06-10270316 deral Way
unity evelopmentS B - mercial Permik 06-102703-00-1:0
Community Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: FERGUSON XPRESS
Project Address: 32411 PACIFIC HWY S Suite A-2
Project Description: TI - installation of metal racking.
Parcel Number: 150050 0150
Owner
Applicant
Contractor
Lender
WILLIAM R KIMBALL
NICK MERTENS
WILLIAM KIMBALL
PO BOX 26867
FERGUSON ENTERPRISES INC
FERGUSON ENTERPRISES INC
SAN FRANCISCO CA 94126-6867
P.O. BOX 26867
SAN FRANCISCO CA 94126-6867
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
-Occupancy Load:
Floor, Areas . ft. 0 1 0 1 0 1 0
ditio l rmi Inform
Mechanical to be Included?................................te
.a ai, ':'° Number
��
Permit for Building Shell O nly9.......... .... _ � o � Plumb'
m
ation
dz
of Stories ..1
g to be Included?....
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Monday, June 2, 2008
Permit Issued on Friday, June 2, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u will be in accordance with the laws, rules and regulations of the State of Washington
and t e Ci of Feder I Way. G
Owner or agent: Date:
THIS CARD IS TOMPAIN ON-SITE
tY pmnt
ary CF 1kommuni Develo Inspection Ricord
Federal ay IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06 -102703 -00 -CO
Owner: WILLIAM R KIMBALL
Address: 32411 PACIFIC HWY S Suite A-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)
❑
❑
Re -steel (4215)
Slab/Concrete Floor (4255)
Approved to place concrete
Approved to place concrete or grout
Approved to place concrete
By Date
By
Date
By
Date
❑
❑ Underfloor Framing (4285)
❑
Floor Sheathing (4105)
Fire/Draft Stops (4095)
Approved to sheath floor
Approved to install flooring
Approved
By Date
By
Date
By
Date
Prior to scheduling a Framing (4120)
❑
❑
Framing (4120)
Insulation (4150)
n; Electrical, Plumbing & Mechanical
Fouh-in
Approved to insulate
Approved to install wallboard
and Fire/Draft Stop inspections must be
nd approved. IBC 109.3.4/UBC 108.5.4
By
Date
By
Date
❑
❑ Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
Final - Fire Department (4060)
Approved to install mud & tape
Approved to drop tile
Approved
By Date
By
Date
By
Date
❑ Final - Planning (4070)
❑
Final - Building (4050)
Approved
Approved
By Date
By
Datev
Federal Way MA`s
PERMIT
COK WnntYnsyscoPMWSSRVECES
33345 AVENUE sourti • ro Bo1(�y OF FEDE
6o; F�"zs33 z' !eu,wIN� CNIRLI CATI O N
wwwdtw(kdemtww u. camW
-7v3
SF MF O ME EL PL DE EN FP
rG / (%4 legAi
The following is fired in formation - an inco fete a Ucation will not be acce ted. Please rint Ie n {n or
PROPERTY INFORMATION
SITE ADDRESS 31?0&/ice/G �lwr Ott r� �' L L� 3 SUITE/UNIT i ,,
ASSESSOR'S TAX/PARCEL i Q Q - L
+
LOT SIZE (st) 3 O
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT•• •
TYPE OF PERMITBU
❑ILDING . ❑ PLUMBING ❑ MECHANICALL
DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlvl
PAcV 4! - � Ti9L
PROJECT NAME (Name of Business or Owner Last Name)li
PEOPLE•- •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
/ N yQ/'✓L/ L C.r'F
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
OFFICE PHONE
r v ���
MAILING A13DRESS
CITY, STATE, ZIP
CELL PHONE
-,7-7,04>
MAILING ADDRESS
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EX RATION DAT
FAX NUMBER
— — — —
n
CONTRACTORS REGISTRATION NUMBER Icopy of card required with each appUcatlon) EXPIRATION DATE
><
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
r v ���
i�
�✓�„� ,E /
(dam l7,1, 7
-,7-7,04>
MAILING ADDRESS
CITY, STATE, ZIP c�!/�3
CELL PHONE
n
1,5�-
.'
RELATIONSHIP TO PROJECT
FAX NUMBER
O Architect O Tenant ❑ Agent
❑ Other (Describe)
(
-�
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK $ IC 600
SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER O LAKEHAVEN O HIGHLINE ❑ TACOMA O PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE ISEPTICI
0 0
AREA DESC WON
EXISTING
SQ. FT.
PROPOSED
SQ. FT.. a
TOTAL
SQ. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS �o eso.oeso "YrAr.
'*NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part
n IEL21AXIGAL
Value of Mechanical Work $
AIR HANDLING UMTS
BBQS
BOILERS
COMPRESSORS
.DUCTS _--
BATHTUBS (.T b/Shower C. W
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS p.&. s;ok4
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS PIPE OUTLETS
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
not
GAS LOGS
HOODS (commerci.q
RANGES
OAS WATER HEATERS
WATER CLOSETS (ro&q _
DRINKING FOUNTAINS
RAINWATER SYST
HOSE BIBBS
ELECTRIC WATER HEATERS
to
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
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 clam, 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, in ding i o cera and employees, upon the accuracy of the information supplied to the city as apart of
this application.
NAME/TITLE DATE Ste- 3tJ
plgnatu (title)
RELATIONSHIP TO ECTq er ❑ Agent 0 Contractor ❑ Architect iiOther
Bulletin #T& --,",January i, 2006 Page 2 of 4 Mandouts\Pertnit Application
41k
CITY OF
Federal Way
'r, � % ". 0
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
RECEIVED 33325 8`h Avenue South
PO Box 9718
Federal Way WA 98063-9718
MAY 3 2006 253-835-2607; Fax 253-835-2609
www.cityoffederalway.com
CITY OF FEDERAL W
BUILDING DEPT. AY
Affidavit in Lieu of General Contractor Registration
State of Washington
County of King
I, W�, A , state as follows:
(Print name as signed)
I have made application. for a building permit from the City of Federal Way, Washington.
