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04-1031996 Cit�ederal Way Carunnmity Development Sen ices 33530 'S t w3y s Federal Way, W'A 98003 -6210 Ph: 253.661.4000 Fax: 253.661.4129 Building - Commercial Permit #:04 - 103199 - 00 - Co Inspection request line: 253.835.3050 Project Name: WORLD VISION Project Address: 3455 S 344TH WAY Unit130 Parcel Number: 222104 9006 Project Description: TI - 6,580 sq. ft TI, including demo of existing partition walls and adding partition walls to create 4 conference rooms. No plumbing; No mechanical on this permit Owner Applicant Contractor Lender BEDFORD PROPERTY INVESTOR BORSETH ARCHITECTS NORTHWEST ERECTORS INC NONE 701 N 34TH ST SUITE 305 PO BOX 9716 NORTHE1167RR 2/5/06 ScATTLE WA 98103 N fARYSVILLE WA 98063 PO BOX 921 KENT WA 98035 NONE Includes Census category: 437 - Comm #1 1 Occupancy Gro.jp Construction Tvne: TVDe II - FR #3 #4 Floor Art 1~ lq! Ft, }, �� _ - — - --- - -- -- — - -- Census Category ..................... 437 - Commercial alt/add Fire Spxinklers...i..... ?r,......; , .... Tres Mechanical...,.. ,.. ......... No Number of Stories ........:., ..........3 Permit for Building Shell Only ....... ......._—No Plumbing....... ... .......... No Will Certificate of Occupancy be Issued? ..... ....... Yes PERMIT EXPIRES March 12, 2005. Permit issued on September 13, 2004 I hereby certify that the above information is correct and that the construction on the above described prope ty and the occupancy and the use will 7in cor dance with the laws, rules and regulations of the State of Washutgton and thr City of Federal Wa Owner or agent: Date: �� 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 City staff. Tenant Name: WORLD VISION Address: 3455 S 344TH Unit130 Permit number: 04 - 103199 - 00 Owner BEDFORD PROPERTY INVESTOR Name: 701 N 34TH ST SUITE 305 Address: SEATTLE WA 98103 mK • n4^..*,;.% , C 60 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 eroidences strict compliance with each and every ordinance or regulation ofthe 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: - -- �r —_ - -- Construction Type: Type II - FR - -- Occupancy Load: ®I Floor Area (Sq. Ft.): Owner BEDFORD PROPERTY INVESTOR Name: 701 N 34TH ST SUITE 305 Address: SEATTLE WA 98103 mK • n4^..*,;.% , C 60 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 eroidences strict compliance with each and every ordinance or regulation ofthe 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 frAIN ON -SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 04- 103199 -00 -CO Owner: BEDFORD PROPERTY INVESTOR Address: 3455 S 344TH WAY Unit 130 FEDERAL WAY, WA 98023 -3131 This card is part of your required inspection documents. 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. Work must 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. ❑ Gypsum Wallboard Nailing (4130) ❑ Footings /Setback (4110) ❑ Foundation Wall (4115) [] Drainage/Downspout (4040) Approved to place concrete By Approved to place concrete Approved to backfill By Date By Date By Date ❑ Re -steel (4215) ❑ Plumbing Groundwork (4190) ❑ Slab /Concrete Floor (4255) Approved to place concrete or grout ❑ Approved to cover Appr`oved'to place concrete By Date ❑ By Date By Date ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) ❑ Shear Walls (4245) Approved to sheath floor Approved Approved to install flooring Approved to install siding By Date Date/?- • G By Date By Date ❑ Roof Sheathing (4220) ❑ Final - Building (4050) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120) Approved to install roofing Approved inspectiorr Electrical, Plumbing & Mechanical By Date By C W Date • Z d , Rough -in and Fire/Draft Stop inspections roust be By Date By Date signed -off and approved. IBC 109.3.4/UBC 108.5.4 ❑ r'raming (4120) ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) A roved to insulate Approved to install wallboard Approved to install mud & tape By Date//- Z • d Y By Date By Date ❑ Final - Fire Department (4060) ❑ Final - Planning (4070) ❑ Suspended Ceiling Grid (4265) Approved to drop tile Approved Approved By Date By Date/?- • G By Date ❑ Final - Public Works (4080) ❑ Final - Building (4050) Approved Approved By Date By C W Date • Z d , C" Of Federal Way `� 33530 FIRST AY SOG7��91 P FEDERAL WAY, WA 98063 -9718 2.53 - 6614115• FAX 2536614129 www.dtilotlederalwat G 2004 The following is reauired infnr " i PERMIT APPLICATION MrF ME CO _ (_ O EL PL DE EN FP D / / ASSESSOR'S TAX /PARCEL # 2 L d 4- �p LOT SIZE (sf) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)� Cj•`- t�li�U (Attach separate page for lengthy legal description) PROJECT • • TYPE OF PERMIT ><UILDING ❑ PLUMBING ❑ MECHANICAL DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Prouide detailed description of work included on this permit only) PROJECT NAME (Name of Business or Owner Last Name) PEOPLE INFORMATION PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER NAME X17 zo 2 S 1 P,�15QrZ: 2S PRIMARY PHONE I (z) - oS MAILING ADDRESS CITY, STATE, ZIP of 1J o T&-4 '��% sT� 1 v S V1ert� p COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS ' O. r,,&, OK.2l CITY, STATE, •ZIP �Y� 1 °� �j �7 • CELL PHONE )Z CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE COMPANY NAME APPLICANT NAME -rd *,V r�-a OFFICE PHONE (4 ) 3s5i-T- t n MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROD CC FAX NUMBER ❑ Architect Tenant ❑ Agent ❑ Other (Describe) (� )6� NAME PRIMARY PHONE j� E -MAIL ADDRESS Per RCW 19.27.095:: Lender iilforinatlon is E required if project value exceeds $5,000 MAILING ADDRESS CITY, ST T !7 `l 1 � , l EXISTING USE - <=;IT--�F 1 G� PROPOSED USE ;�!:> — f:2-( 6& EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ g>D C,> SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? RYES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) r:.. AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT FANS HOODS (eo_ere,j) WOODSTOVES FIRST] Ej�v 6-) ' �iC atj SECOND FURNACES GAS WATER HEATERS CHANGE OF USE? ❑ YES THIRD.�� GAS PIPE OUTLETS --�` UP /SEPA /SU? ❑ YES FOURTH SHOWERS WATER CLOSETS (.ii t) MISC (Describe) ADDITIONAL FLOORS (DESCRIBE) SINKS DRINKING FOUNTAINS DECK(COVERED ?) SUMPS RAINWATER SYST GARAGE /CARPORT URINALS HOSE BIBBS HOW MANY FLOORS? TOTAL. EXISTEKG TOTAL PROPOSED TOTAL. EXLSTD/G AND PROPOSED — NEWHOMES ONLY`* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS (eo_ere,j) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS CHANGE OF USE? ❑ YES DUCTS GAS PIPE OUTLETS UP /SEPA /SU? ❑ YES BATHTUBS (.,Tub /Shower Combo) SHOWERS WATER CLOSETS (.ii t) MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS (e throo Sinks) VACUUM BREAKERS ELECTRIC 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 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 a be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the re 'an o the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME /TITLE 1 , °"r DATE (Signature) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor Architect ❑ Other FOR OFFICE USE ONLY o NEW ❑ ADDITION ❑ ALTERATION o REPAIR TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES o NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? o YES o NO UP /SEPA /SU? ❑ YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑ YES o NO Bulletin #100 —March 30, 2004 Page 2 of 4 k \Handouts — Revised\Permit Application