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11-103885 R wilding - Commercial City of Federal WayPermit #: 11 -103885-00-CO Community&EconDev . .Services s 33325 8th Ave S r` ; t Federal Way,WA 98003 Ph:(253)835-2607 Fax(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: RIDGEWOOD BUILDING TENANT SPACE Project Address: 33650 6TH AVE S Suite 104 Parcel Number: 926480 0210 Project Description: TI-Non-structural interior tenant improvements including demo and rebuild of partition walls&doors,some minor lighting and ceiling grid changes; No plumbing or mechanical. Owner Applicant Contractor Lender SUNLIFE ASSURANCE CO OF DEBORAH TOWNER PACIFIC CONSTRUCTION SYS SUNLIFE ASSURANCE CO OF CAN CAN BURGESS DESIGN INC 600 UNIVERSITY ST STE 1028 600 UNIVERSITY ST STE 1028 1326 N 5TH AVE SUITE 500 PACIFCS187PK(10/1/12) SEATTLE WA 98101 SEATTLE WA 98101 SEATTLE WA 98101 2275 116TH AVE NE SUITE 100 BELLEVUE WA 98004 Census Category: 437 - Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: Floor Area(sq.ft.) 5,234 0 0 0 /' As 4:..- '- ',4-Ip',, «ition l 'a' Jit , �'. t ,, ',P >\ '' ,'� ti ��t i / c �', ., N3 ''i�/'/ii, :a ... t ,,. Vic„$��. 4 . .. *`�.. �,. �.....� . '�� ,... . Existing Sprinkler System in Building? Yes Mechanical to be Included? No, Number of Stories 2 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 jy resAssociatediVit 1k%T is` \ 1.t.,-.:— ,.\ -t // F \ 'r ' PERMIT EXPIRES Sunday, June 10, 2012 Permit Issued on Tuesday, December 13, 2011 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the us will be in accordance with the laws, rules and regulations of the State of Washington / �/, nd the City of Federal Way. Owner or agent: / �� `(,. Date: o / r,� Z 3-,,,r,-0-4 (0/5;42,, • THIS CARD IS TO REMAIN ON-SITE , CITY°F _• Construction I ection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 11-103885-00-CO Address: 33650 6TH AVE S Suite 104 Project: SUNLIFE ASSURANCE CO OF CAP 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 Footings/Setback(4110) ❑ Re-steel(4215) 0 Slab/Concrete Floor(4255) Approved to place concrete Approved to place concrete or grout Approved to place concrete By Date By Date By Date O Underfloor Framing(4285) El Floor Sheathing(4105) El Fire/Draft Stops(4095) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date Prior to scheduling a Framing inspection; D 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 B3y�(C Date 1.—4_ `--2...., By Date `0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved By(S Date 1 _ c (Z By j� 2„ Date l,�13`t 2 By Date Final-Planning 0 �=�` Final-Building(4050) Approved Approved By Date By Q Date L _ 5 T t.\ 0 Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date -1,.. I ( — LO A CITY OF �. ERMIT SF MF CO ME PL DE EN ,. Federal VRECEI COMMUNITY DEVELOPMENT SERVICES [ APPLICATION P p LI CAT I O N 253-835-2607•FAX 253-835-2609 0 fell 1. esti www.citynt(edemlway.com SEP Ji/ L ° SITE ADD RESCITY OF FEDERAL WAY �j� SUITE/UNIT# 101- PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ I6t)e#PC ° g2IQ 4 S0 _ D2. ( a TYPE OF PERMIT '"BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION g ENGINEERIN9 0 FIRE PREVENTION NAME OF PROJECT RI di i J it dA\l ' (Tenant Name/Homeowner Last Name) `, / ' F e.rAcl S' 0 r (I � r Ver PROJECT DESCRIPTION / �C.. '"ems�` I�" c+ �`�1nJL�fin Detailed description of work to o © ii/ms caws "'e( 1 a5 'e-1 v V t.may be included on this permit only 1 ' i(� d�,1 L !i/� 11A/1/10V 1 ,t /'( )t C ' il 6/1�di'/k Or IVO( PROPERTY OWNER N ?ADDRESS' ,s +/✓�- J i t Pe-- 42. 