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