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08-103131 • • ty ofy • CommunCiity DevelopmentFederalWaServices Building - Commercial Permit #: 08-103131-00-CO 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: PACIFIC GUARANTEE MORTGAGE Project Address: 33400 9TH AVE S Suite 205 ,._. Parcel Number: 926501 0060 Project Description: TI-installation of(2)doors and (2) relites.No mechanical or plumbing on this permit. Owner Applicant Contractor Lender GOLDEN STONE LLC KELLY THOMAS INC KELLY THOMAS INC 33400 9TH AVE S 26318 ENTWHISTLE RD E KELLYTI148CR (1/29/10) FEDERAL WAY WA 98003 BUCKLEY WA 98321 26318 ENTWHISTLE RD E BUCKLEY WA 98321 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 AdditionalPer foretion Mechanical to be Included` ......... ....,.,..NO Number of Stories ....,.., .2 Permit for Building Shell Only? No Plumbing to be Included ........ .. ., .NO New/Additional Sq.Feet-Total 0 No Fixtures Associated With This Permit!! CONDITIONS: Subject to field inspection without plans. PERMIT EXPIRES Saturday, December 27, 2008 Permit Issued on Monday, June 30, 2008 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 y and the City of Federal Way. Owner or agent: Date: to " 3 0 £g l THIS CARD IS TOR IN ON-SITE CITY OF �mmuni Develo men Ins ection Record tY p p Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-103131-00-CO Owner: GOLDEN STONE LLC Address: 33400 9TH AVE S Suite 205 FEDERAL WAY, WA This card is part of your required inspection documents. 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. 0 Footings/Setback(4110) E Re-steel(4215) ❑ Slab/Concrete Floor(4255) Approved to place concrete Approved to place concrete or grout Approved to place concrete By Date By Date By Date e❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Fire/Draft Stops(4095) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date NOTE: Prior to scheduling a Framing(4120) 0 Framing(4120) + ❑ Insulation(4150) inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date By Date ❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved By Date By Date By Date ❑ Final Building(4050) Approved By /�, Ate dlNiii i • For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date Albs, CRY Or �._ ( -0 I Awa RECEIV E R M I T SF MF O ME EL PL DE EN FP COMMUNTIY DEVELOPMENT SERVICES 33325 8''AVENUE SOUTH•PO BOX 9718 U N 30 253-835-4607 PAX 253 26WAY,WA 109 P P LI CATION T° .1 yr /. www.cituaTedemlwau.com (� F=n F(�p QY The followinghl a uigif it b cgoM LW oi' Mplete application will not be accepted. Please print legibly(in ink)or type. II • PROPERTY INFORMATION �ASSESITE ADDRESS .3'34/00 t 'LA/I' S' S(<,'1 .2©S SUITE/UNIT#_ eg OS-- ASSESSOR'S SSOR'S TAX/PARCEL# - —— —— LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach sapwuta pageOr ienWW legal desatauoN ■ PROJECT INFORMATION TYPE OF PERMITBUILDING 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 onhij < sA/l/�- a. ,i0 ars c...A,-4/ . /`e /,' es PROJECT NAME(Name of Business or Owner Last Name) eG. c: "P,G G u t3 c'a.N Tee /p r-/ • e in PEOPLE INFORMATION V PROPERTY /NAME J / PRIMARY PHONE OWNER G0(Q e,i/ Slo,v e LLC C ( ) - MAILINd_ADDRESS CITY, ATE,ZIP E-MAIL ADDRESS 3 346 c� ot f;it/t=S fed` ,,( G%,1 I4/1 rt 003 CONTRACTOR COMPANY NAME APPLICANT NAME • OFFICE PHONE ke ffil 7X PA/as -.otic MAILINO?IADDRESS /�Q�Gt ( ) - �TY CITY OF FEDERAL WAY �tESS LICENSE NUMBER �� Igm T � XIIIRA� I - ON DATE FAX NUMBER AO-07-1067 SN—00 -AZ. /0 ---3/-o g ( ) - CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS k'e11Y r i'(c5P4 / —aq — /v APPLICANT COMPANY NAME / vt NL APPLICANTPNAME OFFICE PHONE kClr t/� O. a C G✓e , - c ( ) - MAILING RESS // // © CITY,STATE'.ZIP ® CELL PHONE ac` 3 Ev A,A s.((e 4( C 1 c/c l.e V IA/4 1]O3,2 I :( ) - RELATIONSHIP TO PROJECT / FAX NUMBER ❑ Architect ❑Tenant 0 Agent erOther S G f r' ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( ) - LENDER NAME PerRCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILINO ADDRESS CITY,STATE,ZIP PHONE ( _ ) • DETAILED BUILDING INFORMATION EXISTING USEI5FPROPOSEDWORK "USE► 0 0 EXISTING ASSESSED/APPRAISED VALUE$ VALUE $ SC) Al SPRINKLERED BUILDING? a YES CI NO FIRE SUPPRESSION SYSTEM PROPOS `❑` d WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST • SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 EE<8TDI0 PROPOSID TOTAL TOTAL BEESTINO Sr TOTAL PROPOSED sr TOTAL El 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(eommeetq COMPRESSORS FURNACES RANGES DUCTS. GAS LOG SETS REFRIG.SYSTEMS PLUMBING • BATHTUBS(or Tub/Shower Combo) LAVS(Ballroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS MHO ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 Wag 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 the city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. N\ SIGNATURE: /l/l�/� t DATE (i) ^ (3() ' () CL �( perry Owner and/or Authorized Agent /7) • a NEW a ADDITION a ALTERATION a REPAIR o.TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a.YES o NO ZONING DESIGNATION CHANGE OF USE? a YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? o YES a NO Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pennit Application