59'7• /863 & 3 MA/IIL^^ING ADD■RDD 0ERE96ss 10e si-ree+ *102_8 E AIL f ./ na4 -nes. CITYj�PA`,� G/ I 617 M I ZIP W r {..s'i" ' L! NAME PHONE MAILING E-MAIL CONTRACTOR6. i A CC �/i�_//�-- E ZIP FAX WA STATE RACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# AME N6�cr,rcan C ,--r uTre,✓- -iiwp MAR ADDRESS APPLICANT ,3 2 b 5411 R i . t; 50 anatta _Lei CITY 3T zIP (1(J FAXG(��CpIr1�P c n' "e4 ' 1 � $!tl I 20(0.587. PROJECT CONTACT 'N"(�� ) a ,n_A �, / PHONE /(�. (The individual to receive and Y r W r ,' $l� ��. 2.( • se7 7122) respond to all correspondence MAILING ADDRESS e,p c • E ,(� concerning this application) I ip J Lime ‘ • (e IL"' to ��1 CITY \ ST TE ZIP O FAX 204 . I .I7lJ� Sem u�'A- 8t sg�. '7122 ALTERNATE CONTACTN PH NE 200 E-NAIL la OP". ckJ 1 2e' 391.. a ra? elrmersa-6vaiew .,st PROJECT FINANCING NAME t Di V i• „ ..xj.,,„^(, 1- OWNER-FINANCED 1- Required value oj$5,000 or more J�/1��,�y� IJ ti jf/ yJ�{ (RCW 19.27.095) cf..►o AILING ADDRESS,m.CV"'ITY,✓ E,ZIP�4 . - • (0 244 .5%1. j I certify under penalty of perjury that I amff\\the propertyoder or authorized# agent of the property owner.I certify that tothebest 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),wit"ch may be made by any person,including the undersigned,and filed against the city, but only where such claim . ' es out of the liance of the city, including its officers and employees, upon the accuracy of the information supplied to the .ty part oft application. l / Milj\ ( SIGNATURE: DATE r.+� - 1 PRINT NAME: I i I C. CS . i R # Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application • V- ;€� 5: ; `` .' ..`.,A:. t .v: :R C mom„ a VALUE OF MECHANICAL WoRK $ . o l . bid or estimate must be provided) Indicate how many of each type offixture to be inst'. O' .1 1 .rated as part of this project. Do not include e ' AIR to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLI lb OTHER(Describe) AIR CONDITIONER , • PLA INSERTS HOODS(co .. at) BOILERS '�^' R�iAC His R TANKS(Gas) COMPRESSORS AS LOG SETS REFRIGERATION SYST DUCTING AS PIPING WOODSTOVES A. , 044,41!<1,-,11:', ' /� `s .€.[€:k,zk = . '.� > 14.5:d;1:'a..3a 3 Indicate how many of each type of fixtur- • .e installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(or fhb/shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING DISHWASHERS RAI�S S6t,./ J IS URINALS OTHER(Describe) DRAINS SHOW (�°�/ VACUUM BREAKERS DRINKING ••.:.a NTAINS SINKS(IC tchrn/utAity) WATER HEATERS(Electric) HO " :IBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL-INFORMATION `' CRITICAL AREAS ON.PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS M.(6L_ LU) LUQ $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTINGSPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? 6 `de/&`ir i c.� 1ti j/ Yes 0 No 0 Yes o ., � s ( _.s— *1;, 71 , €€, :V-:, i'''.--1-1-7, ..� AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FO• t 'ICE USE BASE NT FIRST FLOOR(or Mobile Home) SECO f)JWOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHEIttdeecribe) 3 Eusrmc „PROPOSED TOTAL Area Totals **NEty.Ec las ONLY IMATED SELLING PRICE$ #OF BEDROOMS Area Construction #of AREA DESCRIPTION in Square Feet Occupancy Group(s) Type Stories Additional Information NEW BUILDING '' ADDITION ,�,,;, ''',!'„0.M RGT�' -R E _ ACTT IMP ,'ENTS . i 5 Area Construction #of AREA DESCRIPTION in Square Feet Occupancy Groups) Type Stories Additional Information TOTAL'BUILDING ,672 '' TENANT AREA ONLY S 2,, -ci 13 I Cb/S'p...-* _ , , I , PRO EC1 AREA ONLY 1'""i.` ✓3Q J Bulletin#100-January 1,2011 w(G.a Page 2 of 3 k:\Handouts\Permit Application