02-100504City of Fc6ial Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
4W-1 I D n
Building - Commercial Permit #:02 -100504 —90' (--,o
Inspection request line: 253.835.3050
Project Name: TAB NORTHWEST
Project Address: 3340013TH S Parcel Number: 768190 0045
Project Description: TI - Interior work to finish office space and create new break area. Includes plumbing. Mechanical on
separate permit.
Owner
Applicant
Contractor
Lender
A Richard Panowicz
SUNRISE CONSTRUCTION INC
SUNRISE CONSTRUCTION INC
SUNRISE CONSTRUCTION INC
4040 SUNSET BEACH DR NW
309 STATE NE
SUNRICI084134 (3/24/02)
309 STATE NE
OLYMPIA WA
OLYMPIA WA 98501
309 STATE NE
OLYMPIA WA 98501
98502-3545
OLYMPIA WA 98501
Includes:
Census category. 437 - Comm
#1
#2 #3 #4
Occupancy Group:
B
S-2
Construction Type:
Type V - N
Type V - N
Occupancy Load:
49
3
Floor Area (Sq. Ft.):
2793
690
Census Category ................................................. 437 - Commercial alt/add Fire Sprinklers................................................. No
Mechanical ................................................. No Number of Stories.............
Permit for Building Shell Only ............................ No Plumbing ................................................. Yes
Will Certificate of Occupancy be Issued? ............ Yes Zoning Designation ............................................. BC
Plumbing Fixtures
< :�ciaptiort Q,u"..anti Descri tion. Quaritl Dserihtton .w .°. Qcaarlti
( Dishwashers 1 Sinks
CONDITIONS:
1. A separate business license application for the tenant must be filed with the City of Federal Way City Clerk prior to final
inspection.
2. All new and refaced signs require a separate sign application and review. (FWCC, Sec. 22-335(g)(6)).
3. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the
subject proposal.
PERMIT EXPIRES September 28, 2002, IF NO WORK IS STARTED.
Permit issued on April 1, 2002
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: M-7 Date: 0 L
, y
, r � � , • s
City of Federal Way �.
,
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform 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: TAB NORTHWEST
Address: 33400 13TH S
Permit number: 02 - 100504 - 00
Owner A Richard Panowicz
Name: 4040 SUNSET BEACH DR NW
Address: OLYMPIA WA
98502-3545
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.
#1
#2 #3 #4
Occupancy Group:
B
S-2
Construction Type:
Type V - N
Type V - N
Occupancy Load:
49
3
Floor Area (Sq. Ft.):
2793
690
Owner A Richard Panowicz
Name: 4040 SUNSET BEACH DR NW
Address: OLYMPIA WA
98502-3545
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.
PQ# THIS CARD ON THE FRONT OF BUIL G
�aff
,.�t__ ! B DING DIVISION
JWE,JuV FAY INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 02 -100504 -00 -CO
OWNER'S NAME: A Richard Panowicz
SITE ADDRESS: 3340013TH S
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
( ) DRAINAGE: Line
( ) Connection
OT.POITR SLAB UNTIL: TDE ABOVE, S APPROVED : 4;
() UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV lel"f--Q Z,, G k- ) Water piping y-r�j " O Z c -
O ROUGH M1 CHANICAL Gas piping
( ) SHEATHING
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
Roof
Ditch Cover
Floor
.L`TIM bVE, MUST BE APPROVEDPRIQR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPING W,
ABO.VE_MUST, BrE APPROVED PRIOR TO INSULATING,O SHEE — :---- G-
() INSULATION: Floors Walls ' 0 Attic
( ) WALLBOARD NAILING
( ) SUSPENDED CEILING
_ ';:°4':; .; TRS A$OVE MUSTS APPROVED PRIOR T,O.TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL
() FIRE FINAL
-THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL
DO NO'S OCCUPY THIS BUII:DING UNTIL BUILDING PENAL IS APPROVED
&ECEIVED CONSTRAON PERMIT APPLICATION
EDE_tAPPLICATION NUMBER: - __ __ -
uv � FEB Q 12002 . - I:-"- _- - -
r y., :. _.
'
CITYOF FEDERAL WAY Mir
R���
**The foliotwhy rpqC, Pd Preformation -Please print (in ink) or type**
Please note: Electrical, Fre Prevention Systems and Engineering permits may require a separate application.
