17-104691 •
• Building - Commercial
City of Federal WayFILE Permit #:17-104691-00-CO
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: GLEN PARK APARTMENTS-CLUBHOUSE
Project Address: 952 SW CAMPUS DR Parcel Number: 192104 9047
Project Description: TI-Interior tenant improvement work to include demolition of existing walls to reconfigure
space,upgrade door and finishes.Plumbing and mechanical by separate permit.
Owner Applicant Contractor Lender
FAIRFIELD GLEN PARK LLC ISRAEL RODRIGUEZFULCRUM FULCRUM CONST BLDG SERVS OWNER IS LENDER
5510 MOREHOUSE DR UNIT 200 CONSTRUCTION AND BUILDING LLC
SAN DIEGO CA 92121 SERVICES LLC 12125 SW 2ND ST
PO BOX 706 BEAVERTON OR 97005
BEAVERTON OR 97075 USA
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B _
Occupancy Load: 103.00
Floor Area(sq.ft.) 3,983.00 0.00 0.00 0.00
Additional Permit Information
New/Additional Sq.Feet-1st Floor 0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 3983
New/Additional Sq.Feet-Basement 0 Occupancy#1-Construction Type Type V-B
New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0
Mechanical to be Included? No Plumbing Work Valuation9 0
Mechanical Work Valuation? 0 Number of Stories 1
New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application? No
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0 Will Certificate of Occupancy be Issued? No
Occupancy#1-Use Apartment House Comprehensive Plan Designation Multifamily
Zoning Designation RM 2400
Total Valuation:220,000.00
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CONDITIONS:
Separate electrical permit
PERMIT EXPIRES Sunday,22 April,2018
Permit Issued on Tuesday, October 24,2017
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
Washin n and the City of Federal Way.
Owner or agent: Date: 4'72-.g-/-7.
•
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is 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: GLEN PARK APARTMENTS- CLUBHOUSE Permit# 17-104691-00-CO
Address: 952 SW CAMPUS DR
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 103.00 0.00 0.00 0.00
Floor Area(sq.ft.) 3,983.00 0.00 0.00 0.00
Owner Name: FAIRFIELD GLEN PARK LLC
Owner Address: 5510 MOREHOUSE DR UNIT 200
SAN DIEGO CA 92121
fid, C tt• �s r � A
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.
•
THIS CARD IS TO REMAIN ON-SITE
CITY OF
Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 104691 00 Address: 952 SW CAMPUS DR
Project: FAIRFIELD GLEN PARK LLC FEDERAL WAY WA 98023-5056
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.
N.
O Initial Erosion Control(4365) 0 Footings/Setback(4110) 3❑ Re-steel(4215)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date By Date
i
® Slab/Concrete Floor(4255) CI Underfloor Framing(4285) ® Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
® Fire/Draft Stops(4095) ® Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in
and Fire/Draft Stop inspections must be signed-
GS Date ("2-S-('7 By Date
off and approved. IBC 1093.4
,El Framing(4120) El Insulation(4150) CI Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
Date}Z.. IZ—1-7 C:_, Date 1-z_ 1Z- l`1 •--__ .. Date I, I .----
CI Suspended Ceiling Grid(4265) CI Final-S K F&R(4060) CI Final-Planning
Approved to drop tile Approved Approved
$y__y -- Date_ a— I r--i By Date L1/4,.A ct..,` q- , By Date
C5 Final Erosion Control(4375) IIll Final-Building(4050)
Approved Approved
By Date Bye 1`4..,,x; Date �'t ....1.:,...
