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03-102333 • City of Federal Way • • Community Development Services Building - Commercial Permit #:03 - 102333 - 00 - CO 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: EVERGREEN BANK Project Address: 1300 S 320TH ST Parcel Number: 082104 9241 Project Description: TI-Nonstructural interior alterations for new bank office branch and occupy,per plans.. Includes plumbing work. Mechanical work under separate permit. Owner Applicant Contractor Lender Derald E Martin &Margaret A Martin JPC ARCHITECTS*JENNIFER DOW J M S CONSTRUCTION CO EVERGREEN BANK 355 110TH AVE NE SUITE 100 JMSCOC*150RS 12/10/03 301 EASTLAKE AVE E BELLEVUE WA 8575 WILLOWS RD SEATTLE WA 98109 REDMOND WA 98052-3492 Includes: Census category: 437-Comme #1 #2 #3 #4 Occupancy Group: Construction Type: Type V-N Occupancy Load: Floor Area(Sq.Ft.): 1st Floor Proposed Sq.Feet 2500 Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add Fire Sprinklers - No Mechanical No Number of Stories 1 Permit for Building Shell Only No Permit for Foundation Only No Plumbing Yes Special Inspection Required No Total Proposed Sq.Feet 2500 Will Certificate of Occupancy be Issued') Yes Zoning Designation CC-F Plumbing Fixtures ,, i.... 14es . ptlofl... .,,,, ._ d *riptiksta._ yr Apuantrr ,_.. 1,wErescriPlial u ntity Dishwashers 1 Sinks 3 Water Closets 2 CONDITIONS: 1)All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6)) 2)All work on this permit is for INTERIOR work ONLY.Applicant will NOT do any modifications to the envelope of this building.All exterior changes must be applied for on a seperate permit with corresponding land use approvals. 3)This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES January 13,2004. Permit issued on July 17,2003 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy 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: /��/"' Date: 7- /2- n ..9 5. City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 of the Uniform 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: EVERGREEN BANK Permit number: 03 - 102333 -00 Address: 1300 S 320TH #1 #2 #3 #4 Occupancy Group: Construction Type: Type V-N Occupancy Load: Floor Area(Sq.Ft.): Owner Derald E Martin &Margaret A Martin Name: Address: mK. nua.Art, caa by 711. 7/0/QC 103 Building 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 severely affect the health and safely 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 INSPECTION LOG DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION POSTTIS CARD ON THE FRONT OF BUILDINAi, 1. CITY OF 4,0 , Federal Way BUIL JAG DIVISION INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 03-102333-00-CO OWNER'S NAME: Derald E Martin & Margaret A Martin SITE ADDRESS: 1300 S 320TH T. () FOOTINGS/SETBACKS () FOUNDATION WALL yid<. --mss x < - ka s -r-. s ��'. an 222 Q�O�C3 OCI� ABOVE APPROVED, a f ..,, ,.-,,. ( ) DRAINAGE: Line ( ) ;connection . DQ T'POWW410 . .. ABt] ttAI?FR Iit i k ., ( ) UNDERFLOOR FRAMING ( UGH PLUMBING: DWV 7-t$ 9 Water piping 7 2 ( ) ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor () SHEAR WALLS ( ) ELECTRICAL ROUGH-IN 8''8"C7,35 Ditch Cover ( ) FIRE/DRA:TSTOPS 1? ,i, 4; , %.2..... av ��,�L THE,,, 0Zq iV ' � i .a' .. ' 'EDi1tJOB T hI*Aa :$40;#ON ,, ,,. x ( ) FRAMING/FIRESTOPPING ?-- 3 — ..p.liT ,,-. .. ,,,,,, ( ) INSULATION: Floors Walls Attic Nom° 0 .O" E A ®WP f VE.. { PE..___ ;SH ETRO ( ) WALLBOARD NAILING 7-3A--tj3 ( ) SUSPENDED CEILING lei 71" % ISE ABO "I3rAP 4: #14:170 Oma! 'ST41.I O au.IN W 11 O ELECTRICAL FINAL () PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL ' f . -i 0mwT y ' 7:0 °7® OR `O BUI) I,NG DEPAkTMEI TFiliA y i t O BUILDING FINAL / /1 (2 • **01:14; S :. � 3 ' • 1 '%,, OlEDEIVED S CONSTRUCTION PERMIT APPLICATION CITY of "` 0 6 2003 JUN APPLICATION NUMBER: a 3 - /o 2- 3 3 3 - Co do e ay APPLICATION NUMBER: - - CITY OF FEDERAL WAY APPLICATION NUMBER: - - BUILDING DEPT. **The following is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. 1?-117- • ?11'■ PROPERTY INFORMATION SITE ADDRESS: /30 0 S,. .�26'k ST. ASSESSOR'S TAX/PARCEL#: 0 S a 1 G 41 - 1 _a L LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): G E JJ 0 4 0 • PROJECT INFORMATION TYPE OF PROJECT(This application): "BUILDING . •LUMBING ❑ MECHANICAL 'DEMOLITION o ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM b PROJECT DESCRIPTION(Provide detailed description): TQ„r,4j. , ,L'v &'v—'tk.I\ _l L 1,..,)_./ elf .'I Lvi Li it f .evuo k i c i 0 v`- Cel 1 ( Iw (4_24w, i I'"fr't-,i,.t , rt.e. pc"--k I C..k S ' r-e s t ccs vls \ n t % .U.T .i rim, 0-.4r1 Ls. 1'V%A.+J' (1\ri \ `- n-Q `S ) f(t.dac, et-f c t-►i I,/.