06-104466 t
ty o$FWay •
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corrmuilopmentServices Busing - Commercial Perm>< #.. 06-104466-00-CCS
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 ` `_ Inspection Request Line: (253) 835-3050
Project Name: DR BRIAN WILLIAMS
Project Address: 32225 PACIFIC HWY S Suite 102 Parcel Number: 150050 0100
Project Description: TI- Construct demising walls and relocate storefront entry doors. *This is landlord
portion- major tenant work on separate permit*
Owner Applicant Contractor Lender
HARSCH INVESTMENT S D DEACON CORP OF S D DEACON CORP OF HARSCH INVESTMENT
PROPERTIES WASHINGTON WASHINGTON PROPERTIES
PO BOX 2708 PO BOX 3070 SDDEACW108NT 6/20/08 PO BOX 2708
PORTLAND OR 97208-2708 BELLEVUE WA 98009 PO BOX 3070 PORTLAND OR 97208-2708
BELLEVUE WA 98009
I
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type: Type V-
cupancy Load:
Floor` ea(sq.ft.) ..,',',A340 0 0 0
,z)-41,672, ,AdditOrial P `rmit2,I atiplia 54 l
Building Pre con. eeting Required ` No Existing Spf`inIer'Systetii in Building? Nyes
Mechanical to be Included No Number of Stories 1
Permit for Building Shell Only9 No Plumbing to be Included? No
Special Inspection(s)Required No New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Clinic-Outpatient Zoning Designation CC-F
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Monday, September 1, 2008
Permit Issued on Friday, September 1, 2006
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: \ Date: 1I
-City of Federal Way I • ,
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: DR BRIAN WILLIAMS 'ermit#: 06-104466-00-CO
Address: 32225 PACIFIC HWY S Suite102
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type: Type -B
Occupancy Load:
Floor Area(sq. ft.) 2,3, ' 0 0 0
Owner Name RSCH 'VEST N 'RI 'ERTIE:
Owner Addres : PO:IX 08
PORTLAND 0 ' 9721 ►708
r t
Building Official Date
The priority focus in the review and inspectio' made by the City p . to issuanc- of this Certificate was on those matters which
experience has shown most severly affect e health and safety o' e general pu slic. Although the City has made as complete a
review and inspection as is reasonably passible(within budgetary :me and perso nel limitations), the City neither guarantees nor
warrants to the owner/occupant or to :fly other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City o,the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compli. ce is the responsibility of the owner and/or occupant of the premises.
THIS CARD IS TO aMAIN ON-SITE •
CIT: OF ,w ommunity Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104466-00-CO
Owner: HARSCH INVESTMENT PROPERTIES
Address: 32225 PACIFIC HWY S Suite 102
FEDERAL WAY, WA 98003-6000
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 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.
e❑ Footings/Setback(4110) 0 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
❑ Underfloor Framing (4285) El Floor Sheathing(4105) '❑ Fire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
•
•
NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) ❑ Insulation (4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be •
signed-off and approved. IBC 109.3.4/UBC 108.5.4
� a . ,., _By Date // By Date
❑Gypsum Wallboard Nailing(4130) �❑ Suspended Ceiling Grid(4265) �❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
Byra' Date !2 Z By Date • By �' Date /Z1/4� e
/r
`❑ Final-Planning (4070) ❑ Final-Building(4050)
Approved Approved
By Date By Date / 2/ 7 )1
A •
E gib$ I .
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Federal Way SEP 0 12oo6pERMIT T -r
COMMUNITY DEVELOPMENT SERVICES
SF MF CO ME EL PL DE EN FP
33325 8THAVENUE SOUTH•PO BOX 9718(TY n p p I CATION TIO 1\ / f
FEDERAL WAY,WA 98063-9718 1 1 �t l■/ L[]� 1
253-835-2607•FAX 253-835-2609 pUI1 DIN �/
www.cttuoffederalway.com Id 11+N • , j 1"
The ollowin• is r••uired.i ormation-an incom•lete a••lication will not be acce•ted. Please 'tint le•ibl_ (in ink)or t. •'.
�j • PROPERTY INFORMATION �n
SITE ADDRESS ✓v2`?- J ' 4. • / ((. I W7a SUITE/UNIT# '02'�1
ASSESSOR'S TAX/PARCEL# I S D 0 C) - t7 ( 19 'CD LOT SIZE(4) 2-340
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descriptloN
• PROJECT INFORMATION
TYPE OF PERMIT f BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
1-'i 1e7'Iiisi S, ?c twee bfi tetxrE Ro1z
PROJECT NAME(Name of Business or Owner Last Name) 413 t S rp t
• PEOPLE INFORMATION
PROPERTY PRIMARY PHON
OWNER Ft� (-•1`' ( �?. "� S );
2_ - �
ATE,zINc
CONTRACTOR COMPANY NAME APPLICANT NAME OF CE PHONE
C. �- OF i�4, �L,°a.�i s,.t� (4Wi 7-e+-- *mit)
MAILING ADDRESSCITY TATE ZIP CELL PHONE
V -14f7R1;1 BUSINESS t e'``B4 IRA l ti S�C7 FAX N(2".
MBE +- 44
OFCITY
1N-Qa -L Q L UL B L /L/ ,1 / (47.41 n 1 - ci,(0
CONTRACTOR'S REGISTRATION NUMBER(copy of card reeled ed with each application) EXPIRATION DATE
'12Q .tA �� LaeA co, / 20 / 08
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
44r) cePef, OF ial ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant Agent ❑ Other(Describe) ��" I'( ) -
CONTACT NAME _ _ `Imo) ( )PHONE
vr/�- COO �oTA>.ADO:RI"Ne •cow
LENDER Per R W 19.27.098: lender*formation le NAME �
required(f project value exceeds$5,000 1—C
/16.
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE �y1.-Ilt`'‘'1 PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 043)
SPRINKLERED BUILDING? 'COYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES 0 NO
WATER SERVICE PROVIDER 'LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER )LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
t
•
` ,
r
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST 24CD 3 V"' j`Lv
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL eXSTINO SF TOTALSED PROPOAF TOTAL SIP
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of facture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or7ub/Shower combo) SHOWERS WATERCLOSEIS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify 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 city as a part of
this application. •
NAME/TITLE DATE /I /OA
( ignaturure) Mae)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Contractor ❑ Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION ❑REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES 0 NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? 0 YES a NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES Cl NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application