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05-103335
( • 0 w City of Federal Way Building .er Permit #: 05 - 103335 - 00 - CO Community Development Services P.O.Box 9718 I r Federal Way,WA 98063-9718 4 tv Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: ST FABRICATION BUILDING D Project Address: 35703 16TH AVE S BldgD Parcel Number:292104 9107 Project Description: TI- Construct non-structural walls to create 3 bathrooms; plumb for sinks and 4 toilets.Permit includes plumbing. Owner Applicant Contractor Lender DOMINION HOLDINGS,LLC ST FABRICATION ST FABRICATION DOMINION HOLDINGS,LLC PO BOX 876 PO BOX 876 STFABI*063BA 06/30/06 PO BOX 876 AUBURN WA 98071 PO BOX 876 PO BOX 876 !AUBURN,WA 9807 AUBURN WA 98071 PO BOX 876 !AUBURN,WA 9807 Includes: Census category: 437-Comm #1 1 #2 #3 #4 Occupancy Group: Bm Construction Type Type V-B - - Occupancy Load: Floor Area(Sq.Ft.): 600 Census Category 437-Commercial alt/add Fire.Sprinklers. No Mechanical No Number of Stories 1 Permit for Building Shell Only No Plumbing Yes Will Certificate of Occupancy be Issued? Yes Zoning Designation BP Plumbing Fixtures Description Quantity Description Quantity r Description 1Quantity Lavatories 3 Water Closets if 4 IWater Heaters 1 ---'--- 1 I I Mechanical Fixtures Description Quantity Description Quantity Description Quantity Fans 3 PERMIT EXPIRES April 1,2006. Permit issued on October 3,2005 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.c7i Owner or agent: /2 —3 -0 • 1;""1 Qui) ;4113/4019 c • • y , City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 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: ST FABRICATION BUILDING D Permit number: 05- 103335-00 Address: 35703 16TH S BldgD #1 #2 r #3 #4 Occupancy Group: B I t ------4 Construction Type: Type V-B Floor Area(Sq.Ft. Occupancy Load: —IF ) 600 1 Owner DOMINION HOLDINGS,LLC Name: PO BOX 876 Address: PO BOX 876 !AUBURN,WA 98071 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. ,,ii°3! 1, 4 4 At t<tiorts• 1 I i THIS CARD IS TO MAIN ON-SIT ' E' � CITY OF ' CommunityDevelo m t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-103335-00-CO Owner: DOMINION HOLDINGS, LLC Address: 35703 16TH AVE S Bldg D 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) ❑ Foundation Wall (4115) •❑ Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date ❑ Re-steel(4215) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By - Date 011P- By Date ❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date ❑ Roof Sheathing(4220) q Rough Plumbing(4230) CI Fire/Draft Stops (4095) Approved to install roofing Approved Approved By Date B)&�;jDate°,.��11.-0 By f'i%f Date//Z e NOTE: Prior to scheduling a Framing(4120) 4.0 Framing(4120) ,❑ Insulation (4150) , inspection;Electrical,Plumbing&Mechanical i Approved to insulate Approved to install wallboard Rough-in and Fire/Draft Stop inspections must be ' signed-off and approved. IBC 109.3.4/UBC 108.5.4 �p 1=ge/ez, ` ByRi- Date I ZSX , By JiC7,/ Date , ❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) . Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved By 171Date 2i/i/Gt 6 By Date By Date ❑ Final-Planning (4070) ❑ Final-Public Works (4080) ❑ Final-Plumbing(4075) Approved Approved Approved By Date `By Date By Date x Final-Building (4050) Approved By Date at"(OF .....-7.—,' • ft 9 ..-. _LO 4_ _e.S3e Federal Way flECEIV . PERMIT (0)ME COMMUNITYDEVELOPMEN'SERVICESSF MF EL PL DE EN FP 33325 DERALAVENUE AY,WA H•PO BOX 9718ppLICAT N FEDERAL WAY,FAX 98063-9718 � TD / / i 253-835-2607•FAX 253-835-2609 `4 L 1 2 www.dtuoffederalway.com The ollowin. is 0. t Fiii"••f kat¢t incom•lete a..lication will not be acce,ted. Please .rint Ie.ibl (in in or .