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02-103646LZ City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003 -6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: Project Address: r 9 . . Building - Commercial Permit #:02 - 103646 - 00 - Co WORLD VISION 3455 S 344TH Inspection request line: 253.835.3050 Parcel Number: 222104 9006 Project Description: TI - Tenant improvement in 2,972 sq ft of existing office building shell. Extend rated corridor. No plumbing or mechanical on this permit. Owner Applicant Contractor Lender BEDFORD PROPERTIES INVESTOI ROBERTS MILLER & ASSOCIATE: NORTHWEST ERECTORS INC WORLD VISION BEDFORD PROPERTIES INVESTOI 100 WAVERLY WAY NORTHEI167RR 2/5/04 Type II - FR 701 N 34TH ST KIRKLAND WA 98033 PO BOX 921 Occupancy Load: SEATTLE WA 98102 KENT WA 98035 Includes: Census category: 437 - Comm #1 #2 #3 #4 Occupancy Group: A -3 OP Construction Type: Type II - FR Occupancy Load: 112 Floor Area (Sq. Ft.): 2972 Building Pre -con. Meeting Required ................... No Census Category .................. ............................... 437 - Commercial alt/add Fire Sprinklers .................. ............................... Yes Mechanical.................. ............................... No Number of Stories ................. ............................... I Permit for Foundation Only ......... ........ - .............. No Permit for Building Shell Only ............................ No Pl umbing.................. ............................... No Special Inspection Required . ............................... No Will Certificate of Occupancy be Issued? ............ Yes Sensitive Areas? .................. ............................... No Zoning Designation.............. ............................... OP CONDITIONS: 1. All new and refaced signs require a separate permit. PERMIT EXPIRES April 1, 2003, IF NO WORK IS STARTED. Permit issued on October 3, 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 Fed9mlWay. , Owner or agent: Date: Ael . G","a, {, z 0 r 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 Cijy staff. Tenant Name: WORLD VISION Address: 3455 S 344TH Permit number: 02 - 103646 - 00 Owner BEDFORD PROPERTIES INVESTORS Name: BEDFORD PROPERTIES INVESTORS Address: 701 N 34TH ST SEATTLE WA 98102 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 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. C #1 #2 #3 #4 Occupancy Group: A -3 Construction Type: Type II - FR Occupancy Load: 112 Floor Area (Sq. Ft.): 2972 Owner BEDFORD PROPERTIES INVESTORS Name: BEDFORD PROPERTIES INVESTORS Address: 701 N 34TH ST SEATTLE WA 98102 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 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. C POWHIS CARD ON THE FRONT OF BUILD G ° BUAING DIVISION 01 A-0 INSPECTION RECORD INSPECTION REQUEST PHONE #: 253- 835 -3050 PERMIT #: 02- 103646.00 -CO OWNER'S NAME: BEDFORD PROPERTIES INVESTORS SITE ADDRESS: 3455 S 344TH ( ) FOOTINGS /SETBACKS ( ) DRAINAGE: Line ( ) FOUNDATION WALL DO NOT.POUR OONCRETtUNTIL THE ABOVE TS APPROVED ( ) Connection_ ";DO NOT POUR SLAB ONTIL TTiP ABOVE IS APPROVED ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV ( ) ROUGH MECHANICAL" ( ) SHEATHING ( ) SHEAR WALLS Water Gas piping Roof Floor. ( ) ELECTRICAL ROUGH -lN Ditch Cover ( ) FIRE/DRAFTSTOPS ( ) FRAMING/FIRESTOPPING l //R /p THE -ABOVE MUST BE "APPROVED PRIOR TO'INSULATING OR SHEETROCKING. "', ( ) INSULATION: Floors" () WALLBOARD NAILING Walls Attic ( ) SUSPENDED CEILING / 2— / G — GZ THE ABOOVE " MUST BE APPR_, TRIOR TO TAPING"OR INSTALLINGCEILING TILE ( ) ELECTRICAL FINAL ( ) PLANNING FINAL ( ) PUBLIC WORKS FIN ( ) FIRE FINAL e I _♦ DO NOT OCCUPY THIS BUILDING UNTIL BUILDING,FINAL IS APPROVED, RECEIVE; D ca. <W G CONSTRUCTION PERMIT APP ICATION V0 AUG 2 8 2002 PPLICATION NUMBER: ,Q - CITY OF FEDERAL Wq PPLICATION NUMBER: BUILDING DEPT. PPLICATION NUMBER: * *The following is required information — Please print (in ink) or type ** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. SITE ADDRESS:�`�� 45- %� T 1 I U MY ASSESSOR'S TAX /PARCEL #: Z�L Z O 410 �o LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): L�I TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: I C�� � t+ 0 5. PROPERTY OWNER: CONTRACTOR: Ll» 4 (If-I alp NAME: DAYTIME PHONE: 5okp o? 10 PAP . t wW icy . -` ■"3 MAILING ADS ( ; STATE, -7&1 O? 54nj � 2 V ' 7 A Q� f(�� NAME: DAYTIME PHONE: MAILI G DRESS ( ET ADDRESS CITY AT L3 EVENING PHONE: - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: IXPIRATION DATE: (copy of card required) <• Mt CITY, STATE, ZIP): ( t50) 5*7 _•��� EVENING PHONE: ❑ TENANT ❑ OTHER ( DESCRIBE): I (Ad 1zr) E -MAIL CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR -4100, Nii� •4y� DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED /APPRAISED VALUATIO $A !"1 PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: i V i SPRINKLERED BUD LDING? *IKEHAVEN ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) 7 i * *NEW RESIDENTIAL CONSTRUCTION ONLY ** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT COMP PLAN DESIGNATION BASIC PLAN? o YES ❑ NO - AIR HANDLING UNITS) FIRST GAS LOG(S) REFRIG. SYSTEMS) BBQ(S) SECOND 02 / 2 41•/1 — �' WOODSTOVE(S) 2 S THIRD RANGE(S) MISC. - ) COMPRESSOR(S) FOURTH DUCT(S) OTHER FLOORS (DESCRIBE) HEAT SOURCE: ❑ ELECTRIC ❑ GAS DECK BATHTUB(S) GARAGE HOW MANY FLOORS? URINAL(S) WATER HEATERS) DISHWASHERS) TOTAL: 1 ❑ ELECTRIC ❑ GAS �► �► 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 ay as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and fe a of ch SLaiw)y which ay be made by any person, including the undersigned, and filed against the City of Federal Way, but o w s c rise o f the reliance of the city, including its officers and employees, upon the accuracy of the information ppli o f a a p is application. NAME /TITLE: DATE: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: ❑, NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT FIXTURES Indicate number of each type of fixture LOT SIZE:! ZONING DESIGNATION: MECHANICAL COMP PLAN DESIGNATION BASIC PLAN? o YES ❑ NO - AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEMS) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. - ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATERS) DISHWASHERS) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. ( ) INTERCEPTOR(S)' SUMP(S) 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 ay as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and fe a of ch SLaiw)y which ay be made by any person, including the undersigned, and filed against the City of Federal Way, but o w s c rise o f the reliance of the city, including its officers and employees, upon the accuracy of the information ppli o f a a p is application. NAME /TITLE: DATE: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: ❑, NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE:! ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO' COMP PLAN DESIGNATION BASIC PLAN? o YES ❑ NO - SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 -9718 • 253- 661 -4000 • FAX: 253- 661 -4129 www.cityoffederalwaL.com