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04-103949 . City of FedDevelopmeneral Way Services Building - Commercial Permit #: 04 - 103949 - 00 - CO Community P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: TAX CONSULTANTS OF WASHINGTON INC Project Address: 33400 9TH AVE S Suites 18 Parcel Number:926501 0060 Project Description: TI-Construction of new interior walls,demolition of some walls,installing new entry door,new vinyl flooring for kitchen area,moving some doors,&some minor lighting changes. No plumbing or mechanical work on this permit. Owner Applicant Contractor Lender GOLDEN STONE LLC GOLDEN STONE LLC KELLY THOMAS INC GOLDEN STONE LLC 33400 9TH AVE S 33400 9TH AVE S KELLYTI148CR 1/29/06 33400 9TH AVE S 26318 ENTWHISTLE RD E BUCKLEY WA 98321 Includes: Census category: 437-Comm I #1 J� #2 #3 I[ #4 Occupancy Group: B Construction Type: Type V-One-HR I r — rOccupancy Load: rFloor Area(Sq Ft.): 138211F w z 1st Floor Proposed Sq.Feet.......: ..1382 Census Category ......... .. ..... 437-Commercial alt/add Fire Sprinklers Yes Mechanical.....,....... No Number of Stories....... 2 Permit for Building Shell Only....... .No Plumbing N2o Will Certificate of Occupancy be Issued? Yes Zoning Designation OP PERMIT EXPIRES March 27,2005. Permit issued on September 28,2004 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. 9' __,_,...c_: Owner or agent: Date: jt6"-/ City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 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: TAX CONSULTANTS OF WASHINGTON INC Permit number: 04- 103949-00 Address: 33400 9TH S Suitel18 #1 #2 #3 L-- —#4 Occupancy Group: B Construction Type: Type V-One-HR Occupancy Load: Floor Area(Sq.Ft.): 1382 Owner GOLDEN STONE LLC Name: 33400 9TH AVE S Address: * 3cdo // ^ TQ 5e 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. w • DATE INSPECTOR AREA AND TYPE (, INSPECTION /0"Vor ff,, �'o`/s/a� /e-6f ai+1 ..47/7/711-w ui. ,f o.L",. , THIS CARD IS TO•MAIN ON-SITE . CITY OF litommunity Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-103949-00-CO Owner: Address: 33400 9TH AVE S Suite 118 FEDERAL WAY, WA 08003 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. .• 1 0 Footings/Setback(4110) 0 Foundation Wall(4115) ❑ Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date •❑ 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 Date By Date ❑ Underfloor • Framing(4285) '❑ Floor Sheathing(4105) �❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date ❑ Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) ) NOTE Prior to scheduling a Framing(4120) Approved to install roofing Approved ; inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3A/UBC 108.5.4 t By Date By Date • • [l Framing(4120) •❑ Insulation(4150) 0 Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By %L`/' Date `°x,:/26121 By Date By f Date /0/2.Ø'/ , •❑ Suspended Ceiling Grid(4265) �❑ Final-Fire Department(40 Final-Planning(4070) Approved to drop tile Approved Approved By Date By Date By Date . . I ❑ By Final-Public Works(4080) ❑ Final-Building(4050) Approved �By �s A proved DateDate ( — 134 Ig ...., ,4'. .._ 0 RE? Federal Way RM IT SF MFCO ME EL PL DE EN FP CO DEVELOPMENT SERVICES ASL I ATI ON TD FEDERAL 33325 8TH AVENUE SOUTH•PO BOX 9718 FEDERALLWAY,WA 98063-9718 / 253-835-2607•FAX 253-835-2609 /J�"`I tri www.cihrofederah,'a4.com V CITY''OF II FnnFENNDrrEnnR��AppL WAY The following is required information f3tt��fh��b ip4e"1e a'p•lication will not be acce.ted. Please print legibly(in ink)or type. • PROPERTY INFORMATION ��/J S f SITE ADDRESS 33400 _CiT / : SoCif ?� / F/P yya(Y 70003 SUITE/UNIT# 1 is ASSESSOR'S TAX/PARCEL# q 1 ee I t? - 0 0 6p O LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) J e-iL kriPcCEp (Attach separate page for lengthy legal desaiption) . ■ PROJECT INFORMATION .• -Te.vv-4.A} .IwvPv ov-e-V netifi' _. TYPE OF PERMIT &BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) iLl L,► D oado ' ♦ II\ - S ti C. L.