16-105157 Building - Commercial
City of Federal Way Permit #.16-105157-00-CO
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: HOME STREET BANK(EVERGREEN CORPORATE PLAZA)
Project Address: 33405 8TH AVE S Parcel Number: 926500 0060
Project Description: TI-Interior tenant improvement work to include new partition walls,finishes and
reconfiguration of existing lighting. Plumbing included.No mechanical.
Owner Applicant Contractor Lender
LBA REALTY FUND 11-CO LLC ELISHA PERSONMULVANNY G2 RAFN COMPANY HOMESTREET BANK
PO BOX 847 ARCHITECTURE 1721 132ND AVE NE
CARLSBAD CA 92018 1110 112TH AVE NE SUITE 500 BELLEVUE WA 98005
BELLEVUE WA 98004
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B _
Occupancy Load: 105.00
Floor Area(sq.ft.) 10,482.00 0.00 0.00 0.00
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 10482
New/Additional Sq.Feet-Basement 0 Occupancy#1-Construction Type Type V-B
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
Mechanical to be Included No Plumbing Work Valuation? 2500
Mechanical Work Valuation? 0 Number of Stories 2
New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application? No
Permit for Building Shell Only No Plumbing to be Included? Yes
New/Additional Sq.Feet-Total 0 Will Certificate of Occupancy be Issued? No
Occupancy#1-Use Professional Co ICive Plan Designation Office Park
Services/Offices
Zoning Designation OP
Total Valuation:350,000.00 -O
.4aY!b . tures £•
b / - "Ing 11'11
6 ..
Dishwashers 1 Sinks 2
PERMIT EXPIRES Saturday,27 May,2017
Permit Issued on Monday,November 28,2016
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
Wa 1;Iington and tpe City of Federal Way. /i4 .
Owner or agent: �/t Date: //l Z.
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is 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: HOME STREET BANK(EVERGREEN CORPOR Permit# 16-105157-00-CO
Address: 33405 8TH AVE S Unit 275
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 105.00 0.00 0.00 0.00
Floor Area(sq.ft.) 10,482.00 0.00 0.00 0.00
Owner Name: LBA REALTY FUND II-CO I LLC
Owner Address: PO BOX 847
CARLSBAD CA 92018
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 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.
THIS CARD IS TO REMAIN ON-SITE
'` Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16 105157 00 Address: 33405 8TH AVE S Unit 275
Project: LBA REALTY FUND II-CO I LLC FEDERAL WAY WA 98003
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.
® Initial Erosion Control(4365) fLI Footings/Setback(4110) ® Re-steel(4215)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date By Date
El Plumbing Groundwork(4190) El Slab/Concrete Floor(4255) Ill Underfloor Framing(4285)
Approved to cover Approved to place concrete Approved to sheath floor
By Date By Date By Date
0 Floor Sheathing(4105) El Rough Plumbing(4230) 0 Fire/Draft Stops(4095)
Approved to install flooring Approved Approved
By Date By Date 1 U. 117 By Date
ElInterim Erosion Control(4370) Prior to scheduling a Framing inspection; ' 'i`i Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in Approved to insulate
and Fire/Draft Stop inspections must be signed-
By Date off and approved. IBC 109.3.4 p By Date
Eil Insulation(4150) Ill Gypsum Wallboard Nailing(4130) CI Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By 14ij Date I i0I -1 ��� Date ( �/ -/7
El Final-S K F&R(4060) l
( ) Final-Planning t. Final Erosion Control(4375)
Approved Approved
Approved
By Date By Date By Date
El Final-Plumbing(4075) ,19
Final-Building(4050)
Approved Approved
B3 -----r' Date \—( -( 7 By V& Date 2-I YY( 1i
Rough Electrical111 Final Electrical0 Right of Way
Approved Approved Approved
By Date By Date By Date
EIVED •
'��.. PERMIT APPLICATION
CITY OF .¢ OCT 2 5 2016
Federal Way
PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
C OFF EDE253-835-2607+FAX 253-835-2609+permitcenter(a,citvoffederaiway.com
��-WAY
/ CDS �
PERMIT NUMBER 1, —
]/ V 5 / 5 / _C_o TARGET DATE /0q7/(0
SITE ADDRESS/ ((( SUITE/UNIT#
V33405 8th Avenue South, Federal Way, WA 98003 275
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 41
$ r .`6P 9 6 5_ 0 - JL 6 0
TYPE OF PERMIT al BUILDING D PLUMBING D MECHANICAL D DEMOLITION D ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Evergreen Corporate Plaza - TI HomeStreet Bank
Tenant Improement of existing office suite. Partions,
PROJECT DESCRIPTION
Detailed description of work to flooring, finishes, reconfiguration of existing lighting
be included on this permit only
and plumbing fixtures .
NAME PRIMARY PHONE
LBA Realty Fund II - CO I LLC 949 . 428 . 7336
PROPERTY OWNER MAILING ADDRESS E-MAIL
3333 Michelson - STE 350
CITY STATE ZIP
Irvine CA 92612
NAME PHONE
RAFN Cn 425 702 6600
MAILING ADDRESS E-MAIL
CONTRACTOR 1721 13 2nd Ave NE
CITY STATE ZIP FAX
Bpllpvut.. WA 92612 425 . 896 .2592
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
RAFNC**061J7 04/ 20 /18
NAME PRIMARY PHONE
Elisha Person - MG2 206 . 962 . 6519
APPLICANT MwILnvGADDRESS E-MAILlisha.person@mg2.com
1101 Second Ave, Ste. 100
CITY STATE ZIP FAX
Seattle WA 98101
NAME PRIMARY PHONE
PROJECT CONTACT Elisha Person 206 . 962 . 6519
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 1101 Second Ave, Ste. 100 elisha.person@mg2.com
concerning this application) CITY STATE ZIP FAX
Seattle WA 98101
PROJECT FINANCING NHomeStreet Bank ® OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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.
SIGNATURE: ..-" DATE 0/14/7/40
PRINT NAME: F1 i Sha PPrsnn
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
•i
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gaa)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ ‘2-)500 , o
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
1 DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 2 SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 3 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No n Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area In Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING 112 , 630 B-Business VB 2
TENANT AREA ONLY 10, 482 B-Business VB 1
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:AHandouts\Permit Application