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Date/2._ _/_ g By , _ 16 I LAh1N13 ANAL Date By ............................. 17 PUBE;i I PRKS F1NAL :' Date By 18 Date By 19 BU[LQINQ :.;:::::: ;` . . Date 1 L�1 l Cie)/ By (' (JO 20 OTHER Date By CD0193(Rev 4/97) A. • BUILDING DIVISION CITYaF G 33530 First Way South Federal Way,WA 98003 Vv FlY (253)661-4000 Fax(253)661-4129 APPLICATION FOR BUILDING PERMIT CITY OF ,_ BUILDING DEP i PLEASE PRINT APPLICATION # P7G0VPP'I .J S' address ess 3450 South 344th Way, East Campus IV Tenant name Tesoro Lot# N/A Assessor's Tax # See attached Building Owner's Name Bedford Property Investors Address 701 N. 34th St. , 2nd floor City Seattle State WA Zip 98103 Phone 206-548-9053 Description of Work Tenant improvement for approximately 5,000 s.f. Name (F,M,L) The Quadrant Corporation Address PO Box 130 city Bellevue state WA Zip 98009 Contact Person Day Phone Other Phone Fax Jeff Roberts 425-452-0344 425-503-0148 425-646-8300 .004TRI# TaR.::: Federal Way Business License # Company Name GLY Construction Address PO Box 6728 City Bellevue State WA Zip 98008-0728 Contact Person Phone Fax Dale King 425-519-4325 425-453-5680 Contractor's # (card must be presented) GALLLI*337CF Expiration Datv30/ Verified EiIXYes ❑ No Name Robert S. Miller & Associates Address 100 Waverly Way Kirkland City State WA Zip 98033 Contact Person Phone Fax Kevin Conway .425-822-0100 425-889-1294 LEGAL DESCRIPTION See attached Please Complete Reverse Side i Cora tern al V cant Oroposed Use - istin use a P 9 Permit includes: TicBuilding IV Plumbing X6 Mechanical 0 Other Type of Work: 0 Residential ❑ New 0 Remodel ❑ #of bedrooms 0 Deck )Commercial ❑ Addition 0 Repair ❑ Garage 0 Shed Enter 1st Floor 5,000sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area 32,500 sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft Water AvailabilityXKl Sewer Availability XX. On-Site Septic System Availability 0 Project Valuation $ 1255000 Zoning I Lot Size Existing Bldg Valuation $ 65500,000 .Aio «1OAR?>> >><>>> >>< > > > < > For new residential only Proposed d se Ilin cost: $ Name N/A Address City State __lip NIANIP;LONTRA. t.6 R> > >'''' Contractor NamePSF (under separate permit) Address 9322 14th Ave. S. City Seattle State WA Zip 98108 ContactJIm Reynolds Phone Fax 206-764-9663 206-762-8381 License # PSFNEI*09NZ Expiration Date 8/8/99 Verified (Yes 0 No PLUM 8II1tGCONTRA. .. , Contractor Name Address N/A C(iy State Zip ICo itact Phone Fax License # Expiration Date Verified ❑ Yes 0 No N/A F'�sUtVl Btl��>F1XT1.j. / Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Total Fixture Count Under scP� rate permit KHANIC4E35IT . MECHANICAL EVAL ATIO N ONLY $ S tat Fuel Type (gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log VAN/�Y/ Unit Heater 50+ Tons Furn >100 BTUs Fans " i A Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Cony Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Tktal:Unit Count . DISCLAIMER: 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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred ick 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 fat of the reliance o city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. Owner/Agent: / 4 Date: 1 y 9' r1DILDING.A PP 5E615E0 5115199