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06-106434
Comm n'yDeveopmeWtServicesg ay Buin - Commercial Perm #: 06-106434-00-CCS r . P.O.Box.9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: C J BANKS Project Address: 2022 S COMMONS C-22 Parcel Number: 762240 0010 Project Description: TI-Tenant improvements including partition walls and restrooms. Includes plumbing& mechanical. Owner Applicant Contractor Lender STEADFAST COMPANIES STEADFAST COMPANIES HORIZON RETAIL STEADFAST COMPANIES 4343 VON KARMAN AVE SUITE 301 1343 VON KARMAN AVE SUITE 30( CONSTRUCTION 4343 VON KARMAN AVE SUITE 300 NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 HORIZRC072N5 4/15/07 NEWPORT BEACH CA 92660 1458 HORIZON BLVD RACINE WI 53406 Census Category: 437- Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: M Construction Type: Type V-B Occupancy Load: Fleet Area(sq. ft.) 3,200 0 0 0 ,:*Additional POnrit PermitInformation New/Additional Sq.Feet- 1st Floor 3200 New/Additional Sq.Peet-2nd Floor 0 New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0 Building Pre-con.Meeting Required? No New/Additional Sq.Feet Deck 0 Existing Sprinkler System in Building? Yes New/Additional Sq.Feet-Garage 0 Mechanical to be Included? Yes Number of Stories 1 New/Additional Sq.Feet-Other 0 Permit for Building Shell Only? No Plumbing to be Included? Yes Special Inspection(s)Required? No New/Additional Sq.Feet-Total 3200 Occupancy#1 -Use Department Store Sensitive Areas?(Wetlands/Slopes,etc) No Zoning Designation CC-C Mechanical Fixtures Air Handling Units 1 Fans 2 Plumbing Fixtures Lavatories 2 Water Closets 2 Water Heaters CONDITIONS: This parcel is located within a Wellhead Protection Area (Capture Zone 10)and must comply with FWCC, Chapter 22,Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable. t , PER EXPIRES Thursday, February 111009 _ Issued on Monday, February 5, 26. • I hereby certify that the above information is correct and that the construction on the above described 'rose and the occupancy and the use will be in accordance with the laws, rules and regulations of the " T on and the City of Federal Way. Owner or agent: See Application Date: MAR 2 3 2007 eIrTV Pat City of Federal Way BUILDING DEPT. Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: C J BANKS Permit#: 06-106434-00-CO Address: 2022 S COMMONS C-22 Includes: #1 #2 #3 #4 Occupancy Class: M Construction Type: Type V-B Occupancy Load: Floor Area(sq.ft.) 3,200 0 0 0 Owner Name: STEADFAST COMPANIES Owner Address: 4343 VON KARMAN AVE SUITE 300 NEWPORT BEACH CA 92660 Ae3-z3-o7 GcA) ilding 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 sever"),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. ty of Community Development llullaain - Commercial Perm#. 06-106434-00—CO P g P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)8355-3030 Project Name: C J BANKS Project Address: 2022 S COMMONS C-22 Parcel Number: 762240 0010 Project Description: "TI-Tenant improvements including partition walls and restrooms. Includes plumbing& mechanical. Owner Applicant Contractor Lender DON LARSEN DON LARSEN HORIZON RETAIL DON LARSEN STEADFAST COMPANIES STEADFAST COMPANIES CONSTRUCTION STEADFAST COMPANIES 343 VON KARMAN AVE SUITE 301 1343 VON KARMAN AVE SUITE 30( HORIZRC072N5 4/15/07 4343 VON KARMAN AVE SUITE 300 NEWPORT BEACH CA 92660 NEWPORT BEACH CA 92660 1458 HORIZON BLVD NEWPORT BEACH CA 92660 RACINE WI 53406 Census Category: 437 - Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: M Construction Type: Type V-B deevancy Load: Floor Area(sq. ft.) 3,200 0 0 0 Additional Permit4formates New/Additional Sq .Feet- 1st Floor 3200 Mechanical to be Included' Yes Number of Stories 1 New/Additional Sq.Feet-Other 0 Permit for Building Shell Only9 No Plumbing to be Included? Yes Special Inspection(s)Required? No New/Additional Sq.Feet-Total 3200 Occupancy#1 -Use Department Store Sensitive Areas?(Wetlands/Slopes,etc)._...........No Zoning Designation CC-C New/Additional Sq.Feet-2nd Floor 0 New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0 Building Pre-con.Meeting Required? No New/Additional Sq.Feet-Deck 0 Existing Sprinkler System in Building? Yes New/Additional Sq.Feet-Garage 0 Mechanical Fixtures Air Handling Units 1 Fans 2 Plumbing Fixtures • Water Closets 2 Water Heaters 1 Lavatories 2 CONDITIONS: This parcel is located within a Wellhead Protection Area (Capture Zone 10)and must comply with FWCC, Chapter 22,Article XIV "Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable. • PEW EXPIRES Thursday, February ii009 - Arm it Issued on Monday, February 5, 2 y j I hereby certify that the above f ormation is correct and that the construction on the above described property and the occupancy and the us- ill be in accordance with the laws, rules and regulations of the State of Washington and the City of.Federal Way. Z (3/0Owner or agent: Date: DATE INSPECTOR AREA AND TYPE (,r INSPECTION /q/e 7 v,0-, a 1/4P->84-s-vf,7GL.l't 7-27-c?