00-100003 Ci!r of Federal Way • Building - Commercial ermit #: 00 - 100003 00
Community Development Services
33530 1st`Nay 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: CONSECO(TI)
Project Address: 500 S 336TH ST Parcel Number: ' i 0 0370
Project Description: TI-DEMO ON E WALL AND ADD ONE WALL FOR OFFIIC .NO PLUM: OR
MECHANICAL
Owner Applicant Contra .. ,' Lender
Co-Op U.s.a.Inter III NONE J C IM'HARDS Oi . ' 0 INC ,r, ,ONE
3650 131ST AVE SE#205
BELLEVUE WA 337 T VE ' 4
98006-1334 NONE FED . - W. 800 NONE
Includes:
Census category: 437-Comm I=.1.01'I`7' #4
Occupancy Group: B 110111VV WI II I
Construction Type: Type V-N `�Art-
Occupancy Load: 1 5 NNW/All. 1
Floor Area(Sq.Ft.): 0 ®'® 1, ,
I
116
Building Pre-con.Meeting Required No Cen /v. tegory 437-Commercial alt/add;
Construction Type#1 Type V-N D, � System No
Fire Sprinklers No 1 Class Light
Mechanical NoA� Address ire No
Number of Stories 2 ccupancy Gr B
Occupant Load#1 5 r,„ Over the Co ermit. Yes
Permit for Building Shell Only No Permit fo ndatio y No
Plumbing No l Propo ro) aluation 1000
Proposed Structure Valuation 1011 Sev Se Lakehaven Utility District
Special Inspection Required '.0iiiii % Water Lakehaven Utility District
Valuation-Total#1 1 q it` Will Certi of Occupancy be Issued? No
Sensitive Areas?
4 ";› Is Review to he .pedited No
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PERMIT EXPIRES July 2,2000,IF NO WORK IS STARTED.
Permit issued on January 4,2000
I hereby certif at the above information is correct and that the construction on the above described property and
the occupanc 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: b4, L- l/1' Date: / "— If O"
OST INA CONSPICUOUS PLAC
City of Federal Way
INSPECTION REPORT
Job start date:
Date Hours Remarks Inspector
Hint, " _. '11.41
RUM MIIIPIIIMNNIIIMIMIMIMIMIMM c-J
-
BUILDING DIVISION
CIT`of �— "" 33530 First Way South
•
— _DElZFIL_ • Federal Way,WA 98003
\
N ray JAN 0 4 (253)661-4000
Fax(253)661-4129
CITY OF FEDERAL
Her
BUILDING DEPT.
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # 19 /00 i
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SITSMATIONmEENENEEMEN: Site address
Tenant name Lot # Assessor's Tax#
SV 4-P_ 2-02.
Building Owner's Name / Address
City F.F z( I State Zip � :AL-- Phone
Description of Work D€W () /68- U./LOIS zY-J -fe.:C.. SpCQ.Ce-,
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.....�..yy.y.�.�.........�..}.... .......................... ..............................
............................................................................................
Name (F,M,L)q��
Cott S{c0
Address •
' 9.. 136 51. I. , .
City // bi-/C/-4' State Zip
Contact Person Day Phone Other Phone Fax
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BEIlll:i3JNOV TITAOTE ':'`: <` Federal Way Business License #
Company Name) /CS
C, n ,r ,7
j• C• C µp�S C'e.-r.Ki ('r
Address
Zy)) 1.j4i 3 -- i
City Pete. /,N-A-fr State ,,',.4, Zip
Contact Person + ff Phone Fax
/ r,N.Or..4-JS i In?c
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
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Name
Address
City '~-vim `--_,..State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
R.
art . U.... .. .. Existing Use v-( ([ •ProPosed Use Deyri a / i t (A/
a4(1
Permit includes: l3'Building CI Plumbin. CI Mechanical /❑,+ Other `
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ # of bedrooms ❑ Deck —,
El Commercial ❑ Addition ❑ Repair 0 Garage 0 Shed
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability 0 Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
•
. NRFor new residential only - Proposed selling cost: $ _
Name Address
City State I Zip
IVIECt.tAhlle.ACCONTRACIOREMEN
Contractor Name Address
1
City \\ State Zip
,,
Contact \\ Phone Fax
License # ,`\ Expiration Date Verified ❑ Yes ❑ No
':PLUM KI .'.:::z:_ > >: '>< <':' >< >::.>:»::::::::::::>::.
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
i:i::,:::i::::n::::::,::: :::,::::: .:.:]:.':ii:ii:::::,:*Ki.*]'::li:::i::::::i:i::::]:m.:: :: ::m],i : i::::: / \
PLUM . G.FUCTURI"..CEI.UNT.......................
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs ish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine
Drains 'i�taGFi t{teCfU '«<< ><:»:;> «'
VIE i ii:I >>:< :>>
CHAN.ICAL#.)NIVCOU •. iia-:;.,:::..:.::.::.:::: MECHANICAL EVALUATION ONLY $
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 Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Under ound
BBQ's Wood Stoves 3-15 Tons Total Uhit Courit
DISCLAIMER: I certify under penalty of perjury that the information fumished by me is true and correct to the best of my knowledge,and further,that I am authorized 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,exp and
attomeys'fees incurred in 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.
Owner/Agent:
i/� h �2 Date: art / Z.ez"�
//� .v / �' �iL
HJIUwc.nw t
H[vrsfo 5118/90