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04-103002
• 41 t r • • -, City of Federal Wa Community Development Services Building - Commercial Permit #:04 - 103002 - 00 - CO 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: COUNTRYWIDE HOME LOANS Project Address: 32001 32nd AVE S Suite110 Parcel Number:215465 0010 Project Description: TI-Tenant improvements in existing vacant suites 110 and 325.No plumbing,no mechanical on this permit. Owner Applicant Contractor Lender FOSS DEVELOPMENT BURGESS WEAVER*KIP KOLODZ SELLEN CONSTRUCTION NONE FOSS DEVELOPMENT 1326 5TH AVE SUITE 500 SELLEC*372NO 6/1/05 1151 FAIRVIEW AVE N SEATTLE WA 98101 PO BOX 9970 SEATTLE WA 98109 SEATTLE WA 98109 NONE Includes: Census category: 437-Comm #1 #2 —1 #3 #4 Occupancy Group: __�r B -_ -- Construction Type: Type II-FRR n� _i_ -A — — Occupancy Load: — Floor Area(Sq.Ft.): - L-- JI j Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add Fire Sprinklers Yes Mechanical....... No Number of Stories,,,..... .......: ................:.4 Permit for Building Shell Only....................,......No Plumbing No Will Certificate of Occupancy be Issued?....:'.......'Yes Sensitive Areas? No Zoning Designation OP-1 PERMIT EXPIRES February 28,2005. Permit issued on September 1,2004 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. pp Owner or agent: See A plication Date: 09 - O /- e"1 ♦ f 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: COUNTRYWIDE HOME LOANS Permit number: 04- 103002-00 Address: 32001 32nd S Suite 110 #1 #2 #3 #4 occupancy Group: B Construction Type: Type II-FR I Occupancy Load: — Lloor Area(Sq.Ft.): — — —_— — - Owner FOSS DEVELOPMENT Name: FOSS DEVELOPMENT Address: 1151 FAIRVIEW AVE N SEATTLE WA 98109 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. DATE INFECTOR AREA AND TYPE G. INSPECTIOI(9 . ' q-Es-0 4/ :3Y"-"Yf • 40' 1,..1 y' i Ds S r)44/ THIS CARD IS TO &WAIN ON-SITE CITY OF IPommunity Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-103002-00-CO Owner: FOSS DEVELOPMENT Address: 32001 32nd AVE S Suite 110 FEDERAL WAY, WA 98001-9625 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. 0 Footings/Setback(4110) 0 Foundation Wall(4115) 0 Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date ❑ Re-steel(4215) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255) , Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Date By Date #❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) ❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date ❑ Date Roof Sheathing(4220) • .❑By Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) Approved to install roofing Approved 1 inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC.109.3.4/UBC 134.5.4 By Date ❑ Framing (4120) ❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By € . c",...) Date 9.. 3-4 '5/ By Date .eLesi Dnte9 / _ ❑ Suspended Ceiling Grid(426 5) 0 Final-Fire Department(4060) ❑ Final-Planning(4070) Approved to drop tile Approved Approved By Date By Date By Date ❑ Final-Public Works(4080) ❑ Final-Building(4050) Approved Approved By Date By / ate /IV/ 00 q - ( 0 3 oa . Federal way p E R M �` F MF ME EL PL DE EN FP COMDEVELOPMENTTIY DEVELOPMENT SERVICES 33530 FIRST WAY SOUTH•P 18{u2 ,PLICATION TO FEDERAL WAY,WA 98063-97183-9718 v 253w w dI v FAXralwag61m129 �� \ www.dtvol(ederdwa4com ) j.0,/i.N\ 4TY OF FIEnn''DrrE��R��AL V>IAY I � f '�j1I The ollowin. is re•ui� �bTMd1tonT`an Inco •iete a.