08-106034 *Building - Commercial
City of Federal Way •
+ Q
Community Development Services Permit #: 08-106034-01 -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: C H ROBINSON
Project Address: 33400 9TH AVE S SUITE 210 Parcel Number: 926501 0060
Project Description: TI-Demolition and construction of partition walls,doors, relocation of some lighting
fixtures,installation of sink in breakroom. Includes plumbing, no mechanical.***Revised
to show relocation of office, &consolidation kitchen/sink area& storage room.***
Owner Applicant Contractor Lender
GOLDEN STONE LLC GOLDEN STONE LLC KELLY THOMAS INC HOMESTREET BANK
33400 9TH AVE S 33400 9TH AVE S KELLYTI148CR (1/29/10) 601 UNION ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 26318 ENTWHISTLE RD E SEATTLE WA 98101
BUCKLEY WA 98321
Census Category: 437 - Commercial alt/add/ conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II -B
Occupancy Load: 15
Floor Area(sq.ft.) 1,407 0 0 0
., X65, Addit-, al- in`aria lr ` ,
Occupancy#1 -Area(Sq.Feet) 1407 Occupancy#1 Construction Type..................:.....Type II -B
Existing Sprinkler System in Building? Yes Mechanical to be Included9 No
Number of Stories 2 Occupancy#1 -Class B
Occupancy#1 -Occupant Load 15 Permit for Building Shell Only? No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
Occupancy#I -Use Professional -,Sensitive Areas?(Wetlands/Slopes,etc)................No ,�'�
Servicep/Offices \
Zoning Designation ,,,OP �—
4„0 .
,..,,
FIutn. tng Fixtures- 1 ,,,,‘ „.,,-\A^ (pi /.
Sinks 1
'(\--t-- ,/
CONDITIONS:
1. Separate permit required for any new or altered electrical work.
2.Separate permit required for any new or altered sprinkler or fire alarm systems.
\..JG
PERMIT EXPIRES Wednesday, July 29, 200 rD,' ''S
Permit Issued on Friday, January 30, 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 regu :tions of the State of ashington
�,.h and the City of Federal Way.
Owner or agent: . e Date: ti V
‘LlVh„ çac AZ
T
( City f Federal Way • •
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: C H ROBINSON Permit#: 08-106034-01-CO
Address: 33400 9TH AVE S SUITE210
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II -B
Occupancy Load: 15
Floor Area(sq. ft.) 1,407 0 0 0
Owner Name: GOLDEN STONE LLC
Owner Address: 33400 9TH AVE S
FEDERAL WAY WA 98003
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
4444,
THIS CARD IS TO•MAIN ON-SITE
CITY OF '`-' *Community Develo ment Inspection Record
tY p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-106034-01-CO
Owner: GOLDEN STONE LLC
Address: 33400 9TH AVE S SUITE 210
FEDERAL WAY, WA 98003
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.
❑ Footings/Setback(4110) El Re-steel (4215) Ei Plumbing Groundwork(4190)
Approved to place concrete Approved to place concrete or grout Approved to cover
By Date By Date By Date
-❑ Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) El Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
O Rough Plumbing(4230) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
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
O Framing(4120) ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
O Suspended Ceiling Grid (4265) Ei Final-Fire Department(4060) El Final-Plumbing(4075)
Approved to drop tile Approved Approved
By Date By Date By Date
O Final-Building(4050)
Approved
By Date
For inspector reference only
❑ Rough Electrical 0 FINAL -Electrical
Approved Approved
By Date By Date
,
1
wilding - Commercial
City of Federal Way
Community Development Services Permit #: 08-106034-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: C H ROBINSON
Project Address: 33400 9TH AVE S SUITE 210 Parcel Number: 926501 0060
Project Description: TI-Demolition and construction of partition walls,doors,relocation of some lighting
fixtures,installation of sink in breakroom. Includes plumbing,no mechanical.
Owner Applicant Contractor Lender
GOLDEN STONE LLC GOLDEN STONE LLC KELLY THOMAS INC HOMESTREIET BANK
33400 9TH AVE S 33400 9TH AVE S KELLYTI148CR (1/29/10) 601 UNION ST
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 26318 ENTWHISTLE RD E SEATTLE WA 98101
BUCKLEY WA 98321
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II -B
Occupancy Load:
Floor Area(sq.ft.) 1,407 0 0 0
elP4:,:te,,,,4*44:40‘ ; 17414F7':,,c,!4AilarkigM 7-1 --ftla""!i 6:::..°.law „vs, -to-2,0,17: 49,,, ,., pgs
Existing Sprinkler System in Building? Yes Mechanical to be Included? No
Number of Stories 2 Permit for Building Shell Only? No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Professional Sensitive Areas?(Wetlands/Slopes,etc) No
Services/Offices
Zoning Designation OP
N� .,hr42 .<'. .. ..'. /Gi/,,, ,,, ` a 4.; . ..:;, 3 *,,moi•. ',, .. t ,,, , ,
Sinks 1
PERMIT EXPIRES Tuesday, July 7, 2009
Permit Issued on Thursday, January 8, 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 City of Federal Way.
Owner or agent: - �'� Date: 1 C
City of Federal Way •
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: C H ROBINSON Permit#: 08-106034-00-CO
Address: 33400 9TH AVE S SUITE210
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II - B
Occupancy Load:
Floor Area(sq. ft.) 1,407 0 0 0
Owner Name: GOLDEN STONE LLC
Owner Address: 33400 9TH AVE S
FEDERAL WAY WA 98003
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
THIS CARD IS TO REMAIN ON-SITE
CITY OF Illit ommunity Developn*nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-106034-00-CO
Owner: GOLDEN STONE LLC
Address: 33400 9TH AVE S SUITE 210
FEDERAL WAY, WA 98003
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.