SITE ADDRESS: l OO 1 7' liCy_ _5; a ASSESSOR'S TAX/PARCEL #:-I to v I f Q - r% d I<r
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PR03ECT INFORMATI•
TYPE OF PROJECT (This application): �SUILDING XELUMBING 11 MECHANICAL 11 DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Prov(tde detailed description):
PROJECT NAME: T h
PROPERTY OWNER:
4
1
NAME: f DAYTIME PHONE:
�� o ` `�_ - A)Lt; DL,tC ► WA-
NAME:
�(4,,n
DAYYTIIM��cE,, PHONE:
�/
\/vG) -1
�
- �
MAILING ADDRESS ( DRESS; CITY, STA ZIP):
% � O .5U
EVENING PHONE:
\3b O ) �(.Sbas�
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
—
— — —
o)
- d
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION
EXPIRATION DATA
(copyofcata S Lt/tL �
---!; /Z
APPLICANT: NAME: I
MAILING ADDRESS (ST ADDRESS; CITY, STATE, ZIP):
RELATIONSHIP TO PROJECT:
❑ ARCHITECT ❑ TENANT "OTHER (DESCRIBE):_ (�
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT �KGONTRACTOR
EXISTING USE:
EXISTING BUILDING A(SSESSEDj/AReRAISD VALUATION
DAYTIME PHONE:
EVENING PHONE:
)
FAX NUMBER:
E-MAIL ADDRESS:
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS:��
SPRINKLERED BUILDING? ❑ YES )ELNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES IVO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 11 LAKEHAVEN 11 HIGHLINE 11 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
`LOTSIZE=
'SHELLONLY?== _❑ YES = '-, `NO
FIRST
O
A, 000
_NEIfV?ADDRESS REQUIRED? - - =_ = : ❑ YES.: 46
SECOND
-CHANGE OF SET-- _ " .= ❑.-YES .: = ❑ NO
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. t 1
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
k
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S)
DISHWASHER(S) RAINWATER SYS. VACUUM BREAKERS)
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) �_ SINK(S) WATER CLOSET(S)
INTERCEPTORS) SUMP(S)
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
MISC. ( )
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowiedge, and
further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of
Federal Way, 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.
2-
NAME/TITLE: e i D -S,DATE:
❑ PROPERTY OWNER El APPLICANT �60NTRACTOR
:tOROFFIC£ USE ONLY:':
- -Cts/'finAs=S- _ _ _
=C3 1:�.._ AOOITION = _ ALTERATION
__
_-"-�,_ — _ _
===tEPAIR .=__=_= TEIVANT-IMPROVEMENT-.=-=' "
`LOTSIZE=
'SHELLONLY?== _❑ YES = '-, `NO
MP UiNi IjEBIGIHATION -_ = _ = _-'
-_- =
BAS)G=PLAN?` ❑y5(> 5 =' - N O' =-=
OWIVSHIP i :_ RAtVGEQ ! "' .
_NEIfV?ADDRESS REQUIRED? - - =_ = : ❑ YES.: 46
; IATTFD`tOT?_"_'1❑ YES El NO
-CHANGE OF SET-- _ " .= ❑.-YES .: = ❑ NO
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129
Con ruction Permit Fee Calculationkeet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!*******
Building, mechanical, and fire prevention system fees are based on the following schedule.
PLUS:
TABLE A
TOTAL VALUATION
FEE FACTOR
(1) $1.00 to $500.00
'(1) $24.25
(2) $501.00 to $2,000.00
(2) $24.25 for the first $500.00 plus 53.27 for each additi ul $100.00
or fraction tthereof, to and including $2,000.00
(3) $2,001.00 to $25,000.00
(3) $71.46 for the first $2,000.00 plus $15.00 for eadh aaOrhbvra/51.000.ODor
Gacuon tliereof, to and khdudug
$25,000.00
(4) $25,001.0o to $50,000.00
(4) $403.61 for the first $25,000.00 plus PaR foreadh ada t nal
$1.000Lb or fraction tiherwf, to and kK ug
$50,000.00.
(5) $50,001.00 to $100,000.00
(5) $664.35 for the first $50,000.00 plus $7.50 for each aodi'Ilowl $1,000.00
or fraction ffiereof to and kKWing
$100,000.00.
(6) $100,001.00 to $500,000.00
(6) $4025.55 for the first $100,000.00 plus $600 kxeM addltiona151000
OO or fraction thereof, to and indudug
$500,000.00
M $500,001.00 to $1,000,000.00
(7) $3,337.23 for the fist $500,000.00 plus 55.091areaeh addldLOwSIA00.00or
fhaction thereof, to and tKdudug
$1,000.000.00.
(8) $1,000,001.00 and up
(8) $5,788.23 for the first $4000,000.00 plus 53.91 for each addi0owl
$1.00000 or fraction tihereof.
sold number is the Luse fee for the specified iaa ement
Italidred umferAired number Is [fie fee Per addldanafsuedried
Inarcment
Aad 65 percent of the base building permit tee.tor plan review tee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire D'LstYict #39 surcharge, commercial only.
Add $4.50 for WA State Building Code Council, plus $2.00 per unit for duplex & above.
,. PROPOSED VALUATION:
-'4
** Electrical, plumbing, and mechanical fees are calculated separately **
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
pp -PROPOSED VALUATION:
Estimated Permit Fee: (4)
Estimated Plan Review Fee-
■ 13UILDING
(a) Base Fee:
(b) Additional Increment Fee:
(a) Base Fee:
(b) Additional Increment Fee:
:.,- .: ■ FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
Base Fee Number of Fochups
$21.00+( X $7.00/fixture} _ (8) Estimated Permit Fee
Estimated Permit Fee
X .65 =
Miscellaneous Fixture Charge: (10)
Sub Total (Pageooe): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)
1�
(9) Estimated Plan Review Fee