•lication will not be acce•ted. Please •rint le.it i (in ink)or -. PROPERTY INFORMATION Ito SITE ADDRESS 5200 1 9Y•29 4 �Jt`f r i 16o ( 321 SUITE/UNIT# 50 ASSESSOR'S TAX/PARCEL# t �1 - 0 © ` / LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Q - ('4i2� G..6 ca11p 8"► f dt-r f lAt •/�� I — est', (Attach separate Age for lengthy legal d 'poop) PROJECT INFORMATION TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) ,0 41- 01 ef" L1 i'4/4 y� ,J- d 044(e_.5,o ,(/ ni -hAr"�JJ60t /L/_�...e.„ T- a'-� 1� K/! L /� f�(/� 4—!�?,jLX��V6 .�f/'4-e ec2A .f!/l{�. 6 5 7 ♦ . PROJECT NAME(Name of Business or Owner Last Name) a, ,,t r PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER FO5s er61.0f i- /irr , MAILING ADDRESS CITY STATE,ZIP• (�^ ) '-/�p J - 1(57 fCtrifi e- /44-.c 0.M- ik CO t e(.? CONTRACTOR COMPANY NAME, / /J APPLICANT NAME fly, OFFICE PHONE ��t.'/�-e2•c) (. -� ri#41 r 4S.1-e-/e (20'n ) e15-- -71?( MAILING ADDRESS CITY,STATE,ZIP CELL PHONE Z Z'7 G4/40,P1,61/4c tite, /1/4) SG& GA-- 6I 0 7 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - - - B L / / ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE 5E LC-- CN # 572 Ai0 / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE /3arMDDS 144 �.tP cz0z_i e161c (Rab ) 5517 - 71 RC+ MAILING DRESS CITY,STATE,ZIP / CELL PHONE (3Lcio 6-rt 4v.e it .-1)D 5e (ft( GAL f8l c( ( ) TIONSHIP TO PROJECT - RE FAX NUMBER Architect 0 Tenant ❑Agent CIOther(Describe) (.2 ) 513) -71 azi CONTACT NAME PRIMARY PHONE 1,r, `, coat/fp- at/f p j-. aD� $ 7 - E-MAIL ADDRESS `J!v EI'I'nv / ( ) 2/2am k.-ler lc.c�o2reJsk.(t04veye Ss LENDER NAME W...eau-e4.elff��s Per RCW 19.27.095: Lender information is required if project value exceeds'$5,000 �I 44044.1._P L k-i l Q MAILING ADDRESS CITY,STATE,ZIP ✓ DETAILED BUILDING INFORMATION EXISTING USE OPP1.4..g: PROPOSED USE dr t -ei EXISTING ASSESSED/APPRAISED VALUE $ A `�i�sOI` VALUE OF PROPOSED WORK $_&OD°0 SPRINKLERED BUILDING? \?(YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES .❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PRO.Y `'•OOR AREAS AREA DESCRIPTION "NG SQ.FT. PROPOSED SQ. FT. TOTAL BA- SEMENT T „ a% ,(9).-e ?4 A FIRST t< r )14 — SECOND THIRD r V FOURTH r 4 AD- DITIONAL FLOORS(DESCRIBE) DECK(COVERED?) — GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL NA-, 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(or Tub/Shower Combo) SHOWERS WATER CLOSETS(mart) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sulks) 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 he city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. '. 4 0)r (0a L2 ( NAME/TITLE DATE (Signature) / (Title) RELATIONSHIP ! OJECT 0 Owner Agent 0 Contractor [YArchitect ❑ Other FOR OFFICE USE ONLY ❑NEW a ADDITION ❑ALTERATION o REPAIR )`ENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES )(NO BASIC PLAN? ❑YES a NO 0A ZONING DESIGNATION Q p- 1 CHANGE OF USE? ❑YES XNO • NEW ADDRESS REQUIRED? ❑YES XN0 / UP/SEPA/SU? o YES PLATTED LOT? ❑YES o NO / DEMO PERMIT REQUIRED? ❑YES �O O Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit Application