09-104316 • AC o 1
III 411Building - Commercial
City of Federal Way (�
Community Development Services Permit #: 09-104316-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 y ..At
Ph:(253)835-2607 Fax:(253)835-2609 E Inspection Request Line: (253) 835-3050
Project Name: STATE FARM INSURANCE- SUITES A & B
Project Address: 3430 SW 320TH ST Parcel Number: 132103 9073
Project Description: TI-Non-structural interior alterations to existing office space. Remove and relocate
existing ducts and diffusers.
Owner Applicant Contractor Lender
MARILYN GILBERT WARD CONSTRUCTION LLC WARD CONSTRUCTION LLC MARILYN GILBERT
PO BOX 1523 2903 112TH AVE E WARDCCL915C3(2/23/11) PO BOX 1523
BELLEVUE WA 98009-1523 EDGEWOOD WA 98372 2903 112TH AVE E BELLEVUE WA 98009-1523
EDGEWOOD WA 98372
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
..,:,, lw, ,,�w .Y'...,. —., .. ,.;, 1 ._ '.S,xi,';.'.. x ,n,., r U– _,.. w ,,—,r _ ,$3; .. t,..
Mechanical to be Included' Yes Number of Stories 1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
Mechanical g ;,,; -
,s. « ,4 ?ate.,Z. Ait....
Ducting 1
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, May 3, 2010
Permit Issued on Wednesday, November 4, 2009
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 Ci if Federal Way.
Owner or agent: �/``, i Date: /1— V—°/
.0,-
FINALLet> I fr
,, • THIS CARD IS TO AIN ON-SITE s
CITY OF "'' Construction Ins ction Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-104316-00-CO Address: 3430 SW 320TH ST
Owner: MARILYN GILBERT FEDERAL WAY, WA 98023-2401
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.
SWM Precon Site Mtg(4400) 0 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
Re-steel (4215) El Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
O Floor Sheathing(4105) '❑ Mechanical Rough-in (4165) Gas Piping (4125)
Approved to install flooring Approved Approved to release test
By Date By Date By Date
O Fire/Draft Stops(4095) Interim Erosion Control (4370) Prior to schednhng 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
0
Framing(4120)
0 Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By M--- >"
'/w Date !l/ ®®f By Date BE)---e-5 DateJ7- 40
0 Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) 0 Final Erosion Control (4375)
Approved to drop tile Approved Approved
BY-5-( Date 17-( S---C9C) By Date By Date
,
O Final-Mechanical(4065) ElFinal-Building(4050)
Approved Approved
Bye y c) Date 17,.._ I 0 9 By 17 Date
i/Ø
LI Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
f Federa EIVL PERMIT F 0 ME EL PL DE EN FP
Fe
COMMUNITY DEVELOPMENT SERVICES APPLICATION ///� y,,n.
253-835-2607•FAX 253-835-260 / 0 4 2009 / 4
www.cttuo(jederalwau.com V �.3J �l V/ 0 , _4 ,i"
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SITE ADDRESS
3Y3 o s w :' -o S4- 1=e� e.�tTAX Uv z q 8 6 �. 3
SUITE/UNIT# ZONING ASSESSOR'S / ARCEL#
A 7
NAME OF PROJECT ,— .w
(Tenant or Homeowner Name) S z 4- V', V✓L '..1-�--J )S V•rZ✓t c_-
BUILDING ❑ PLUMBING %MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING D FIRE PREVENTION
-2M Lin t- ZetA ?,r OVLe. 4A4 4,`A-- n Neiw W 2.I ' S
PROJECT DESCRIPTION r/�
Detailed description of work to r:2N p Q is 1 p-2-114- I °I')V" c- t t , 1.S z vl� c `e-G
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ( ) -
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT ® PROJECT CONTACT
NAME PRIMARY PHONE
Q,r,
WA�1� Loons- -1t on I--t-- L- ( ) _
CONTRACTOR MAILING ADDRESS,_CITY,STATE,ZIP 4537 FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
li\9Ag-1).LC /- 91 SG. 3 / / e2.o-o9- ioyo7g-oo 3L
NAME PRIMARY PHONE
APPLICANT 1 0.)0.t` ( ) _
MAILING ADDRESS,CITY,STATE,ZIP FAX
0.903 11i� f1-we..e Ec -ew6cA Wek_. 9837 - ( ) _
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and ( ) _
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING NAME
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of t, city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this appiicatio
SIGNATURE: 7 �J DATE /1 7,J-- 0 q
PRINT NAME: , 7 / Ufa-rot(
Bulletin#100-4/17/2009 Page 1 of 4 k:\I-Iandouts\Permit Application
IMI,
• MECHANICAL FIXTUR _
6 d
Value of Mechanical Work$ J Sc)O • (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gus)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING 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.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ 020` (900 . $ _
EXISTING/PREVIOUS USE LOT SIZE)In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes❑ No ❑ Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT _..—_.._.._.......__._._._...._._._..........................._._.._._._.....__...__.._.._.._......._. _._._._.
FIRST FLOOR(or Mobile Home)
SECOND FLOOR _... -- —.._. _.._._..... — ..._
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL -REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction # of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-4/17/2009 Page 2 of 4 k:\Handouts\Permit Application