11-104526 •
Building - Connnercial
City' &Econ Devv.Way •
Permit #: 11-104526-00-CO
Community Econ.DeServices
33325 8th Ave S
Federal Way,WA 98003 InS ection a ue"st Line. (2
53)(253)835-2607 Fax:(253)835-2609 p , a 835-3050
FILE
Project Name: DB SQUARE
Project Address: 33320 9TH AVE S SUITE 200 Parcel Number: 926501 0045
Project Description: TI-Demolition of interior partiaion walls,flooring and plumbing fixtures. This is to prep
for future remodel work for new tenant.
Owner Applicant Contractor Lender
WASHINGTON CREDIT UNION BAKER CONSTRUCTION&DEV BAKER CONSTRUCTION&DEV
33320 9TH AVE SO INC INC
2711 E SPRAGUE AVE BAKERCD066CZ 3/31/03
FEDERAL WAY WA 98003 SPOKANE WA 99202 2711 E SPRAGUE AVE
SPOKANE WA 99202
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
ag„ ,
Existing Sprinkler System in Building? No 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
•ixtu su • Du i
ivas.r,. .,�.r0. ��a t', r1«.«7�
CONDITIONS:
1.No construction work to be performed under this permit. Separate permit required for remodel work.
PERMIT EXPIRES Tuesday, May 8, 2012
Permit Issued on Thursday, November 10, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. ,�j
Owner or agent: Date: (1/ —10 �, / /
F' ' $tltz4 (12.
THIS CARD IS TO REMAIN ON-SITE ,
CITY OF • Construction I ection Record
Federal INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-104526-00-CO Address: 33320 9TH AVE S SUITE 200
Project: WASHINGTON CREDIT UNION FEDERAL WAY, WA 98003-6391
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.
❑ Final-Building(4050)
Approved
By Date -2`I12
❑ Rough Electrical El Final Electrical
CI
Approved Right of Way
Approved Approved Approved
By Date By Date By Date
RECEllikti,
ITT OF
Federal Way 1111
SF MFG ME PL DE EN FP
NOV Apt, ATION g�v�
COMMUMTY DEVELOPMENT SERVICES
253-835-2607•FAX 253- V
$ arty
www.cituuffeck da c i F" FEDERAL ]/+(A (J'
t )s
SITE ADDRESS SUITE/UNIT#
r.I921") t7 ' tuTVI tvo
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 10 0 0 Q -
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
eleDEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) (79- sq u A
PROJECT DESCRIPTION 1•/ b Or LK 4S-Tt L 1 i1J-1. 1(..to n_. 17Alc.-ri-rL�9
Detailed description of work to W�t-1 w r(,4:701(.I►.) . ehpL..tb4Ir,71IS.[
be included on this permit only °b ( Zl.yt
NAME PRIMARY PHONE
PROPERTY OWNER iiik2 , RESB ��`� I.�G... 2 - 8tc- •92
MAILING ADD E-MAIL
14VSSS 5% 210th rLA-ce ZIPt�k.gA at,,�s'I�►1 .4o%
cITY STATE k-ia0," 144 1to44-•
NAME -PHONE
Ir3sil.e. Genu 't2ue'-'ioti) 5ezP)•67)5 82
MAILING ADDRESS E-MAILJS'(b.c
CONTRACTOR M.1111 tt A>he 80.14eig,Go id 1 .-I•••(AM
CITY STATE ZIP FAX
u e t,9,a X744) 54a 5�
• ,s•-312c
WA TATE CONTRACTOR'S LICENSE# TION DATE FEDERAL WAY BUSINESS LICENSE#
C�-as-b�t�-�Gt�JoLtpG� a /l APO CACAI
NAME PHONE
T'3�►die• -�'�e�►.1 509- 34 G�
APPLICANT e MAILING ADDRESS S iLA � -rep cty 44e- BM+ 1.14 oa icl,crri
chl
CITY STATE ZIP FAX
WA► gaZo2. 9• SSS •'3-12.4,
PROJECT CONTACT ®`T `_ < $-) PHONE
(The individual to receive and � .'.E]`7• �3'r+•3eo`�
respond to all correspondence MAILING ADDRESS E MAD b•t
concerning this application) • 'fit LI C-p��`i-t L1 C' r34� ep
9Ci i .GD11
CITY A TE CONT1 STATE ZIP FAX
AL
WA. c0rt?�s- c - 53S.3'j 20
NAME: PHONE
- •41S•loW.-
e
PROJECT FINANCING • E D
� � OWNER-FINANCED 4400
Required value of$5,000 or more
ROW 19.27.095) G ADDRESS.CITY,STATE,ZIP PHONE
to1tin FaCT IDENT WAS 1 —T' w . Q, toc.-14c.. 'Soo
I certify under penalty of perjury that I am the property owner or authorized agent of the parot8y bfiner.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 flied 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.
SIGNATUI DATE `1- 1 • l i
PRINT NAME: `-ST
Bulletin#100-January 1,2011 1 Page 1 of 3 k:\Handouts\Pernut Application