14-102864City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
@3uilding Commercial
FILEPermit #: 14 -102864 -00 -CO
Inspection Request Line: (253) 835-3050
Project Name: SIGNATURE HOME HEALTH
Project Address: 909 S 336TH ST Unit 202
Parcel Number: 926480 0150
Project Description: TI - Minor interior tenant improvement work to include demolition, new partition and
demising walls, new doors, relites and casework. No plumbing or mechancial.
Owner
A129lican
Contractor
Lender
OMNI PROPERTIES INC
OMNI PROPERTIES INC
OWNER IS CONTRACTOR
909 S 336TH ST SUITE 103
909 S 336TH ST SUITE 103
FEDERAL WAY WA 98003
FEDERAL WAY WA 98003
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas . ft. 0 1 0 0 1 0
Additional Permit Information
Mechanical to be Included?...................................No
Permit for Building Shell Only? .............................No
Number of Stories.................................................6
Plumbing to be Included?.......................................No
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Sunday, December 14, 2014
Permit Issued on Tuesday, June 17, 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
and the City of Federal Way.
Owner or agent: a Date: 1 `{
4
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS T.MAIN ON-SITE
Construction In ection Record
INSPECTION REQU TS: (253) 835-3050
14 -102864 -00 -CO Address: 909 S 336TH ST Unit 202
OMNI PROPERTIES INC 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.
E]
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Footings/Setback (4110)
By
Approved
By
To be done prior to breaking ground
By
Approved to place concrete
By
Date
By
Date
By
Date
Re -steel (4215)
Slab/Concrete Floor (4255)
Underfloor Framing (4285)
By
Approved to place concrete or grout
By
Approved to place concrete
By
Approved to sheath floor
By
Date
By
Date
By
Date
Interim Erosion Control (4370)
Fire/Draft Stops (4095)
Floor Sheathing (4105)
Approved to install flooring
Approved
Approved
By
Date
By
Date
By
Date
Insulation (4150)
Framing (4120)
Prior to scheduling a Framing inspection;El
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
Fire/Draft Stop inspections must be signed -off and
IBC 1093.4
g� Date T_ 3 L l4
By
Date
approved.
Final - Fire Department (4060)
Suspended Ceiling Grid (4265)
0 Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
Approved to drop tile
Approved
By
Date (�0,
By
Date
By
Date
0
Final Erosion Control (4375)
0
Final - Building (4050)
Final - Planning
Approved
Approved
Approved
By
Date
By
Date
By
'� Date a$
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
crtYCW
Federal WW
17 2014
PERMIT SF MF CO ME PL DE EN FP
Co2=,M 07 �� l 3 3 609 EDERAL'PLICATION
wwwdiyoflederalwau.corn CDS
SITE ADDRESS
SUITE/UNIT #
909 S. 336th St.
202
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 40,000
OP
9 2 6 4 8 0 _ 0 1 5 0
TYPE OF PERMIT
® BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(tenant Name/Homeoumer Last Name)
Signature Home Health
Tenant Improvement of an existing suite to be divided into (2) suites for office use. No exterior work is inclu-
PROJECT DESCRIPTION
Detailed description of work to
ded. Interior renovations are to include minor interior demolition, new partition/demising walls, new doors,
relites, and casework. No change of use, size of building, or increase in occupant load is anticipated.
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
OMNI Properties
253-661-8095
MAILING ADDRESS
E-MAIL
909 S 336th St. #202
CITY
Federal Way
STATE
WA
ZIP
98003
NAME
PHONE
OMNI Properties (same as above)
MAILING ADDRESS
E•MAII. '
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
OMNIPI*995BW
EXPIRATION DATE
8 / 27 14
FEDERAL WAY BUSINESS LICENSE #
NAME Vicki Somppi (Connell Design)
PHONE 425-670-6706
APPLICANT
MAILING ADDRESS
22002 64th Ave W Ste. 2C
E-MAIL
vickis@connelldesign.com
CITY
Mountlake Terrace
STATE
WA
ZIP
98026
FAX
PROJECT CONTACT
NAME Barbara Jenkins (OMNI Properties)
PHONE
(7he individual to receive and
respond to all correspondence
concerning this application)
MADAHG ADDRESS
33926 9th Ave S
F -MAIL
omni@w-link.net
CITY
Federal Way
STATE
WA
ZIP -
98003
FAX
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
xnrIE
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
RIMING 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 (formation 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: Vicki Somppi DATE 6-17-14
PRINT NAME: Vicki Somppi
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHAMCAL 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 futures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (c --j.1)
BOILERS FURNACES HOT WATER TANKS (G-)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of jixhure to be installed or relocated as part of this project Do not include existing jixdures to remain.
BATHTUBS (or1bb/Shower Combo)
LAVS (H—dSUA.)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (mtch—/uwity)
WATER HEATERS (pectric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
CRITICAL. AREAS ON PROPERTY?
N/A
ExmnwgG/PREVIOUS USE
B
WATER PURVEYOR SEWER PURVEYOR VALUE OF EMSTMG n[PROVEMENrS
Water District I Public
LOT SIZE (In Square Feet) MSTMG FIRE SPRIDIHLER SYSTEM? I PROPOSED FIRE SUPPRESSLON SYSTEM?
114,000 ❑ Yes 13 No ❑ Yes ® No
Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application