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05-100170 11 y 00 City ofFederalWay Community Development Services Building - Commerc,k Permit #: 05 - 100170 - 01 - CO P.O.Box 9718 (�P Federal Way,WA 98063-9718 ��++ Ph:(253)835-7000 Fax (253)835-2609 ` `SQ. Inspection request line: (253) 835-3050 Project Name: KOVALIK 10, �t Project Address: 33506 10TH PL Si Parcel Number:926501 0030 Project Description: TI-Interior alleges to existi>tg building; addition of door to east elevation. No plumbing or mechanical work eluded on this permit. Revised to remove exterior stucco,wallboard&insulation dut to mold,water&insect damage and replace rotted 2 Owner Applicant Contractor Lender SUSKA LLC DOUGLAS BABBIT ARCHITECT*I SHINSTINE ASSOCIATES LLC LEHMAN BROTHERS 17051 SE 272ND ST SUITE 17 1001 PACIFIC AVE SUITE B SHINSALO1 IPA(10/1/05) 10655 4TH ST SUITE 400 COVINGTON WA 98042 TACOMA WA 98402 122 E STEWART AVE BELLEVUE WA 98004 PUYALLUP WA 98372 Includes: Census category: 437 Comm 1 #1 1 1 #2 T #3 i #4 Occupancy Group: l B '' Type -11[1- i [ j Constructiot� �"pe: T e)C�)G�N __ _ Occupancy o d: [� Floor Area�� E--, �� �`_. 10563 J'I_ ' 1 1st Floor Proposed Sq.Fe ....,.w ..1=0 63 4 1 -.Census Category , .',,. .4' ‘T"'... 437 Commercial alt/ d Fire Sprinklers , Yes 'Mechanical.,,,w ... z ,NO , Number of Stories ,`''I 1' ' N ) 1 Permit for Bfkling _ +_ ...... . �. Plumbing No Will Certificate of Occupancy be Issued? Yes Zoning Designation OP • CONDITIONS: This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. ,ss PERMIT EXPIRES December 13,2005. Permit issued on June 16,2005 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: "�/� `l6 /ô ' a� • Ci of Federal Way Y Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 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: KOVALIK Permit number: 05 - 100170-01 Address: 33506 10TH S #1 #2 #3 #4 I _ Occupancy Group: B Construction Type: Type III-N Occupancy Load: L Floor Area(Sq.Ft.): 10563 Owner SUSKA LLC Name: 17051 SE 272ND ST SUITE 17 Address: COVINGTON WA 98042 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. ' t ti 4 • 40 Co Citymmunitof Fyederal WayDevelopment Services Building - Commercial Permit #: 05 - 100170 - 00 - CO — P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: KOVALIK Project Address: 33506 10TH PL S Parcel Number:926501 0030 Project Description: TI-Interior alterations to existing building for tenant improvements; addition of door to east elevation. No plumbing or mechanical work included on this permit. Owner Applicant Contractor Lender SUSAN KOVALIK DOUGLAS BABBIT ARCHITECT*I SHINSTINE ASSOCIATES LLC LEHMAN BROTHERS 17051 SE 272ND ST SUITE 17 1001 PACIFIC AVE SUITE B SHINSAL01IPA(10/1/05) 10655 4TH ST SUITE 400 COVINGTON WA 98042 TACOMA WA 98402 122 E STEWART AVE BELLEVUE WA 98004 PUYALLUP WA 98372 Includes: Census category: 437-Comm #1 #2 r #3 #4 Occupancy Group: B Construction Type: Type III-N Occupancy Load: Floor Area( ®.F#.): ® ® b___ Census Category....,..;„..:.,. 437-Commercial alt/add. ,, FireSprinklers. .fees Mechanical.,H .., ... r, ...,.r. Number of des. ........ ... ..9.�,. 1 Permit for Building Shell Only.... No Plumbing.._.,.T „.....,' No Will Certificate of Occupancy be Issued?..........Yes CONDITIONS: This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES October 2,2005. Permit issued on April 5,2005 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: / / 5— 1110 City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 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: KOVALIK Permit number: 05 - 100170-00 Address: 33506 10TH S #1 #2 #3 #4 Occupancy Group: Construction Type: Type III-N rOccupancy Load: _ Floor Area(Sq.Ft.): Owner SUSAN KOVALIK Name: 17051 SE 272ND ST SUITE 17 Address: COVINGTON WA 98042 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. 1 DATE INSPECTOR AREA AND TYPE Ok INSPECTION 8 �UA--(f tS �� e,�c� F`.4.1, �/7/ �.1 t �i /�r�ro -t t))7 / L4Pr- A-�r-" r ems, S/7/2/4tf P/210W,,,A.Ve. --��� P THIS CARD IS TO MAIN ON-SITE " • CITY OF itommunitY p Inspection m nt Ins ection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-100170-0 -CO Owner: SUSAN KOVALIK Address: 33506 10TH PL S FEDERAL WAY, WA 98003-6306 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. ❑ Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date • • 0 Re-steel(4215) 0 Plumbing Groundwork(4190) _ 0 Slab/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date (By Date By Date • • ❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) �❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding `By Date By Date By V Date 7 s / •.