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05-106333 City of Federal Way Bui in - Commercial Perm #: 05-106333-00-CO Community Development Services g it 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: HORACE MANN Project Address: 33600 6TH AVE S SUITE 230 Parcel Number: 926480 0205 Project Description: TI-New interior walls; no plumb/mech Owner Applicant Contractor Lender ATI-INCHON VIII LLC SUPERIOR BUILDERS INC SUPERIOR BUILDERS INC 1201 PACIFIC AVE SUITE 1400 PO BOX 1849 SUPERBI112D2 3/4/07 TACOMA WA 98402 MILTON WA 98354-1849 PO BOX 1849 MILTON WA 98354-1849 Census Category: 437 - Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: Floor Area(sq. ft.) 1,200 0 0 0 • A► clitiorll;C�► rrl ; laifartis>n • Building Pre-con.Meeting Required? No ' Existing Sprinkler System in Building? NO Mechanical to be Included? No. Number of Stories. 1 Permit for Building Shell Only? No Plumbing to be Included? No Special Inspection(s)Required? No Occupancy#1 -Use • Professional Services/Offices Zoning Designation OP No Fixtures Associated With This Permit!! CONDITIONS: PERMIT EXPIRES Thursday, December 13, 2007 Permit Issued on Tuesday, December 13, 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 Way. Owner or agent: Date: (/* City of Federal Way • • 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: HORACE MANN Permit#: 05-106333-00-CO Address: 33600 6TH AVE S SUITE230 Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B __ __ Occupancy Load: Floor Area(sq. ft.) 1,200 0 0 0 Owner Name: SUPERIOR BUILDERS INC Owner Address: PO BOX 1849 MILTON WA 98354-1849 roc n#14,441., Cr:4-) 4t 9"\c‘ Z) Building Official ate 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 severly 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. ' d .. - - `y " r - . a City of Federal al Way Services Bulling - Commercial Perml #: 05-106333-00-CO tY DeveoP g 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: HORACE MANN Project Address: 33600 6TH AVE S SUITE 230 Parcel Number: Project Description: TI-New interior walls; no plumb/meth Owner Applicant Contractor Lender ATI-INCHON VIII LLC SUPERIOR BUILDERS INC SUPERIOR BUILDERS INC 1201 PACIFIC AVE SUITE 1400 PO BOX 1849 SUPERBI112D2 3/4/07 TACOMA WA 98402 MILTON WA 98354-1849 PO BOX 1849 MILTON WA 98354-1849 Census Category: 437 -Commercial alt/add /conversion Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Additional.Permit Infonnation . Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? No Mechanical to be Included? No Number of Stories. 1 Permit for Building Shell Only? No Plumbing to be Included9 No , Special Inspection(s)Required? No Zoning Designation OP No Fixtures Associated With This Permit!! CONDITIONS: PERMIT EXPIRES Thursday, December 13, 2007 Permit Issued on Tuesday, December 13, 2005 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 the City of Federal Way. Owner or agent: Date: /Z— — ES-- A4- �\ THIS CARD IS TO *MAIN ON-SITE•- CITY OF A ' ' t o m m u n i tYDevelopment Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-106333-00-CO Owner: ATI - INCHON VIII LLC Address: 33600 6TH AVE S SUITE 230 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. w� 0 Footings/Setback(4110) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) Approved to place concrete Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be By Date By Date .signed-off and approved. IBC 109.3.4/UBC 108.5.4 • ,❑ Framing(4120) �❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By W Date f Z� VI-ary Date By G GA.) Date / 5 - d ce ❑ Final-Fire Department(4060) 14 Final-Building(4050) Approved Approved By Date By `� A Date 2 t1( 1 -)3n i A 0 GTt Of • • �--� - -� Federal Way - - 33 03146“53 PERMIT SF MF 6 ME EL PL DE EN FP COMMUNITY DEVELOPMENT' 33325 tot AVENUE SOUTH•b 10 FEDERAL WAY,WA 98063-9718 rD / / 2S3-35-2607.FAX 253335.2609 nEC 1. 