02-100264c ,
City of Federal Way
Community Development Services Building Commercial Permit #' 02 - 100264 - 00 - CO
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: CEO
Project Address: 909 S 336TH Suite200
Parcel Number: 926480 0150
Project Description: TI - Non - structural interior alterations to portion of 2nd floor for new office space. Includes plumbing
only.
Owner
Applicant
Contractor
Lender
Jeffrey W & Leanne M Stock
Jeffrey W & Leanne M Stock
OMNI PROPERTIES INC
OMNI PROPERTIES INC
31919 1ST AVE S SUITE 100
31919 1ST AVE S SUITE 100
OMNIPI *995BW 8/27/02
909 S 336TH ST SUITE 103
FEDERAL WAY WA 98003 -5258
FEDERAL WAY WA 98003 -5258
909 S 336TH ST SUITE 103
FEDERAL WAY WA 98003 -6311
Will Certificate of Occupancy be Issued ?............
Yes
FEDERAL WAY WA 99003-6311
35
Includes:
Census category: 437 - Comm
#1
#2
#3
#4
No
Occupancy Group:
B
Number of Stories .................. ..............................2
Permit for Building She Only .. .........................No
Construction Type:
Type III - N
Total Proposed Sq. Feet .......................................
3439
Will Certificate of Occupancy be Issued ?............
Yes
Occupancy Load:
35
Floor Area (Sq. Ft.):
3439
2nd Floor Proposed Sq. Feet ..... ...........................3439
Census Category .................. ...............................
437 - Commercial alt/add
Fire Sprinkl@ rs.......,. ......... ....,..........................
No
Mechanical.................
Number of Stories .................. ..............................2
Permit for Building She Only .. .........................No
Plumbing .................. ...............................
Yes
Total Proposed Sq. Feet .......................................
3439
Will Certificate of Occupancy be Issued ?............
Yes
Zoning Designation ................ .............................OP
• Plumbing Fixtures
a Cpl Ti Ibt 1- " _ � ;.. 4:
Dishwashers 1� Sinks 1�
CONDITIONS:
1. All new and refaced signs require a separate sign application and review. (FWCC, Sec. 22- 335(g)(6)).
2. A separate buisness license applicaiton must be filed with the city clerk's office prior to occupancy.
3. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the
subject proposal.
PERMIT EXPIRES August 11, 2002, IF NO WORK IS STARTED.
Permit issued on February 12, 2002
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: L � Date: / a /U�
is
r
y
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 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 Cily staff.
Tenant Name: CEO
Address: 909 S 336TH Suite200
Permit number: 02 - 100264 - 00
I
Owner Jeffrey W & Leanne M Stock
Name: 31919 1 ST AVE S SUITE 100
Address: FEDERAL WAY WA 98003 -5258
1�1
nos. rit^.wv%, cdo 3 - Z a - (D z
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
antipersonnel 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 III - N
Occupancy Load:
35
Floor Area (Sq. Ft.):
3439
Owner Jeffrey W & Leanne M Stock
Name: 31919 1 ST AVE S SUITE 100
Address: FEDERAL WAY WA 98003 -5258
1�1
nos. rit^.wv%, cdo 3 - Z a - (D z
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
antipersonnel 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.
•
0 •
INSPECTION LOG
POS (jHIS CARD ON THE FRONT OF BUILDI
G BUIING DIVISION
VV� INSPECTION RECORD
PERMIT #: 02- 100264 -00 -CO
OWNER'S NAME: Jeffrey W & Leanne M Stock
SITE ADDRESS: 909 S 336TH Suite200
( ) FOOTINGS /SETBACKS
INSPECTION REQUEST PHONE #: 253- 835 -3050
( ) FOUNDATION WALL
r
.y
. °` •� .x �DUNQ ���� .�,` i7NTTL�THE�ABOVET � �Q���MD. �:�•.. ,.,..__ ..��
( ) DRAINAGE: Line
( ) Connection f
() UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV g,�Rq�O�S 5 Water piping Ljly, �5
( ) ROUGH MECHANICAL
Gas
( ) SHEATHING Roof Floor.
( ) SHEAR WALLS
•
( ) INSULATION: Floors Walls Attic.
( ) PUBLIC WORKS FINAL
() FIRE FINAL T
( ) BUILDING FINAL
a
�YOf CONSTRU6I0N PERMIT APPLICATION
FnErzr -�L
PPLICATION NUMBER: 6 2 O Z �+ �f • `,gyp
APPLICATION NUMBER:
GI`rY OF FEDERAL WAY APPLICATION NUMBER:
BUILDING DEPT.
n �J * *The following is required information — Please print (in ink) or type **
It� I Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY • •
SITE ADDRESS: � i' * ��
i —6I S-0 O3 S q z t E �U
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): _56e SNC-E% % —/
k o r I S, w6,57 cA-w N S PAS 1 N &5s Pfir-,K ., Vo ` , "7 , P/K c- - , k /A) 4- Co. IVA .
TYPE OF PROJECT (This application): V§-.BUILDING PLUMBING [I MECHANICAL El DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): M 1/t oi2 GOYl- /- llyr -, / EU) 7VV,4A/T WtgUS
AV b R C-G l I-C-5 ? 047,PXS , R &4, 0 cp Tr- k16 of M A5 R �Q u ik&D .
