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03-103256 • City of Federal Way ♦ • •.,. . Commun;tyDevelopmentServ;ces Building - Commercial Permit #:03 - 103256 - 00 - CO 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: HARBOUR Project Address: 33400 9TH AVE S Suitell4 Parcel Number: 926501 0060 Project Description: TI- Demising existing tenant space into a smaller suite w/additional rooms and relocated kitchen area. Includes plumbing; No mechanical. Owner Applicant Contractor Lender GOLDEN STONE OFFICE BLDG GOLDEN STONE OFFICE BLDG POE CONSTRUCTION,INC NONE 33400 9TH AVE S 33400 9TH AVE S POECOI*247QZ 5/1/05 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 PO BOX 899 AUBURN WA 980710899 NONE Includes: Census category: 437-Comme #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 31 Floor Area(Sq.Ft.): Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add Fire Sprinklers Yes Mechanical No Number of Stories 2 Permit for Building Shell Only No Permit for Foundation Only No Plumbing Yes Special Inspection Required No Will Certificate of Occupancy be Issued? Yes Sensitive Areas9 No Zoning Designation OP Plumbing Fixtures li ,Descnpti .... - Quantity Description Quantity ,� i ©escriptlorl=: ', Quantity Dishwashers 1 Sinks 1 CONDITIONS: This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES February 25,2004. Permit issued on August 29,2003 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: 6/ ... 1kl . — . Date: fat.-Q 3 0n City of Federal Way S • Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 of the Uniform 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: HARBOUR Permit number: 03 - 103256-00 Address: 33400 9TH S Suite114 #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 31 Floor Area(Sq.Ft.): Owner GOLDEN STONE OFFICE BLDG Name: 33400 9TH AVE S Address: 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 severely 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. POST THIS CARD ON THE FRONT OF BUILD G CITY OF • Federal Way BU IN.G DhTISION INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 03-103256-00-CO OWNER'S NAME: GOLDEN STONE OFFICE BLDG SITE ADDRESS: 33400 9TH S Suite114 () FOOTINGS/SETBACKS () FOUNDATION WALL DO NOT POUR CONCRETE UNTIL ti'f- :'E IS APPROVED ( ) DRAINAGE: Line ( ) Connection H, T ,; NAT POUR.SLAB UNTIL; , ' SAPPROV — ij () UNDERFLOOR FRAMING OROUGH PLUMBING: DWV /tir ��J I /// Water piping f O ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor O SHEAR WALLS (_) ELECTRICAL ROUGH-IN Ditch Cover O FIRE/DRAFTSTOPS s; PPROVED PRIOR TO FRAMING INS i ( ) FRAMING/FIRESTOPPING 14ti (0-.2) �'�- --- THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKINC ( ) INSULATION: Floors Walls Attic T , AVE —MINT Bt*PR VED PRIOR TO P'LYMO✓ lam, 'R( () WALLBOARD NAILING 10 15(03 f v 1 O SUSPENDED CEILING ABOVE MU m4*D PRIOR TO TAPTN" G OR INSTALLING'CEII� z �.., O ELECTRICAL FINAL O PLANNING FINAL ( ) PUBLIC WORKS FINAL O FIRE FINAL "„h, Li . ia III 'ART,MENT'FINAL .. ( UILDING FINAL i p, 3 j,_ 3 C° vol-- DO NOT OC H WBUILDING U FILE 1ILD1NG FINAL IS APPROVED �_.. . CONSTRUCT N PERMIT APPLICATION CITY 01 �+.....-- APPLICATION NUMB R: - L032_5-6 00 Federal Way APPLICATION NUMBER: - - APPLICATION NUMBER: - - "The following is required information—Please print(in ink)or type" Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. Imo`t 3" 4 ..