2. I understand that state law requires that all building construction contractors be registered with the
State of Washington. The exceptions to this requirement are stated under Section 18.27.090 of the
Revised Code of Washington (RCW), a copy of which is printed on the reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work that is to be done by any contractor,
the City of Federal Way must verify either that the contractor is registered by the State of
Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Federal Way of my compliance with this requirement, I
hereby attest that after reading the exemptions from the registration requirement of RCW 18.27.090, I
consider the work authorized under this building permit to be exempt under No.and will
therefore, not be performed by a registered contractor.
I understand that I may be waiving certain riQhts that I might otherwise have under state law in any
decision to engage an unrsteredXn or to perform construction work.
,ei
Signed and sworn to before me this
.5'l) Day of A
W,
's l� (Print)
otary's Signature
NoTARY PUBLIC in and for the State of
t
Washington, residing at ` County
My Commission expires: `1
Bulletin # 116 — October 1, 2004 Page 1 of 2 k:\Handouts\Contractor's Affidavit
0 i
Revised Code of Washington
18.27.090 Exemptions. The registration provisions of this chapter do not apply to:
1)
2)
3)
4)
5)
6)
7)
8)
9)
10)
An authorized representative of the United States
government, the state of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
Officers of a court when they are acting within the scope
of their office;
Public utilities operating under the regulations of the
utilities and transportation commission in construction,
maintenance, or development work incidental to their
own business;
Any construction, repair, or operation incidental to the
discovering or producing of petroleum or gas, or the
drilling, testing, abandoning, or other operation of any
petroleum or gas well or any surface or underground
mine or mineral deposit when performed by an owner or
lessee;
The sale or installation of any finished products,
materials, or articles of merchandise that are not actually
fabricated into and do not become a permanent fixed
part of a structure;
Any construction, alteration, improvement, or repair of
personal property performed by the registered or legal
owner, or by a mobile/manufactured home retail dealer
or manufacturer licensed under chapter 46.70 RCW who
shall warranty service and repairs under chapter 46.70
RCW;
Any construction, alteration, improvement, or repair
carried on within the limits and boundaries of any site or
reservation under the legal jurisdiction of the federal
government;
Any person who only furnished materials, supplies, or
equipment without fabricating them into, or consuming
them in the performance of, the work of the contractor;
Any work or operation on one undertaking or project by
one or more contracts, the aggregate contract price of
which for labor and materials and all other items is less
than five hundred dollars, such work or operations being
considered as of a casual, minor, or inconsequential
nature. The exemption prescribed in this subsection does
not apply in any instance wherein the work or
construction is only a part of a larger or major operation,
whether undertaken by the same or a different
contractor, or in which a division of the operation is
made into contracts of amounts less than five hundred
dollars for the purpose of evasion of this chapter or
otherwise. The exemption prescribed in this subsection
does not apply to a person who advertises or puts out
any sign or card or other device which might indicate to
the public that he or she is a contractor, or that he or she
is qualified to engage in the business of contractor;
Any construction or operation incidental to the
construction and repair of irrigation and drainage ditches
of regularly constituted irrigation districts or reclamation
districts; or to farming, dairying, agriculture, viticulture,
horticulture, or stock or poultry raising; or to clearing or
other work upon land in rural districts for fire prevention
purposes; except when any .of the above work is
performed by a registered contractor;
11) An owner who contracts for a project with a registered
contractor, except that this exemption shall not deprive
the owner of the protections of this chapter against
registered and unregistered contractors;
12) Any person working on his or her own property, whether
occupied by him or her or not, and any person working
on his or her personal residence, whether owned by him
or her or not but this exemption shall not apply to any
person otherwise covered by this chapter who constructs
an improvement on his or her own property with the
intention and for the purpose of selling the improved
property;
13) Owners of commercial properties who use their own
employees to do maintenance, repair, and alteration
work in or upon their own properties;
14) A licensed architect or civil or professional engineer
acting solely in his or her professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of the
state of Washington or licensed by a political
subdivision of the state of Washington while operating
within the boundaries of such political subdivision. The
exemption provided in this subsection is applicable only
when the licensee is operating within the scope of his or
her license;
15) Any person who engages in the activities herein
regulated as an employee of a registered contractor with
wages as his or her sole compensation or as an employee
with wages as his or her sole compensation;
16) Contractors on highway projects who have been
prequalified as required by RCW 47.28.070, with the
department of transportation to perform highway
construction, reconstruction, or maintenance work;
17) A mobile/manufactured home dealer or manufacturer
who subcontracts the installation, set-up, or repair work
to actively registered contractors. This exemption only
applies to the installation, set-up, or repair of the
mobile/manufactured homes that were manufactured or
sold by the mobile/manufactured home dealer or
manufacturer;
18) An entity who holds a valid electrical contractor's
license under chapter 19.28 RCW that employs a
certified journeyman electrician, a certified residential
specialty electrician, or an electrical trainee meeting the
requirements of chapter 19.28 RCW to perform
plumbing work that is incidentally, directly, and
immediately appropriate to the like -in-kind replacement
of a household appliance or other small household
utilization equipment that requires limited electric power
and limited waste and/or water connections. An
electrical trainee must be supervised by a certified
electrician while performing plumbing work.
Bulletin # 116 — October 1, 2004 Page 2 of 2 k:\Handouts\Contractor's Affidavit