3 yxuw. P P I C AT I O N ctuoll'edemiway.com L I The ollowi • is •{_ .• ,L;.,_, L a�'Inco •fete • ,•Uication will not be acce•ted. Please •rint le,ibl in or / al PROPERTY INFORMATION �(p 6 SITE ADDRESS 0 0 -f-‘ A, e ; C , SUITE/UNIT i 7....--3 O ASSESSOR'S TAX/PARCEL# ( Z 1;6 D - 0 7_, LOT SIZE OA G 2 LEGAL DESCRIPTION(e.g. Lot1)Acme Estates, 4TI 4-Ci"�G v \ µread,+eparate vaae for iega y 1gpo1 dewtpaml ' ■ PROJECT INFORMATION TYPE OF PERMIT *BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work'gilded on this permit onto, 0 e_,--Lo w A-C( 4- r-e ( O(\Yi c k s`e e -rc.e s C. - PROJECT NAME(Name of Business or Owner Last Name) 1 ,CD 04 Ce_ / LA!•-) AS ` • PEOPLE INFORMATION PROPERTY NAM T II__ nn I l + / ) ` PRIMARY PHONE OWNER J I F T c L<,i3 1)1 l 1- 1 t c,, L., ZS ) 7 -? - / L( 17 MAILING ADDRESS (` CITY,STATE,ZIP I'2 () ( R -c,-C C- 43(1-44D sr/I-- C©r-i 4r 9 t"(© CONTRACTOR COMPANY NAME /1 APPLICANT NAME OFFICE PHONE MARANO' Die-- OC—R 1Cee:-� k-�; 9 Ft t bZC) s73-!�� BE8 K ` CJ y(1 RSTAr4; 7 ) s CELL PHONEzay '( ({346 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - - -B L / / ( ) - CONTRACTORS REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE S P eis -J 1 Z_ .t. Z_ / `( /&6 APPLICANT co NAME c....,„ APPLICANT NAME OFFICE PHONE - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant a Agent ❑ Other(Describe) ( ) - CONTACT a / _1 - PRt HONE To h'v � t ��� �P�3- / 4:,,Cf C7 E`-'MAIL tA�DDRESS LENDER �� � 'Ca/ :1 :,,�,,, iia-, , ,,,,(a 7,(la 0 u`r: • - PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST • SECOND . THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GAIAGE ❑ CARPORT 0 - — 4.40 NUMBER OF FLOORS =STOW PROPOSED TOTAL ; _ **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ , FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL WI - Mechanical Work $ ----- • AIR HANDLI • • - EVAPORATIVE COOLERS GAS REFRIG.SYSTEMS BBQS •-t S - "HOODS(c.semas WOODSTOVES BOILERS - FIREPLAC - -••w RANGES ' MISC(Describe) • COMPRESSORS FURNACES ••- GAS WATER HEATERS DUCTS 0 • • OUTLETS PLUMBING BATHTUBS(or Tub/Sh• alba( SHOWERS WATER CLOSETS(Toilet) MISC(De DISHWASHE• SINKS DRINKING FOUNTAINS GAS P '' •UTLETS SUMPS RAINWATER SYST RING MACHINES URINALS HOSE BIBBS LAVS(Bathroom st,urai VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK •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 • the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the Cl of Federal Way claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of such claims,whi.) _ be made b • • including the undersigned,and filed against the City of Federal Way,but only where such claim thiariapplication.out of the , • f -cera and employees,upon the accuracy of the information supplied to the city as a part of 1 '"..:-...--__.1.-il l � Wil' NAME/TITLE , L' ------4111Pc-e> DATE I q,-- 6 _,..__ _(Signs (Title) RELATIONSHIP uPROJECT ❑ Owner ❑Agent ❑ Contractor 0 Architect 0 Other ` .'b t . - 4:''i��'V,I 't✓)4, f'1 I,.�t;�;�Yct . ',03t is ejti,i is :)•,f t,c, e) !�a'o? y:+ `(• :q.i j(c',ic r 1 -'1.6;.11-1. 1: Oik-i(e) F.F'r+Co)2( µ, . f;c) ���(� �1 '"� � :• - -_ EFr9i:�1 fog. Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application