14-102188 r wilding - Commercial
City of Federal Way
Community&Econ.Dev.Services Permit #: 14-102188-00-CO
33325 8th Ave S
Federal way,WA 98003 PILE Inspection Request Line: (253)835-3050(253)835-2607 Fax:(253)835-2609
Project Name: MY LIFE INC
Project Address: 2116 S 314TH ST Parcel Number 092104 9053
Project Description: TI-Interior tenant improvement work to construct partition walls for new office space and
storage room.No plumbing or mechanical.
Owner Applicant Contractor Lender
HILLSIDE PLAZA ASSOCIATES O M S CONSTRUCTION O M S CONSTRUCTION
PO BOX 5003 32840 41ST WAY S OMSCOCI881R7(12/27/14)
BELLEVUE WA 98009-5003 FEDERAL WAY WA 98001 32840 41ST WAY S
FEDERAL WAY WA 98001
Census Category: 437 Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load
Floor Area(sq.ft.) 2,400 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? Yes Mechanical to be Included) No
Number of Stories. 1 Permit for Building Shell Only? No
Plumbing to be Included No New/Additional Sq.Feet-Total 0
Occupancy#1-Use Professional Zoning Designation. CC-F
Services/Offices
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, November 9, 2014
Permit Issued on Tuesday, May 13, 2014
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
nd the City of Federal Way.
Owner or agent: /..:. Date: ..5g0"7"/-- ,//Sc
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City of Federal Way • . ,, , 4
Certificate of Occupancy r'
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: MY LIFE INC Permit#: 14-102188-00-CO
Address: 2116 S 314TH ST
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load
Floor Area(sq.ft.) 2,400 0 0 0
Owner Name: HILLSIDE PLAZA ASSOCIATES
Owner Address: PO BOX 5003
BELLEVUE WA 98009-5003
CM
q1A-1
Building Official ate
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 seventy 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 MAIN ON-SITE
CITY OF � •IA
Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-102188-00-CO Address: 2116 S 314TH ST
' Project: HILLSIDE PLAZA ASSOCIATES FEDERAL WAY,WA 98003-5475
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 Mtg(4400) ❑ Initial Erosion Control(4365) CI Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
. . . .
O Re-steel(4215) El Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) El
Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to install flooring Approved Approved
By Date By Date By Date
'
Prior to scheduling a Framing inspection;
Framing(4120) E Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and w�
approved. 3 IBC 109.3.4 By ( Date Sq IS (
lci By Date
❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape 1------►►► t Approved to drop tile Approved
—S Date 5-7_1 G_ (L1 By Date By Date
• III
❑ Final-Planning ❑ Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved Approved
By Date By Date By 11/3 Date to(t9'j W
Rough Electrical Final Electrical Right of Way
❑ ❑ ❑
Approved Approved Approved
By Date By Date By Date
111111
CITY OF PERMIT/IMPLICATION
Federal Way
�QMAY 13 2014 Crir-- .`
- 1'1
I
C} FEDERAL WAY
PERMIT NUMBER ( O � ( (J � _ v CITY, OF
- - TARGET E
SITE ADDRESS SUITE/UNIT#
4,40114y kt/a 9go03
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 4e o crz 1 O 4 - ci OS
TYPE OF PERMIT 14 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT AP, /74 /, C
A{,A .:C.--- ,- Kievv1 f/ Jo iii-(ii-(C �71
4 0 rod L 1zo Ry
v ,,,
PROJECT DESCRIPTION V
Detailed description of work to
be included on this permit onlyJ0 e j�6 /� I.PO/ 1144V-k-
i/p, -
NAMEPRIMARY PHONE
PROPERTY OWNER -CAV\ gse -s * -g_. 66/)
MAILING ADDRESS E-MAIL
CITY STATE ZIP
AME PHONE
NDms 60.4-410%CI fOstt G ,-off 3c a1 j
MAILING AADDRESfS` E-MAIL /
CONTRACTOR 3�-e O T/ �c4, S D/5 cern tag y4A 0 0:C'sh
STATE,- ZIejeDo/ FAX
—VS-6
WA STATE CONTRALTO 'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
d,frlfCoCZ, 6 8 i 4/ /Z /3D i/%
NAME. PRIMARY PHONE
(Jq�i° 4 jc 6 --.3s7e-99g-
APPLICANT MAILING ADDRESS E-MAIL
3,z$f(d Z./Si igoty 5 004sc07/56 j/Qdao.aim
CITY STATE ZIP A FAX
Xe Aid 1 WA 9 6°/ . 13— 371 ,x/.18
NAMEPRIMARY PHONE
PROJECT CONTACT f7#"vC Iv.- „706-3TV'- q/Q
5
(The individual to receive and MAILING
respond
E-MAIL
respond to all correspondence 31 ?'® T"f J.1-IV / C01•1 01kV%eOrt
concerning this application) CITY / STATE ZIP FAX /
Gtit,4/4-I t k J sac./
NAME
PROJECT FINANCINGj;it OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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...._ of this dpplication.
SIGNATURE: 6°l/je . DATE
PRINT NAME: 0,0),,i op,
Bulletin#100-January 1,2013 Page 1 of 3 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 .MER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATE'. c 'S(Gas)
COMPRESSORS GAS LOG SETS REF' = TION SYST
DUCTING GAS PIPING OODSTOVES
VALUE OF PLUMBING WORK
PLUMBING .PERMIT $
Indicate how many of each type of fixture t. --installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FO NS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE : '- SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/P OUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE PRESSION SYSTEM?
NR pcYes ❑ No ❑Yes p(No
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
���i'ti� ��'{�,:.� n ''1,d'�� f`.'.'r� ���'��S''r��,�y ��3/�y y .6 � 5£�,�"l''�sa;"'�✓s ' s ._._.-----.._...—._..�__..—�.—.—. ._.....___ _
FIRST FLOOR(or Mobile Home)
E. aHN ,�. f/ ✓ f
fySGS'' a` r? l' ^s �--... ..........._- -- — ......._......__..-........._.
COVERED ENTRY
GARAGE 0 CARPORT 0
112 d 1 / 7
EXISTING PROPOSED TOTAL
Area Totals 2T (� at
.>,,,l/ -4,,'-'r, "HO EsJ,'ONL „.f ' ,AZ /,?r 'f,'1 ,, r.E r
ESTIMA• D SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
/' y��..,,,. ,( 'a' / / 5 ,' '/ <'/r�``1r.�;rF,'! ;h / ✓ a� G 'Is r ,%'/ ,,, /' /F,; r%, �.
<✓ / �+5+'+ a3.?�.w, <.�I r{xS ✓ s rid i f h;.. //.' sw�'Yp ', � J' . "t„-,1%,41
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(e) Construction #of Additional Information
in Square Feet Type Stories
xt / /i ,. / jl.'ltk, ''.% /v / / 'i /G` ✓,/ '=x#"/ /. 44,✓
✓ ry/' *'�` /;'�"/'' ,.1
f /'/ `%44
s✓i ' .. _.
TENANT AREA ONLY ..2,(4 0 0 V—
PROJECT AREA ONLY
i-,
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application