13-101272 ' ✓,.,c
• 3uilding - Commercial
City of Federal Way
Community 8.Econ.Dev.Services ; Permit #: 13-101272-00-CO
33325 8th Ave S3 td __
Federal Way,WA 96003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 � �)
Project Name: WORLD VISION
Project Address: 3450 S 344TH WAY Parcel Number. 222104 9040
Project Description: TI-Construct partition walls.No plumbing or mechanical
Owner Applicant Contractor Lender
LBA REALTY FUND II-WBP III C GI LLC C GI LLC OWNER IS LENDER
PO BOX 847 11838 DES MOINES MEMORIAL DI CGILLL*963D2(6/7/14)
CARLSBAD,CA 92018 BURIEN WA 98168 11838 DES MOINES MEMORIAL D
BURIEN WA 98168
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
Existing Sprinkler System in Building? Yes Mechanical to be Included? No
Number of Stories. 2 Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Occupancy#1-Use Professional
Services/Offices
No Fixtures Associated With This Permit!l.
PERMIT EXPIRES Monday, September 16, 2013
Permit Issued on Wednesday, March 20, 2013
I hereby certify that the above information is corre-^ nd that the construction on the above described property and
the occupancy and the use wi e in a ; dan,with the laws, rules and regulations of the State of Washington
the City of Federal Way.
Owner or agent Date: 3— ZO
*<((--irj/(//(
�d.
THIS CARD IS TO MAIN ON-SITE +6
"T"OF III Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 13-101272-00-CO Address: 3450 S 344TH WAY
Project: WORLD VISION US 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 Mtg(4400) 0 Initial Erosion Control(4365) 0
Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
p *
❑ Re-steel(4215) 0
Floor(4255) Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date ByDate ByDate
,
Floor Sheathing(4105) ElFire/Draft Stops(4095) ElInterim Erosion Control(4370)
Approved to install flooring Approved Approved
By Date By Date By Date
,
Prior to scheduling a Framing inspection; 0 Framing(4120) 0 Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
Date
approved. IBC 1093.4 By 29'5 By Date
.
0 Gypsum Wallboard Nailing(4130) 12 Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By / Date .-0 By Date By Date
1 Final-Planning 0 Final Erosion Control(4375) Final-Building(4050)
Approved Approved Approved
'By Date By Date B33-?5 Date4.. H
0 Rough Electrical Final Electrical Right yf Way
Approved Approved Approved
By Date By Date By Date
EL 'TRI A
C C L
CITY OF ' •
Federal Way PERMIT APPLICATION
RECEIVED
PERMIT NUMBER L"Z - .-/ .2 1 _z7 - MAR 2 0 2013
— —
L. ealiktkWAY
SITE ADDRESS: (/ D S 5��j,p /4_447_
/`// j„�
CDS
PROJECT VALUATION ASSESSOR'S TAX/PARCEL 4 7- / CURRENT/PROPOSED USE
$ &‘ C2 .Co __ __ — — - — — __ _L
PROJECT NAME .
� ( 1 t 3 't'i . 1
(Tenant or Homeowner Last Name) //v9e
PROJECT DESCRIPTION j Z `✓ `PlS a `c/' & S C.c- dta l'
Detailed description of work to (,& `.A..i i YZ'1/I II
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER , /1Q14ce A- A S j)1s1 (ZS3)-/5-- Z-?-Z z
MAILING ADDRESS , E-MAIL
"3 C./8- 3 -c.l.>�` r1�4 z�s `��``�/.IV /j�/ ,1dG �y/J13/;n /o7
CITY ATE ZIP FAX
)Z°6 �- 941--r-- / (z s3 ) 8-ip 3 '4 (
NAME ,,, PRIMARY PHONE
//21761t! e'�,, ac,� '-i 5j1-u ( ) 778f- y4Z Y
MAILING ADDRESS E-MAIL
ELECTRICAL /6igi30 134/' P L t
CONTRACTOR CITY STATE ZIP FAX
N €tA(nsh-' 0/4- qu/07 ( )
WA STATE CONTRACTOR'S LICENSE 4 EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 9
NAME � PRIMARY PHONE
APPLICANT d ()i "` ( ') Yl Z Z Z I
MAILING ADDRESS E-MAIL
. T I 3 0€S14 4 1 Gt f ji-)' nls'. L'e� es7 /1/-6)Ile fi'"/ roti
CITY STATE ZIP FAX
604b4,,,, 0,, 4 s-/ G 6 (Tot') 9.3e- o/'
NAME PRIMARY PHONE
PROJECT CONTACT eizfr,r,
�{�// ( 264 6/ Z Z Z-)
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 Iaws.
I further agree to hold harmless the City of Feder• Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of su• laim),which ay be made by any person,including the undersigned,and filed against the city,
but only where such claim ari o t of the e•• e of the city, including its officers and employees, upon the accuracy of the
information supplied to the city •. /'part oft i- • .•lication.
SIGNATURE:• / -70
,„L ” DATE 3 /3
PRINT NAME: s Irl )I-c l�`j P
Bulletin#160-January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application