12-100632 ., . .13uilding - Comm rcial
City of Federal Way
Community&Econ.Dev.Services :ya Permit #: 1 2-100632-00-CO
33325 8th Ave S
Federal Way,WA 98003
Ply(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SBA
Project Address: 33400 9TH AVE S SUITE 210 Parcel Number: 926501 0060
Project Description: TI-Interior upgrades for new tenant including partition walls & finishes.
Owner Applicant Contractor Lender
GOLDEN STONE PROPERTIES MICHAEL HOVLAND T W VANCE CO GOLDEN STONE PROPERTIES LLC
LLC HOVLAND ARCHITECTS TWVANC*223QM(11/22/12) 1115 S 348TH ST SUITE A
1115 S 348TH ST SUITE A 900 MERIDIAN AVE E SUITE 408 720 S 333RD ST SUITE 200 FEDERAL WAY WA 98004
FEDERAL WAY WA 98004 MILTON WA 98354 FEDERAL WAY WA 98003
Census Category: 437 - Commercial alt/add/ conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II -A
Occupancy Load:
Floor Area(sq. ft.) 1,325 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? Yes Mechanical to be Included? Yes
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 WithThisPermit!!
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Wednesday, August 8, 2012
Permit Issued on Friday, February 10, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use • .II be in _ccordance with the laws, rules and regulations of the State of Washington
a e City of Federal Way.
Owner or agent: Date: da io
P(Wtt.t1406> 3/15A?/
P( r'i/
3"
City of • t , w., `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: SBA Permit #: 12-100632-00-CO
Address: 33400 9TH AVE S SUITE210
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II -A
Occupancy Load:
Floor Area(sq. ft.) 1,325 0 0 0
Owner Name: GOLDEN STONE PROPERTIES LLC
Owner Address: 1115 S 348TH ST SUITE A
FEDERAL WAY WA 98004
"77/i Zee-4A-//‘ff/f ---
Buildi . Official Date
the priority focus i 1 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.
-111 M v
THIS CARD IS TO MAIN ON-SITE
CITY OF -
. Construction I ection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 12-100632-00-CO Address: 33400 9TH AVE S SUITE 210
Project: GOLDEN STONE PROPERTIES LL 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 SWM Precon Site Mtg (4400) ❑ Initial Erosion Control (4365) ElFootings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
El Re-steel (4215) ❑ Slab/Concrete Floor(4255) El Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
❑ Floor Sheathing(4105) 0 Mechanical Rough-in(4165) El
Gas Piping(4125)
Approved to install flooring Approved Approved to release test
By Date By Date By Date
re/Draft Stops (4095) Interim Erosion Control (4370) prior to scheduling a Framing inspection
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
a Fire/Draft Stop inspections must be signed-off and
By Date By Date I approved. IBC 109.3.4
ElFraming (4120) -0 , Insulation (4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Q
\ t Date .4 ,..1.6,_ 1 , , By Date ,By //� -1_1:4.....„_.
Date 2
O Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060) El `'�11 Final-Planning
Approved to drop tile Approved Approved
By Date By Date By Date
• Final Erosion Control (4375) El
Final-Mechanical (4065) ElFinal-Building(4050)
Approved Approved Approved �j
By Date By Date By F1,./f" Date 5.--��j / z--,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
-
/2 o 1, .3 --�
CITY OF g p E rJ
Federal Way • I V E D • MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
APP L I C AXJ 9? ,253-835-2607•FAX 253-835-2609 OT-e 4,
SITE ADDRESS CITY OF FEDERAL WAY
/� CDS SUITE/UNIT# 21 O
�j •
0 60
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# �-7 /
$ �jolVo� A p o / _ D V (P V
TYPE OF PERMIT pe-BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT S RL) pbLtSrASE 5_5 /�r3iIA)- T'. l•
(Tenant Name/Homeowner Last Name)
T(• -f' I^►ceiA.1) AJ ) W A -5 -to QOy2 3 orrice 1 C.bw1F•,fii+f
PROJECT DESCRIPTION
Detailed description of work to %-1 I-e s
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER EN SSr' . 1E. L L C_ (y ( 1 .-� 8466
MAILING ADDRESS E-MAIL
(-4:ao 9 -- . Avt. 5• Cj`IvTc Vdr
CITY STATE ZIP
NAME PHONE
-r w VA")c,� Cl, 1,0 c-.
