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01-104150 City of FederalWay Building - Cor crcial Permit #:01 - 104150 - 00 - CO CommunityDevelopment Services 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: WASHINGTON MENTOP Project Address: 33400 8TH S Suite136 Parcel Number: 926500 0110 Project Description: TI-Non-strucutral interior alterations to existing office to construct and remove walls for new tenant. Includes mechanical(relocating duct work and diffusers). All subject to field inspection. Owner Applicant Contractor Lender BONHAM INVESTMENTS COMPAI SUPERIOR BUILDERS INC SUPERIOR BUILDERS INC WASHINGTON MENTOR 999 3RD AVE#2626 2112 CENTER ST SUPERBI112D2 3/4/02 33400 8TH AVE S SUITE 136 SEATTLE WA TACOMA WA 98409 2112 CENTER ST FEDERAL WAY WA 98003 98104-4018 TACOMA WA 98409 Includes: Census category: 437-Comm #i #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 28 Floor Area(Sq.Ft.): 3125 1st Floor Proposed Sq.Feet 3125 Census Category 7- ercial alt/add Fire Sptinklers ", No Mechanical -Ie�1" . ` �•; 4es•� , Number of Stories 1 Permit for Building Shell Only No Plumbing No Total Proposed Sq.Feet 3125 Will Certificate of Occupancy be Issued? Yes Zoning Designation OP Mechanical Fixtures r Description Quantity 1 Description !Quantity Description " ,Quantity Ducts 1 CONDITIONS: 1. All new and refaced signs require a separate permit. P RMIT EXPIRES May 5,2002,IF NO WORK IS STARTED. Permit issued on November 6,2001 I hereby certify tha 'he •bove info ationi' 'fleaand that the construction on the above described property and the occupancy and t\e be i acco J..* - _. _,..,,,� rules and regulations of the State of Washin• on and the City of Federal I ii...7.4mt ( C� /Owner or agent: A\ �`.— Date: r v., T . • • City of Federal Way 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: WASHINGTON MENTOR Permit number: 01 - 104150-00 Address: 33400 8TH S Suite136 #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 28 Floor Area(Sq.Ft.): 3125 Owner BONHAM INVESTMENTS COMPAN Name: 999 3RD AVE#2626 Address: SEATTLE WA 98104-4018 mK. Mat-444 Cao 12.- I 0 • 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 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. PO 'HIS CARD ON THE FRONT OF BUILD.arf Oer<FF BUILDING DIVISION uv FlY INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 01-104150-00-CO OWNER'S NAME: BONHAM INVESTMENTS COMPAN SITE ADDRESS: 33400 8TH S Suite136 () FOOTINGS/SETBACKS () FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED, ,, A" ` ( ) UNDERFLOOR FRAMING _ O ROUGH PLUMBING: DWV Water piping () ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor ( ) SHEAR WALLS () ELECTRICAL ROUGH-IN _Ditch Cover ( ) FIRE/DRAFTSTOPS MUST BE APPROVED PRIOR TOryFRAMING INSPECTION () FRAMING/FIRESTOPPING / /` / 9 THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ( ) INSULATION: Floors Walls Attic P �m p, THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK ` () WALLBOARD NAILING j!/z(7 i () SUSPENDED CEILING/ 2 - 7 - 0 f THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE' () ELECTRICAL FINAL 19 /c) / '/-• 0/ () PLANNING FINAL () PUBLIC WORKS FINAL () FIRE FINAL / 2 -. I G / THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL ( ) BUILDING FINAL /2► /s — p/ G tom,/ DO NOT OCCUPY THIS BUILDING UNTILBUILDING FINAL IS APPROVED j..... _ = • CONSTR.-ION PERMIT APPLICATION 9f ) JIR1_ APPLICATION NUMBER: _ F 'A t,�_4- / t - , APPLICATION NUMBER: - - ��� ' APPLICATION NUMBER: - _ / c�61 **The following is required information-Please print(in ink)or type" Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. - - : ■ PROPERTY INFORMATION - - - -- SITE ADDRESS: .g-- 1-1 00 R o e . S, ASSESSOR'S TAX/PARCEL #: GI 42, lv S-0 O - © ( I O LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): b;et-j;d,c l I (,VeS+ CAr'-L .LA5 O4 1Le PA-c-k .s r-ecvrdecf -:\1 0 u to 9 '7 oc • il-k . c 55- Ski re Lo ces o4 KiA) CoL.t:14y CO q - •` - ■ PROJECT INFORMATION - TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING 'L1 MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM PROJECT DESCRIPTION Provide detailed description): l/� v°iL yZ I`�'`', �` [jet( /J 0,A.