O Footings/Setback(4110) El Re-steel (4215) El Plumbing Groundwork(4190)
Approved to place concrete Approved to place concrete or grout Approved to cover
By Date By Date By Date
0 Slab/Concrete Floor(4255) ID Underfloor Framing(4285) El Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
O Rough Plumbing(4230) 0 Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
,, signed off and approved. IBC 109.3.4/UBC 108.5.4
By c......' Date 2— 14 a , By Date
0 Framing(4120) 0 Insulation (4150) 1J Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By G ) Datez_4/. 0 By Date Date z_Ci -o C�
El Suspended Ceiling Grid (4265) EI Final-Fire Department(4060) 0 Final-Planning(4070) t,
Approved to drop tile Approved Approved •
By Date By Date By U62._L Date
.
O Final-Plumbing(4075) ❑ Final-Building(4050)
Approved Approved
By 44 Date `t..--1-1s- By Date
•
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
. .. 2320 a'i'l •
CITY Of 0 OL • 3 y
ertv OFFEDERAL WAY
Federal Way CDS PERMIT
SF MO ME ELS►E EN FP
COMMUNITY DEVELOPMENT SERVICES
8".33325 8AVENUE SOLTH.PD BOX 9718 APPLICATION 1 / (, / p
FEDERAL WAY WA 98063-9718 �
253-835-2607*FAX 253.835.2609
The following is required information-an incomplete application will not be accepted. Please print Legibly(in ink)or type.
2, t • PROPERTY INFORMATION
SITE ADDRESS_ '2 3L40QC- \1}/ � Vti
\f_ SC)U1 1--to1--toSUITE/UNIT#_ �
ASSESSOR'S TAX/PARCEL# 1 2 69 S v, �7- Q CD `r) C) _0 1 LOT SIZE(sj)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page Jar lengthy legal descriptbnl
a PROJECT INFORMATION
TYPE OF PERMIT 19iUILDING [PLUMBING 0MECHANICAL
❑/_DEMOLITION ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
pc -10 S'I t r- CZ T\ 1 1.&TQ- (--T d t4c_ N Env Q t,s l t.QC
vii P&L- 2IAC-AA) a Etc-E ver tA o" 1.C. l 1.1 PP L-e\C2..
PROJECT NAME(Name of Business or Owner Last Name) L-‘-‘ ??I I- so rt
is PEOPLE INFORMATION
PROPERTY NAME PRIMARY� PHONE r /�
OWNER (101-0 +te
J o l E ��1� ( 00)203 -9;oO
MAILING tSS 0 CI A_ /VI S 2oO.ZIP \ N cict50° E-MAIL ADDRESS
CONTRACTOR COMPANY NAME \ APPLICANT NAME OFFICEFF�� PHONE
d
MAIL NI GrAD�R T� 'tad
Le ^��,r y. f (-(�11F3/j) 7-35 ✓qLy/2��,r�7yJ��
�� 7 CrlY,,�Tt1TE.ZIP lM�y"l/�/j (ELL
�/ t"' ( C)
CITY OF FED WAY BUSIN LICENSE NR '7/ EXPIRATION DATE / FAX NUMBER
CONTRACTOR'S REGISTRATION)1404 I�ATIOI'(DA'E E-MAIL ADDRESS
APPLICANT COMPANY NAME TI APPLICANT N E `/r CXJ L lJ OFFICE(,P,�HO 60
J1AVO, Lee A;U��S �VY`STATE.ZIP C C&+"l.F7T CEr.""Yr.JN �3 1J•�
MAILING ADDRESS /'
(20(')
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other ( )
PROJECTNAMEq -\/Lvi`Y``?-- PRIMARY PHONE E-MAIL ADDRESS
CONTACT 'VJr� -I`
LENDER NAME Per RCW 19.27.095:
Lender information is required 4f project value exceeds$5,000
MAILING ADORES CITY,STATE,ZIP PHONE
( C) u.t4(00, 2'&O S- 1/4"1-11,,c-, W/ `� lbs )2O( 3b 17'193
/�
� • DETAILED BUILDING INFORMATION
P
EXISTING USE \/ C PC1 �1{ PROPOSED USE 0 I,
l�
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 40)000.
b✓
SPRINKLERED BUILDING? '-/...YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? XES 0 NO
WATER SERVICE PROVIDER " LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER '.-LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
ra-. .rw $1 I T
r • •
r
• 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 ❑ //T//f
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF
NUMBER OF FLOORS /L/77!
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture 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 rob/Shower Combo) LAYS(Bathroom s„ksi 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 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 the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this application.
SIGNATURE: iPtb1/11DATE _12 !/',
Property ner and/or Aut orized Agent
FOR OFFICE USE ONLY
NEW c ADDITION ❑ALTERATION c REPAIR c TENANT IMPROVEMENT
BUILDING SHELL ONLY? c YES 'NO BASIC PLAN? c YES k/NO
ZONING DESIGNATION op CHANGE OF USE? ❑YES XNO
NEW ADDRESS REQUIRED? ❑YES ' No UP/SEPA/SU? c YES (NO
PLATTED LOT? \(YES fNO DEMO PERMIT REQUIRED? c YES 4iO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application