02-102542City of Federal Way Building
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
0
- Commercial Permit #:02 -102542 - 00 - CO
Project Name: INSTITUTE FOR FAMILY DEVELOPMENT
Project Address: 3400416TH S Suite200
Inspection request line: 253.835.3050
Parcel Number: 390380 0160
Project Description: TI - Demo exisitng partitions, construct new partitions, lighting changes and ceiling tiles. Project also
includes ducting. No HVAC units, no plumbing.
Owner
Applicant
Contractor
Lender
R:ickney D Brown
GARY OWEN DESIGNS, INC. *GAR
TCI INC.
BANK OF AMERICA
34004 16TH AVE S #200
4002 26TH AVE W
TCIIN**07700 9/7/03
800 5TH AVE
FEDERAL WAY WA
SEATTLE WA 98199
400 108TH AVE NE SUITE 210
SEATTLE WA
98003-8951
1
BELLEVUE WA 98004
Includes:
Census category. 437 - Comm
#1 #2
#3
#4
Occupancy Group:
B
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
4133
2nd Floor Proposed Sq. Feet................................4133
Fire Sprinklers ................................................. No
Census Category ........................... I............ ........ 437 - Commercial alt/add
Mechanical ...............: � 11. 4 Yeas 4'
Number of Stories................................................2 Permit for Building Shell Only ............................ No
Plumbing ................................................. No Total Proposed Sq. Feet ....................................... 4133
_ Will Certificate of Occupancy be Issued? ............ Yes Zoning Designation ............................................. BC
Mechanical Fixtures
Deseri .tion
Quanti" Description, Quanti Description anti
Ducts ��
CONDITIONS:
All new and refaced signs require a separate sign application and review. (FWCC, Sec. 22-335(g)(6))
PERMIT EXPIRES December 15, 2002, IF NO WORK IS STARTED.
Permit issued on June 18, 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 wi the laws, rules and regulations of the State of Washington and
the City of Federal Way. j
Owner or agent: � P y r Date: P too
d-
0
r t
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 Cjjy staff.
Tenant Name: INSTITUTE FOR FAMILY DEVELOI Permit number: 02 -102542 - 00
Address: 34004 16TH S Suite200
Owner Rickney D Brown
Name: 34004 16TH AVE S #200
Address: FEDERAL WAY WA
98003-8951
)WL neaeR.t, cdo
Building Official
Date
The priorityfocus 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 isand 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.
0
#1 #2
#3
#4
Occupancy Group:
B
_
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
4133
Owner Rickney D Brown
Name: 34004 16TH AVE S #200
Address: FEDERAL WAY WA
98003-8951
)WL neaeR.t, cdo
Building Official
Date
The priorityfocus 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 isand 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.
0
POST fVS CARD ON THE FRONT OF BUILDIN#
aryor,62_—
0 F_rTJ=Ft_ ING DIVISION
N Wo INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050 0
PERMIT #: 02 -102542 -00 -CO
OWNER'S NAME: Rickney D Brown
SITE ADDRESS: 3400416TH S Suite200
( ) FOOTINGS/SETBACKS () FOUNDATION WALL
A NO
DRAINAGE: Line Connection
( ) UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV
Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING.
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FRWDRAFTSTOPS
Roof Floor,
Ditch Cover
( ) FRAMING/FIRESTOPPING.
( ) INSULATION: Floors
' MUST BE APPROVj?,1i_PR__1___ AG �OR,$�T
ORTO,
Walls Attic
OVF
WALLBOARD NAILING _;;j�7- �-3,0 SUSPENDED CEILING _g5
—6-0-6- �Wb§g_ OJ*' 'TILE
ST BE APPR VF
ELECTRICAL FINAL
PLANNING FINAL
( ) PUBLIC WORKS FINAL
FIRE
BUILDING FINAL
AO NOT QCCUPY THIS BUILDING UNTIL BUILDING FINAL TS APPROVED
i
FIECPJED
«nom — LUNSTRUCTION PERMIT APPLICATION
ME �� JUN 18 2002 CATION NUMBER:
PLICATION NUMBER: - _
oily
UoLp EDERALNG DEP WAS PLtCA?ION NUMBER:
W _ -
folkmft is required infornuatlon - Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systema and Engineering permits may require a separate application. (I Go -q
PROPERTY IN• • •
344 1 �� • 5.
SITE ADDRESS: F L O G mm- W h'(T x 91 m j ASSESSOR'S TAX/PARCEL #: 3� b� a D - O 1 (p O
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
SEC: k17 ACC -Irl crI-) C XIrl 19 i i " A 11
■ PROJECT INFORMATION I
TYPE OF PROTECT (This application): iQ BUILDING o PLUMBING o MECHANICAL o DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING o FIRE PREVENTION SYSTEM
PRwwr DESCRIPTION (Provide detailed desowion): "t t lJ kr ti1"C 51EQ 11 D r - L bb Z.
PROJECT NAME: i Q3 t lQ �G 2 r, A IM % L, ,'? DE 11 LrLD%? M >F)6 (
PEOPLE•- •
PROPERTY OWNER:
CONTRACTOR:
APPLICANT.