-. ■ PROPERTY INFORMATION SITE ADDRESS )51-0 3 1(' ,'Jt V tc7 01/4.714 SUITE/UNIT# ASSESSOR'S TAX/PARCEL# .2- Q 2- / 0 4/ - 61 / 0 7- LOT SIZE(st) ZC j s/' LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)5E" /4 OF Ni `Z oP c`. 1/'-( cJr NE (/i4 L.E E ) F% (Attach separate page for lengthy legal descnpion) I-c( 16-1-1': 4-cif 5o,�V -M . IN PROJECT INFORMATION TYPE OF PERMIT J BUILDING a/PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on th' ermit on1 OKI A 1 . j . ' • $ 1''i ' / -- ADPr G' - oM5 Ne S tP _ 1\\35--cliY1--Livri 0---) or-- -4 -co(u---, > Z .4 `S 3 j; i_/_ PROJECT NAME(Name of Business or Owner Last Name) bir ��/ AL., C>-1 O'\J ( ?)/1-'111.0.-4.)-L.,'f✓\,S) - -.., . IN PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNERc., ..kJvcy..l t,.- i L-(.-C (253)Z6/ - /oVI/ MAILING ADDRESS ITY,STATE,ZIP r © .�u e A-,)'Lits), c-,./4 96 / CONTRACTOR COMPANY NAMEAPPLICANTAPPLICANT NAME OFFICE PHONE S t--Prep,.tela.LElrri , , (^-3 C, 9 (-41--e1104\) (Z..5 3) "7" .5 - Za t, MAILING ADDRESS CITY,STATE,ZIP CELL PHONE P O Q 02( 63 ? & .,,/,) , a '66?-I (2-93) ! - ii(ty CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER / / ( ) CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE 5-c- �/ r,c -r ow, ( NJ(. 3..- -Sc ---r- C QJsem' (Z. 3 MA LING ADDRESS CITY STATE,ZIP - CELL PHONE p, 0 &c.,,- 6 , ,,,AA- 96G-7/ (1S3) Z c./ - /o1/4/ RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect Vylenant ❑Agent Wither(Describe) al.-JAIL'&_ ( Z- 3186-7-- 9323 CONTACT NAME ....,.- PRIMARY PHONE E-MAIL ADDRESS . Crftn 1 J ( 3 ) 2,C,/ - /04/4 des .6:-sih h, (. --. =-a information is uu-cd if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP . MI DETAILED BUILDING INFORMATION . EXISTING USE )t' -- - /3UiL/J ' -6-- PROPOSED USE g )--T k-s--o •-v-\ EXISTING ASSESSED/APPRAISED VALUE $ 1 Ti," 00`� VALUE OF PROPOSED WORK $ . .�1 ��/l.>4/' SPRINKLERED BUILDING? ❑ YES ❑ANO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES [MIO WATER SERVICE PROVIDER 6/L /AKEHAVEN ❑ HIGHLINE ❑ TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER [t 4 AKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) _ . PROJECT FLOOR AREAS • AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. SQ.FT. BASEMENT , FIRST 0 it QC-=, 7 0 c7 SECOND THIRD 8 FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT U EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORSo t **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ . : FIXTURES . a, ...b each of fixture to be installed or relocated as part of this project. Do not include. " _ fixtures t�"�� _ Indicate number of each type � existing to remain. MECHANICAL ....,..---7:"" Th Value of Mechanical Work $ J b 0 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS 13 FANS HOODS(commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS or Tub/shower combo) SHOWERS 4 WATER CLOSETS(mite) MISC(Describe) DISHWASHERS _ _ SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST g WASHING MACHINES URINALS HOSE BIBBS i) LAVS(Bathroom Sinks) VACUUM BREAKERS I ELECTRIC WATER HEATERS • DISCLAIMER/SIGNATURE BLOCK , 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 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 of Federal Way,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. 7 - z6 7-_m NAME/TITLE w _ f� j1 Ce�17' DATE ignature) (Title) RELATIO 'S • TO PROJECT towner ❑ Agent (contractor ❑ Architect 0 Other ' .Poo FCE3ISE 3NLY '--- a.ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT *UILDING SHELL ONLY? a YES a NO BASIC PLAN? 0 YES a NO fO NING DESIGNATION_ ', CHANGE OF USE? ❑YES a NO IEWADPRESS REQTiItED? a YES 'a NO UP/SEPA/SU? ❑YES a NO " Cr*TgED OT?_ ,*I IYESt ; NO "..-..< " DEMO PERMIT REQUIRED? a`YES a NO Wiz, � �V_ Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application