06-103022City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Busing - Commercial Permit: 06- 103022 -00 -C8
b
Project Name: WORLD VISION
Project Address: 3455 S 344TH WAY Suite 200
Inspection Request Line: (253) 835 -3050
Parcel Number: 222104 9006
Project Description: TI - Tenant improvements for new occupant. Includes minor demolition of non - structural
improvements and finish work. No plumbing or mechanical.
Owner
Applicant
Contractor
Lender
LBA REALTY
TODD BORSETH
NORTHWEST ERECTORS INC
WORLD VISION INC
660 SW 39TH ST
BORSETH ARCHITECTS
NORTHEII67RR 2/22/08
PO BOX 9716
RENTON WA 98055
624 BEACH AVE
PO BOX 921
FEDERAL WAY, WA
ea s . 8.
MARYSVILLE WA 98270
KENT WA 98035
98063 -9716
Census Category: 437 - Commercial alt / add / conversion
Includes:
41
#2
#3 #4
Occupancy Class:
B
al
�aIO�3�
struction Type:
ancy Load:
ea s . 8.
,x,550
0
0 v_ 0
No Fixtures Associated With This Permit H
PERMIT EXPIRES Saturday, July 19, 2008
Permit Issued on Wednesday, July 19, 2006
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 acenrclance with the laws, rules and regulations of the State of Washington
and th Ci of Federal Way.
Dat
Owner or agent: e.
al
�aIO�3�
Mechanical tb �iuded?
ttlo� �,
►mi r of 4.r
r
TMAL
Permit for Building Shell Only ? ............................
i0
Plumbing to e Included ?...
......... .................No�
Special Inspection(s) Required? .............................No
Occupancy #1 - Use.........................
......................Professio
t
Services /Offices
Zoning Designation ..................... ...........................OP
-1
Building Pre -con. Meeting Required ?...................
No
Existing Sprinkler System in Building? .................Yes
No Fixtures Associated With This Permit H
PERMIT EXPIRES Saturday, July 19, 2008
Permit Issued on Wednesday, July 19, 2006
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 acenrclance with the laws, rules and regulations of the State of Washington
and th Ci of Federal Way.
Dat
Owner or agent: e.
City of Federal Way W
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: 3455 S 344TH WAY Suite200
Permit #: 06- 103022 -00 -CO
Includes:
#1
#2
#3
#4
Occupancy Class:
B
Construction Type:
Type II - B
Occupancy Load:
Floor Area (sq. ft.)
1 9,550
0
0
0
Owner Name: LBA REALTY
Owner Address: 660 SW 39TH ST
RENTON WA 98055
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 severly 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.
_ THIS CARD IS TO�MAIN ON -SITE
CITY OF *U-ommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 103022 -00 -CO
Owner: LBA REALTY
Address: 3455 S 344TH WAY Suite 200
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.
❑ Footings /Setback (4110)
Approved to place concrete
By Date
❑ Re -steel (4215)
Approved to place concrete or grout
By Date
❑ Slab /Concrete Floor (4255)
Approved to place concrete
By Date
❑ Underfloor Framing (4285)
❑
Floor Sheathing (4105)
❑
Fire/Draft Stops (4095)
Approved to sheath floor
Approved to install flooring
Approved
By Date
By
Date
By
Date
❑
rior to scheduling a Framing (4120)
Framing (4120)
Insulation (4150)
; Electrical, Plumbing & Mechanical
Approved to insulate
Approved to install wallboard
d Fire/Draft Stop inspections must be
L
d approved. IBC 109.3.4/UBC 108.5.4
By
Date
By
Date
[]
❑ Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
Final - Fire Department (4060)
Approved to install mud & tape
Approved to drop tile
Approved
By Date
By
Date
By
Date
❑ Final - Planning (4070) Final - Building (4050)
Approved �L Approved
By Date By 14 �T Date LF
CFTVOF V&
Federal Way
COMMUNITYDEVELOPMENT SERVICES
33325 8'H AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063 -9718
253- 835 -2607• FAX 253 -835 -2609
www. cif uoffederalwau. mm
