05-103291 •
• a
City unty Development Services Federal Way
CoBuilding - Commercial Permit#: 05 - 103291 - 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: RIDGEWOOD CENTER
Project Address: 33650 6TH AVE S Parcel Number:926480 0210
Project Description: TI-Lobby renovation of first and second levels and includes demoltion of partition walls,columns,
relocate smoke doors,new relights at stairwell,new finishes. No plumbing or mechanical work.
Owner Applicant Contractor Lender
SUN LIFE ASSURANCE COMPANY NORRIS BEGGS&SIMPSON CIO B D P INC GENERAL CONTRACTOR: SUN LIFE ASSURANCE COMPANY
777 108TH AVE SUITE 103 10801 MAIN ST SUITE 110 DPINCGC066BU 1/31/06 777 108TH AVE SUITE 103
BELLEVUE WA 98004 BELLEVUE WA 98004 19909 BALLINGER WAY NE SUITE BELLEVUE WA 98004
SEATTLE WA 98155
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: B
Construction Type: Type V-B
Occupancy Load:
Floor Are q.Ft.):
Buildingi e-con.Meeting Required .,,.No t Census Category 437-Commercial alttadd
Fire Sprinklers...... w. Yes Mechanical..,. `i ......... Ido
Number of Stories ,Permit for Building hell Only....,...... :No
Plumbing `r.. No SialInspection Required.., 1+10
Will Certificate of Occupancy be Issued? No Zoning Designation OP
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES February 26,2006.
Permit issued on August 30,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th- use w. be in accordance with the laws,rules and regulations of the State of Washington and
the City of Fe.e . „/lohh ,
Owner or agent: 11 / \ Date: G -
DATE INSPECTOR AREA AND TYPE OF INSPECTION
•
` •'
THIS CARD IS TO "MAIN ON-SITE
CITY OF 4ky tommunity Development Inspection Record'
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-103291-00-CO
Owner: SUN LIFE ASSURANCE COMPANY OF (
Address: 33650 6TH AVE S
FEDERAL WAY, WA 98003-6754
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 arc 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 legged on the back of this card.
L, Footings/Setback(4110) ❑ Foundation Wall(4115) 0 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) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
❑ _ Un'ler#loor 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
•
n Roof Sheathing(4220) ❑ Fire/Draft Stops (4095) r 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
By Date By Date .signed-off and approved. IBC 109.3.4/UBC 103.5.41
I it
O Framing(4120) Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
U
B � Date \\'\ By Date By Date i/
❑ Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By *tic Date 2 bA96 By Date
•
10 Final-Public Works(4080) 115 Final-Building(4050)
•
Approved Approved
By Date By Agit Date //
cox.
..
o `4IPD
I
j Federal way � % 1°5 pIERMIT
MY
5- 43)312-q
' cOMMUNffYDEVEWPMENTPERVICES SF M CO E EL PL DE EN FP
33325 D AVENUE SOUTH•PO BOX 9778 O `C "k LI CATION -
FEDERAL WAY WA 98063-9718 {`�
253-835-2607•FAX 253-835-2609 ,��J = [per
www.ctttioffederalwau.com ``,\�w"Q‘ '1
OS
The ollowin• is re•uired i ormation-an incom•lete a• •lication will not be acce•ted. Please •rint le`•,ibl (in ink)or
/ • PROPERTY INFORMATION 1 11
SITE ADDRESS .?„?‘6.70 ( 400-4444,e" j / . Z'7L AR V SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 9 2 t 4 S O - O Z / O LOT SIZE(sff)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)_., ,,007•77"-AIG-#10;1:-.)