MAILING ADDRESS E-MAIL
CONTRACTOR 2 a S. 3 s 3 IcaST• SJ IT>� 200
CITY STATE ZIP FAX
f•tPelty( /41 1.04- 2'.m 3
WA STATE CONTRACTOR'S LiCENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
22 3 c Nc n / 2.z. / t2
NAME PHONE
8 OA t c.. ..010 253. `731, tris
APPLICANT MAILING ADDRESS E-MAIL
cjw VigpiofA� l�. 42 J lViugntlr .tet-lraccpn�O Q
CITY STATE ZIP FAX'
{/k(L??) &)/3- 73 s1- -2 5 3• 21#5 •it 06
PROJECT CONTACT NAME PHONE
(The individual to receive and 1''��C H At -• g•• -�W(..Aaa Z S 3 • '.7•3? .f 11 y
respond to all correspondence MAILING ADDRESS E-MAIL
42
concerning this application) loll C. s�cL �
v1a.P
CITY STATE ZIP FAX
L53. 81 ••• k°°
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME / f 4 OWNER-FINANCED
0 ll -'/
Required value of$5,000 or more (`� f,V3l x'12--
(RCW 19.27.095) MAILING AD RESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arise out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city part of this application
SIGNATURE: -/ DATE a 2 • /o• t.0(
PRINT NAME: fk cct Y✓a"A-c • )-F-<5\/L a N.v
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
•
nom, ., , .., � . 'N
VALUE OF MECHANICAL WO-' .$y _ , copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
V,(OMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
:d 1?'vii +ek•-'' .:::. •••:',::',',':".4717111
fl
..‘,„,',,A,,,,,. _- _ .. $v.a , . .
Indicate how many of each type offixture t 'nstalled or relocated as ..a - is project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER S - S URINALS OTHER(Describe)
DRAINS SHO VACUUM BREAKERS
DRINKING FOUNTAINS NKS(Kitchen/I-it-W ) ATER HEATERS(Electric)
HOSE BIBBS " SUMPS WAS' MACHINES TOTAL FIXTURES
GENERAL INFORMATION ... :'' . ., .:-.1,„.., _
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
/ /( $
EXISTING/ REVIOUS USE LOT SIZE(In Square Feet( EXISTING F SPRINKLER SYSTEM? PROPOSED FIRE SUPPON SYSTEM?
kAL ....---------------. es 0 No ❑Yes�o
li '''e ~ RESIDENTIAL NEW OR ADDITION .r k
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT , .,-* , �.. ;,,.
At:
FIRST FLOOR(or Mobile Home) ,
SECOND FLOOR
r
COVERED ENTRY
DECK "
GARAGE El CARPORT ❑
... _ "OTHER(describe) Y ` ' - .,
" ✓ ,n w, „,.
_
EXISTING PROPOSED TOTAL --__—__..-_ __.-_.__-_--.-_.___.-
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
01'I; `1ERCI AIs—NE W/�.DDITIO
Area
AREA DESCRIPTION Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
NEW BUILDING
I
ADDITION
_ • CONIaNIERC IAI,—REMMOI)E ./TEd ANT IMPROVEMENTS ,
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
TOTAL BUILDINGi V
I t ,. ,
TENANT AREA ONLY
If 1 PROJECT AREA ONLY ,2
Bulletin#100—January 1,2011 l Page 2 of 3 k:\Handouts\Permit Application