❑ Roof Sheathing(4220) L.A� Fire/Draft Stops (4095) o E: wPrior to scheduling a Framing(4120) Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical s Rough-in and Fire/Draft Stop inspections must be 'N 4 signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date By Ve Date 97 ,, • ❑ ' Framing(4120) ❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By Date ��/��`j rcm S or `By ��f Date /'8/0,i • By Date f/f1 UJ' • • ❑ Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) 0 Final-Planning(4070) Approved to drop tile Approved Approved By 41/4,---- Date /f/' /P� By Date By Date` ❑ Final-Public Works (4080) [gi, Final-Building(4050) Approved Approved 1A By Date By ,‘' Date tZkeA0. Federal O R B.,I•E Federal Way - -� a COMMUNITY DEVELOPMENT SERVICES HJT ,, p€ � ,y PERMIT S F M F. O M E EL PLD N FP 33325 8*"AVENUE SOUTH•PO BOX 9718 - , 1 S � , ?L ATION . • ,�.�+ FEDERAL WAY,FAX 98063-9718 ���/�wv 253-835-2607•FAX 253-835-2609i?`'� 0F' F.E. / % unuw.dtuo/Tedera(uray.com / 1i BUILDING DEPTwit.' I v The following is required information-an • c,mplete ap.lication will not be acce•ted. Please •rint legibly(in ink)or type. - •: M PROPERTY INFORMATION SITE ADDRESS gsie; oi- .3.. t WAy SUITE/UNIT# ASSESSOR'S TAX/PARCEL It _T 'L ssa_ 5 Q t - Q c2_.3 a_ LOT SIZE(s) fa,f,6(.5.0 LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) /rt%A 0(,/ SE('1 z.-/Al ( q F (A••- separate page for lengthy legal description) •, PROJECT INFORMATION • TYPE OF PERMIT X DING 0 PLUMBING 0 MECHANICAL ig DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) t _i A. / Al�A.V6A, a_ *yr At 1 L ["' d. _ .rim J,vf�'J' AFrr k.. Aro I. L! " t rh _.is, '_ _ I' at Ort ' — -a -L< _a L--/ 1__s 1" .'Af a • PROJECT NAME(Name of Business or Owner Last N. e) _ ' ' a PEOPLE INFORMATION PROPERTY NAME 4',S!L I /�/t3� PRIMARY PHONE OWNER X 41 //L. ( 194 l -44 MAILING ADDRESS CITY,STATE,ZIP /10.67 2i L ' .$7 °/'' avoefrog WA '&4 - CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE rN.sn /.4 T as MkzeJ . ( 2.03 '114, -5852. MAILING ADDRESS CITY,STATE,ZIP CELL PHONE /2/L sr AVV y, XX 4$332 (i153) 455 -4,514— CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 261_-0 -1 Q e 0 4b-B L / / (159.19° 5 •1. CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE ti 1— M- 4L- oJ L `'4`- to /D( /66 APPLICANT COMPANY NAME APPLICANT NAME OFFICEPHONE AcardA�.a t Alaillzz-T• ��Z 5 441 7 (/t i$t -two MAILING ADDRESS CITY,STATE,ZIP CELL PHONE AP/ 39 A . V6 ,Su1r. 5 7.�tL0/f1 WA 4$46Z• (103) ?.Z5 -555'5 RELATIONSHIP PROJECT FAX NUMBER 1Q Architect /��❑ Tenant ❑Agent ❑ Other(Describe) ((u) b?' -r0 '¢ /3 CONTACT RESS NAMC�C XQ.f 5 03461151 T (��P=,) /Z1 . Q PMARY PHONEE ° I 0 M.0100:0 LENDER a^ PerRCW1927095 sLenderinformationlst: NAME , requwed if project value exceeds$5,000 t4 ,i5/4��� .� • MAILING ADDRESS CITY,STATE,ZIP 40060 Etl&¢r 1 •• iticT0 $P.t LE vUE W4 98z '4- .� FI DETAILED BUILDING INFORMATION . EXISTING USE 4C/vxtiiet,66PROPOSED USE Q t.. ( EXISTING ASSESSED/APPRAISED VALUE $ 1,dM,LV t VALUE OF PROPOSED WORK $ ga9,LL�'°--�dr SPRINKLERED BUILDING? Cl YES y(NO FIRE SUPPRESSION SYSTEM PROPOSEI?/REQUIRED? )YES a NO WATER SERVICE PROVIDER p1 LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER lit LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ.FT. PR. SED SQ.FT. TOTAL BASEMENT . , FIRST a. SECOND THIRD FOURTH , ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED HOW MANY FLOORS? "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ =FIXTURES - - .. - Indicate number of each type of fixture to be installed or relocated as part of this project. Don ' elude existing fixtures to remain. MECHANICAL •. r ' Value of Mechanical Work $ .A •-:,. AIR HANDLING UNITS VAPORATIVE CO, RS t•`,. GAS LOGS - REFRIG.SYSTEMS BBQS F ` HOODS(comm<r<iaq WOODSTOVES BOILERS FIREP • E IN`! I. RANGES MISC(Describe) COMPRESSORS ' 'NA S - GAS WATER HEATERS DUCTS h e. , I •,.L PLUMBING BATHTUBS(orrub/Sho�<rcombo) ibrHt ERS WATER CLOSETS node) MISC(Describe) DISHWASHERS V SIN !'INKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAI" ATER SYST WASHING MACHINES URINALS HOSE 5 :eS LAVS(Bathroom Sulks) VACUUM BREAKERS ELECTRIC ,ATER HEATERS ;:DISCLAIMER/SIGNATUREBLOCK- ` - 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,includin• its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. /� � . . DATE 1'kg•D AME/TITLE .,,„ . Signature) �(Titled RELATIONSHIP TO ?