05-100711City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-7000 Fax: (253) 835-2609
Building - Commercial Permit #: 05 -100711 - 01 - CO
• Inspection request line: (253) 835-3050
Project Name: KIMBALL - TI VACANT RETAIL (SUITE B2)
Project Address: 32411 PACIFIC HWY S SuiteB-2 Parcel Number: 150050 0150
Project Description: TI - Interior remodel to create accessible restrooms in existing retail space. Previous tenants shared
with Suite C tenants. No plumbing, mechanical, or electrical work allowed under this permit.
REVISED to relocate restroom; construct demising wall to
Owner
Applicant
Contractor
Lender
William R Kimball
CONNELL DESIGN GROUP *'
BOYCE CONSTRUCTION INC.
William R Kimball
PO BOX 26867
22002 64TH AVE W
1�itimEtorof S ies.. ........ ......... ........'...1:
PO BOX 26867
SAN FRANCISCO CA 94126-6867
MOUNTLAKE TERRACE WA 9802
270 S HANFORD ST SUITE 109
SAN FRANCISCO CA 94126-6867
Special Inspection Required ................................
No
FEDERAL WAY WA 98134
No
Includes:
Census category: 437 - Comm #1
#2
#3 #4
Occupancy Group: M
Census Category ., .........,..,
—
JI
Construction. Type: Type III -IV, s rinklered
I 0
Mechanical ........ .........`
Occupancy Load:
1�itimEtorof S ies.. ........ ......... ........'...1:
Floor Area . Fit.): 3017
No
Plumbing .................................................
1st Floor PrB#6kd Sq. Peet ..... .........................
3017
wilding:Pre-&on. Meeting -Required .. ...,......I
Census Category ., .........,..,
A37 - Commercial alt/add
Fire Spnnklers...... .••••
I 0
Mechanical ........ .........`
No
1�itimEtorof S ies.. ........ ......... ........'...1:
Permit for Building Shell Only ............................
No
Plumbing .................................................
No
Special Inspection Required ................................
No
Will Certificate of Occupancy be Issued? ............
No
Zoning Designation .............................................
BC
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the
subject proposal.
PERMIT EXPIRES January 28, 2006.
Permit issued on August 1, 2005
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
Owner or agent: V,4 Date: u 15I f ;? 16/"'r i
—
THIS CARD IS TO 0MAIN ON-SITE
ommunit3Development Inspection Record
CITY
,
Federal Way SVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05 -100711 -01 -CO
Owner: WILLIAM R KIMBALL
Address: 32411 PACIFIC HWY S Suite B-2
FEDERAL WAY, WA 98003-8546
This card is part of your required inspection documents. 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.
❑
Footings/Setback (4110)
❑
Foundation Wall (4115)
❑ Drainage/Downspout (4040)
Approved to place concrete
Approved to place concrete
Approved to backfill
By
Date
By
Date
By Date
❑
❑
Re -steel (4215)
Plumbing Groundwork (4190)
❑ Slab/Concrete Floor (4255)
Approved to place concrete or grout
Approved to cover
Approved to place concrete
By
Date
By
Date
By Date
❑
❑
Underfloor Framing (4285)
Floor Sheathing (4105)
❑ Shear Walls (4245)
Approved to sheath floor
Approved to install flooring
Approved to install siding
By
Date
By
Date
By Date
❑ Roof Sheathing (4220)
❑ Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
Approved to install roofing
Approved
inspection; Electrical, Plumbing & Mechanical
By
Date
By
Date
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 108.5.4
%
❑
❑
Framing (4120)
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
�j� Date
By
/ `f Date Ir IJAL
By Date
❑
❑
Suspended Ceiling Grid (4265)
Final - Fire Department (4060)
❑ Final - Planning (4070)
Approved to drop tile
Approved
Approved
By
%❑
Date / �Q�
By
Date
By Date
❑
Final - Public Works (4080)
Final - Building (4050)
Approved
Approved
By
Date
By
Date
RECEIVED
CITY O.
