11-103044 II •uilding - Commercial
City of Federal Way Permit #: 11-103044-00-CO
Community&Econ.Dev.Services
33325 8th Ave S FILE
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: TIM COMMONS-ELECTRICAL ROOM RELOCATION
Project Address: 1928 S COMMONS Parcel Number: 762240 0010
Project Description: TI-Construction of electrical/utilities room in "C" wing,and redistribution of utilities to
remaining tenants. Includes plumbing; no mechanical.
Owner Applicant Contractor Lender
STEADFAST COMMONS LLC DON LARSEN S D DEACON CORP OF BON AVIV INVESTMENT LLC
18100 VON KARMAN SUITE 500 STEADFAST COMMONS II LLC WASHINGTON 342 GRAND AVE
IRVINE CA 92612 1800 VON KARMAN SUITE 500 SDDEACW108NT(6/20/14) ENGLEWOOD NJ 07631
IRVINE CA 92612 2375 130TH NE SUITE 200
BELLEVUE WA 98009
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: S-1
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 320 0 0 0
Additional Permit Information
Existing Sprinkler System in Building`? Yes Mechanical to be Included? No
Number of Stories. 1 Permit for Building Shell Only? No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Storage-Low
Hazard
Plumbing Fixtures
Other Plumbing Fixtures. 2 F" ,
FINAI_ _-.11-:1
PERMIT EXPIRES Sunday, July 21, 2013 ( q /3
Permit Issued on Tuesday, January 22, 2013
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: ' K -1 ./F--1 NT- s4-i•OLv Date: &A /i .
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V t_-(ir-til NkG Ft‘1(--11) *—
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.
r • 3uilding - Commercial
City of Federal Way Permit #: 11-103044-00-CO
Community&Econ.Dev.Services �• � ?
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 , ,,, Inspection Request Line: (253)835-3050
Project Name: THE COMMONS-ELECTRICAL ROOM RELOCATION
Project Address: 1928 S COMMONS Parcel Number: 762240 0010
Project Description: TI-Construction of electrical/utilities room in "C"wing,and redistribution of utilities to
remaining tenants. Includes plumbing;no mechanical.
Owner Applicant Contractor Lender
STEADFAST COMMONS LLC DON LARSEN S D DEACON CORP OF BON AVIV INVESTMENT LLC
18100 VON KARMAN SU11E 500 STEADFAST COMMONS II LLC WASHINGTON 342 GRAND AVE
IRVINE CA 92612 1800 VON KARMAN SUITE 500 SDDEACW 108NT(6/20/14) ENGLEWOOD NJ 07631
IRVINE CA 92612 2375 130TH NE SUITE 200
BELLEVUE WA 98009
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 " #3 #4
Occupancy Class: S-1
Construction Type:
Occupancy Load
Floor Area(sq.ft.) _ 320 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? Yes Mechanical to be Included? No
Number of Stories. 1 Permit for Building Shell Only? No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Storage-Low
Hazard
No Fixtures Associated With This Permit H
PERMIT EXPIRES Sunday, July 21, 2013
Permit Issued on Tuesday, January 22, 2013
I hereby certify that he above in ormation is correct and that the construction on the above described property and
the occupancy a d he use will in accordance with the laws, rules and regulations of the tate of Washington
n he City of Federal Way.
V
Owner or agent: ' Date:
•
DA IT INSPECTOR - AREA AND TYPE OF ;SPECTION
IS,//' />t-i eve/2~6 - �- G<�,�5 0,641,- -pie ieo5c?�sr/zN
3 - /� —1 S H u i," G1' �� �v !rte � - �v r `s
. -,.
ilkilk THIS CARD IS TO MAIN ON-SITE Ap ,
CITY OF 110 Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 11-103044-00-CO Address: 1928 S COMMONS
Project: STEADFAST COMMONS LLC 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.
O SWM Precon Site Mtg(4400) 0 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
O Re-steel(4215) 0 Plumbing Groundwork(4190) El 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) 0
Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
O Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior
scheduling
a ng. .
P Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
Framing(4120) 0 Insulation(4150) '❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By- --(3 Date 7_z@/ '3 By Date By (S Date —7.f.-//3
O Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) Final-Planning
Approved to drop tile Approved Approved
By Date By Date By Date
O Final Erosion Control(4375) ❑ Final-Plumbing(4075) Final-Building(4050)
Approved Approved Approve By Date By Date Date k ( >
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
i
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CITY OF
Federal Way ���� �o��ERMIT SF MF ME DE EN FP
COMMUNITY DEVEIAPMEIV'f SERVICES
4PPtCATIONF il 1/
www.catiotiederalwaU.com �,�(
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SITE ADDRESS SUITE/UNIT#
‘ckt:' �- t> M.t)ts -�L 1��� °lam a Pt
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL#
$ - —' e....c.„--c._.. 'L_ . - Q - 0 0 J. 0
TYPE OF PERMIT )BUILDING JPLUMBING ', i CHANICAL
❑ D MOLITION ❑ ENGINEERING .`4'IRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) _ t opt"OA Q 4 -•- U'ft L'r1� _..�`$t-y� a €, c c.)
