11-102169 . ' 1
Building - Commercial
City of Federal Way
Community Development Services Permit #: 11 -102169-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 Request Inspection Line:
Ph:(253)835-2607 Fax:(253)835-2609 p (253)835-3050
Project Name: ST PAUL TRAVELERS
Project Address: 33650 6TH AVE S Suite 200 Parcel Number: 926480 0210
Project Description: TI-Nonstructural interior tenant improvements to include new partitions,doors and
interior finishes. Plumbing,mechanical,and electrical on separate permit.
Owner Applicant Contractor Lender
NORRIS BEGGS&SIMPSON DEBORAH TOWNER D P INC GENERAL NORRIS BEGGS&SIMPSON
600 UNIVERSITY ST SUITE 1028 BURGESS DESIGN CONTRACTORS 600 UNIVERSITY ST SUITE 1028
SEATTLE WA 98101 1326 N 5TH AVE SUITE 500 DPINCGC066BU (1/31/12) SEATTLE WA 98101
SEATTLE WA 98101 19909 BALLINGER WAY NE SUITI
SEATTLE WA 98155
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
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• Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? Y91
es
Mechanical to be Included` No Number of Stories 2
Permit for Building Shell Only? No Plumbing to be Included? No
Zoning Designation OP
er R y
PERMIT EXPIRES Tuesday, January 3, 2012
Permit Issued on Thursday, July 7, 2011
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 ity of Federal Way.
Owner or agent: Date: 7 — 7 /7
Su 1- cf)
/ec./(i
-
`Cify of Federal Way • Th�
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 witMMthe-various-ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: ST PAUL TRAVELERS Permit#: 11-102169-00-CO
Address: 33650 6TH AVE S Suite200
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Owner Name: NORRIS BEGGS&SIMPSON
Owner Address: 600 UNIVERSITY ST SUITE 1028
SEATTLE WA 98101
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(withinbudgetary 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
ordinanceor 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.
# 4,IC* 4
11461
L %I. I
DATE INSPECTOR AREA 1ND TYPE O oiSPECTION ,
1. a.%—‘,1 d-. r, 0.., - -Q V --, 6 \-S
%-3- t L qy..� 0 V-c `-C(�` Q (3 --- --- e� 1
c •4,...._ - _- len~c Com. _1.4,,., cz `
THIS CARD IS TO REMAIN ON-SITE
cir,roFp Construction Iection'Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 11-102169-00-CO Address: 33650 6TH AVE S Suite 200
Project: NORRIS BEGGS & SIMPSON FEDERAL WAY, WA 98003-6754
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.
ED SWM Precon Site Mtg(4400) ' ❑ Initial Erosion Control(4365) ElFootings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
El Re-steel (4215) El Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
•
El Floor Sheathing(4105) ❑ Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to install flooring Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; ❑ Framing(4120) 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 GSA.._,— Date 9__al _ t i By Date
El Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By �G ?� Date f-0-7/ By pf Date 13—,12,V.-11 By Datee-22—l/
El �'� Final-Planning El Final Erosion Control(4375) El Final-Building(4050)
Approved Approved Approved
By Date By Date By js, Date sl `aL...,i L
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
•
cmoF - PERMIT SF MF E PL D EN FP
Federal Way ; N 02 2011
COMMUNITY DEVELOPMENT SERVICES LI CAT I O N
253-835-2607•FAX 253-835-5-x2'0,9,
tUUJ u1.Ci(!/t/IIE'!]6ralWatt.[(JJ�1 ' OF F'�`F
®E• • „ •
CDS
•
SITE ADDRESS .�'I_Q `�dQ ..Wc d &AI Jul Ci SUITE/UNIT#
3341 5O l r1(0-r-` �,q�e. S. Tex& uOcc J� , �fl q8(x)2, 2-00PROJECT VALUATION Oa ZONING SESSOR'S TAR/PANEL#
$ 1 q, . A 2_ la_ 1- - o_ Z L 0
TYPE OF PERMIT 1BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name)
-
PROJECT DESCRIPTION c JG om j r)4 r U� F1C�l - L1(Yv a t"�2 c 1.
