12-104189 •
• *Building - Commercial
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-104189-00-CO
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050(253)835-2607 Fax:(253)835-2609
Project Name: FARMERS INSURANCE
Project Address: 33650 6TH AVE S Unit 110 Parcel Number: 926480 0210
Project Description: TI-Tenant improvement work to include non-structural demolition,new partition walls,
doors,sidelights,casework& finishes. Mechanical and plumbing on separate permits.
Owner Applicant Contractor Lender
SUNLIFE ASSURANCE CO DEBORAH TOWNER PACIFIC CONSTRUCTION SYS SUNLIFE ASSURANCE CO
CANADA BURGESS DESIGN INC CANADA
600 UNIVERSITY ST SUITE 503 1326 N 5TH AVE SUITE 500 PACIFCS187PK(10/1/12) 600 UNIVERSITY ST SUITE 503
SEATTLE WA 98101 SEATTLE WA 98101 2275 116TH AVE NE SUITE 100 SEATTLE WA 98101
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.) 5,357 0 0 0
Additional Permit Information
Existing Sprinkler System in Building9 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
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Monday, March 25, 2013
Permit Issued on Wednesday, September 26, 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 the City of Federal Way.
Owner or agent: / ��z Date: / ?A
lemoD
It 317/it
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City of Federal Way
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: FARMERS INSURANCE Permit#: 12-104189-00-CO
Address: 33650 6TH AVE S Unit110
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 5,357 0 0 0
Owner Name: SUNLIFE ASSURANCE CO CANADA
Owner Address: 600 UNIVERSITY ST SUITE 503
SEATTLE WA 98101
Building OfFci� 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.
\ /
41/42 S THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-104189-00-CO Address: 33650 6TH AVE S Unit 110
Project: SUNLIFE ASSURANCE CO CANAD 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.
SWM Precon Site Mfg(4400) Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
. .
0 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
El Floor Sheathing(4105)
El 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) , ❑ 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 ByZ 6 S Date j 0_it-/-z By Date
❑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 cDate / _9/z___ By:::Tcs Date U 2 c--/ By Date
El Final-Planning 0 Final Erosion Control(4375) 0 Final-Building(4050)
Approved Approved Approved
By Date By Date Date \ - -3c -(Z-
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
1a-
RECEI _ - ( c 4 ( g�
VR PERMIT SF MF CO ME PL DE EN FP
Federal Way
4 COMMUNITY DEVELOPMENT SERVICEP 12 2APPLICATION ��11����
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TYPE OF PERMIT XBUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT �^
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WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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PROJECT CONTACT NAME �yJ�/� PHONE
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respond to all esponden122"6 GADD 5 Ave__ tan E �^1
concerning this application) ,t��} , �U! 1`'�/ IA,c,r‘clecilie)
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PROJECT FINANCING NAME` '� (\r ` WW
�, \ n f p `` e_5(0_t� OWNER-FINANCEDRequired value of$5,000 or more �J�( .0-fv 1
(RCW 19.27.095) MAILING ADDRESS,CITY,S ATE,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 ckzim arises out of the liance of the city, including its officers and employees, upon the accuracy of the
information supplied td the cit as a part oft appl'ti ation.
/244A________,
SIGNATURE: i DATE
PRINT NAME: J Abo (i_ C
Bulletin#100—January 1,2011 Page 1 of 3 k:'Handouts\Permit Application
• •
MECHANICAL FIXTURES ,
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing futures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gm)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUIVING FIXTURES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do 'of include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Ut(hy) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENE'I FORf4 ATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
NLtp LSP $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRjSPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSI N SYSTEM?
(� \ LKYes 0 No 0 Yes eNo
RESIDENTIAL = NEW OR ADDITION
a,
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTI-IER(describe)
Area Totals E7°aT'N� PROPOSED TOTAL
**NEW HOMES<ONLY**
ESTIMATED SELLING PRICE$_ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Square
In Area Feet Occupancy Group(s) Construction #of
Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING 14, O 3 62 \B 3
TENANT AREA ONLY 5", 3G 7- _J!
V (,`�G. _.
PROJECT AREA ONLY �( l
Bulletin#100—January 1,2011 Page 2 of 3 k:AHandouts\Permit Application