Federal Way FEB 1 5 21DERMIT
COMMUNITY DEVELOPMENT SERVICES
3332FEDERAAVENUE SOUTH 98063 sox 971�ITBOF U1`DI� i�I CATI O N
FEDERAL WAY, WA 98063-9718
253-835-2607• FAL 253-835.2609
www. cituo(federalwau. con,
`yiTW�ff RniriT[�3
SITE ADDRESS
not be
• 1k 3
-25-7-1QcL 2 -L L-
SF MF QOIIF EL ® DE EN FP
D / /
ited. Please print leaiblu /in ink) or tune.
SUITE/UNIT k Y7
ASSESSOR'S TAX/PARCEL N -Av 0 l S LOT SIZE (sj)y '1 i "1 '10- SF
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) `.Jka. 7 -
(Attach separate page for lengthy legal description)
PROJECT• •
TYPE OF PERMIT O'SUILDING 24LUMBING &-MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
PROPERTY
OWNER
r CONTRACTOR
i T)
APPLICANT
CONTACT
LENDER
kl#
sttk
AME PRIMARY PHO
K %4bd-t( l�:�u �, (au- �, 9N72- `19? 1
AILING ADDRE S CITY, STATE, ZIPLLJA
Lit
fitl_e
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CELL PHONE
-
( )
B L
CONTRACTORS REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
COMPANY NAME
C4 v+,+ ,kU Nz i
C
APPLICANT NAME
VL�:5c ) I'
OFFICE PHONE
( {IS-) 407U - 6"'706I
MAILING ADDRESS
220
CITY, STATE, ZIP
CELL PHONE
-
RELATIONSHIP TO PROJECT
(Architect ❑ Tenant ❑ Agent ❑ Other (Describe)
FAX NUMBER
(qZ S) 7-7q J 2 1 7
EXISTING USE Iyl {1il.il PROPOSED USE /V-
Aaj
EXISTING ASSESSED/APPRAISED VALUE $ I a S aKi i VALUE OF PROPOSED WORK $ / D0 0
SPRINKLERED BUILDING? ❑ YES y NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ,(NO
WATER SERVICE PROVIDER f!i LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE ISEPTICI
�t
r C&IJ
BASEMENT
FIRST
SECOND
AREA DESCRIPTION
— ) J i4.
FOURTH
ADDITIONAL FLOORS (DESCRIBE) A1,4
DECK (COVERED?) Jai n
GARAGE ❑ CARPORT ❑ V 4
5W)811:4Ztel92W W9041
TING PROPOSED I TOTAL
FT. I SO. FT. SO. FT.
I"NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ &J -i
type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to
MECHAMCAL
Value of Mechanical Work $ ad d
AIR HANDLING UNITS
EVAPORATI OOLERS
GS
G. SYSTEMS
7-
BBQS
FANS
HOODS(Commercial)
W ODSTOVES
BOILERS
FIREPLACE I E RAN E
SC (Describe)
COMPRESSORS
FURNACE
G T HEATERS
DUCTS
pLUi�l11 * "Pt" ca•+ w 4
G PE OUTLETS
vav i�c. +r; ser d, a�,raw-
ve.��C, p [�.w 6: �
frn•. �v e✓ .
BATHTUBS (or Tib/ rCombo)
SHOWERS
TER CLOSETS (Tolley
MISC (Describe)
DISHW
SINKS
DRINKING FOUNTAINS
PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom sinks(
VACUUM BREAKERS
ELECTRIC WATER HEATERS
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 authorised 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 clatml, which may be made by any person, including the undersigned, and flied 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. t
NAME/TITLE DATE
(Signature( (Title(
RELATIONSHIP TO PROJECT ❑ Owner ❑ Ag nt ❑ Contractor Architect ❑ Other
Bulletin #100 — January 7, 2005 Page 2 of 4 k\Handouts\Permit Application