PROJECT NAME: L �D
PEOPLE •
PROPERTY OWNER: NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
70q S, 336 q�k 5i- dl-75 !03 wAy, w!� 98003
CONTRACTOR:
wAN
NAME:
6J4 NI PkOIpFle-t7C -s,
/Nc.
DAYTIME PHONE:
SvYS
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
q0a S, 3,G SA
sT& iO3, F6Vtp-Ai-WAY
EVENING PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
9
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: ,�i
0
c� Q w
`
EXPIRATION DATE:
6 / 2-1 l G
(copy of card required)
LS —�
APPLICANT: NAME: DAY11Me MUNt:
Ic's'k S-V()c k (0,5 3) /,&/ -V056
6
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): � . 1 A EVENING PHONE:
0 � S. ?2 "'� In S t . , ��. � 1 L teL cc u 1 4�a. K / 600' (ag:g )
RELATIONSHIP TO PROJECT: j FAX NUMBER:
❑ ARCHITECT ❑ TENANT OTHER ( DESCRIBE)' — Oume+f (a 3)
��//
E -MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER 4APPLICANT ❑ CONTRACTOR 01 -,)-I ® Q - I�►nY�•r��°*
'IFTATI FB R11TLnTNG TNFARMATIC
EXISTING USE: DF�1( -` G EXISTING BUILDING ASSESSED /APPRAISED VALUATION $ �4, X000
PROPOSED USE: 6 %GCE PROPOSED VALUATION FOR IMPROVEMENTS: $ 50)1 15
SPRINKLERED BUILDING? ❑ YES 4NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES K NO
WATER SERVICE PROVIDER: J� LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: I LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
* *NEW RESIDENTIAL CONSTRUCTION ONLY ** n
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ N�
■ PROJECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
COMP PLAN DESIGNATION B
BASIC PLAN? ❑ YES O
f
FIRST
A I �1 _
,I !
/v
14
SECOND
3/-
t )v 3J�
`
THIRD
/
FOURTH
i
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S)
DISHWASHER(S) RAIN WATER SYS.
DRINKING FOUNTAIN(S) SHOWER(S)
GAS PIPE OUTLET(S) SINK(S)
INTERCEPTORS) SUMP(S)
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) El ELECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MISC. ( )
_. ■ 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 authorized 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 su claim arises out of the reliance of the city, including its officers and employees, upon the accuracy
of the information supplied h city as a1 part of this application.
NAME /TITLE: DATE: \ — �$ -( �'
PROPERTY OWNER/ . J6&PLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION: QY
BUILDING SHELL ONLY? ❑ YES wo
COMP PLAN DESIGNATION B
BASIC PLAN? ❑ YES O
SECTIONNC ZO TOWNSHIP RANGE V
NEW ADDRESS REQUIRED? ❑ YES 4meflO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF USE? ❑ YES O
COMM[ INTTY DFVFLOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253- 661 -4000 • FAX: 253 -661 -4129
jo f
Construction Permit Fee Calculation Sheet
* * * * ** *PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED! * * * * * **
Building, mechanical, and fire prevention system fees are based on the following schedule.
TABLE A
TOTAL VALUATION
FEE FACTOR
(1) $1.00 to $500.00
(1) $24.25
(2) $501.00 to $2,000.00
(2) $24.25 for the first $500.00 plus $317 for each additional $100.00 or fraction thereof, to and including $2,000.00
(3) $2,001.00 to $25,000.00
(3) $71.46 for the first $2,000.00 plus $1500 for each additional $1,000. or fraction thereof, to and including
$25,000.00
(4) $25,001.00 to $50,000.00
(4) $403.61 for the first $25,000.00 plus $10.81 for each additional $1,000.00 or fraction thereof, to and including
$50,000.00.
(5) $50,001.00 to $100,000.00
(5) $664.35 for the first $50,000.00 plus $7.50 for each additional $1,000.00 or fraction thereof, to and including
$100,000.00.
(6) $100,001.00 to $500,000.00
(6) $1,025.55 for the first $100,000.00 plus $6.00 for each additional $1.000. or fraction thereof, to and including
$500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $3,337.23 for the fist $500,000.00 plus $509 for each additional $1,000.00 or fraction thereof, to and including
$1,000,000.00.
(8) $1,000,001.00 and up
(8) $5,788.23 for the first $1,000,000.00 plus $391 foreach additional $1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italicized underlined number is the fee per additional specified increment
PLUS: Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District #39 surcharge, commercial only.
Add $4.50 for WA State Building Code Council, plus $2.00 per unit for duplex & above.
** Electrical, plumbing, and mechanical fees are calculated separately **
PROPOSED VALUATION: 58J 1 1 ,
FEE FACTOR FROM TABLE A: Number: (a) Base Fee: V, L, 143 35 II
(b) Additional Increment Fee: l� 3 Z
Estimated Permit Fee: (1) 1-1
Estimated Plan Review Fee: (2) 2tU
i
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (
Estimated Plan Review Fee: (5
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number
Estimated Permit Fee: (6)
Estimated Plan Review Fee:
(a) Base Fee:
(b) Additional Increment Fee:
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
Base Fee Number of Fixtures
$21.00+ { X $7.00 /fixture} _ (8) Estimated Permit Fee
Estimated Permit Fee
65 =
MisZellaneous Fixture Charge: (10)
Suh Total (Pa.,Onel: Iine(t) ( 1)+ ()) +(3) +(4) +(5) +(6) +(7) +(8) +(9) +(10) = (11)
(9) Estimated Plan Review Fee