NAME: DAYME PHONE:
_! NSrITu (E Fo%- F A tM1 ll.`( ?gV JL,D9PA e* (Z53) o14,- 3630
MAILING ADDRESS (STREET ADDRESS; CRY, STATE, ZIP):
333 (LD S i . , 57Z . ZOO , Fcw D MArL w Wfl UL)A. 9 S 003
N
T G i lNG
DAYTIME PHONE:
NS5) t9i4- -6310
MAILING ADDRESS (STREET ADDRESS; CRY, STATE, ZIP):
EVENING PHONE:
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
b i_
— — _
FAX NUMBER:
454- 53Z'
CONTRACTORS REGISTRATION NUMBER:
T
L 0
EXPIRATION DATE:
107 1 Zoo
(Copy of Card reWkeo
NAME: DAYTIME PHONE:
. � 0 (ZO& )'352. - z.575
MAILING ADDRESS (STREET ADDRESS; CRY, STATE, ZIP): EVENING PHONE:
Dd 2(0 ''4 hJ e . Lk). X199 (Zpb ) 7,S4,- 51-27
RELATIONSHIP TO PROJECT: I FAX NUMBER:
❑ ARCHITECT ❑ TENANT *OTHER ( DESCRIBE): t2rGi1 b 6 J ACL (Zo(p)
LL)
CONTACT PERSON FOR THIS PROTECT: o PROPERTY OWNER p(APPLiCANT ❑ CONTRACTOR I O G Q 5 i q rP 14 W ! 1 U1 _ -
E)QSTING USE: D 1? l cz EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ I - Z 5 "I Ud D hs
PROPOSED USE: (-2 L,E PROPOSED VAWATION FOR IMPROVEMENTS: gT D o 8 , em
SPRINKLEERED BUILDING? o YES ¢i NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES R(NO
WATER SERVICE PROVIDER: sUAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL)
SEWElt SERVICE PROVIDER: 4(L AK HAVEN o HIGHLINE o PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRU ONLY** lqw
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: S
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT _
FIRST
?�
`l `3
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
AIR HANDLING UNITS)
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLERS) GAS LOG(S) REFRIG. SYSTEM(S)
FAN(S) HOOD(S) WOODSTOVE(S)
FIREPLACE INSERTS) RANGE(S) MISC.
FURNACE(S)
GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
LAVATORY(S)
RAINWATER SYS.
SHOWER(S)
SINKS)
SUMP(S)
URINAL(S)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
ITSCLATMER/STGNATURE BLC
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 knowledge, 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 pp ied to the city as a art of this application.
Pa G��.Y'0� C0 D eA W� 10L. � Z
NAME/TITLE: DATE: (0/
❑ PROPERTY OWNER PLICANT ❑ CONTRACTOR
ECU
YV9bI.ON❑SAL(ERATI_ONtEPI_%Et�fTENAMiMP,tOafEMENT
~ _ ��`�i0 _ tYSHI_P `-�RANCiE-'�:�{_� EWs�A'�D 5����IRE�D�•_• _ � E�.S�. � 1 �O - -
._.ta D oi?�' �Cl ids bio==__, =r -i n CHA GE
OOMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063.9718.253.661-4000 • FAX: 253-661-4129
www&*zoffedc 1way cocn
#strucUon Permit, Fee Calculat* Sheet
*******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.
TABLE A
TOTAL VALUATION
FEE FACTOR
(1) $1.00 to $500.00
(1) $26.00
(2) $501.00 to $2,000.00
(2) $26.00 for the first $500.00 plus X50 for each adatkim1S100.DYJor
fraction thereof, to and including
$2,000.00
(3) $2,001.00 to $25,000.00
(3) $78.50 for the first $2,000.00 plus 5115.50 for each adddlonal51.000.00or fraction thereof, to and
including $25,000.00
(4) $25,001.00 to $50,000.00
(4) $435.00 for the first $25,000.00 plus S11.00 for eadh addit9onal
SLO00.D0 or faction thereof to and
including $50A00-00-
(5) $50,001.00 to $100,000.00
(5) $710.00 for the first $50,000.00 plus $8.00 for each additlonal
SI,000.QO or fraction thereof to and
Including $100,000.00.
(6) $100,001.00 to $5WAM.00
(6) $1,110.00 for the first $100,000.00 plus 56.00 for each additional
11,000.010 or fraction thereof to and
kxWt hg $500,000.00
m $500,001.00 to $1,000,000.00
(7) $3,510.00 for the fist $500,000.00 plus X50 for eaofi additional
SIXW 00 or fraction thereof, to and
including $1,000,000.00.
(8) $1,000,001.00 and up
(8) $6,260.00 for the first $1,000,000.00 plus 54.00 for each
adddionaf S1.0K.OOor faction thereof.
Bold number is the base fee for the specified Increment
ItaCdzed. undemjanumberis the fee veraddrlional specified
Increment
PLUS: Add 65 percent of the base building permit fee for plan review fee.
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 District #39 surcharge, eommerdai only.
Add $4.50 for WA State Building Code Council, plus $2.00 per unit for duplex & above.
** Electrical, plumbing, and mechanical fees are calculated separately **
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee:
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMEMAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a) Base Fee:
(b) Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (S)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (6)
■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
Estimated Plan Review Fee: (7)
N PLUMBING
Base Fee Numba oft O*Kes
$22-50+( X $8.00/fixture} _ (8) Estimated Permit Fee
Minawl Pema ree
X .65 = (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)
Sub Tota( (page one): Une(s)(1)+(2)+(3)+(4)+(S)+(6)+(7)+(8)+(9)+(10) = (11)