(Attach separate pageJor lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT I' BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) '' //
Lo8.8r NDYR?7ON TL., /A/ILUOF . --.1.e-19.C7 /2.49.0e77770.4/ JV.4 S, lO46//+w
.39
GG r! A."�� A _ —rt _. YI'
W4-...m ,C7A/1s0414Fs
PROJECT NAME(Name of Business or Owner Last Name) ,e2:; -„E2,..,/e902.., Z_, -, �
• PEOPLE INFORMATION
PROPERTY NAME // (/40114 .S ' •j%M/VS�� PRIMARY PHONE
OWNER 5;AM�3A, GAF 'CA�S.fi�i?�i✓ee ois7iO.QNv' of Csp30)49,7A. (125) 15/ -g/,o
MAILING ADDRESS CITY,STATE,ZIP
777 Afr4'14 /of Zei -ve-fE-/ A/4 9.90 of
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
70' SO- 2:7k/Z7eAlrArt6Dt;)
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAMEAPPLICANT NAME OFFICE PHONE
/j a e/S EGGS �- ;//ei4YA, i/o q yy,5 , H,7 (4Z5)464 -c,544
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/doo/ //a i ? 7-7.. ire//O •fE'�t.�vrvL- A./ ? ) -
RE TIONSHIP 10 PROJECT FAX NUMBER
Architect ❑Tenant o Agent ❑ Other(Describe) (¢/S) 153 -So/3
CONTACT NAMEE PRIMARY PHONE E-MAIL ADDRESS
`Ab:eo-2177i,,- �vF.P/s (1Z ) 154 - e -6G e.E.4.stri0.1 ,09 ,s.gr o� s
LENDERPer RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000 NoW E
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE �.�7G16--- PROPOSED USE /jF,. G.E
EXISTING ASSESSED/APPRAISED VALUE $ Tl/09 ?rte•00 VALUE OF PROPOSED WORK $ {;JD0000,O 0
SPHERED BUILDING? p�ES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED„? eiS ❑ NO
5T74'¢ 077iv6F
WATER SERVICE PROVIDER &LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDERLAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
•
• .
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
Sg.FT. SQ.FT. SQ.FT.
BASEMENT
le9/?// /V4- iI 650 N°' C/C4 .16'.5:5)
FIRST
OFA% /4 g '.. .tib cya E /4/P'Z`
SECOND
o,G-�G,E I $Zi Ale, e,40N&-E /6 z/
THIRD
N�A _, ._.
FOURTH N/A -- ' _
ADDITIONAL FLOORS(DESCRIBE)
N/,Q
DECK(COVERED?)
/A/6. //t/ Sic oivo f•G�-^
e.oR S/8e
GARAGE ❑ CARPORT❑
/4/4. 9 'k'E "_
NUMBER OF FLOORS EXISTING PROPOSED TOTAL AL EXISTING SF TOTAL PROPOSED SF TOTAL.SF
3 3 3 ?�- Np c .4/.6.6- 3f zo'f*
**NEW HOMES ONLY** NUMBER OF BEDROOMS /a4 ESTIMATED SELLING PRICE $ A///4
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.
MECHANICAL
Value of Mechanical Work $ 0. c
O AIR HANDLING UNITS O EVAPORATIVE COOLERS O GAS LOGS _ ._ ' G.SYSTEMS
0 BBQS O FANS C' HOODS)commere. C) WOODSTOVES
d BOILERS O FIREPLACE INSERTS Cr, RAN v MISC(Describe)
O COMPRESSORS O FURNACES -- WATER HEATERS
O DUCTS 0 GAS PIPE OUTLETS
PLUMBING
O BATHTUBS)or Tub/Shower Combo) f SHOWERS O WATER CLOSt 1J(Toilet) ' ' MISC(Describe)
O DISHWASHERS O SINKS I DRINKING FOUNTAINS`RE-A- r +•Mrr
C) GAS PIPE OUT y'. O SUMPS 0 RAINWATER SYST
O WAS : , 'CHINESO URINALSHOSE BIBBS
w• S�:at r0000mmS M��r� O VACUUM BREAKERS C) ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I cert fy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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'as a part of
iri
::::
G [d ✓ /�
fk o)11
'1(11 �1 11
� r / WR,,,--x....L...
S DATE 1OD
(Signature)
(Title)
RELATIONSHIP TO PROJECT 0 Owner 494<ent 0 Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY $ �,� 700
❑NEW c ADDITION ❑ALTERATION ❑REPAIR MrENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES rp BASIC PLAN? o YES IhelkO
ZONING DESIGNATION Dp CHANGE OF USE? ❑YES i
NEW ADDRESS REQUIRED? ❑YES 600 UP/SEPA/SU? o YES uNO
PLAITED LOT? ❑YES, 0 DEMO PERMIT REQUIRED? ❑YES griiO
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application