- : ■ PROPERTY INFORMATION .. - r SITE ADDRESS: i) ?2Li0C.i (�A'L (A-rt-t, ASSESSOR'S TAX/PARCEL #t: q2(I S0 i -00 -07 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): LdT (o WAST CA4-121AS ante P PIVlSt91l 2, Accol2pl,L( -co T-146 PLATS Tw -or RE 2 P V N v0u c � lo' 0 iIATs P IAF P"--c_0(705 0 fent Cour( vv,.., w 7-014 Ct.--C LA/NT— l N.\ ' L c' r1 T' C.>V7 le_I r.( 5'• ,- OF V - .S F I rte( - T o .'' . :>a PROJECT:INFORMATION - TYPE OF PROJECT(This application): BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ELECTRICAL o ENGINEERING n FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): ' iS, VtYLS'C�c; -7-' 1.A .`T SY •C .1(N -7-.:_- PO D(N R)o S v1ov L�CZ <x, . i t v �.isAwa `vi�- L-- 1�T� T-\ l,�,t;-C'. Scone of W(' L d hs VI PROJECT NAME: 11/jZ9Ou2 /i-oe 7 I 47 (7O S-7-C i -e - ; ----:-..,-R I PEOPLE INFORMATION , PROPERTY OWNER: NAME: �`� ; DAYTIME PHONE' (101,- S NIC t �C - i (2 ) ??3 - /506 MAILING ADDRESS 10 c tH ADDRESS;CITY,/ /e ,lel l: 1 o o `/e.''�G�L(�g- WA- cs 0Q ii- CONTRACTOR: NAME ; DAYTIME PHO \„R),E CONS ( I c--1 IorJ (2o(0 ) 175 -I-t2-93 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I EVENING PHONE: 1 o e2•/ 9)6, 9 (z53)d33 -ZLOQ CITY OF FEDE L WAY INESS LICENSE NUMBER: t FAX NUMBER: \ �'7.7 �03 [9 - -73 06 C)005 - Ooa- (ZS3) 139. - LQsl CONTRACTOR'S REGISTRATION NUMBER: IIEXPIRATION DATE: (copy of card required) Jo _ (.O1 / y--7_Q_-z_ _ 5 / f / y APPLICANT: NAME: DAYTIME PHONE: tA lAtiA— A,clL-om (2o( )27, -c 5cO X/cs MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): ' EVENING PHONE' 3� -4 o�fi (\J100 OEu-C•-vu c wk 7000ii - RELATIONSHIP TO PROJECT: /� f j FAX NU. BER: 0 ARCHITECT O TENANT )OTHER ( DESCRIBE): VWNOZ REP (q5) (t5 2 81f 22, E-MAIL ADDRESS: I CONTACT PERSON FOR THIS PROJECT:'❑ PROPERTY OWNER 'PPLICANT ❑ CONTRACTOR -■ DETAILED BUILDING INFORMATION - - - - EXISTING USE: &Fri CC EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: l7 C,``// PROPOSED VALUATION FOR IMPROVEMENTS: $ ?C) i O ' , SPRINKLERED BUILDING? AYES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES 0 NO WATER SERVICE PROVIDER: I CAKEHAVEN ii HIGHLINE 0 TACOMA [I PRIVATE(WELL) SEWER SERVICE PROVIDER: 'LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION 0 r y** 410 NUMBER OF BEDROOMS: • ESTIMATED SELLING PRICE $ • J. • PROSECT FLOOR AREAS - FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND / THIRD / FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: ■ FIXTURES _ Indicate number of each type of fixture VIV\ti MECHANICAL `5 AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) _ BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) \ / URINAL(S) WATER HEATER(S) 1 DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) 1 SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) I certify under penalty of perjury that the information furnished by me Is true and correct to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any daim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim 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. /} NAME/TITLE: �--� , v�� l YrLc E,`�C� � DATE: Z' ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR FOR.OFFICE USE ONLY: ,u NEW .: ,-.o ADDITION a,:aALTERATION n rREPAIR s ,:TENANT IMPROVEMENTS rn =CENSUS CODE • . . i a- LOTSIZE W ' . -:-. +: .,A tZONING DESIGNATIONy !-AdiektiMA lBUILDING:SHELL ONLY? =o YES .a NO ' COMP PLAN DESIGNATION A4. -,•.. BASIC-PLAN? 'A YES =''❑ NO _ SECTION: _ ., n„. -�,�TOWNSHIP�'� `'''RANGE:VM,; _NEW ADDRESSREQUIRED7, .,, o YES '-i:,-:o NO PLATTED LOT?.i':'b YES'..-":,'O'NO YY :-. .-:;1- - CHANGE OF USE? c YES '-❑ NO-.`., . . - COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvoffederalwav,com