12-101802 40
/Building - Commercia1
Community
&of EconFederal Way Dev.Services Permit #: 12-101802-00-CO
.
33325 8th Ave S
Ph:(253F)e8da2l 60WayFaWxA:(295830)0335-2609 Inspection Request Line: (253) 835-3050
Project Name: UW PHYSICIANS NETWORK
Project Address: 32018 23RD AVE S Parcel Number: 162104 9028
Project Description: REP-Repair interior/exterior walls,framing,sheeting,siding,&drywall to repair from
car damage
Owner Applicant Contractor Lender
FW TOWNE SQUARE LLC ONEDURR INC ONEDURR INC FW TOWNE SQUARE LLC
P O BOX 98922 10310 S TACOMA WAY SUITE K ONEDUI*107C6(3/8/13) P O BOX 98922
TACOMA WA 98498 LAKEWOOD WA 98499 10310 S TACOMA WAY SUITE K TACOMA WA 98498
LAKEWOOD WA 98499
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 Information
Mechanical to be Included9 No Number of Stories. 1
Permit for Building Shell Only? No Plumbing to be Included? No
No Fixtures Associated With This Permit !!
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Sunday, October 21, 2012
Permit Issued on Tuesday, April 24, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
���
/ 44..ohe-t Owner or agent: /�� Date: 'Z
71 a► 51ITAZ
4111116.
THIS CARD IS TO .MAIN ON-SITE
~` '• Construction In ection Record
Q7Y OF \g'
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 12-101802-00-CO Address: 32018 23RD AVE S
Project: FW TOWNE SQUARE LLC FEDERAL WAY, WA 98003-6031
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.
0 SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) El Footings/Setback(4110)
Approved Tobe done prior to breaking ground Approved to place concrete
By Date By Date By Date
0 Foundation Wall(4115) El 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) 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
Shear Walls (4245) El Roof Sheathing(4220) El Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By hi....- Date q r2,6.- �2 By Date By Date
❑ Interim Erosion Control(4370) ' Prior to schedulinga FramingEl Framing4120
inspection; ( )
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
By Date Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 BY fly/- Date '-�f 4; -/z__
ID Insulation (4150) '0 Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop the
By Date 'ZG-. a Dated >6,iZ By Date
•
❑ Final-Fire Department(4060) 0 Final Erosion Control(4375) El Final-Building(4050)
Approved Approved Approved
By Date By Date By /44. Date 4"-7 -/2._
CI Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
lot goz
CITY UP "'PERMIT • MF ME PL DE EN FP
Federal Way
COMMUNITY DEVELOPMENT SERVICES APPLICATION RECEIVED
253-835-2607•FAX 253-835-2609
www ellgofffgerakvsymorn
SITE ADDRESS APR 2 4 2 UITE/UNIT#
i � y23 A�� / 0� CITYOFFEDERALWAY
PROJECT VALUATION 1 ZONING ASSESSOR'S TAX/PARCEL#
soot,— l 2. 0 4 - q o 2 g
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT /
(Tenant Name/Homeowner Last Name) �l j y J(C i, /N 3 /\/ L7 D e
m//
PROJECT DESCRIPTION j:NT / � xi W.4 Lc F Fly/-l !✓L; /f t;T/A1(c $001/v6,
Detailed description of work to DRY WALL P/-/N /NLC
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER F k/ eqUA e€ Li- C,
MAILING ADDRESS E-MAIL
Ro. sox ggl2L
CITY STATE ZIP
174-66mA ( A. 9 4 3
NAME PHONE
(7.tiUDu,e& :2-7A16, 2S3 =3-0 4-• Z/C.5--
MAILING ADDRESS E-MAIL
CONTRACTOR /03/0 5, 'A-&.)m q y ,,A/r�, k
CITY STATE ZIP FAX
L4k-6.two,o W4 49
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME p-� PHONE
Log_2 /t/c; 2A-3-,584 Z,/425—
APPLICANT MAILING ADDRESS E-MAIL
/03/0 LLt/i/' V✓S y cl.
CITY S ATE ZIP FAX
L74 Ke e1/4:104% 9(43 4 9
e
PROJECT CONTACT NAME PHONES,
(The individual to receive and P V DJ e 25 3.S 77 - 45-24
respond to all correspondence MAILING ADDRESS ' < E-MAIL
concerning this application) /U�/0 f) /�' C o:^^R WA
1Y r- k
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
t-1R/S Cc?/k2 zS3 !mei/'4J3,49
PROJECT FINANCING NAME ❑
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27095) 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.
SIGNATURE: f!>�i2 1` T) DATE 4 .2-4 /2
PRINT NAME: t//p/?/S CO ALOE
Bulletin#100—January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture 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( )
COMPRESSORS GAS LOG SETS REFRIGERATION S T
DUCTING GAS PIPING WOODSTOVES
r
AlStit,L71-zg 41,2,
Indicate how many of each typq of fixture to be installed or relocated as part of this pro'-ct. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower combo) LAVS(Hand Sinks) TOILET' WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URIN:4 S OTHER(Describe)
DRAINS SHOWERS VA• UM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) TER HEATERS(Electric) _
HOSE BIBBS 7 SUMPS ASHING MACHINES TOTAL FIXTURES
CRITICAL AREAS ON PROPERTY? WATER PUR OR SEWER P RVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square\Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑Yes ❑ No
i
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
v9z,I _
FIRST FLOOR(or Mobile Home)
Oft '
COVERED ENTRY
GARAGE ❑ CARPORT ❑
j
EXISTING PROPOSED TOTAL
Area Totals f
ESTIMATED SELLING PRICE$- # OF BEDROOMS
x
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S.uare Feet .e Stories
ADDITION #of
--_
AREA DESCRIPTION MEN Occupancy Group(s) Construction St ries Additional Information
4J,1.4344; 404
TENANT AREA ONLY
�'*, 'L a 'Sr t`
Bulletin#100—January 1,2011 Page 2 of 3 k:\l-Iandouts\Permit Application