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06-106181 Comm Witty fFe eralWpmentServices Bui ing - Commercial Permi!#: 06-106181 -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: ADVANCE AMERICA ' e.„� Project Address: 35002 PACIFIC HWY S Suite A106 ,_ Parcel Number: 185295 0050 Project Description: INITIAL TI-Interior improvements to create office space including ducting/diffusers and acoustic ceiling tiles in existing suspended ceiling grid. Owner Applicant Contractor Lender OPUS NORTHWEST LLC L&L RETAIL CONSTRUCTION L&L RETAIL CONSTRUCTION ADVANCE AMERICA,CASH 915 118TH AVE SE SUITE 300 INC INC ADVANCE CENTERS OF WASH. BELLEVUE WA 98005 3750 W MAIN ST LLRETCL954QQ(11/18/07) 135 N CHURCH ST NORMAN OK 3750 W MAIN ST SPARTANBURG SC 29306 73072 NORMAN OK 73072 Census Category: 437 - Commercial alt/add/conversion-- it Includes: #1 #2 '43'41 AA #4 Occupancy Class: B Construction Type: Type III -B Occupancy Load: Floor Area(sq. ft.) 1,040 0 0 0 Additional Permit Information Existing Sprinkler System in Building? Yes Mechanical to be Included? Yes Number of Stories 1 Permit for Building Shell Only?............................No Plumbing to be Included? No New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Bank/Credit Union Zoning Designation BC Mechanical Fixtures Ducts 1 PERMIT EXPIRES Saturday, December 6, 2008 Permit Issued on Wednesday, December 6, 2006 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the u e will be in accordance with the laws, rules and regulations of the State of Washington r/ and the City of Federal Way. J te, gl� blyOwner ora ent: �/2Date: 6 /\; City of Federal Way • Q 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: ADVANCE AMERICA Permit#: 06-106181-00-CO Address: 35002 PACIFIC HWY S SuiteA106 Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type III -B Occupancy Load: - Floor Area(sq. ft.) 1,040 0 0 0 Owner Name: OPUS NORTHWEST LLC er Address: OPUS NORTHWEST LLC 915 118THIAVE SE SUITE 300 milbareptBEi!I8OUE WA 98005 Building Official D e 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. . y THIS CARD IST EMAIN ON-SITE CITY OF pfruMlit ommunity Developmentp Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06-106181-00-CO Owner: OPUS NORTHWEST LLC Address: 35002 PACIFIC HWY S Suite A106 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. e❑ 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 0 Underfloor Framing (4285) ❑ Floor Sheathing (4105) ❑ Mechanical Rough-in (4165) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date e ❑ Gas Piping (4125) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) Approved to release test Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date By c • D Sp Date �2 / 3 • ❑ Framing (4120) ❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By Date By Date By Date e • • ❑ Suspended Ceiling Grid (4265) �❑ Final- Fire Department (4060) 0 Final- Planning (4070) Approved to drop tile Approved Approved BY ...--• Date/2./S. C3 c By Date By Date ❑ Final - Mechanical (4065) 1�� Final - Building(4050) Approved Approved A • By L c"..) Date,/'Z /2 • O(, B'6100 Date �� ' i 0 0 • IF TOF RECEIVEC 0 - L O6 / $K- ederal Way PERMIT COMMUNITY DEVELOPMENT SER VICE SF MF CO E EL PL DE EN FP u 333258"'AVENUE SO[fl'H•P0 BOX 9tC05p�ppLICATION FEDERAL WAY.WA 98063-9718 Tn ____ / 253-835-2607•FAX 253-835-2609 www.cituaf(edera(wau.com - FEDERAL��WA ; The ollowin• is re•uired •.1'hitYttbid i an incom,fete a,,lication will not be acce.ted. Please •rint le•ibl (in ink)or t . �+_ • PROPERTY INFORMATION pQ / SITE ADDRESS 35002 "if GT IC. 1./1 64/t i-y se(ki'.l fed fa.