Detailed description of work to / I v"' I9(�,( (�I(/ ) c4r)CCS I (r LSk€
be included on this permit only
NAME PRIMARY PHONEPROPERTY OWNER meg S �' StY�t�s-� 2t '5S7• i8b
MAILING ADD SSE-MAIL
One_ Voter) Jana , S0ae. b
N I P PHONE
e,nett , r �--
MAILING ADDRESS I E-MAIL
CONTRACTOR /' ill
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE F7e5L WAY BlUS CENSE!k1
-'1//5g02 t C/111UV•
NAME 13 o c Csc -,y v"��'!1 y ' _/��G%�'`�ti I O �,r PHONE - 507-'7 '�
APPLICANT 3.2.
2MAILING to
_ 11vq-o0 • J 5c E
4.0
CITY Q..- S�T 10 I FAX
?-4 6 587-
PROJECT CONTACT NAME
� /� T .Q
(The individual to receive and 'p ej�
""•`tin C . ' im�Q— 20k)' 342, 0 11 I
respond to all correspondence MAILING
CITq GJ1ADDt R1 E[l SS 50?) E-MAIL
concerning this application) 13.2(-
u)STATnVI0FAX
ZIf._ * 52
ALTERNA E CONTACT N PHONE E-
r (�l-J 20 .587. 7 lac) ravers Q I M9 ACI,L7 y
PROJECT FINANCING NAME
t AG OWNER-FINANCED •
Required value of$5,000 or more NAME ^ t j %� -l-/ S`�r��y� "
(RCW 19.27.095) MAILING ADDRESS. ONE
OTNP CITY.STAan 1'F1��44I� . PCI 1L 1 •e— ?..46- 5E7. 16(9._
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 I
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 cla'm arises out of the fiance of the city, including its officers and employees, upon the accuracy of the
information supplied to t e city as a part oft ' application. t11
-.
SIGNATURE: r� DATE rC . I • I
PRINT NAME: Qi2c/v' C • t c \A
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
A►' • •
a( ' KBE ,,. > _1_,:-,?i ',. €,L,':' @,t,'..:$14:- ; ,, 1`
VALUE OF MECHANICAL WORK $ (a copy o ,', or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocat-• • part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE I - •TS HOODS(commercial)
BOILERS FURNA " HOT WATER TANKS(Gas)
COMPRESSORS G': OG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Es E E l'''['''''
EE �CEE Ei; E
Il €E.I s . ¢ E1 :www. ' r :,:. E 3
Indicate how many o -. h type offixture to be installed or relocated as part of this project. Do not include ex ing fixtures to remain.
BATHTUBS . b/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHW ERS RAINWATER SYSTEMS URINALS OTHER(Describe)
D r.i S SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
" EEIO ATIO €
, R ' p
CRITICAL ON PROPERTY? WATER PURVE R SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$�. it O ov
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
, _/ty�j,�p (06 f1 9 ( AYes ❑ No ❑Yes )o
, i" ENTIAL' NE" E, A1MMTIO ,1 et
AREA DESCRIPTION(in square feet) EXISTING •ROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
SECOND-FLOOR ,. ie -440-:,' s 'e
COVERED ENTRY
.DECK � � 1 f--,: `'
GARAGE ❑ CARPORT ❑
OTHER.jrlescrtbej r.wa
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ 1 #OF BEDROOMS
. ;,',,,,, ili 9' C' 1 ERCI _.NI%W DDITIUN"
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
ADDITION
17,E ' ? 'r`, _ Ei�, OMMERCIA EMOIlEL/' "E. 1-„iivMPRO '� i `
Area
AREA DESCRIPTION Occupancy Group(s) Construction #of Additional Information
in Squa*rre Feet Type Stories
TOTAL BUILDING[ t'•!. 1i Oo - .
TENANT AREA ONLY t�10 1_ � F..5Ns( tt) -_'o, or
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application