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07-101816
• City of FederalWay Building - Commercial Permit #: 07-101816-00-CO Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: GOLDEN STONE OFFICE 114 Project Address: 33400 9TH AVE S Suite 114 Parcel Number: 926501 0060 Project Description: TI-Demo existing walls,construct new conference room,lunchroom,expand(2)existing offices and interior walls.**No plumbing or Mechanical** Owner Applicant Contractor Lender GOLDENSTONE LLC DOUG KLAPPENBACH KELLY THOMAS INC HOMESTREET CAPITAL 320 106TH AVE NE SUITE 100 SOUND VENTURES INC KELLYTI148CR 1/29/08 601 UNION ST SUITE 2000 FEDERAL WAY WA 98004 320 106TH AVE NE SUITE 100 26318 ENTWHISTLE RD E SEATTLE WA 92101-2326 BELLEVUE WA 98004 BUCKLEY WA 98321 Census Category: 437- Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: B struction Type: T e I-B7 i,r ancy Load: nI,,r ea(sq.ft.) "pi1,230 ; 0 0 0 4 .�• a 9 t & p, seoe, .ao al .a. C oati•r r C,--0;" Existing Sprin tor SYsiem in Building1 _ ` � 7 ecica bladed ..... Number of Stories 2 Permit for Building Shell Only? No Plumbing to be Included' No New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Professional Zoning Designation OP Services/Offices No Fixtures Associated With This Permit!! PERMIT EXPIRES Saturday, April 18, 2009 Permit Issued on Wednesday, April 18, 2007 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 l(�.y-� .{' ) Date: /-/g 0 7 �-� -� -`b C c 4 REcENE. III CITY OF "- Federal Way APR 0 5 ,2007 PERMIT CDMMUMTY DEVELOPMENT _ SF MF CO ME EL DE EN FP 33325 FEDERAL WAY,WAN•P 7 p .p PLICATION CATI O N WA 98063-977 WILDING DE el / 2 4) / 07 253-835-2607•FAX 253-835-260 www.citqollederaltvau.com The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. IN PROPERTY INFORMATION F /P cc(- vA'A'. WA I SITE ADDRESS 33 400-9m ^C v so LA:1-A (,, c?Q-, SUITE/UNIT# '63543135f 14 [� ASSESSOR'S TAX/PARCEL# 9 2 (eS 0 1 - © 0 `fC 0 LOT SIZE(sj) '63 5 31�)5 f LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) LET 5 W. LAO?US OFC; FK Pi V 2- ' 1` `i C\`�'tS (Attach separate page for lengthy legal description) v' • PROJECT INFORMATION TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) SUA k I "j 1 'i. (:)bit_ — ,.oa:.�Aae ► �_:rs .•30 4 NVe PJ ©t Lf 1z©o • r C• M G us A t/l.L ► ` k t'-1 - f. / , - ._,-.A rA, a r y W t S-.L+�JG) PYz-tA/>\-r- 1 1:).C. �ems; �--�- PROJECT NAME(Name of Business or Owner Last Name) got-L-i,1 C—t,..1. S�O ''t. 0 i.CCL MI PEOPLE INFORMATION PROPERTY NAMEi. i PRIMARY PHONE OWNER ° __0Lpr lS'-COt\1"EA LLC (20(,122? -950o MAILING ADDRESS CITY.STATE,ZIP E-MAIL ADDRESS 32_O -(0(0174 p IqS- -loo v/A Cf A4 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE k- k.: -- 7��;-1or-' I S�(t ` n ^� �y (`Z-5 3)_`l'36 5922) �-L� �✓�'t�W c l✓v F''n ' CITY, Gut TATE, IP C.-.�-L-E� cie 32 0 ELL PHONE - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER TOTO-07' DO/ a4-o0-8L 12-It) a-/ (36c e29 -6cc c COPY of card rcquhed' �!� CONTRACTOR'S REGISTRATIONGIRANU r` p EXPI TION AT (`�, E-MAIL ADDRESS Z each appllcatloe L/ tG�-� \ \I t v 1� k�/ �J APPLICANT CO PANY NAME AP` 11 OFFICE PHO SOl,WO IV -CLAY-'F.S I'' �- 90 - x 722,3-1 Soca MAILING ADDRESSCITY,STATE,ZIP CELL PHONE 3'iO--AO too ? -1..s.1c.,l.� V/A- Chg5°P lx(o'Z RELATIONSHIP TO PROJECTFAX NUMBER ❑ Architect ❑Tenant ❑Agent Qther O M•te/,d ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT L \31N‘ .--Cg. (2b ') 1.7._3-G1SOO I IC LENDER NAME_ Per RCW 19.27.095: t MSS 12OeT ( 4'T .- Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE 1o0\ u.(.t(,c.t l -4200o S '`laI01 (2O(o) -71( q • DETAILED BUILDING INFORMATION / / ��-^ EXISTING USE 1J 'kr-VT VY f iC ± PROPOSED USE OC..c_ tCC1) Ofl t c-€ I/� WO EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ (V .ON J, SPRINKLERED BUILDING? )YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO WATER SERVICE PROVIDER �AKEHPIVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER /yt1 AKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS **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. MECHANICAL Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(Commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(toilet) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE 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 of the above premises to perform the work for which the permit application is made. 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 of Federal Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE �4 DATE v�� (S ature) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑Agent 0 Contractor ❑Architect 0 Other FOR OFFICE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? ❑YES o NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES o NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application