11-101392 4 �. ♦ S
ouilding - Corrimel�cial
City of Federal Way • F L.E
Community Development Services Permit #: 11-101392-00-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: KIEWIT PACIFIC CO
Project Address: 33455 6TH AVE S Parcel Number: 926500 0340
Project Description: TI-Install sliding door to existing conference room.No plumbing or Mechanical.
Owner Applicant Contractor Lender
FEDERAL WAY PROFESSIONAL KIEWIT INFRASTRUCTURE WEST KIEWIT INFRASTRUCTURE KIEWIT INFRASTRUCTURE WEST
LLC CO WEST CO CO
3400 CARILLON PT 33455 6TH AVE S 33455 6TH AVE S 33455 6TH AVE S
KIRKLAND WA 98033-7317 FEDERAL WAY WA 98003-6335 FEDERAL WAY WA 98003-6335 FEDERAL WAY WA 98003-6335
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
t/, .. c
Ofa -�
Existing Sprinkler System in-Building?...... ..,., Yes Mechanical to be Included?.......:,,
Number of Stories 2 Permit for Building Shell Only?.. .,.. .... ......,No
Plumbing to be Included? No Special Inspection(s)Required? No
New/Additional Sq.Feet-Total 0 Zoning Designation OP
PERMIT EXPIRES Monday, October 10, 2011
Permit Issued on Wednesday, April 13, 2011
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: r [`j Date: Y-13— /1
' c/c/il
- THIS CARD IS T MAIN ON-SITE '
G"oF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-101392-00-CO Address: 33455 6TH AVE S
Project: FEDERAL WAY PROFESSIONAL L FEDERAL WAY, WA 98003-6335
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.
El SWM Precon Site Mtg(4400) Initial Erosion Control(4365) ❑ Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
Re-steel (4215) 'ElSlab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) ElFire/Draft Stops(4095) ❑ Interim Erosion Control(4370)
Approved to install flooring Approved Approved
By Date By Date By Date
•
Prior to scheduling a Framing inspection; Framing(4120) Insulation (4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Date 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 By Date By Date
o Final-Planning El Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved Approved
By Date By Date By � 3 Date s_ S ,L i
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
.__ ___ _ 1 0 t , c T 2.__
44N,
Fedror -eral V1la EI RMIT S MF �E PL DE EN FP
F
20MMUNITY DEVELOPMENT SERVICES APPLICATION O TG
253-835-2607•FAX 253-835-2609 ^ rj
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SITE ADDRESS CITY OF FEDERAL WAY SUITE/UNIT#
33/SS 6�c--, /�l�e
SE) _
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# _
TYPE OF PERMIT BUILDING - D PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT (ed av' per, lid eSY- T sia I,,t.J2-mrro4-se o-7 -t-
(Tenant Name/Homeowner Last Name) f�/ ,7
r r r is ` O
PROJECT DESCRIPTION I7yhtility Geahn 74J slid/v. dpoi-- c A a ki
Detailed description of work to l/LC/4`�/t" s/id%h� fa'r¢iM'I-7'. 14)0‘-,t_ 4Pj// j 9,10
be included on this permit only 1_ AN Mt"
0/4637,�/ ,^ S.lid i y, ��%71%�R ✓
NAME/ - PRIMARY PHONE
PROPERTY OWNER 6R p),,
MAILING ADDRESS E-MAIL
CITY STATE
ZIP
NAME 'S
NE qJ r�
T�" ` 7977 y
Yet4t D ia✓ € Q�d 4Y/i ` H
MAILING ADDRESS E-MAIL
CONTRACTOR . 3Y , Ave _91YJv7 j ii-, . Pett `qtpeo
f r, bM
CIT ZIP
FAX
de a / )/ toil- ry/ooJ
WA STATE CONTRACTOR'S LENSE S
EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
ESS r_e
t� ^�,f`i I •_ PHONE
MAILING ADDRESS E-M�^ �^����
APPLICANT E-MAIL
.3,n5.5 6f4 A 2ecif L- tam,.jaf1;, e e.t it/ ,r
CITY 'f1 STATE ILK/ ZIP 98003FAX
PROJECT CONTACT NAME , ( PHONE�C
(The individual to receive and K (1 k) l rr 4'ZS-L3 7(/711
respond to all correspondence MAILING
�A+D�^DRESS E-MAIL
concerning this application) q'S
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME OWNER-FINANCED
Required value of$5,000 or more
IRCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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 cityasa part of this application.
SIGNATURE: �" f� � DATE Al `f
M/
PRINT NAME:
Bulletin#100-January 1,2011 Page 1 of 3 k:AHandouts\Permit Application
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VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do riot include existing futures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commernnal)
BOILERS FURNACES HOT WATER TANKS(Una)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type offuture 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(Eieetrie)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL`"FIRTURE� =41
•
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 E No Yes a No
ot4 to
11.
as .. Yar, ,� r_.�,s- 14I Js b' ..r., 8y ii: i i y ` " �l„.' .,. � �3"�
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
ra.• `i ail ��' ` f.^ K - �, -x �'�s " .�. a.. „�� E ...._..... ........_._ ._..__. _......... _...._ ___._......_. ._...._...
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
,. A .: s`-" . r. ?..:. 1 ..?w
GARAGE ❑ CARPORT ❑
OTI It(de
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
1(l1VV BtYilt�Ek � ��
�-� ,,� a,, »• ,� s �,
ADDITION
., •. . ,. .. .., ms's::,. >.r T.. - - . - , s
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in S uare FeetTy a Stories
":L' y':...•'` 'a'+; ,«p,.:, -, �y � � .�: ,i r '� g�y"". m $ `: `r fix;;. € a
TENANT AREA ONLY JL B
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application