07-101609 ;f
City of Federal Way
CommuntyDevelopment Services Bui ng - Commercial Perml : 07-101609-00-CO
P.O Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax.(253)835-2609 Inspection Request Line: (253)835-3050
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Project Name: OXFORD INTERNATIONAL
Project Address: 33320 9TH AVE S Suite 250 Parcel Number: 926501 0040
Project Description: TI-Interior renovations to include new partition walls,doors,relites& casework. No
plumbing or mechanical. Electrical work to be performed under separate permit.
Owner Applicant Contractor Lender
HAZELETT FAMILY LLC DANIELS CONSTRUCTION DANIELS CONSTRUCTION HAZELETT FAMILY LLC
14258 SE 270TH PL 5214 S FIFE ST DANIEC*OI 1 QD(2/6/2009) 14258 SE 270TH PL
KENT WA 98042 TACOMA WA 98409 5214 S FIFE ST KENT WA 98042
\ TACOMA WA 98409
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 56
Floor Area(sq.ft.) 5,649 0 0 0
!,-4‘ A�tl ,Itat= erli it I ormation. , ,
Existing Sprinkler System in Building? No Mechanical to be Included? No
Number of Stories 2 Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Professional Zoning Designation OP
Services/Offices
No Fixtures Associated With This Permit II
PERMIT EXPIRES Friday, May 8, 2009
Permit Issued on Tuesday, May 8, 2007
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 �///{'f'�it dp Date: dih 01
Ci of'Federal Way • 410
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: OXFORD INTERNATIONAL Permit#: 07-101609-00-CO
Address: 33320 9TH AVE S Suite250
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load 56
Floor Area(sq.ft.) 5,649 0 0 0
Owner Name: HAZELETT FAMILY LLC
Owner Address: 14258 SE 270TH PL
KENT WA 98042
Building Official to •
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 seventy 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.
JJ
414..., , THIS CARD IS TO MAIN ON-SITE . -'•
CITY OF ,0�, . tommunltY DevelopnWnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-101609-00-CO
Owner: HAZELETT FAMILY LLC
Address: 33320 9TH AVE S Suite 250
FEDERAL WAY, WA 98003
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.
0 Footings/Setback(4110) 0 Re-steel(4215) 0 Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date •
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0 Underfloor Framing(4285) ElFloor Sheathing(4105) ❑ Fire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
Framing(4120) Insulation 4150
NOTE: Prior to scheduling a Framing(4120) • 0 ❑ ( )
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
4 B . Date to .^O_67
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 _ Lij Date(9 -/2,7 By Date By Date
❑ Final-Planning(4070) ❑ Final-Building(4050)
Approved Approved
By Date By �5)' Date 7 j
4
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
... I - C-7 - i 0 I (10Q_9
. °°)
Federal Way C't AO ERMIT '
r COMMUNITY DEVELOPMENT SERVICES D .. SF MF CO ME EL PL DE EN FP
3332E D AVENUE LSWATH• BOX9718�P o ,,;� 'PLICATION T°
FEDERAL WAY, a 98063-9718 i / r / c);-
253-835-2607
•FAX 253-835-2609
z....1...
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urww.dltro(fedan8wan.am �rC ANG+•
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
' MI PROPERTY INFORMATION
SITE ADDRESS ? c3 Zt_,' 47Ati clij t\ SUITE/UNIT# 5, �5C
ASSESSOR'S TAX/PARCEL# q Z ( 5 C 1 - C2 C Z 1 07 LOT SIZE(4)13�b:n s,,, 64- a - sf ,N0� c-( V e,-1, eQ 1v. 2 La)- 1 k'-,S CC.
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 4. 10., Heti AJ . ei$I C)SI` � 'Pt�, ', SQ)17 11 CAil 5'-
(Attach separate page for lengthy legal description)
BU• PROJECT INFORMATION
TYPE OF PERMIT ILDING 0 PLUMBING 0 MECHANICAL
.