-'if__ , / I NSTNA-, ' iS i NI VV. i` CV •i+O 2 ) 1X-tip W ANLA - 13 k.D t iW WPCIAL. TO acs-T-, i s_t=. t. rCCZ-\C t )OR , (zsu 40-T , 2ct VSi T t RAE PET. PROJECT NAME(Name of Business or Owner Last Name) -' - _ i ' ".' "- r (.1 ikiyal Stc Ha • • -r a PEOPLE INFORMATION U PROPERTY NAME �" PRIMARY PHONE OWNER (}° -PCN STO t1ly 1-Lc, (Z0G) 22-.2 -9 so In ADDRESS CITY,STATE,ZIP 320- to(v-oft Pcv. Ns it©o P, u L.{ \A/Pc 9QQc)4 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE i GL-t,-( -rtA-61-i (NIC. (253 735-392 MAILING ADDRESSCITY,STATE,ZIP IA CELL PHONE /P_31 ��& TvV-f}1 S1E, R'D, ,c, 3L�4C, L y ( ZOQ 79)fo -7'477 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER / / (253) G', -Z©IS CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE k_ g L Ly T T .1 4 g. c. R / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE C1©1, DtC-'0 STO N,e (,LC l-AM 13P\-K. ( , (2O(0) 223 -9 So a MAILING ADDRESS CITY,STATE,ZIP WA CELL PHONE 320- 106-c"iNv. NE • (oo Oc(,I, U E geooJ (20(0) bot -1953 RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant Agent 0 Other(Describe) ([-129 452_-te 4 CONTACT NAME , PRIMARY PHONE E-MAIL ADDRESS J\per"l O�'CK-' 1Z (2..C(0) 0,2,3 -9 500 ,I09 Laurel( C Souvid v z+.�-!•u i�k ,Nc LENDER r PerRCW 1927095 Lender information is NAME required f project value exceeds$5,000 GiA KI I\ U t IA'kv �- ,. �F'. I LIS, MAILING ADDRESS CITY,STATE,ZIP \ ■ DETAILED BUILDING INFORMATION • EXISTING USE C fF ILC PROPOSED USE 0 T I C EXISTING ASSESSED/APPRAISED VALUE $ (2.3 00 i°CO±VALUE OF PROPOSED WORK $ 2-010 0) , SPRINKLERED BUILDING? 'YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER XLAKEHAVEN ❑HIGIILINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER �?7/\LAKEHAVEN ❑HIGHLINE a PRIVATE(SEPTIC) PROJECT FLOOR AREAS • .- TOTAL •..__... AREA DESCRIPTION EXISTING S•.FT. PROPOSED S•.FT. IIIIIIIIIIII FIRSr NO CkVP'sNC, � 1J�1. SV. 11111111111111111 SECOND R` ) ,, 114ASr THIRD `v FOURTH ADDITIONAL FLOORS(DESCRIBE) IIIIIIIIMIIMIIIIIIIII DECK(COVERED?) IIIIIIIIIIIIIIIIIIIIIIIII GARAGE/CARPORT TOTALIIIIIIIIIII EXISTING AND PROPOSED Taf.L vas-11/(G MANY FLOORS? "NEW HOMES ONLY NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ y`_-FIXTURES', Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. 1 MECHANICAL Value of Mechanical Work $_______— i REF G.SYSTEMS GAS it GS R DS.SYST AIR HANDLING UNITS EVAPORATIVE COOLERS HOODS(cemm«<t�l FANS R#CNGES LSC(Describe) OVES BFIREPLACE INSERTS —� BOILERS FURNACES iGAS WATER HEATERS COMPRESSORSUTS OS PIPE OUTLETS DUCIS PLUMB/NG SHOWERS WATER CLOSETS lro,kt) MISC(Describe) DISHWASHERSBATHTUSS to rub/sno�«camnol SINKS DRINKING FOUNTAINS PIPE OUTLETS SUMPS RAINWATER SYST GASURINALS HOSE BIBBS WASHING MACHINES VACUUM BREAKERS ELECTRIC WATER HEATERS LAYS Bath....Sinks a DISCLAIMER/SIGRATUREBLOCK - — for which the correct t o the best Ston my made. I further agree further,that I thold I certify undyrt a own r of t urg bonethat premisethe ss to perform he work fmation furnished by me r whi h t e perm QSp carred ini the de. Iif rt a odefense of am ha authorized by the Federal the above p includingthe undersigned,and filed against the City of Federal Way,but only where such claim harmless the City of Way as to arty claim(including costs, expenses, and attorneys' such s out the may be made by any persnn arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a Part of this application. 1 DATE NAME/TITLE ,lAi.. ret f (Title) (•R �!ureJ RELATIONSHIP TO PROJECT 0 Owner gent 0 Contractor 0 Architect 0 Other S s I ,FOR OFFICE U o NEWo ADDITION n SE ONLY o TENANT IMPROVEMENT ( ALTERATION o REPAIR . ❑YES a NO o YES ❑NO BASIC PLAN? o YES ❑NO BUILT/LNG SHELL ONLY? CHANGE OF USE? { ZONING DESIGNATION, n YES o NO UP/SEPA/SU? i NEW ADDRESS REQUIRED? a YES ❑NO PLATTED LOT? a YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO • f # – Page 2 of 4 LWandouts–Revised\Permit Application i 4, Bulletin II l00–March 30,2004 1 '