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11-101639leiL wilding - Commercial City of Federal Way Community Development Services Permit #. 11 —101 639-00—CO P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 ILE Inspection Request Line: (253 ) 835-3050 Project Name: CAMPUS POINTE BUILDING C Project Address: 33507 9TH AVE S Bldg C Parcel Number: 132185 0030 Project Description: REM - "Soft" demolition of sheetrock and insulation preparatory to tenant improvements. Owner Applicant Contractor Lender G 10 S, LLC PATRIOT GENERAL PATRIOT GENERAL 33507 9TH AVE S CONTRACTING INC CONTRACTING INC FEDERAL WAY WA 98003 PO BOX 857 PATRIGC898134 (1/11/12) AUBURN WA 98071 PO BOX 857 AUBURN WA 98071 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Areas . ft. 0 0 0 0 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 PERMIT EXPIRES Wednesday, October 26, 2011 Permit Issued on Friday, April 29, 2011 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 ..atld the City of Federal Way. Owner or agent: Date: lZ �l I F mop mku;� 7/1//1 (l —dol CcS % CiTY OF vz&�; Federal Way THIS CARD IS TO MAIN ON-SITE Construction I ection Record INSPECTION REQUE TS: (253) 835-3050 PERMIT #: 11 -101639 -00 -CO Address: 33507 9TH AVE S Bldg C Project: G 10 S, LLC 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. Slab/Concrete Floor (4255) Approved to place concrete By Date Underfloor Framing (4285) Approved to sheath floor By Date Floor Sheathing (4105) Approved to install flooring By Date SWM Precon Site Mtg (4400)Initial Roof Sheathing (4220) Erosion Control (4365) E]Footings/Setback (4110) E] Approved By To be done prior to breaking ground By Approved to place concrete By Date By Date By Date Slab/Concrete Floor (4255) Approved to place concrete By Date Underfloor Framing (4285) Approved to sheath floor By Date Floor Sheathing (4105) Approved to install flooring By Date Foundation Wall (4115) Roof Sheathing (4220) ❑ Drainage/Downspout (4040) E] Re -steel (4215) By Approved to place concrete By Date Approved to backfill By Date Approved to place concrete or grout By Date By Date Interim Erosion Control (4370) By Date Slab/Concrete Floor (4255) Approved to place concrete By Date Underfloor Framing (4285) Approved to sheath floor By Date Floor Sheathing (4105) Approved to install flooring By Date Shear Walls (4245) Roof Sheathing (4220) ❑ Fire/Draft Stops (4095) Approved to install siding Approved to install roofing By Approved By Date By Date By Date Date Interim Erosion Control (4370) Framing 4120 g ( ) Prior to scheduling a Framing inspection; Approved Electrical, Plumbing & Mechanical Rough -in and Approved to insulate By Date Fire/Draft Stop inspections must be signed -off and By Date approved. IBC 109.3.4 Insulation (4150) Gypsum Wallboard Nailing (4130) ❑ Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud & tape Approved to drop tile By Date By Date By Date Final -Fire Department (4060) Final Erosion Control (4375) ❑ Final - Building (4050) Approved Approved Approved By Date By Date By Date Rough Electrical Approved Final Electrical Approved 1:1Approved Right of Way By Date By Date By Date * ecevlell Federal 6V 9 TO SPERMIT COMMUNITY DEVELOPMENT 5-2609E'�,` A" L I C A T I O N 253-835-2607• FAX 253-835-2609 u!rcu.cits� r�iPinlwr;L»rrt t�{�l/ GEQ c _�/ 3 3 V �C CDS / CK /YY i 1- 2/ & 3? MF CO ME PL DE EN FP SITE ADDRESS F(f b f,�a� ` S bd � SUITE/UNIT N \' Z' (t PROJECT VALUATION ZONING TAR/PARCEL 9 JASSESSOR'S 3 S- 0 d 3 TYPE OF PERMIT DING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) A)I ry PROJECT DESCRIPTION Detailed description of work to fl �'i tr1 , D ! V► E CY �Ov (,il t4 (� $ be included on this permit only PROPERTY OWNER NAME r S LL PRIMARY PHONE ZS 3- %, � I � ZL7 MAILING ADDRESS �S b E-MAIL �-i�1L@�,Atte� �5 CITY C W ST T E=9,? V 3 NAME f a�ii�L �aL,-�-n PHONE - 2G 3- `11pv MAILING ADDRESS j 1-2' k �S7 E-MAIL r Ati @ R FrC.�0 6" c CONTRACTOR CITY AVLV"�' 1 STATE i ZIP,, 7) F7_53 - Z(8 - D 1k0 WA STATE CONTRACTOR'S LICENSE N K EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N 14T & ? B l t NAME PHONE Chi- AC MAILING ADDRESS E-MAIL APPLICANT CITY STATE ZIP FAX PROJECT CONTACT NAME � ;7 i 1 PHONE (The individual to receive and c} _� P h 1� I[ 2-53- 7-1-5- 1100 MAILING ADDRESS 'r- © k g5 E-MAIL 1n respond to all correspondence concerning this application) ' ( Arn4E �ythl,yCj C C . f v CITY vbvr.� i T J 'K ZD? 9 , FAX ALTERNATE CONTACT NAME: PHONE E-MAIL .Dov u,noV)4 Z'22' Z13 --110D PROJECT FINANCING NAME & los L Pj OWNER -FINANCED Required value of $5,000 or more -L -,- MAILING ADDRESS, CITY, STATE, ZIP P1, 3 -839- (. Zo (RCW 19.27.095) I cert(& under penalty of perjure,/ 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 wilt comply with an 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 to 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 this application. SIGNATURE: DATE U l PRINT NAME: Bulletin #100 -January 1, 2011 Pagel of 3 k:\Handouts\Permit Application ow -