\ 0�1 Wfr l��bSUITE/UNIT# /Qlp ASSESSOR'S TAX/PARCEL# I g ,- A / ,5—- O D S D LOT SIZE(sf) LEGALDESCRIPTION(e.g.Acme Estates,Lot,I1) 4 or s"ok- 13;gA\�d�C/,� 5 k. pi.,,,pi.,,,LOSP-1 '/-102 0`17-UP recorld /11Arc/�1 G 2 � � t 000; ri. r rcordi • NO. lerare i /J(oh 5d �N /n k,-„, c.._o ltla5(ton'. ■ PROJECT INFORMATION r TYPE OF PERMIT 1 flgAt XBUILDING ❑ PLUMBING ❑ MECHANICALS ,iT XMP rove,Je- ~' ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed- description of workrincluded on this ermit onli,) ).evoiNi+ .1-Apro42.Itd.Nl (or R /VW ?Ale(i acivq,.c.� O .-ce ec II 3ke'' 91 r / �VISr yeti-2kiS�"!n. 4. /Jaek jac 10 Lc `/AStal.(aij A ��(n1skiti�I4vd Car,-c3 a.lJ rar'(,.z/ 1-1�ec�iCrLI fcayfi ca.is co.., ltrottitin-1S_ No GALar��f -6 „e,KfCfr�/�- a. Afa t��, PROJECT NAME(Name of Business or Owner Last Name) /1-C1 V a/L)C,Q. A/tie r I Cci '17)re if 027 • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER 0 a 5 1 V D r'..W est II- C. (WV y1,7 - 2700 MAILING ADDRESS / CITY,STATE,ZIP 915 /18•x- fhi€. SE t300 Bellevue/ Wk. 18'00 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE F L ielgI`( CA4f . (C/Piu (vl'cI< (4o4 ) 3r2 -4c2G7 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 5 ?55 W i 0-4n;A)St Ste `fANcsrnlaMj D� (Le bS7j4$ -2775^ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER -s L I / ( ) CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE f,-. - ff5- __Tc . 1 ,5 az a `/ / /5 / 07 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE Pi t l;� // l.V ;A)S A-r,kite.,A- w. P),; I:0 44.4;„,s 7,,t,.... (q/ ) 67715" -5-3S-7 MAILING DRESS CITY,STATE, IP CELL PHONE 73S' StAto s e Ave. ' -/O/ /t se v i ll a cl4-. ? C I ( ) - RELATIONSHIP TO PROJECT ) FAX NUMBER Architect 0 Tenant 0 Agent ❑ Other(Describe) (9/G ) g75 -5357 CONTACT NAME l71IN A ,D U NC" PRIM PHONE E-MAIL ADDRESS ($/ ) 87 5357 Siypori@phaie►e .biz. LENDER per RCUT 19.27.095: Lender irlfonnation is NAME required if-project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - ``�' • DETAILED BUILDING INFORMATION / EXISTING USE nit -,4 5'h {I e1• 3. PROPOSED USE OCCuytili 6 (pay(ell / t cLVane , EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ U' to,.r SPRINKLERED BUILDING? XYES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER X LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ){LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) • • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. FIRST k r Ct cl, ( e✓la,,k /r0✓2 0•41‘t /O 90.3y Com! / .r44ettri=1-- • 1(t 9e' �I ' POO" 9 =i : I - '• . NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF / / **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical i7Vork$ AIR HANDLING UNITS`- EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(c al) WOODSTOVES . BOILERS FIREPLACE INSERTS ES MISC(Describe) COMPRESSORS .: ACES GAS WATER HEATERS DUCTS GAS PI•.: • PL ING BATHTUBS(orTob/Shower combo) SHOWERS _ _ WATER CLOSETS(Toilet) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUT SUMPS RAINWATER SYST WASH • ' )CHINES URINALS HOSE BIBBS _ LA,S(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS m,_ 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 F:,eral Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of such claim),whicny r made by .ny per . including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the elianc. o e city, includ''g'ts offic. s and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE ""I( ..m.... e (Sign.tore) �gg�'6��►7 DATE IS. C'• 200�s RELATIONSHIP TO PROJEC 0 Owner ❑ Agent ❑ Contractor )Architect ❑ Other 1/4,-- FOR FOR OFFICE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION c REPAIR TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES o NO ZONING DESIGNATION CHANGE OF USE? ❑YES o NO NEW ADDRESS REQUIRED? E YES ❑NO UP/SEPA/SU? ❑YES o NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES o NO Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application