tj FIRE PREVENTION SYSTEM PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER 0F I I F It �11 �v APPLICANT CONTACT LENDER PEOPLE INFORMATION I NAM 71 PRIMARY HONE MAILINGADDRESS I CITY.STATF COMPAN�NAM —mb APPLICANT NAME OFFICE PHONE &L6 - - MAILINGADDRESS CITY, STATE, ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER --B L CONTRACTOWS REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE APPLICANT NAME ��v� OFFICE PHONE I*z5) 5sq - i o--3 4 MAILING ADDRESS CITY, STATE, ZIP \AIA CELL PHONE 4�r m/�*v-y =!o L.�w jei-7,, (4 I'D-54 RELATIONSHIP TO PROJECT - FAX NUMBER XArchitect OTenant uAgent u Other (Describe)_ -411-0�32 E-MAILADDRESS PerRCW19.27.09S. Lenderinforrnationis NAME required if project mfue e;cceeds $5,000 60vco�k +bog �A�s n4 MAILING ADDRESS CITY, STATE, ZIP I EXISTING USE E-75 4::5;r-:jF 1 z,' - r,— PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE S`6��) Wo VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ><�YES o No FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 Y106 0 No WATER SERVICE PROVIDER VLAKEHAVEN 0 HIGHLINE u TACOMA 0 PRIVATE (WELL) SEWER SERVICE PROVIDER '4ftAKEHAVEN 0 HIGHLINE o PRIVATE (SEPTIC) -9,7-2- 0 AREA DESCRIPTION EXISTINU '6Q]FT, PROPOSED sq. F-r. TOTAL BASWENT o NEW o ADDITION o ALTERATION ci REPAIR u TENANT IMPROVEMENT FIRST BUILDING SHELL ONLY? o YES a NO BASIC PLAN? SECOND L9 ZONING DESIGNATION THI ZD CHANGE OF USE? o YES o NO FOURTH YES o NO UP/SEPA/SU? ADDITIONAL FLOORS (DESCRIBE) o NO PLATTED LOT? o YES o NO DECK(COVERED?) o YES o NO G AGE/CARPORT HO V MANY FLOORS? TOT� J T�� PRO�ZD TOT� MG "D MO�M —NEWHOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ number of each type or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNI EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS4c..��) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describel NG U N' F FV A I A R P 'S E0 PA ' T' PLACE COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBSI. T.b/Sh.�,C..�) SHOWERS WATER CLOSETS (T."t MISC(Describe) I DISHWASHERS SINKS AINS LS GAS PIPE 0 S & — RAINWATER SYST WASHING MACHINES ALS HOSE BIBBS LAVS (Ba�'M S�.*ksl VACU REAKERS ELECTRIC WATER HEATERS Z1. DISCLAMER/SIGNATURE BLOCK I cert(N under penalty of perjury that the informationfurnished by me is true and correct to the best of my knowledge, andfurther, that I arn� authorized by thPowner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City o�f F I Way as to any claim (including costs, expenses, and attorneys'fees Incurred in the irwestigation and defense of such claim), which tmade by any person, including the undersigned, andfiled against the City of Federal Way, but only where such claim arises out of the reli including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE DATE �gnature) (Titlel RELATIONSHIP TO PROJECT L3 Owner 0 Agent 11 Contractor Y.Architect El Other FOR OFFICE USE ONLY I o NEW o ADDITION o ALTERATION ci REPAIR u TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? u YES o 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 o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin # 100 — March 30, 2004 Page 2 of 4 k\11andouts — Revised\Permit Application