12-105608 • 3uilding - Commercial
City of FederalWay Permit #: 12-105608-00-CO
Community&Econ.on.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: GOLDENSTONE-FIRST FLOOR
Project Address: 33400 9TH AVE S Unit 100 Parcel Number: 926501 0060
Project Description: TI-Modifications to existing Suite 100 to create a total of(3)spaces and a corridor. No
plumbing or mechanical.
Owner Applicant Contractor Lender
GOLDEN STONE LLC MIKE HOVLAND T W VANCE COMPANY GOLDEN STONE LLC
33400 9TH AVE S MIKE HOVLAND ARCHITECT TWVANC*223QM(11/22/14) 33400 9TH AVE S
FEDERAL WAY WA 98003 900 MERIDIAN AVE E UNIT 408 720 S 333RD ST UNIT 200 FEDERAL WAY WA 98003
MILTON WA 98354 FEDERAL WAY WA 98003
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
Additional Permit Information
Existing Sprinkler System in Building? Yes Mechanical to be Included9 No
Number of Stories 2 Permit for Building Shell Only9 No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Zoning Designation OP
No Fixtures Associated With This Permit!!
S ,>�cao Oilrirft3
PERMIT EXPIRES Sunday, August 11, 2013
Permit Issued on Tuesday, February 12, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
e occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
anckthe City of Federal Way.
Owner or agent: O�k_ x 9_ ,`9 _ CO ( Date: __.
Construction Ins ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 12-105608-00-CO Address: 33400 9TH AVE S Unit 100
Project: GOLDEN STONE 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.
El Re-steel (4215) Slab/Concrete Floor 4255
Approved to place concrete or out ( ) 0 Underfloor Framing(4285)
gr Approved to place concrete Approved to sheath floor
By Date By Date
By Date
+ ,
El Floor Sheathing(4105) 0
Fire/Draft Stops(4095)
Approved to install flooring A roved Prior to scheduling a Framing inspection;
pp Electrical,Plumbing&Mechanical Rough-in and
By Date By Date Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4
Framing(4120) 0 Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard n Approved to install mud&tape
By d------7 Datilt-'/3' By Date 1 Byeji Date 6'
0 Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) Final-Building(4050)
Approved to drop tile
Approved
r_______. Approved
By 1 - Date ,_`Z i.� By Date By Date
LI Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date
By Date
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Job No:
4552 2013.01
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PERMIT
•
G
CETT OF ���.V ED
Federal MF CO ME PL DE EN FP
c � 517 201zAPPLICATION f Li 1 3
www.cityo ffederalwau.com
CITY OF FEDERAL WAY
SITE ADDRESS CDS SUITE/UNIT#
? ✓ , uT4 bo
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 2 4( a� ? 6, 5 c) — — —
BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT T GN ANT- t/, !'t" v Fw c,'a •ice' /JoraM S r z
(Tenant Name/Homeowner Last Name) OilS
PROJECT DESCRIPTION A-N eE t-, o I(�'f R.r �� fi° /NGL 'V1 F A P *w
Detailed description of work to
be included on this permit only
NAME � PRIMARY PHONE
PROPERTY OWNER c)!,b•?t". 7 fb,vfe r'r,"'.E:'. lF 5 L G
MAILING ADDRESS ,/7 , /' j/� E-MAIL
CITY kvt\/ STATE ZIP Q O3
—�_ --�----- _ NAriIEPHONE
.1-AAT
�/�/ V th'VI.CaC..+ - —
MAILING ADDRESS �/V E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#--
NAME PHONE
1�(CC./1/aC� kw/#it i `c iiiT 273.-3?, 5;77
APPLICANT MAILING ADDRESS E MAII 1 Q{G Pr✓�F� N Getr+.W%
frl&/.t 2( f.J 7Er3s' *.r-/
CITY STATE ZIP o FAX
_ /t�trCro� 7fcr. , 5-r'-)�
PROJECT CONTACT NAME PHONE
(The individual to receive and
1 V-C.- G. .(- ,/ ri ^-rte
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application)
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
— PROJECT FINANCING NAS —�
it OWNER-FINANCED
Required valve of$5.000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I ant 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 Iocal, 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 ch cl•' ,,which may be made by any person, including the undersigned, and filed against the city,
but only where such claim - o of the reliance of city, including its officers and employees, upon the accuracy of the
information supplied to the ity , , oft is applicati
SIGNATURE: Q DATE ( — 11' ZM
ipomp 1'JA% W
J
f ' • •
MECHANICAL FIXTURES
VALUE of MECHANICAL WoRH $ _(a copy of bid or estimate must be provided)
Indicate hobo many of each type of fixture to be installed or relocated as part of this project. Do Rot include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLEIb OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS _ REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate how many of each type of fvcture to be installed or relocated as part of this project. Do not include existiing,fxtures 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/curry) WATER HEATERS(tiectnc)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
NCS LA-1-r-)+AYEat.: $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
gYes ❑ No n Yes ❑ No
n'f cc, J
RESIDENTIAL - NEW OR ADDITION
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 Torn.
Area Totals
**NEW ?TOMES ONLY***
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NE1V/ADDH ION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
In Square Feet Type Stories
TOTAL BUILmxa 1?08 O
rt-m. 5f7 %uta
TENANT AREA ONLY 2 b Q +/-
L PROJECT AREA ONLY