PROJECT DESCRIPTION t L� t e`�L( � "t -L t2' \ N\ c►> r�`�K•-t;VL_l✓� V
Detailed description of work to C 1 esu_. t.tLD �-�i S-r --,e, _ UNA X-r-i „�
be included on this permit only ``'fib IL i ( , lx� („ � T ...co . ,
NAME PRUYIY PHONE
PROPERTY OWNER i t..$T WP 1,ML C_ ,,,, - CA -401,i5—
01,Y5—t\kl
MAILING ADD S ( i' 4 E-MAIL &_.44
p c �
% zilA \IL yrs t ,e_
NAME S3> --LY -ei-C — 11>m-1 I.r+{ '
MAILING ADDRESS � (�..� E-MAIL /J
CONTRACTOR 4V�'"tJ' ,1 11- A)f-1 +e- ._ SV ISL'., D &t"1'U.) Ft ‘t�^
CITY
Eve-A\ � ZIP F � L-L�c X)
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
Sl.-
NAME<-1-*_dUcy-,�. -t-- Go 6.4\c,,,s ot,t -tivb-%IA-
APPLICANT MAILING ADDRESS i E-MAIL
►ry tCO J t 'F r Sv%W....-S1:5Z) hL ict-s� %�_S-r ..sA
' - t_cr
CI STATE ZIP FAX e/OV'MNA*.SA e-,6 . C eATPN
4zAi
t.
PROJECT CONTACT NAMPIO
a k-- PHOPIE
°l(The individual to receive and
-APIA t't, -
respond to all correspondence MAILING ADDRESS` ( E-MAIL
concerning this application) (''jt Oo V .V V_ILitY"t . , Sv t . J t. L{Z-S -Wcas.a->D.cr
CITY STATE ZIP FAX 1 1f"\x A.i �S•.
..--47.--‘)k tle_... UtS. TLA,kg__ '\` 't -1.--v-1- -V 5`i--/—
ALT ATE CONTACT NAME: PItONE E-MAIL
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L r-7,rcrS -pll �. 411.3 lit5A ,ST%.e...t"c-es-scarp b.Ilib�, ,CTN.')
PROJECT FINANCING NAME � OWNER-FINANCED
Required value of$5,000 or more vNibo ll v k 144 t--s T�e4-6
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP O 1 ' 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 'ty of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and d of such im),which may be made by any person,including the undersigned,and filed against the city,
but only where such la m arises ou f the reliance of the city, including its officers and employees, upon the accuracy of the
information suppli te cityl� as a of this application.
SIGNATURE: DATE ( _j IS
PRINT NAME: �V4 1 (1._.. .._44)
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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VALUE
wlVALUE OF MECHANICAL WORK $ 14 ION (a copy of bid or estimate must be provided)
Indicate how many of each type offbcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS s OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
J* ) ,•••;._ is e 14W ,�+. e i r, . k4;-„:!':-." iT.4..
s ± i. '------'7,,44,/,',''',11(,,'1,,,i, ,1 P B S T ,�� 11111110-.:,,,n'', = 4,-,21,:, 5 i di J p r = -rc,
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not includ . ting fixtures to remain.
BATHTUBS(or Tub/shower Combo) LAVS(Hand sulks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OgqTH,,E,��R,,�((pesccribbe)
DRAINS SHOWERS VACUUM BREAKERS -yI���-> Y-C-e
DRINKING FOUNTAINS SINKS(Kitchen/amity) WATER HEATERS(Electric) _i!,.•►•T"t ST• iO 'y•
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES .(w
i GENERAL INFORMATION n
CRITICAL AREAS ON PROPERTY? WATER PURVEY SEWER PURVEY R VALUE OF EXISTING IMPROVEMENTS
I. L&. '4 k ._..,L LX1 \I' ,...,....A ''-'011"—'
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
k _._- n ,h ",-t + Yes ❑ No >ttyes ❑ No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
'...\
SECOND.FLOO#2
COVERED ENTRY
s ,
_DECK z`
GARAGE ❑ CARPORT ❑
OTHER jdescrib)
EXISTING PROPOSED TOTAL
Area Totals
"•NIEW HOMES ONTLY
ESTI e ' D SELLING PRICE$ #OF BEDROOMS
iii'r',r. i) - �,- � � !
r _ i_
'�91I r ilii � `i-� .i ��° +'A-n _-,� ���tii',..:;,'':,::,„ ,"7,1:121,,.:;;,,,,;,::,:i '..
_ ,i •kr '
pis J l c�i
Area Construction #of
AREA DESCRIPTION Occupancy ro .(s) Additional Information
in Square Feet A Type Stories
NEW BUILDING
ADDITION
'i i R "`I L-- OE '1• 6! = " Ri.-,-,,,D,,:..,,.ENTS ,a;
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetVpe Stories
TOTAL BUILDIffiG ';
TENANT AREA ONLY
PROJECT Putavorox " —t7
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application