01-100579 City of Federal Way . S
Community Development Services Building - Commercial Permit #:01 - 100579 - 00 - CO
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129
(3:30pm cut-off for next day inspections)
Project Name: DAVID DICKMAN&ASSOCIATES
Project Address: 33600 6TH S Suite212 Parcel Number: 926480 0205
Project Description: T.I.-Non-structural interior alterations to existing office space located on 2nd floor,subject to field
inspection. No plumbing or mechanical under this permit.
Owner Applicant Contractor Lender
Api CNG INC CNG INC NONE
7320 PACIFIC HWY E CNGIN**011KG(5/8/01)
MILTON WA 98498 7320 PACIFIC HWY E
MILTON WA 98498 NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: B
Construction Type: Type V-N
Occupancy Load: 20
Floor Area(Sq.Ft.): 1874
Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add
Fire Sprinklers No Mechanical No
Number of Stories 2 Permit for Building Shell Only No
Plumbing No Special Inspection Required No
Will Certificate of Occupancy be Issued? Yes Sensitive Areas9 No
Zoning Designation OP
CONDITIONS:
1.All new or altered sign work requires a separate sign permit.
2.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES August 8,2001,IF NO WORK IS STARTED.
Permit issued on February 9,2001
I hereby certify that the--ae•ve information is correct and that the construction on the above described property and
the occupancy And the use wi I be in ac s 1!rdance with the laws,rules and regulations of the State of Washington and
the City of F deral Way.
Owner or ent: Date: • Q 9 . 0 I
t✓v
City of Federal Way • 110
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform 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: DAVID DICKMAN&ASSOCIATES Permit number: 01 - 100579 -00
Address: 33600 6TH S Suite212
#1 #2 #3 #4
Occupancy Group: B
Construction Type: Type V-N
Occupancy Load: 20
Floor Area(Sq.Ft.): 1874
Owner Api
Name:
Address:
114h-c. C•�4, IIt.
Building Official iZA
e
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 severely
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.
POST THIS CARD ON THE FRONT OF BUILDI G
��ZAL BUI IT)ING DIVISION
VN) RV INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-661-4140
Request must be received by 3:30 PM for next day inspection
PERMIT #: 01-100579-00-CO
OWNER'S NAME: Api
SITE ADDRESS: 33600 6TH S Suite212
() FOOTINGS/SETBACKS () FOUNDATION WALL
DO NOT POUR CONCRETE UN ILL THE ABOVE ISAPPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
() UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPNG Z ' l5,6 I �g �
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING // / / 5 5 O SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
( ) ELECTRICAL FINAL_
() PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL 7,//
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
Ca"'j---------
= • tVOD CONSTRU•ON PERMIT APPLICATION
FiY L APPLICATION NUMBER: t2_1. - 100.5-71 - — —
9 79V1 APPLICATION NUMBER: -
FEB Q APPLICATION NUMBER: - -
**The t o1 g is required information-Please print(in ink)or type**
BU1".
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.-
• PROPERTY INFORMATION •
.7 -P^SITE ADDRESS: _) :_) - Aut • 4 •'S TAX/PARCEL #: 1 Z I `_L CT - :J L S - %Ai S.
rtt 21.2.
LEGAL DESCRIPTION OF S : PROPE• • A e •TE DESC• ' ON IF LENGTHY): jE& Pk{-{qct ,
r ■ PROJECT INFORMATION .
TYPE OF PROJECT(This application): 0 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM�t
PROJECT DESCRIPTION (Provide detailed description): _ I
.(,,h%1-cil <b ,,;—.. a. csk _h l t
C •-{,t,- n .• ,a L1 v .• '. 1 4 C.r I�
(i . `2
VV1cL1 lam_ rr -0-. o4 1`.,,e 11 , c. 91v•nL1,,, t Jr Cj•fl4rtc 1 ,
PROJECT NAME: fpcvtcl OIckvncr', 4 CHCS.
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
4\l l 1eAnork V lit L.LC (Liz ) q.bf - 930.
MAILING ADDRESS( REET ADDRESS;CITY,STATE,ZIP): Ci.{ .5
1 1 07 Itb ' Ct.' , A S4( # H i Rd(e'Iv< `\-)k . goo•-f
CONTRACTOR: NAME: � . DAYTIME PHONE:
C1•( G �..r,c. (ZS5 ) 1oi„ - 105
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
-i 'zo Pc,cl-'I<. i- ,>, &. YYIt 140r, \-,L• gY33i41 ('z<3 ) %06 -3109
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - (ZS? ) '1 - lnh
CONTRACTOR'S REGISTRATION NUMBER: lw� y� EXPIRATION DATE:
(copy of card required) (_Ni 1 '1 A Q 1 k q _ Os / C / ?OO 1
APPLICANT: NAME: DAYTIME PHONE:
Ctiv, Gez.et< (2c'3 ) (o - 310`
MAILING ADDRESS(STRfET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
—737 C) VCttP,c 1.A.,„).. 'C' , (-zs) ) 6ob - 31a5
RELATIONSHIP TO PROJECT: �{, FAX NUMBER:
I/�,
❑ ARCHITECT ❑ TENANT OTHER(DESCRIBE): C,.,1 rt,(-hi r• (Z S3 ) "3 ( - (l-7
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 4 CONTRACTOR
- - - ■ DETAILED BUILDING INFORMATION
EXISTING USE: 0-1Xtt-t CeCC-t EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 'Zl 3 10 i 700
PROPOSED USE: 0—Re CT cpcc _ PROPOSED VALUATION FOR IMPROVEMENTS: $ it 10,000
SPRINKLERED BUILDING? 10 YES d NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: Cl YES ❑ NO
WATER SERVICE PROVIDER: • 'V LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: IZI.LAKEHAVEN LI HIGHLINE ❑ PRIVATE(SEPTIC)
• •
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS -
FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST i � J c L/ t�
SECOND - LT I d ? / lf 1,.., 1 0 4
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
FIXTURES
Indicate number of each type of fixture
4(A MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( )
INTERCEPTOR(S) SUMP(S)
- .. _:'.■ 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, b . • •re su h claim arises out of the reliance of the city,including its officers and employees, upon the accuracy
of the infor ation supy • too e city as a part of this application.
/ s
NAME/TITL • ` DATE: 0 2 57- Q i
❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR TENANT IMPROVEMENT
CENSUS CODE: 43 dt LOT SIZE: —004
ZONING DESIGNATION : 09 BUILDING SHELL ONLY? ❑ YES V NO
COMP PLAN DESIGNATION QQ J BASIC PLAN? CI YES ,�NO
SECTION NwLR ,7
tpTOWNSHIP ,
ANGED NEW ADDRESS REQUIRED? ❑ YES MVO
PLATTED LOT? E'S(ES ❑ NO CHANGE OF USE? ❑ YES )4 NO
CO MMI INTTV nFVFI(PMFNT SFRVICFS•33530 FIRST WAY SOUTH•P.0.ROX 9718•FFDFRAL WAY.WA 98063-9718•253-661-4000•FAX'253-661-4129