16-103707 lr
•' ,• 1
Building - Commercial
City of Federal way ' Permit #:16-103707-00-CO
Community Development Dept. z
Ph:
33325 8th Ave S 835-2609 s.. e
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
(253)835-2607 Fax:(253)
Project Name: NEW YORK LIFE INSURANCE
Project Address: 31515 PETE VON REICHBAUER WAY S Parcel Number:092104 9302
Project Description: TI-Tenant improvement to include adding partition walls and new reflected ceiling.
Mechanical included.No Plumbing.
Owner Applicant Contractor Lender
KIMCO REALTY CORP BENNY KIM MIN LEEB F C ENTERPRISE LLC
3333 NEW HYDE RD 7415 N LAKE BALLINGER WAY 2301 SUNSET DR W
NEW HYDE PARK NY 11042 EDMONDS WA 98026 UNIVERSITY PLACE WA 98466
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type HI-B
Occupancy Load:
Floor Area(sq.ft.) • 661
Additional Permit Information
Occupancy#1-Area(Sq.Feet) 661 Occupancy#1-Construction Type Type III-B
Mechanical to be Included? Yes Plumbing Work Valuation? 0
Mechanical Work Valuation? 7000 Number of Stories 1
Is this an Online or O.T.C.application? No Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Will Certificate of Occupancy be Issued? Yes Occupancy#1-Use Professional
Services/Offices
Total Valuation:10,000.00
,aF
Ducting 4
CONDITIONS:
1.The insurance sales office may not be granted final approval or occupancy until site improvement
conditions under Use Process I Approval are satisfied to the satisfaction of the Planning Division (15-
100521-UP).
2.All new CMU wall cut outs,windows,and entrances on the H-Town plaza shall maintain transparent
glass at the ground floor with no sticker coverings/materials blocking transparent glass, pursuant to
FWRC 19.115.050(1)(b); 19.115.050(3)(c)(i)and FWRC 1930.090(3).This is a legal non-conforming
development,however new structural modifications and new facade alterations shall constructed in
conformance with the development regulations in effect at the time of the application.Further pursuant
to the FWRC 19.30.090(3) `Exceptions' (FWRC 19.30.090(2)),in terms of bringing nonconforming
developments into compliance,this section does not govern the application of FWRC 19.115 'Community
Design Guidelines'.
3.Application subject to a planning inspection please call 253-835-2644 or email leila.willoughby-
oakes@cityoffederalway.com to schedule an inspection.
DO NOT FINAL UNTIL SHELL HAS BEEN FINALLED
PERMIT EXPIRES Wednesday,29 March,2017
Permit Issued on Friday,September 30,2016
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
Washington and the City of Federal Way.
Owner or agent: �!' Date: d�
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: NEW YORK LIFE INSURANCE Permit# 16-103707-00-CO
Address: 31515 PETE VON REICHBAUER WAY S Unit 104
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type III-B
Occupancy Load:
Floor Area(sq.ft.) 661
Owner Name: KIMCO REALTY CORP
Owner Address: 3333 NEW HYDE RD
NEW HYDE PARK NY 11042
a., 6"./3I i 7
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 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.
\ ��
C.
THIS CARD IS TO REMAIN ON-SITE
""� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 103707 00 Address: 31515 PETE VON REICIIIBAUER WAY S I
Project: KIMCO REALTY CORP 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) El Footings/Setback(4110) ® Re-steel(4215)
Initial Erosion Control(4365) Footings/Setback(4110) Re-steel(4215)
By Date ��By Date By Date
•® Slab/Concrete Floor(4255) , ® Underfloor Framing(4285) ® Floor Sheathing(4105)
Slab/Concrete Floor(4255) Underfloor Framing(4285) Floor Sheathing(4105)
By Date By Date By Date
,® Mechanical Rough-in(4165) "® Gas Piping(4125) `�® Fire/Draft Stops(4095) ,
Mechanical Rough-in(4165) I Gas Piping(4125) Fire/Draft Stops(4095)
A.6.)By v Date 161Z$I�� By Date •.
`
By Date
to nterim Erosion Control(4370 Prior to scheduling a Framing inspection; 11 Framing(4120)
Interim Erosion Control(4370) ri &Mechanical gh- Framing4120
and
ElectFical,re/Draft StopPlumbing
inspections mastRoube signedin- ( )
By Date off and approved. IBC 1093.4 By Date
•
E Insulation(4150) to ipsum Wallboard Nailing(41: ® Suspended Ceiling Grid(4265
Insulation(4150) Gypsum Wallboard Nailing(4130) Suspended Ceiling Grid(4265)
�By Date ��By Date ��By A.f‘) Date A2"I i/1 ,
'ts •
Final-SK F&R(4060) "ts Final-Planning ,•'t7 Final Erosion Control(4375)
Final-SK F&R(4060) Final-Planning Final Erosion Control(4375)
By Date By Date By Date
7s Final-Mechanical(4065) ® Final-Building(4050)
Final-Mechanical(4065) Final-Building(4050)
By613Date till))Lt By ,9,O Date 5 13111)7
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
2OSSc7L
`
m • EI RMITIKPPLICATION
CITY OF `
Federal Way AUG o 1 2016
PERMIT NUMBER ) (1/4.0 - 1 O C"7DSJ"I& 5/10 /
TARGET DATE / 1
SITE ADDRESS SUITE/U
72 1 9 1; ?-e+e, V 00 V_elck104.(iev l AY 5 v1) I e4- (04- ,
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ M+ VIooC7 L-F__ ® el 2- 11 0 4 - q 2) O 2,
TYPE OF PERMIT kBuILDING ❑ PLUMBING N MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT tfoy(C Leve. 1 vises)-��► Q ( I,, '
PROJECT DESCRIPTION _P-" "/- 1' I oip t , '
vei' ' o l U n� `f
)
Detailed description of work to 101/11 id ve (.04_S oc.4d /1et'‘) e)/1/f. LJ S't
be included on this permit only t" d HUGa
NAME '.A n,o►^/ PRIMARY PHONE
HVV4
PROPERTY OWNER MAILING ADDRESS E-MAIL
16(e 12201431C.Ar14 &NC,I .
CITY STATE ZIP
kviS ,
NAME -1 PHONE
MAILING ADDRESS - E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
im.
APPLICANT MAILING ADDRESS E-MAIL
CITY 1114 WCZ- ST ZIP FAX
NAMEPRIMARY PHONE
PROJECT CONTACT /e v,h� V......-v.,_
(The individual to receive and MAILING ADDRESS t _ f E-MAIL `_
respond to all correspondence 9415
4-1 z7Y L 4 k€ t�1)) FAX V► �{ c 5 Q r heo,
concerning this application) CITY , l1"L STATE ZIP FAX ` G6�
C1/4.
NAME
PROJECT FINANCING 'n 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 Iocal, 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: � 7jL--� DATE 'l I/)-v 6'
r
PRINT NAME: V,-e4w�'1 "" -
Bulletin#100-February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
10
• VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ a a"D
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(Goo)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
-4F DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING 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.
BATHTUBS(or Tub/Shower combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
IA 0 $ [� M. t
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Yes ❑ No ❑Yes X No
M• 104. g"
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 0
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION /4
AREA DESCRIPTION Area m Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area m Occupancy Group(s) Construction #of Additional Information
Square Feet t t it(
Stories
TOTAL BUILDING CSS h (p l.A 1 �. 14(
TENANT AREA ONLY l r_ '�/ ( (( '
(
PROJECT AREA ONLY ( L
Bulletin#100-February 22,2016 Page 2 of 2 k:\Handouts\Permit Application