15-102070 e
OBuilding - Commercial
City of Fe Way Permit #: 15-102070-00-CO
Community&Econ.on.D ev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax:(253)835-2809. p �
Project Name: THE COMMONS SECURITY OFFICE
Project Address: 1928 S COMMONS Parcel Number: 762240 0010
Project Description: Construction of a 12'partion wall and relocation of(1)door.
Owner Applicant Contractor Lender
A J WERFELMANN A J WERFELMANN OWNER IS CONTRACTOR
COMMONS MALL LLC COMMONS MALL LLC
1928-B S COMMONS 1928-B S COMMONS
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Census Category:437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories. NI. 1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit II
PERMIT EXPIRES Wednesday, October 28, 2015
Permit Issued on Friday, May 1, 2015
1 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: Date: 5////5----
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-102070-00-CO Address: 1928 S COMMONS
Project: A J WERFELMANN 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.
0 SWM Precon Site Mtg(4400) - 0 Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
Foundation Wall(4115) 0 Drainage/Downspout(4040) ❑ Re-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
❑ Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) • ❑ Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
Shear Walls(4245) Roof Sheathing(4220) ❑ Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection; Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 1093.4 By 1 �, Date 5_7-i I S
0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
El Final-S K F&R(4060) El Final-Planning 0 Final Erosion Control(4375)
Approved Approved Approved
By Date By Date By Date
0 Final-Building(4050)
Approved
By Date 4,...,1_` c
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
11101111 1PR 30 2015
R
PE MIAPPLICATION
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Federal Way CITY OF FEDERAL WAY
CDS
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PERMIT NUMBER / _ 0/ / ) _ cc),
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/ v ` ��� TARQET DATE J/
SITE ADDRESS SUITE/UNIT•
112 f3"63 5 1 �O��Df�- � _�'
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N
S—o®`'G 7 Z-_ —1 12 - Q L2
TYPE OF PERMIT 14,BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION El ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT i." ,v A,A-L L C S1Gt1 e-(TY D�CE)
PROJECT DESCRIPTION R.pp!' /2-r 14-„e--44 L,�9 u C�v 2o' FI L Z7s*� Sj°�Le<
Detailed description of work to 147 h f r / / 601).+1 J
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER A4
ff 4/4"& I' ) ,L C Z3- 2757- 6e,
ADDUSS E-MAIL
/o797 fryv
C STATE ZI
NAME PHONE
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE A EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M
PRIMARY.r ini r2-FL'Z..hi►41•4i Y2 2 3 214~(off/
DIG ADD E-MAIL
APPLICANT MAILING
1"! 21S -/.5 ,50I/'7 (D#'vrt t1-.5
C TY STATE ZIr ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT /:�2F1- .m A•v .. 2 5`3" 27$ - to
(The individual to receive and MAILING ADr3I:ESS EMAIL,
7.�,/bW �N
respond to all correspondence j12�;� � .��iv I tr C rl-lM b L4) 1� ��-�'`�
concerning this application) C STATE z FAX 37-1421) f ,.i/ r'Cary
t A-1 iv/ry sL-/�- 'NCB`>3
NAME
PROJECT FINANCING , OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 o f this permit application is true and correct.I certify that I will comply with
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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 clai ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t• as a part of this application.
SIGNATURE: / DATE ���/
PRINT NAME: AOr I ' L / AL;/1
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• S
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES-
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(kitchen/Umityl WATER HEATERS(Electric
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING VEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square IF et) EXISTING FI PRINKLER SYSTEM? PROPOSED FIRE SUPPRESS 'SYSTEM?
UWi c A Yes ❑ No ❑Yes l�1 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
""NEW HOMES oivz r
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
I NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area Construction #of
AREA DESCRIPTION
in Square Feet Occupancy Group(s)
Type Stories Additional Information
TOTAL BUILDING /�7/7
TENANT AREA ONLY I/. 1
PROJECT AREA ONLY ff
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application