06-102886 RECEIVE _
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Federal way PERMIT
COMMUNITY DEVELOPMENT SERVICES JUN 09 2006SF MF 'CO E EL PL DE EN FP
33325 8TH AVENUE SOUTH•POBOX 9718 A P P L I C A T4 C1^�p
FEDERAL WAY,WA 9806363-9718 TD
EDE
253-835-2607•FAX 253-835-2609 R A I ,A,A�
tuum�.eitrlaffederalwat(.corn BUILDING DEPT
The ollowin• is re•uired in ormation-an incom•tete a••lication will not be acce•ted. Please •rint le•ibl in in or .
• PROPERTY INFORMATION
SITE ADDRESS 33434 8th Ave South, Federal Way, WA, 98003 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 9265010120 LOT SIZE (sf) 102,531
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) 12 WEST CAMPUS OFFICE PARK DIV 2
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT X BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onluJ
Site Amentities - Concrete/Glass/Metal Portal, Stamped Concrete, Concrete Bench, and Concrete
Monument.
This Scope was Submitted and Approved under Land-Use Submittal 05-106545-00 SEPA
PROJECT NAME(Name of Business or Owner Last Name) 9th Ave. Pavilion
MI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Egis Real Estate Services, Mark A. Weed ( 206 ) 404 - 6700
MAILING ADDRESS CITY,STATE,ZIP
600 University Street, Suite 1515 Seattle, WA, 98101
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Schuchart Corporation Casey Schuchart ( 206 ) 682 - 3030
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
419 Third Ave W Seattle, WA, 98119 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
20 - 05 - 105640 - 00 - BL 12/31/2006 ( 206 ) 682 - 6627
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
CCO1 SCHUCC* 121NC 01/07/ 2007
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Burgess Design, Inc. Randy Morgan ( 206 ) 587 - 7120
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
1326 Fifth Ave, Suite 500 Seattle, WA, 98101 ( 206 ) 321 - 4795
RELATIONSHIP TO PROJECT FAX NUMBER
X Architect ❑ Tenant 0 Agent 0 Other(Describe) ( 206 ) 587- 7122
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Randy Morgan ( 206 ) 587 - 7120 randym@burgessdesign.net
LENDER Per I W 19.27.095: Lender information i3 le
required if project value exceeds 0,000 'r/ �G�Cr
MAILING ADDRESS CITY,STATE,�ZIP PHONE
&CC �OViltalcrl'� /c�CT c 914-J2z )Q ( at.:)�fQ'C &160
NI DETAILED BUILDING INFORMATION
EXISTING USE Office Space PROPOSED USE Medical Office Space
EXISTING ASSESSED/APPRAISED VALUE $ 2,436,600 VALUE OF PROPOSED WORK $65,000
SPRINKLERED BUILDING? ❑ YES X NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? X YES o NO
WATER SERVICE PROVIDER X LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER X LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
=1
r •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST 16,610 0 16,610
SECOND 17,508 0 17,508
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL TOM SF
NUMBER OF FLOORS 2 0 2 34,118 0 34,118
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture ture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of p- 'ury 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 • the ab••" premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Fede-• 'ay a o any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which ma • ' ade b- a • -rson,including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the reli• : oft i 'I udin its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TIT 4':77 /^6A.Ood1'Ar I ORoW '104417 afighC DATE 6-q-014(Signature) ( Itle)
RELAT 0 0 P OJECT 0 Owner 0 Agent 0 Contractor X Architect 0 Other
FOR OFFICE USEONLY
o NEW 0 ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES c NO UP/SEPA/SU? o YES 0 NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application