i
Rough Electrical ❑ Final ElectricalElRight of Way
Approved Approved Approved
By Date By Date By Date
,„„,_ __A. PER LICATION
CITY OF
Federal Way PERMIT CENTER + 333 + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +perrnitcenter@cityoffederalway.com
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OCT 022017
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PERMIT NUMBER _ 1 0 4 l ( - c o MIM OF FEDERAL WAY 1 I 6 /( 7-'
- - - - - - - - 11N �I&lQPMEM
SITE ADDRESS SUITE/UNIT#
452 5) Git.M PJ 5 I t-a)cR41-. ‘0A-y k+JP•--48-GZr3
$
PROJECT VALUATION e \ ZONING ASSESSOR'S TAX/PARCEL#/vel ^ 4
-7—
Z 1 o L�- - [-tel 0 V
TYPE OF PERMIT `›J BUILDING El PLUMBING ❑ MECHANICAL ❑ DEMOLITION-❑!-ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT -1,.1 J 1=afas12-4C r.C.L-*U 8 e.p -\•- 1-'m •
PROJECT DESCRIPTION — F- ih' J + L) 1rL L$ •k� J i J
Detailed description of work to , 1 iV -F 1 N1t 1'
be included on this permit only p LiC--1T 5 4.- P I-x. p LI—
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NAME PRIMARY PHONE
VA t -tJr 14L" 5 4if• gO. 706,5
PROPERTY OWNER MAILING ADDRESS E-MAIL
5 z s co Gip CJS t w.-- r is-t4•c rc • 5 q 5501st
CITYIP
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NAME PHONE
'.c. t-c..r,JM C.-b.. 5-K,.0c...-r t 0t....,1 Sr.)3-4I3c1- 573/
MAILING ADDRESS E-MAIL Q
CONTRACTOR t - Ci.` "6:2)X 7C 1-5(4& `._.f oLifur I rck•Con'
STATEZIP
ligY . \1eR..-ra.til c !7 a 5 Sa3.7< 7 - Z,p S'
WA STATE CONTRACTOR'S LICENSE# EXPIRATIO DATE FEDERAL WAY BUSINESS LICENSE#
Lc---12c_13 Z54/ D . -3 / 2-5 /zo 70-17-ID 3'x7.6 -06:/..
NAME PRIMARY PHONE
.-0LCw.JVit C_o rJs;'-g.J c-T1b1,1 5a 3-q .3 --,_s 7 3ci
APPLICANT MAILING ADDRESS E-MAIL
eS
? . 0 . '706 (5 (4Q.f(IN M(c,cow
CITY STATE ZIP FAX
a- J�.��tJ b 12 ct`76_'1 5 x"3'7517`- 2_ 07
PRIMARY PHONE,
PROJECT CONTACT lC tA{'c 0 '- A�.�A(�.1� c5(//` P!j"lo.-
704.6
(The individual to receive and MAILING ADDRESS E-MAIL^ - n
respond to all correspondence Is Z. `J <J✓ll ch.MJS 2 rtu''1G •54.5.5 �rRI�
concerning this application) CITY ` STATE_ ZIP -3 Q z' FAX,...)
ri r Q core)
���I=fit^ � t. v.)t}. °� p`
NAME l
PROJECT FINANCING OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095) I
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 th'. application.
SIGNATURE: - DATE I0 - a ^ 2 1 '-
PRINT NAME: S ...41a-gm L '-' 1--- t , 7
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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 '.' S(Gas)
COMPRESSORS GAS LOG SETS REFRI ^ 'TION SYST
DUCTING GAS PIPING ` , a I DSTOVES
A j vl LUE OF PLUMBING WORK 1
PLUMBING PERMIT u`/I/ I $
Indicate how many of each type of fixture to be ins - ed or relocated as part of this project.Do not include existing fixturesto.remain.
BATHTUBS(or Tub/Shower Combo) ' : (Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchea/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑.No ❑Yes ❑ No
•
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Horne)
SECOND FLOOR .
COVERED ENTRY
DECK ,----
GARAGE ❑ CARPORT ❑
OTHER(describe) .'
EXISTING PROPOSED TOTAL,
Area Totals
**N .
EW HOMES Q! 14 *
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NE DITION
AREA DESCRIPTIO ` ream Occupancy Group(s) Construction #of
p y Additional Information
Square FeetTown Stories s
_z—___ Feet �7Ye v�0aaea
NEW UILDING
DITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
TOTAL BUILDING ///
TENANT AREA ONLY 2/4 6 3 ►�
PROJECT AREA ONLY (f `/�^+
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application