06-102798 CITY OF
RAL 6 'Look "'� 0 - 1 7
Federal Way juN o PERMIT \ SF MF� ME EL PL DE
E EN FP PCOMMUNITY DEVELOPMENT'SERVICES Mt.-
3332FDWAYSW8�-9797F
ilNPPLICATION253-835.2607•FAX 5-2609 tD ir
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The following is required information-an incomplete application will not be accepted. •lease •rint legibly n in or type.
IN PROPERTY INFORMATION
SITE ADDRESS JSis X / jr1----ac 1 r 1 C,. K,.) j SUITE/UNIT# U
ASSESSOR'S TAX/PARCEL# 7 / 7 , e /C - (...3 ', L� 0 LOT SIZE(sfl G ✓O�
S
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 11, • 7' C 4" ")//t 1-`;,ft r, j/o _c,,,,,,- / ))-y
(Attach separate page for lengthy legal description)
.., .. ■..PROJECT INFORMATION ,L..:. ...,,., j...;
TYPE OF PERMIT ILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onit)
-i✓rct •e 4-- S Lie e / O X /2 r)i o- i' -5m // 2
e i os-e
PROJECT NAME(Name of Business or Owner Last Name) 3 r V �� Y" L� ` 1 Jl/
.� ... PEOPLE INFORMATION
PROPERTY . NAME_ - } PRIMARY PHONE
OWNER 4 CIA V ka P'4\({� Vit ) `?l - :-..)7‘12MAI
3,3 ,7/06 .- , Via(I'r"'`^ '. CITY,STATE,ZIP
, ?!O// -r k T°"`4..! t.4) � ..-
CONTRACTOR COMPANY NAME 7 APPLICANT NAME 1 OFFICE PHONE
(1,_) 0 e _. ( ) -
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 NAME AP +"r NAME (- OFFICE PHONE
ie f' � NO�t►. a.41 v"\ ( "ou�rV;1- �`1\-1--e7/,,, (.2S3)x/'27 -(OO
MAILING ADDRESS $ CITY,STATE,ZIP CELL PHONE
7/ '$398-? 1 Q `PderaI (,C)f)--`) ( 1/, & -7539
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant [I enc ❑ Other(Describe) (41 ) •5-/5- - fled
CONTACTNA PRIMARY PHONE E-MAIL ADDRESS
Ar >C ei P.5- .)6 DG -75-3cj ekt
LENDER r , ', , ,`' aux NAME A
MAILING ADDRESS CITY,STAT ,ZIP PHONE
( ) _
•
■ `DETAILED BUILDING INFORMATION ,,
EXISTING USE / / ?' • PROPOSED USE 1 " `
U3
EXISTING ASSESSED/APPRAISED VALUE $ 17 5 !/,)0 VALUE OF PROPOSED WORK $ J.7 "• /
SPRINKLERED BUILDING? 0 YES ,_0---NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0. 6
WATER SERVICE PROVIDER ELAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER EI LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) J
0 •
'' PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED / TOTAL \'
SQ. FT. SQ.FT. ,/ SQ.FT. _
BASEMENT
`-7L-'
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL
NUMBER OF FLOORS x 9
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number ofeach type o re to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
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(-mot) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sums) 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 arty claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim) which may be made by any person,i z the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the relianceof the city,includitpg'is officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /7
NAME/TITLE / / i ye
DATE
ign (Title)
RELATIONSHIP TO PROJECT ❑ Owner p,Agent 0 Contractor 0 Architect 0 OtherFara ` �
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w:z- �w' :�� u�,ay9:,„•.T r ,.k,,.Z L.M --rs{ 4 was nun e,.1P-'ilq,,LSv T it r t§ K
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,Commu3my DfeFveedeprmalewntaS,NRes . BuitinQ - Commercial Perm#: 06-102798-00-CO
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: BRIAN MCMILLIN
Project Address: 33130 PACIFIC HWY S Suite"(6 Parcel Number: 797880 0240
Project Description: TI-frame & sheetrock(2) 10x12 office& (1)small 7x8 closet. **no plumbing or
mechanical**
Applicant said this had a STOP WORK ORDER in place.
Owner Applicant Contractor Lender
MCMILLIN BUILDING PROPS L PUGET SOUND COMMERCIAL 33100 PACIFIC HWY S#12
33100 PACIFIC HWY S#12 918 SW 348TH ST SUITE C FEDERAL WAY WA
FEDERAL WAY WA FEDERAL WAY WA 98003-6445
98003-6445
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 8
Floor Area(sq. ft.) 745 0 0 0
AdditionalPermitnformati
Mechanical to be Included? No Number of Stories 1
Permit for Building Shell Only? No Plumbing to be Included? No
Occupancy#1 -Use Professional Zoning Designation BC
Services/Offices
Existing Sprinkler System in Building? No
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Monday, June 30, 2008
Permit Issued on Friday, June 30, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th use will be in ac - = with the laws, rules and regulations of the State of Washington
(7
,/ and t - C. Federal Way.
Owner or agent: ,_....4:._ Date: (1/j6/1 'eAl
,
City of Federal Way • 411
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: BRIAN MCMILLIN Permit#: 06-102798-00-CO
Address: 33130 PACIFIC HWY S Suite,'
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 8
Floor Area(sq. ft.) 745 0 0 0
Owner Name:
Owner Address: 33100 PACIFIC HWY S#12
FEDERAL WAY WA
a441.98445
•
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Building Official Da
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 severly 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. ��
r ,
r ,
THIS CARD IS TO MAIN ON-SITE
el,Y OF. itommunity pnt Develo m Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-102798-00-CO
Owner: MCMILLIN BUILDING PROPS L BRIAN MCMILLIN
Address: 33130 PACIFIC HWY S Suite; `6
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) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing (4285) ❑ Floor Sheathing(4105) ❑ Fire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
NOTE: Prior to scheduling a Framing(4120) ❑ Framing (4120) ❑ Insulation(4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
,m, By [' fisi Date?‘(q�e cc By Date
❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By . Date'1 [ *.v C By Date By Date
❑ Final-Planning (4070) 1:gI. Final-Building(4050)
Approved 4 } Approved
By Date By � ,4 Date Jc /5 )