11-104373 City of Federal WayIIIF3uilding - Commercial
Community Development Services �f^
,,,,,
p Permit #: 11 -104373-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 -ro
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: HUMANA CONTRACTING OFFICE
Project Address: 32125 32ND AVE S Suite 250 Parcel Number: 215465 0050
Project Description: REM- Soft demolition of acoustical ceiling& non-structural partition wall preparatory to
tenant improvement
Owner Applicant Contractor Lender
32125 NORTH LLC R MILLER CONSTRUCTION R MILLER CONSTRUCTION
32125 32ND AVE S 146 3RD AVE S RMILLCI190L5(1/2/12)
FEDERAL WAY WA 98003 EDMONDS WA 98020 146 3RD AVE S
EDMONDS WA 98020
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 Information0` : y
Mechanical to be Included? No Number of Stories 2
Permit for Building Shell Only9 No Plumbing to be Included9 No
New/Additional Sq.Feet-Total 0 Zoning Designation OP-1
` No Fixtures Associated WithThis Permit 11 . "�
PERMIT EXPIRES Wednesday, April 25, 2012
Permit Issued on Friday, October 28, 2011
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
a
Owner or agent: rnd thCity of Federal Way.
Date: /0 l Z "--7/
"4--
THIS CARD IS TO MAIN ON-SITE '
Construction Ir ection Record
Federal ay INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 11-104373-00-CO Address: 32125 32ND AVE S Suite 250
Project: 32125 NORTH 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.
SWM Precon Site Mfg(4400) -❑ Initial Erosion Control (4365) Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
O Foundation Wall(4115) 0 Drainage/Downspout(4040) Re-steel (4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
El Slab/Concrete Floor(4255) D Underfloor Framing(4285) Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
ID Shear Walls (4245) ❑ Roof Sheathing(4220) ElFire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
0 Interim Erosion Control (4370) Prior to scheduling a Framing inspection; 0
Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 By Date
w;
o Insulation (4150) ❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
❑ Final-Fire Department(4060) ❑ Final Erosion Control (4375) ElFinal-Building(4050)
Approved Approved Approved
By Date By Date ByQ Date I'
Qi-+1t A_
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
l_ - l 0 4 .
C17Y OP -
Federal ECEjV V .PERMIT •MFCO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES APPLICATION
253-835-2607•FAX 253-835-2609
unm.ciluoffedemlwaa.cone
OCT 8 v',
SITE ADDRES$•jTY OF FES SUITE/UNIT#
2-1 2. ° A-013.§ 25O
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
z
TYPE OF PERMIT ❑ BUILDING ElPLUMBING ElMECHANICAL
0 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) HQ 61 C At..rre/c7
PROJECT DESCRIPTION Md Ve A c c v 5 7-1 C A t C G/�(' },E i2 77; 'A.)j/U d }c7'l
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER �,,i�!]d 6u pi*z..L-
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
NAME_, PHONE
t t..Ltd72. . olIb j
(� MAILING ADDRESS E-MAIL
Y7 %. ONTRACTOR • �12.6 ��r
s
! CITY SATE ZIP FAX
f}
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PHONE
') C . CCK Yr 151F-665'0
APPLICANT MAILING ADDRESS E-MAIL
Gia 114 57'
CITY STATE G FAX
PROJECT CONTACT NAME U PHONE
•
, 1)ay C Cc).x •l r V
(The individual to receive and
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) /t/S
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAMEEl OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,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 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.
(-4-
L t
SIGNATURE: / DATE
PRINT NAME: 7E"1- L' C- X
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
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• ECIi;�N1C�'�L r IXFURE, � F,- s 'x x
VALUE OF MECHANICAL WORK $ (a 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)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
144
34 11
Indicate how many of each type of future to be installed or relocated as part of this project. Do not include -xisting fixtures to remain.
BATHTUBS or Tub/Shower Combo) LAVS)Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKE'
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEAT ' (Electric)
HOSE BIBBS SUMPS WASHING ,•CHINES TOTAL FIXTURE$
.. �fox1,;,174W,;,' 4= ' #.
;` ,z .,.. wave-tiro. ,a �sb _
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYO- VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square -e EXISTI FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
AREA DESCRIPTION(in square EXISTING ' PROPOSED TOTAL FOR OFFICE USE
NizaTion
FIRST FLOOR(or Mobile Home) � � ---— — ---
.,.. A,..- . .. IJ. .,o + ' _,
/
COVERED ENTRY /
GARAGE 0 CARPORT 0 /
EXISTING PROPOSED TOTAL —
Area Totals
X ,i' 1VEIY I qES o1v _ . .,, .e,. '„,g;
ESTIMATED SELLING PNCE$ #OF BEDROOMS
AREA DESCRI'- ION
Area I Occupancy Group(s) Construction #of Additional Information
in S.uare FeetT .e Stories
!__ ' '` " 114° Y'g '' mo°
ADDITION
C - \IFRCI ,�?
Iv-� raa ./ iii>xoct
Area I Construction #of
• ' • 'ESCRIPTION 1 Occupancy Group(s) Additional Information
in Square Feet 1 Type Stories
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application