12-101340 `a # iuilding - Commercial
City of FederalWay Permit #: 12-101340-00-CO
Community&Econ.Dev.Services u
33325 8th Ave S
Federal Way,ax 98003 Fi ;' InS ection Re Request Line: 253 835-3050
Ph:(253)835-2607 Fax (253)835-2609 'V p Q
Project Name: CAMPUS POINTE BUILDING C UNIT C-3
Project Address: 33507 9TH AVE S Unit C-3 Parcel Number: 132185 0030
Project Description: TI-Construction of partition walls to create offices; includes plumbing for coffee sink and
dish washer. No mechanical.
Owner Applicant Contractor Lender
GIOS OFFICES LLC LES SEIFERT PACIFIC NORTHWEST GIOS OFFICES LLC
30640 PACIFIC HWY S UNIT B RONHOVDE ARCHITECTS INDUSTRIES INC 30640 PACIFIC HWY S UNIT B
FEDERAL WAY WA 98003 14900 INTERURBAN AVE S SUITE PACIFNI942NS(9/29/12) FEDERAL WAY WA 98003
TUKWILA WA 98168 21414 30TH AVE S
SEA TACWA
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
. Floor Area(sq.ft.) 923 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? No 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 Professional Zoning Designation OP
Services/Offices
Plumbing Fixtures
Sinks 1
•
PERMIT EXPIRES Wednesday, October 24, 2012
Permit Issued on Friday,April 27, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupanc 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: A
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City of Federal Way 1110
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: CAMPUS POINTE BUILDING C UNIT C-3 Permit#: 12-101340-00-CO
Address: 33507 9TH AVE S UnitC-3
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 923 0 0 0
Owner Name: GIOS OFFICES LLC
Owner Address: 30640 PACIFIC HWY S UNIT B
FEDERAL WAY WA 98003
- (-
Building 17,ial 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 sever!),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.
sel
THIS CARD IS TO EMAIN ON-SITE ,
crrroF 0 Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101340-00-CO Address: 33507 9TH AVE S Unit C-3
Project: GIOS OFFICES 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) ❑ Initial Erosion Control(4365) El 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) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
'
0 Underfloor Framing(4285) 0 Floor Sheathing(4105) ElRough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By`y___Cj Date S--,/6.2
0 Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) 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
El Framing(4120) Cl Insulation(4150) El Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
Byn.' $ Date S—/ )—/,2_ By Date ByQ Date . -,_,\ 5--\ 2
0 Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) ❑ Final-Planning
Approved to drop tile Approved Approved
By .ei Date 5:-2. 3-/Z- By Date By Date
Final Erosion Control(4375) Final-Plumbing(4075) Final-Building(4050)
Approved ApprovedApproved
By Date By Date G-i-/-2-- T5 Date(, -(--(Z
0 Rough ElectricalID Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
- 0_ L Lo
i AMY OF Federal L./_I " E•PERMI IT MF COME PL DE EN FP
CA
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COMMUNITY DEVELOPMENT SERVICES � � �� q 1 Oi i
253-8355-2607•FAX 253-835-26 A Vii l62 114_,
WURP.citgoffederaiuuw.corn
SITEADDRESS OF FEDERAL WAY
..s.4- SUITE/UNIT#Ite
5
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL N 0
$ vo e. F' � 3 2. t s- 6 c) G c� 0
K►iBUILDING .a PLUMBING 0 MECHANICAL
TYPE OF PERMITVi
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT ( ""r,
(Tenant Name/HorneownerLast Name) G/ pu S 1 i tc -+r'
- i JJ V �...� f i+
Gc uM.s1•12-0o 3 i�4 t ) 01 Ctrs Lt A IJ G7-'-x.t.s " . ,
PROJECT DESCRIPTION
Detailed description of work to U .r;/v t OFftC 017.e' SSf 4G---Z - C(.1iL AJG , •-)
be included on this permit only l S
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S
NAME �j PRIMARY PHONE /
PROPERTY OWNER 6 dOS LLG 1 io P IGbc. 2 '(`}O - .1'O ni
MAILING ADDRESS E-MAIL
CO 5-1) 5- 33G-0 si'. S v VIE .6-. IS
CITY TATE ZIP O
1Q c�,iA-k wA-- 800 S
l� PHONE
NAME:, °
MAILING ADDRESS E-MAIL
CONTRACTOR t'`
CITY STATE ZIP FAX V
WA STATE CONTRACTOR'S LICENSE it EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# N
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fRCIAME I"� dyke ke av` I ev'(;5 hw: PHL.IUID - -tel�l�O -
APPLICANT MAI G ADDRESS I E-MAIL
I OD 1,44t-eVuvbah 5. - �3 -
STATE ZFAX
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PROJECT CONTACT b" SO rt-121" 4/C .12 pV06e PHONE
(The individual to receive and ,
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
TERNATE CONTACT NAME:� J _ PHONE E-MAIL
Ce V1 (.0V►�OVOID
PROJECT FINANCING NAME l,
Required value of$5,000 or more 1!C OWNER-FINANCED
(RCW 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 s .im),which may be made by any person,including the undersigned, and filed against the city,
but only where such claim of the reliance of the city, including its officers and employees, upon the accuracy of the
information s00,
"IA
lied e�,f. rt of this application.
SIGNATU Z 3'"!a.
/ .- DATE
PRINT NAME: or a i� �.- �����
Bulletin#100-January 1, 011 Page 1 of 3 k:\Handouts\Permit Application
• 411
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VALUE OF MECHAMCAL WORK $ (a copy of bid or,z mate must be provided)
Indicate how many of each type of fixture to be installed or relocated as .: of this project. Do not include existing fixtures to remain.
�/� AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE IN S HOODS(Commercial)
BOILERS FURNA, E HOT WATER TANKS(Gas)
COMPRESSORS "QAS LOG SETS REFRIGERATION SYST
DUCTINGGAS PIPING WOODSTOVES
Indicate how many of each type of fixture 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)
0DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS ( SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 1 TOTAL FIXTURES
r'''2 /%,,''' is,'% /''
RAZ INFORMATION ,moi
CRITICAL AREAS ON PRO WATER PURVEYOR / SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
f , /, 04.x- $ 2Sict
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRES ION SYSTEM?
0.'.0W1
.0/1 ''C ❑Yes No ❑Yes No
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASET ' '
FIRST FLOOR(or Mobile Home)
I a . CU T. FL-le;()I j
COVERED ENTRY
DECK °,/ /
F
GARAGE ❑ CARPORT ❑
OTHERt « . ,
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
\ :--I toff.I } \\
AREA DESCRIPTION
Area rea Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NEW BUUDINc# �y
ADDITION
%/ 1 :.1....,'.C IZ RI ODEI.I ' NA T,,: ROyJ$ """".
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
In Square FeetType Stories
y TOTAL BUILDING %;;;:;: i
TENANT AREA ONLY q 2
C ET AREA ON*X 1'—/Y((/( 31-
1
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Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application