The fottouibw is reauin
RECEIVED
JINN 16 2006
PER TFEDEM WAY
APPLI CA '
0
SF EL PL DE EN FP
r (o —/ 30 /o 4�
SITE ADDRESS 3 LI 5 S ty'
SUITE/UNIT #
ASSESSOR'S TAT[ /PARCEL # �' a' - r o 0 LOT Sm (sfi
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) = ':,.•
tumdh PqwIa kreft bgw -m -*oa.v
PROJECT INFORMATION
TYPE OF PERMIT *BUILDING 0 PLUMBING ❑ MECHANICAL
EMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prooide detailed
PROJECT NAME (Name of Business or Owner Last Name)
N PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
CONTACT
LENDER
WiME AA PRIMARY PHONE
7V 4 MAIU[NG,00DRESS S CITY, STATE. ZIP
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE. ZIP
(CELL PHONE
t
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
RELATIONSHIP TO PROJECT
Architect Agent � i+ !V
B L
❑ ❑ Tenant ❑ ❑ Other (Describe)
CONTRACTOR'S REGISTRATION NUMBER (copy of card regotred with each application) EXPIRATION DATE
COMPANY NAME
-r
� Y
PHONE
9 2.1:�- - op
MATL,IN�GyAjpD
CITY. STATE. ZIP w� i
/CELL PHONE
RELATIONSHIP TO PROJECT
Architect Agent � i+ !V
FAX NUMBER
(!;Gb O d cr3 Z
❑ ❑ Tenant ❑ ❑ Other (Describe)
■L��/'
Per RCW 19.27.06W Len&w ftftmation is
mgWred V p %%O oalae exoamb $^8.000
NAME
MAILING ADDRESS
CnY, STATE, ZIP
PI-I NE
EXISTING USE r,.—,P ~
EXISTING ASSESSED /APPRAISED VALUE $_
SPRINEMMI) BUILDING? Xym ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN
SEWER SERVICE PROVIDER ❑ LAKEHAVEN
PROPOSED USE ice► nC_.'i(,rC
VALUE OF PROPOSED WORK $
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
• HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
• HIGHLINE ❑ PRIVATE (SEPTIC)
OF]
r
AREA DESCRIPTION
EXISTING
$9. FT.
PROPOSED
SQ. FT.
TOTAL
SQ.FT.
BASEMENT
FIREPLACE INSERTS
COMPRESSORS
FURNACES
FIRST
_ GAS PIPE OUTLETS
BASIC PLAN? ❑ YES
❑ NO
SECOND
CHANGE OF USE? ❑ YES
THIRD
NEW ADDRESS REBUIRED? o YES ONO
UP /SEPA/SU? ❑ YES
FOURTH
BATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? ❑ YES
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
llm n
mwnsm
IMAL
rorretiAxormor
TorALrAaeoeeov
ioMsr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
be Installed or relocated as part of this project. Do not
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPORATIVE COOLERS
BBQS
FANS
BOILERS
FIREPLACE INSERTS
COMPRESSORS
FURNACES
DUCTS
_ GAS PIPE OUTLETS
BATHTUBS (or 7Lb /Shower Combo)
OWERS
DISHWASHERS
SINKS
GAS PIPE OUTLETS
SUMPS
WASHING ES
URINALS
(Bad m Sinks)
VACUUM BREAKERS
WATER HEATERS
WATER CLOSETS ribue) _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BBBS
ELECTRIC WATER HEATERS
to
REFWG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cert{ jy under pen qF that the hiformation furnished by me is true and correct to the best qj my knowledge, and further, that I
am authorised by the the above Premises to perform the work for which the permit application is made I further agree to hold
harmless the City of as to any claim (including costs, expenses, and attorneys' foes incurred in the investigation and dgjense of
such claim), which may by any person, including the undersigned, and, filed against the City of Flederal Way, but only where such claim
arises out of the rei , including Its q,(Jicers and employees, upon the accuracy of the irtformation supplied to the city as a ,art of
this application. y, Z , � ,
A
NAME /TITLE DATE "
( fude)
RELATIONSHIP TO PR4A= ❑ Owner ❑ Agent ❑ Contractor JCArchitect ❑ Other
,,.
FOR OFFICE U83 ONLY
o NEW o ADDITION
o ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ONO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
o NO
NEW ADDRESS REBUIRED? o YES ONO
UP /SEPA/SU? ❑ YES
o NO
BATTED LOT? o YES o NO
DEMO PERMIT REQUIRED? ❑ YES
o NO
Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts\Permit Application