12-105621 //Building " Commercial
City of Federal Way
Community&Econ.oev.Services Permit #: 12-105621-00-CO
33325 8th Ave S
Federal Way,Fax � �98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: LANE BRYANT
Project Address: 2116 S COMMONS Parcel Number: 762240 0010
Project Description: TI-Interior improvements including partition walls,finishes and addition of accessible
restrooms. Includes plumbing&mechanical.
Owner Anpticant Contractor Lender
STEADFAST COMMONS II LLC JAMES PALDA HORIZON RETAIL OWNER IS LENDER
18100 VON KARMAN SUITE 500 STEADFAST COMPANIES CONSTRUCTION INC
IRVINE CA 92612 18100 VON KARMAN SUITE 500 HORIZRC072N5(4/15/15)
IRVINE CA 92612 1500 HORIZON DR
STURTEVANT WI 53177
Census Category:437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: M
Construction Type: Type V-B
Occupancy Load
Floor Area(sq.ft.) _ 4,642 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? Yes Mechanical to be Included Yes
Number of Stories. 1 Permit for Building Shell Only' No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
Occupancy#1-Use Sales Room Zoning Designation. CC-C
Mechanical Fixtures
Air Handling Units. 3 Ducting 1 Fans 2
Gas Piping 1 Hot Water Tanks 1
Plumbing Fixtures
Lavatories 2 Sinks 1 Water Closets 2
PERMIT EXPIRES Saturday, October 12, 2013
Permit Issued on Monday,April 15, 2013
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: , • -u a..- Date:
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Ci of Federal Wa
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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: LANE BRYANT Permit#: 12-105621-00-CO
Address: 2116 S COMMONS
Includes: #1 #2 #3 #4
Occupancy Class: M
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 4,642 0 0 0
Owner Name: STEADFAST COMMONS II LLC
Owner Address: 18100 VON KARMAN SUITE 500
IRVINE CA 92612
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 sever*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.
I `
E1\4,1•\ ";
' '`'DATE INSPECTOF AREA AND TYPE r `INSPECTION
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to-1 (3 (V1--C-CL-
•
THIS CARD IS TO MAIN ON-SITE r
CITY OP 1111 . . • Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-105621-00-CO Address: 2116 S COMMONS
Project: STEADFAST COMMONS II LLC FEDERAL WAY, WA 98003
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.
❑ SWM Precon Site Mtg(4400) - -0 Initial Erosion Control(4365) CI Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
. . • * •
O Re-steel(4215) 0 Plumbing Groundwork(4190) '❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By")5-6r- J Date S,�.--(3 By Date 3-120)//3
• Underfloor Framing(4285) 0 Floor Sheathing(4105) Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By ----- � Date s ,3
• Mechanical Rough-in(4165) Gas Piping(4125) Fire/Draft Stops 4095
g ( � � P� g( ) � P ( )
Approved proved to release test Approved
Bar Dates j 3(3 Dater / 77j By Date
O Interim Erosion Control(4370) Prior to scheduling a Framing inspection; ID Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Date Fire/Draft Stop inspections must be signed-off and
By approved. IBC 109.3.4 By 5(S Date S .-9.�`
O Insulation(4150) ❑Gypsum Wallboard Nailing(4130)• 0 Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud to Approved to drop tile
By Date By Date. 1 I✓ r, By Date
O Final-Fire Department(4060) 0 Final-Planning Ei Final Erosion Control(4375)
Approved Approved Approved
By Date By Date By Date
. ♦ ,
0 Final-Mechanical(4065) El Final-Plumbing(4075) • Final-Building(4050)
Approved '� ,/ Approved Approved
y Date L��� _ ‹ Dat& i4 / 6,, Date- ' ,-
■11.01••■•-
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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CITY OF - Re PERMIT PERMIT sF MF CO ME PL DE EN FP
Federal Way 1r- 2T
COMMUNITY DEVELOPMENT SERVICEDEC 1 a A ?LIcATION I //Si/E, 5 . $3
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SITE ADDRESS -l• SUITE/UNIT#
'' 6777--(67 '51'.- eo: t
PROJECT VALUATION ZONING AESSOR'S TAR/PARCEL#
C
TYPE OF PERMIT al:WILDING ❑ PLUMING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) ��y 4,0,--r---
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PROJECT DESCRIPTION _
Detailed description of work to .�' -T---ci2 -r-e"%ft'--1 7/C rtZ-c-ez
be included on this permit only `
NAME . /� PRIMARY PHONE
PROPERTY OWNER S. �rbe're 4e--(' 941 rf 6752-e-
MAILING ADDRESS E-MAD.
(g/eA> IAPL 1c .. 7 5 .a,57-
CITY---p STATE ZD'
1J(altr�(Z t'4 42E1 2
_NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE'# - EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
if ✓ b
NAME J / BONE
APPLICANT
MAILING AD E-MAIL
CITY STATE ZIP FAX
PROJECT CONTACT NAME PHONE
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
^ OWNER-FINANCED
Required value of$5,000 or more T 1
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppli • th city , ��PPlication.
•
SIGNATURE. DATE r Z- / )2-
PRINT 71E: • il'ee'3 lC7 �
Bulletin#101—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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t 1. • •
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°, '� m E ANJ &= T - ,1 ,u , i ,'ts--�` y tii�y !
VALUE OF MECHANICAL WORK $ /0 1< (a copy of bid or estimate must be provided)
Indicate how many of each type offvcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
l AIR HANDLING UNITS e. FANS GAS PIPE OUTLI IS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES _ / HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
( DUCTING GAS PIPING WOODSTOVES
-
W � � ll iii ~'i� I li .� � 11� i V y o �. � � ��i � , _�
�c 't i1 11:,,. 1 i,�-iV =" -� 5 3 iP`. Y ..._ u� s 7eyu 4 -T , �i M i °fix
Indicate how many of each type offvcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) Z LAVS(Hand sinks) {L- TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS C SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
;,r. GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ 7- 3
EXISTING/PREVIOUS USE LOT SIZE an Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
e'Yes ❑ No ❑Yes ❑ No
(alt.
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
SBA' EI N ,,. a. 1
FIRST FLOOR(or Mobile Home)
SIC4FR `'
COVERED ENTRY
GARAGE ❑ CARPORT ❑
4ThER{desc*rtbe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES oNLY*E
ESTIMATED SELLING PRICE$ , #OF BEDROOMS
4 tK iii I� t y ', 1 ',..1.--+---. it _t lF Y 1 4,. -� �'y
C 0 4. —' i y y, '-' ' x , e, 4_:,(.,.. r'.1 -va �, 4 .i'4 _= g a
AREA DESCRIPTION `�e8 ° Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
;¢ IEW BUIUMNG"
ADDITION
),Jt t, ys-!r�;_.,;'L':''''''
'" Ec. rr-
)Z4 ! ` "^' orsEtiMINIAN' i{} hT , ,,'i 4 ry )
Area Construction ' #of ° m
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stones
TOTAL BUI DING
TENANT AREA ONLY /"/ V\� .\
PROJECT AREA ONLY.' 'v/ B
Bulletin#100-January 1,2011 Page 2 of 3 • k:\Handouts\Permit Application