12-103568 'City of 0 `Building - Commercial
Community&Econ.rDalWay
.Services Permit #: 12-103568-00-CO
33325 8th Ave S
Federal Way,WA 98003
Inspection Request
Ph:(253)835-2607 Fax:(253)835-2609 Line: f 253)835-3050
Project Name: MYERS-POWELL,OD
Project Address: 33915 1ST WAY S Unit 116 Parcel Number: 926504 0150
Project Description: TI-Interior remodel of(2)existing suites including demolition of demising wall,
construction of partition walls,ceiling grid&accessible restrooms. Plumbing&
mechanical by separate permit.
1 ,
Owner Applicant Contractor Lender
ESM BUILDING,LLC CHERYL BECHTEL SAFFLE COMPANY INC OWNER IS LENDER
320 106TH AVE NE SUITE 100 DANNIX DESIGN SAFFLC*001P1(10/21/12)
BELLEVUE WA 98004 1030 3RD ST 7350 CIRQUE DR W SUITE 202
KIRKLAND WA 98033 UNIVERSITY PLACE WA 98467
l
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II-A
Occupancy Load:
Floor Area(sq.ft.) 2,882 0 0 0
Additional Permit information
Existing Sprinkler System in Building`? Yes Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Occupancy#1-Use Professional Zoning Designation OP
Services/Offices
No Fixtures Associated With This Permit ll
PERMIT EXPIRES Wednesday, March 6, 2013
Permit Issued on Friday, September 7, 2012
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 t e City of Federal Way.
�
Owner or agent: 7 7, Date: 9/ 7// 2.
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Ci of Federal Wa • i �
City Y
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: MYERS-POWELL,OD Permit#: 12-103568-00-CO
Address: 33915 1ST WAY S Unit116
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II-A
Occupancy Load:
Floor Area(sq.ft.) 2,882 0 0 0
Owner Name: ESM BUILDING,LLC
Owner Address: 320 106TH AVE NE SUITE 100
LEVUE WA 98004
•
-73
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 ON-SITE '
CITY OFir
• Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-103568-00-CO Address: 33915 1ST WAY S Unit 116
Project: ESM BUILDING, 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.
o SWM Precon Site Mfg(4400) 0 Initial Erosion Control(4365) ❑ 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) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) ❑ Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370)
Approved to install flooring Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; Framing(4120) 0 Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Pj� Date /79/12_ By Date ,
❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape A Approved to drop tile Approved
By J6, S Date //•-3' r Z F67---By Date /z 5/ /� By Date
O Final-Planning ❑ Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approvedroved
By Date By Date c.----------r---5 Date\--ZS--/3
Rough Electrical Final Electrical Right of Way
❑ Approved ❑ Approved 1:1Approved
By Date By Date By Date
_ ,., .....1§,_, lioR - i 0 3 5--_(0
Federal Way PERMIT SF MF " 0 ME PL DE EN FP
MMUNTYDEF ME1VTS253 SERVICES ElVFA-'PLICATION //37/ ()-
253-835-2607.C'MTYDEVElAPMENT SERVICES 2609
AUG 0 3 2012 �,
SITE ADDRESS CITY OF FEDERAL WAY SUITE/UNIT#
339 I ' ice I' Va D , -fvoL,L., two...-{ lk. 'lb -003 II(07/7,0
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ Ii:-/ 0 00 ®P 9 .2_ to 6-- o 4 - 0 t S 0
TYPE OF PERMIT IKBUILDING 0 PLUMBING 0 MECHANICAL
DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ��W£�
(Tenant Name/Hom "P
eowner Last Name) � • t-1 OA ` t'(f- -S -
PROJECT DESCRIPTION .3 U t W O o i l NL o te.A.L._ til i_d(.G 1 LA.6 1.--(-o T r2til--"j-V a/Dri.„
Detailed description of work to PMC-11.11 -& w l& Si 'P8biC '04 "pi-1 S-ri Cl pti+1t ks 0L-l.-1 w&&LL. I
be included on this permit only \
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a.-o P - 2 -t-irt-t:i.�1
NAME PRIMARY PHONE
PROPERTY OWNER C;) i....l a 1.d1.)-.i-v AA.. (1....\\) t vin K. t-t—( .. .1-0(p--'iJL'c""0 2.1(0
,NAILING ADDRESS
O 5f�.-t�`k4-l.4- �SS�c.. 1(033 ?L As r�Y..-C. n)f.- E-MAIL
CITY STATE ZIP • 3%.:.'1
Ei;.,— _ Veit..- e��iuZ
NAME . PHONE
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MAILING ADDRESS E-MAIL
CONTRACTOR v.. z'''C a a--q- 4 63 fredbck AP dPQila.Saci"" 64).
CITY STATE ZIP FAX C-•?.,14
inn- 'v. /-e-( zt/47 9F ' 9 , 5-3 r,ei- /s)5
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
cS,rL�, f= .i Q P i C__ _moo_)/ /�_
NAME)Q--- 16 4 .{.l0 ,1c v J PG) t.I.L.'
PHONE
APPLICANT MAILING ADDRESS E-MAIL
'62-6 1 15 A-in N.)1_ s,g .
CITY STATE Nva ( 1tA - W►T -1t0•� FAX
PROJECT CONTACT NAME PHONE
(�Yie individual to receive and � AL L.- B -c H'T�D�`"�,4kX De-g.16,S..( 4a-S-‘62-(.4.,2`,4.,--6"3 5 C
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) '0.3o -n-i1Vj ST , aArtIt 1-3 Cl iNek A l p d'(j'M.
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tYl- -i.A-N rD szrix
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ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME 0 OWNER-FINANCED
Required value of$5,000 or more �� p
(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 supplied to the city as a part of this application.� -
SIGNATURE: CJLj' 4 "r'",-'\ DATE II 1 0 112
PRINT NAME: C 1 ILAC-- g (--VL.
41110 •
• MECHANICAL FIXTURES ii` e...l v(Atet.-
VALUE OF MECHANICAL Wonn $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture 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
PLUMBING FIXTURES 'P "i.412.41--,?"12
Indicate how many of each type of fi ct ure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower combo) LAVS(HandStnks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Unlny) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
0/4
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
® ---T-11,- 1 1 0 ( 51.-}. 7yoes ❑ No ❑Yes No
RESIDENTIAL - NEW OR ADDITION H
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
Emma raorosED TOTAL
Area Totals
"NEW HOMES ONLY***
ESTIMATED SELLING PRICE$ — #OF BEDROOMS _
COMMERCIAL-NEIL' ADDITION At.
AREA DESCRIPTION Area . Group(s) Construction #of
OccAdditional Information
in Square Feet uPcy Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square
TOTAL BUILDING 33 �Feet Type Stories
0 -u 12D ."
TENANT AREA ONLY , ✓(;??2- °{
PROJECT AREA ONLY 03 15 1 I