✓G 6,c0 t- 1 . fl iii n fe, .541%4 / PLZ407i/— PROJECT NAME: E '4 X• CP-4 X\....)0L...RK. ■ PROJECT INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: C (Ax, LOG/ Lank ck a..rY , c,u CO . ( #q) SW - //13 ,o MAILING ADDRESS(STREyslivtd.frET ADDRESS;CITY,STATE,ZIP): / ��5` <09 PD ;0� S 0- E( 1+x sbUr ) idr\_ 737 CONTRACTOR•/fNAME: , DAYTIME PHONE: t S Cons- ruc17o1 (i-o5) %s -Dal. MAILING ��EET AD �$;(;ITY,STATE,ZIP):D� EVENING PHONE: - `7Vy� 'l OIJ25 K R`"'►�'IraYt 9 01.3- . ( TTY OF FED L AY BUSIN CEASE NUMBE� � - �� � � � � (� ^�� FAX NUMBER: - CONTRACTOR'S REGISTRATION NUMBER: _J 0 �1(/J�lly�`/� EXPIRATION`JDATE: (copy of card required) '3 11 S C 0 C n+ L 5 U s / / APPLICANT: NAME: f DAYTIME PHONE: rc�r)1 Ar D 'L'd'E:,, SIC Ared,rc�cc 1`; (la-)) l - 1200 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP)5� .aJ EVENING PHONE: 35 c //( `- CI .(IC_►�'?_ �1t, 9� oy ( ) RELATIONSHIP TO PROJECT: F NUMBER: ARCHITECT ❑TENANT o OTHER(DESCRIBE): ( �� x,.37 -S lW EMAIL ADD S: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER %APPLICANT ❑ CONTRACTOR :Je On 1 J Y610 IpcC(GIN_T c ■ PROJECT INFORMATION •� Com', EXISTING USE: ReiC EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ I) /0, to C: PROPOSED USE: BIM PROPOSED VALUATION FOR IMPROVEMENTS: $ ISO, D SPRINKLERED BUILDING? o YES XNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES y NO WATER SERVICE PROVIDER: 4).AKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) 0 • **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT /1\ FIRST c ✓ CO - OD 2.1; ©0 SECOND 4 THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: , f 0°.� `Q `_� 00 Indicate number of a chtype offixture CMECHANICAL AIR HANDLING UNIT 5) EVAPORATIVE O ER(S) GAS LOG(S) REFRIG.SYSTEMS) BBQ(S) FA S _ • • + WOODSTOVE(S) BOILER(S) FI,r CE I T ' �Gift MISC.( COMPRESSOR(S) FU • S) DUCT(S) GA PE OUTL ( ) t j. HEAT SOURCE: ❑ ELECTRIC ❑ GAS ) PLUMBING —� BATHTUB(S) LAVATORY(S) URINAL(S) I WATER HEATER(S) )( r DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) Z-SINK(S) ) 3 WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) • 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 of the city,including its officers and employees,upon the accuracy of the information su.plied to the city as a art of this application. / NAME TITLE: DATE: F ❑ PROPERTY OW R NIAP•i ICANT o CONTRA /` FOR OFFICE USE ONLY: ❑ NEW ❑ADDITION ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION : BUILDING SHELL ONLY? o YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? o YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES 0 NO PLATTED LOT? 0 YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.atvoffederalway.com ` � 0 41110 Construction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building,mechanical,and fire prevention system fees are based on the following schedule. TABLE A TOTAL VALUATION FEE FACTOR (1)$1.00 to$500.00 (1)$30.00 (2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus$4.00 for each additional$100.00 or fraction thereof,to and including $2,000.00 (3)$2,001.00 to$25,000.00 (3)$90.00 for the first$2,000.00 plus$18.00 for each additional$1,000.00 or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 (4)$504.00 for the first$25,000.00 plus$13.00 for each additional$1,000.00 or fraction thereof,to and including$50,000.00 (5)$50,001.00 to$100,000.00 (5)$829.00 for the first$50,000.00 plus$9.00 for each additional$1,000.00 or fraction thereof,to and including$100,000.00 (6)$100,001.00 to$500,000.00 (6)$1,279.00 for the first$100,000.00 plus$7.00 for each additional$1,000.00 or fraction thereof,to and including$500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$4,079.00 for the fist$500,000.00 plus$6.00 for each additional$1,000.00 or fraction thereof,to and including$1,000,000.00 (8)$1,000,001.00 and up (8)$7,079.00 for the first$1,000,000.00 plus$4.50 for each additional$1,000.00 or fraction thereof. Bold number is the base fee for the specified increment Italicized,underlined number is the fee per additional specified increment PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. 1 y y Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only. P1 I e Vi(' J.,) Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. / 5 **Electrical,plumbing,and mechanical fees are calculated separately** ' /- /� 00 • BUILDING PROPOSED VALUATION: 15�0, 0 ��'}} FEE FACTOR FROM TABLE A: Number: f0 (a)Base Fee: 1 CI`-1 el (b)Additional Increment Fee: .�P ) l Estimated Permit Fee: (1) Iib ((' I Estimated Plan Review Fee: (2) 1) 05 J S :J r �t ( I Estimated FW Fire Department Surcharge: (3) a t 3 ,q ( tm.. ..m.iriirs:tmtrttuuimimICOMMERCIAL ONLY) sbc (_L Ld J PROPOSED VALUATION: I A FEE FACTOR FROM TABLE A: Number: (a)Base Fee: jwF (b)Additional Increment Fee: ii . Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) • FIRE PREVENTION SYSTEM PROPOSED VALUATION: N ± Y FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) Base Fee Number'` of Fixtures $26.00+{ V� X$9.00/fixture}= 4 1'" g0 (8) Estimated Permit Fee $//��Estimated Permit Fee �ll lJ X .65= .� L (9)Estimated Plan Review Fee e`Iha ) '] Sub Total (Page One): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11) f 13 \