-±-. >Ul 1 c.---o Nc.�; of c. e - PROJECT NAME: �:,4S(C ,, 4. ' `e iV t© C- - ■ PEOPLE INFORMATION• • - . - - " - PROPERTY OWNER: NAME: _ fj DAYTIME PHONE: 3o,JI�Rr-A J-� ves�%�e.�Ts Irvc-. („2.6&o) SIS- 0&30 TAllJNG ADDRESS(STREET ADDRESS,CITY,SIATL ZIP): CONTRACTOR: NAM[. DAYTIME PHONE: S pct- c - ►Ju IClet , -.1-Nt , ( aS3) -r& i(. i? MAIUNG ADDRESS(STREET ADDRESS,CITY,STATE,ZIP): EVENING PHONE: ,Z 112. Ce-‘14e t- C->f,, Tel c.0'- t 1/06 9 4 1-I d`1 (206, ) z 40 -?0 I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: O O - i o 13 Li I, - 3 L (,,?.S-3) 6-73- f717 CONTRACTOR'S REGISTRATION NUMBER - - - '-,, - - - E7 PIRATION,DATE: (ca,,;of card rcQU,,d) - Lt P 1= K v "i I I b / LI /2062 APPLICANT: NAME, DAYTIME PHONE: Sup -ion 6t,..,-Ic'l _r , :71..,..‘c; , (.).S' ) 573 - 1(.98 ,,,,,,Q1 ADDRESS(STREET ADDRESS.CITY,STATE,ZIP): EVENING PHONE: I Ce".�4-e: S7 . Tie) Cc•‘-t. aWri 9840ci (,),(..)L,) ,;210 -gbtl RELATIONSHIP TO PROJECT. 1 FAX NUMBER: ❑ ARCHITECT ❑ TENANT LUTHER ( DESCRIBE):l�+�o%3A-r"AC-40 ' (2S3) .g-7_. -1797 - E-ruILADDRESS: ,.,t1.9+ , CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER CIAPPLICANT CONTRACTOR S`ife(-'ct r•c., I - --T ' -7D - - . ■ DETAILED BUILDING INFORMATION " - - - . ' EXISTING USE: o0 `cc 1 Le EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ !j ) OC C7 PROPOSED USE: cF 1 c- PROPOSED VALUATION FOR IMPROVEMENTS: $ .3 67, O4 O SPRINKLERED BUILDING? ❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES 1-NO WATER SERVICE PROVIDER: Ti-LAKEHAVEN ❑ 1IIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: -LAKEHAVEN LI HIGHLINE l ) PRIVATE (SEPTIC) ••NEW RESIDENTIAL CONSTRUCTIO LY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS` FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST _q --_. /- 00 -/ 00 0 SECOND THIRD 1 FOURTH OTHER FLOORS (DESCRIBE) DECK HORAGE _- HOW MANY FLOORS? TOTAL: . . :■ `FIXTURES .. - Indicate number of each type of fikture r., MECHANICAL • AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOV (S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. 7p �,� ti0 COMPRESSOR(S) FURNACE(S) 4 � DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: [I) ELECTRIC a ❑ GAS �r C t'l4a/,/, 4, ifi- ��- PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC U GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTOR(S) SUMP(S) ::. 7--;:.;1•:' .7 .. . =:_'" . ..... 'Al DISCLAIMER/SIGNATURE BLOCK • ' I ceflify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that ',am authorized by owner of the above premises to perform the work for which the permit application is made. I further agre fo hold harmless t e City of Federal Way as to any claim (including costs, expenses, and attorneys'fees incurred in the investigation -3 . Defense of su'h clim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, .'. o ly- here s ch cl im arises out of the reliance of the city, including its officers and employees, upon the accuracy of the informal s .lied to t e cit his application. �_ '\ tOir -� JR NAME/TITLE: `.;� PAW LPC', DATE: ` U/�S/0 ❑ PROPERTY 0 NER L) APPLICANT .ONTRACTOR FOR OFFICE USE ONLY: 1 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT CENSUS CODE: l LOT SIZE: — ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION } BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ( ] YES Li NO PLATTED LOT? OYES I_) NO I CHANGE OF USE. O YES H NO f/ ... .. . iil: :.r.i :1 11'1'I1 1 ..11... 1 \'...♦ `ll 1 rl r i/ ill I.: t4 11'. ... .. .r 1':A it ' 1 i,.t :i I•.r 1 1