05-106116 0
\-�,cHa RECEIVED
V29Lt),,a 5 -t12 4 4_ 16
ederal Way PER"";"•N.,--_,
ITY'lA
COMMUNITY DEVELOPMENT SERVICES OF F SF MF CO E EL PL DE EN FP
33325 6111 AVENUE SOUTH•PO BOX 9718 RAL WR
FEDERAL WAY,WA 98063-9718 AP P LI CATIO' ° TD EPT
/ /
253-835-2607•FAX 253-835-2609 05
www.cityofferleralway.com
The ollowing is re,uired information-an incom•lete application will not be accepted. Please •rint legibl (in ink)or t pe.
• PROPERTY INFORMATION
SITE ADDRESS 33434 8th Ave South, Federal Way, WA, 98003 SUITE/UNIT #
ASSESSOR'S TAX/PARCEL# 9265010120 LOT SIZE(s) 102,531
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 12 WEST CAMPUS OFFICE PARK DIV 2
(Attach separate page)or lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT X BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onto)
Building Core improvements. New Corridors and finish upgrades.
PROJECT NAME(Name of Business or Owner Last Name) 9th Ave. Pavilion
• 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 Jim Metzger ( 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* 12 1 NC 01/07/2007
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Burgess Weaver Design Group 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 o Agent ❑ Other(Describe) ( 206 ) 587- 7122
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
Randy Morgan ( 206 ) 587 - 7120 randy.morgan@bur•essweaver.com
LENDERPer RCW 19.27.095: Lender information is NAME tit >1 t
required'if project value exceeds$5,000 9 C! , (, , ,G
MAILING ADDRESS CITY,STATE,ZIP PHONE
,e)C' L41,, v-e yr r3t: Sup fe 15/ 5,06,d I I-ej LAMFlo/ (Z00)N-O Li-- 6 700
*-7V
• DETAILED BUILDING INFORMATION
EXISTING USE Office Space PROPOSED USE Office Space
EXISTING ASSESSED/APPRAISED VALUE $ 2,436,600 VALUE OF PROPOSED WORK $292,500
SPRINKLERED BUILDING? ❑ YES X NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? X YES ❑ NO
WATER SERVICE PROVIDER X LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER X LAKEHAVEN ❑ HIGHLINE Cl PRIVATE(SEPTIC)
I
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. sg.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 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 of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANI..•
Value of Mech.,-' al Work $
AIR HANDLING UN EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS REPLACE INSERTS RANGES __MISC(Describe)
COMPRESSORS FURNA . GAS WAT : - .. 'S
DUCTS GAS PIPE OUTL
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS 0•' ER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINK', OUNTAINS
GAS PIPE OUTL y " SUMPS RAINWATER 5'
WASHI i' ••CHINES URINALS HOSE BIBBS
LAGS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 • the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Feder, ay as any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may . •,e by pjty person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the relia the c' ,in4luding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLE /24,410/411-- AI ly,ariZ6h✓ /A1Z rrneer O$RLaCdRtDATE li Z1.4
gnature) (Title)
RELATION.. I ' . •ROJE
CT 0 Owner o Agent o Contractor X Architect ❑ Other
FOR OFFICE USE ONLY
❑ NEW o ADDITION o ALTERATION o REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES Pt NO BASIC P ? ❑YES `9 NO
ZONING DESIGNATION OP CHANGE OF USE? o YES X NO
NEW ADDRESS REQUIRED? ❑YES 11LNO UP/SEPA/SU? ❑YES ((NO
PLATTED LOT? -YES INO DEMO PERMIT REQUIRED? ❑YES NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application