_ C . �� ". c- se rcwt� ` 23107 s —t7• - THIS CARD IS TO *MAIN ON-SITE , - _ CITY OF i t ommunity Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-106434-00-CO Owner: DON LARSEN Address: 2022 S COMMONS C-22 Federal Way, WA 98003 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) ❑ Re-steel (4215) ❑ Plumbing Groundwork(4190) Approved to place concrete Approved to place concrete or grout Approved to cover By Date By Date ByQ• ,,, Date 6 z ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing (4285) 0 Floor Sheathing(4105) Approved to place concrete Approved to sheath floor Approved to install flooring By Date By Date By Date ,❑ Rough Plumbing(4230) [ Mechanical Rough-in (4165) 0 Gas Piping(4125) Approved ` Approved Approved to release test `By 0.....„ Date a—t\,\,_,01-1 , By Date By Date ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) (❑ Framing(4120) Approved inspection;Electrical,Plumbing&Mechanical II Approved to insulate Rough-in and Fire/Draft Stop inspections must be By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 B Date »�a y y � � 1 #❑ Insulation (4150) Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265) Approved to install wallboard Approved to install mud&tape Approved to drop tile By DateBy Date (ri .By* Dates c Z., M #❑ Final-Fire Department(4060) �❑ Final-Planning(4070) ❑ Final-Mechanical(4065) Approved Approved Approved Byb4,f Date /7a k:7.., By Date By Date #❑ Final-Plumbing(4075) ❑ Final-Building (4050) Approved Approved By C.:— %... Date-23—o 7 By G Date r 4' Federal Way .--�' ". ?-27) Iiiil • • A . - --r = --- D 1c 2 2 ZO06 PERMIT SF MF1! CO ME.`EL t,PI, DE EN FP COMMUNITY DEVELOPMENT SERVICES 4.._„_ ..._ 3332E D AVENUE SOUTH•PO BOX 9718 EDEFI LIC /� /T\I O FEDERAL WAY,WA 98063-9718 LICA \�1 T° ,9 - 253-835-2607•FAX 253-835 ©F ,.yf / www.ciJoffederalwauco_ r•!o a ,j BUILDING DE The ollowin• is re,uired i ormation-an incom•lete a, ,lication will not be acce.ted. Please •rint le,'131 (in ink)or •e. • PROPERTY INFORMATION pZD9--� C � �tFcCq SITE ADDRESS ]_�J ,,/� ."�/'T�) j. ��f o v i n .. . ..•k.. �r `F# (w — ASSESSOR'S TAX/PARCEL# �7 (® 2- 2- LI V - L J l) / (..) LOT SIZE(sf _____ LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) v' t (Attach separate page for lengthy legal description) II PROJECT INFORMATION f� TYPE OF PERMIT BUILDING (a"PLUMBING /MECHANICAL L'- ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) I,, & c\ r od) . 0.Doneo � G lO1‘ (I( L. i(1 OM lam- °-e, , PROJECT NAME(Name of Business or Owner Last Name) � '7, 1) M PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER 3 )M - ( oP Nr1 _3 (9q1) 622,5-- 'p.; MAILING ADDRESS CITY,ST-TE, ZIP c l( nwi El of -i s aU ITt Zno f.161404_1- Mc,I+,cid” C 1 ZlP6Z, CONTRACTOR CCOyMPANY NAME TOLTG, 1z-roam,"i" APPLICANT NAME OFFICE PHONE - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - 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 / / APPLICANT COMPANY NAMEn APPLICANT NAME OFFICE PHONE �� r tc h\t c.'t'S r- - n140 1 Y WrtQ (to51 ) OD - 35-Z5 MAILING ADDRESS �J p�f �-�7� 7�''� CITY.STATE.ZIP ,/� } CELL,PHHONE 2/1475 I1►YV'1 50ilti(„y-/' (�� 11IW�.(►r,� 5511 ( Ivr7) - RELATIONSHIP TO PROJECT FAX NUMBER -Architect ❑Tenant ❑Agent 0 Other(Describe) ((p51 ) (MG -55145 CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS GuNDsoo c cis► ) (DPI() -sszs xl$ , 4inn- con, LENDER Per RCW 19.27.095 Lender information is. NAME required j'roject value exceeds;:$5,000 'g\\I aS MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) U DETAILED BUILDING INFORMATION EXISTING USE 1:4l l L..- PROPOSED USE `+ ( C? EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ I 1 O)COT) SPRINKLERED BUILDING? '5(YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? AYES ❑ NO WATER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SIi ws R SERVICE PROVIDER SXLAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT , ` �s ^ FIRST SECOND , v ` / '' P�-� Kg`A(.E'S OF 3 oD , 32-C SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ EXISTING PROPOSED TOTAL OTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS ) ) ) Q� z **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL qq //'yy�-���thCJ Value of Mechanical Work $ L-.Z l lil C: AIR HANDLING UNITS n EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS �S FANS G 1 HOODS(commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES ( MISC(Describe)� COMPRESSORS FURNACES GAS WATER HEATERS t`-11/4.k. DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orTub/Shover combo) SHOWERS C:‘ WATER CLOSETS(collet) MISC(Describe) DISHWASHERS (-- SINKS I DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks)2:41 VACUUM BREAKERS j 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 oincluding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. / 11111t/i/ NAME/TITLE DATE /c I IDC/ (Si. attire) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor X Architect ❑ Other .Fp*O YCEUSE ONLY < ,, ❑NEW o ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT BUILDING.SHELL ONLY? o YES ❑NO BASIC PLAN? ❑YES 0 NO ZONING DESIGNATIION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? - ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—January 1,2006 Page 2 of 4 kU-landouts\Permit Application