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING • - ' PREVENTION SYSTEM
PROJECT
DESCRIPTION(Provide detailed description o work included on this permit onlri)
7�m ra1�'"A�rt�isi.; —s-'---'1 4 - - ^ i.34) .�
_Tr , 0 -: y- o\l t- I
v- v !. e4i ca Le-T-1--L.: '''s
PROJECT NAME(Name of Business or Owner Last Name) IL) moirpirli reraummxter
V F OR b r APrERA7 or To 046_
• U PEOPLE INFORMATION
PROPERTY - NA _ / PRIMARY PHONE
OWNER rr/t Z e1 t 1T ria 1 U C ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
1‘.11Z59 5E z ry P) /i,1— t.)a ' E1 '
CONTRACTOR COMPANY N�E APPLICANT NAME � OFFICE PHONE -7
01v, L1 S ( vtS�kittlai-, I'tI,iiL4. I 4 u ,,,'. fs R.53 ) 341 -7167_
MAILING ADDRESS CITY,STA E,ZIP CELL PHONE
SZI1/41 . Fc S+ 'ila,t.,a 04 (18". 61 (753 ) .534 -C77CIZ
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
d.7—( (m1/ � ( -dd l2-3 ( -0-i ( ) -
CO!•1f o(ess�epa!»� CONTRACTOR'S REGIST TI NBER 02 At
N DATE E-MAIL
E-MAIL ADDRESS
wltt♦eseh grllcsttoa D t �. E` *c I I Cr`J V L/4 t/Z`v
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APPLICANT COM ANY NAME` APPLICANT NAME ` OFFICE PHONE
1Ael.,[ ' rsi ( )
MAI NG ADDRESS — ' CITY,STATE,ZIP - CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
0 Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT NAME I71. 01
PRIMARY PHONE E-MAIL ADDRESS
CONTACT F CIW
Lr.I 1. 01,,''1LI j f (7j3 ) 3`4 - " 761 Z
LENDER NAME Pt#rRCW ,
Lander information1927.095:Is required If prefect value exceeds$5,000
• MAILING ADDRESS CITY,STATE IP 6 PHONE
( ) -
• DETAILED BUILDING INFORMATION
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EXISTING USEPROPOSED USE •
EXISTING ASSESSED/APPRAISED VALUE $ • . _ VALUE OF PROPOSED WORK $ 5 L S 1 h'
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
SA. ,/6,te -- 5 c0 +0 Pb. -
AREA DESCRIPTIO EXISTING PROPOSED TOTAL
• SQ.FT: SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND '19 c; ci Cj
THIRD `1 1
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0 .
EXISTING PROPOSED TOTAL TOTAL EEISTINO SF TOTAL PROPOSED 1r TOTAL sr
NUMBER OF FLOORS
__**NEW HONES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ _
{
M FIXTURES i
Indicate nu er of each type offvdure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
\ Value of Mechan' l Wo $ - (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLI . •N)
AIR HANDLING UNITS- EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS S GAS WATER RS MISC(Describe)
BOILERS FIR' . CE INSERTS HOOD' ommerci,
COMPRESSORS FURNAC ' ' oES I
DuFls GAS LOG S 'EFRIG.SYSTEMS i
PL NG
BATHTUBS;01-Tub/Shower Combo) LAVS(Bathroomstuke)
3 URINALS MISC(Describe)
DISHWASHERS ' RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS goo
ELECTRIC WATER HEATERS .1., SINKS WASHING MACHINES
HOSE BIBS / SU
1 SIGNATURE
I certify under penalty of perjury,hat 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 supplied to the city as a part of
this application.
.j/2L1?J
J -Z -C-1
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NAME/TITLE ' /tL/� 5V:b�� DATE
. (Signature) (Title) '
RELATIONSHIP TO PROJECT 0 Owner 0 Agent Contractor 0 Architect 0 Other
o NEW a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT -
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
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Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application .