07-102405 r •
s �
C(tyofFedera:Way Bitting Commercial Pernik
#: 07-102405-00-CO
Community Development Services -
P.O Box 9718
Ftideral Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line:' (253)835-3050
77'
• Project Name: TEAM HEALTH
Project Address: 505 S 336TH STEl
i:alas Llama Parcel Number: 926480 0270
Project Description: TI-6th floor corridor& elevator lobby improvements only,No plumbing or mechanical
Owner Applicant Contractor Lender
FSP FEDERAL WAY CORP UNIPLEX,INC UNIPLEX,INC GVA KIDDER MATHEWS
401 EDGEWATER PL UNIT 200 UNIPLEX INC UNIPLI*211B3 11/15/08 12886 INTERURBAN AVE S
WAKFIELD MA 01880-6207 753 18TH AVE E UNIPLEX INC SEATTLE,WA 98168
SEATTLE WA 98112 753 18TH AVE E
SEATTLE WA 98112
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type: Type II-A
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
At [a�
itit er it Information
Existing Sprinkler System in Building? Yes Mechanical to be Included No
Number of Stories 6 Permit for Building Shell Only'? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Zoning Designation OP
No Fixtures Associated With This Permit!!
•
PERMIT EXPIRES Sunday, May 31, 2009
Permit Issued on Thursday, May 31, 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
the City of Federal Way.
Owner or agent: ---7014"1, Date: 7/ �� 7 -
ATHIS CARD IS TO WAIN ON-SITE . . .
CITY OF Pommunity p t Develo m Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050'
PERMIT#: 07-102405-00-CO
Owner: FSP FEDERAL WAY CORP
Address: 505 S 336TH ST
FEDERAL WAY, WA 98003-6328
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
0 Underfloor Framing(4285)
0
Floor Sheathing(4105) El Fire/Draft Stops (4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
' NOTE_ Prior to scheduling a Framing(4120) 0 Framing(4120) ❑ Insulation(4150)
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
._� _�_._.... .. _ .. . By/j" Date G._,4-467 By Date
0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Q.,vi....„, % Date to—‘,9,_-0") • B (5 Date 7_i_c0 , By / l7 t Date 7. (3. v7
❑ Final-Planning(4070) ❑ Final-Building(4050)
Approved Approved
By Date By C C. ) Date < •( 9 _9
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
�� 0 •
A , R
OA M � ll'
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2Zoo� /
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Cderal way laoI ERMIT
COMMUNITY DEVELOPMENT SERVICES
ort, a SF MF CO EL PL DE EN FP
33325 8.
WA FAXSOUTH5•63 BOX 9718 APPLICATION6 � ,
FEDERAL WAY.WA 98063-9718
253-835-2607•FAX 253-835-2609
www cituoffederalwoo corn
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 505 J d(A.--N3?(off .Sۥ
-/ /� SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# al a lP 4 5< O - 0 ea 1-1, ` LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 5c L all1 ' Q j"
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT // BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERIN 0 FIRE PREVENTION SYSTEM
PROJEAT DESCRIPTION ftopide del-oiled le,Iription of wo k included on this .•rmlt e nl VI
��-m '— 00K C�d c' _ 1 Ir M. / e net v\-r.
r-a.tvItoiks (crt-Le. RA des 1 . No ivt 6-4- frA..
PROJECT NAME(Name of Business or Owner Last Name) .."---..e n 'L'` t ` ` ' `
• PEOPLE INFORMATION
PROPERTY NAME PRIMARYRIPHONE;NE/1 / -7 .�
OWNER c5�1 D 7 e�I-4 crest. .z riE-N,g,0D)D5 -I
( 3 L 2
401 id� PL .��d M.4 otICW
CONTRACTOR COMP E• APPLICANT NAME OFFICE PHONE
�Vl lex ( -
MAIILING ADD `�� toe-1
�I�� CITY,STATE,ZIP CELL PHONE -
CITY OF FEDE (WAY BUSINESS LICENSE NUMB EXPIRATION DATE FAX NUMB/ER
( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
COPY of coed»goind
Iith> oppLLo.tion
APPLICANT COMP - APPLICANT NAME OFFICE PHONE
�i�( Pl_e T M e55ei ,z0?060 .3�3 - 4,3aa
MAI�Gs3 L .ea.s C T i� k)f qsn z (aoCIa1 o- 4416
RELATIONSHIP TO PROJECTFAX NUMBER
❑ Architect 0 Tenant o Agent ykpther .o ATr&(j'r6 ( ) -
NAME PRIMARY PH9,NE �I E-MAIL ADDRESS
CONTACT �o M V e_SSt-Y (gob) oc..0- qq- Ta
LENDER \', 1y. ` I�_ ,)A, Per RCW 19.27.095:
444E;irs
fit(, L•/1� M( '�-D Lender information is required if project value exceeds$5,000
.STA PHONE -
Ati,
• DETAILED BUILDING INFORMATION
EXISTING USE n c--\LL PROPOSED USE D S I C.l-----
ga-
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ c249 is 000
SPRINKLERED BUDDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
• •
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) (.0 p I D D '�. s /-2? c
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSE) TOTAL TOTAL TO
11NGSF TOTAL PROPOSED SF TOTAL SF
**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
Value of Mechanical Work$ (A COPY OF BID ORE '1 •TE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COP ERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS REPLACE 'SERTS HOODS(commerdo
COMPRESSORS AC . RANGES
DUCTS GAS S• SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) VS Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSE lb(Tone)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 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 of(acc.s and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE VL4( J J Q DATE c•/'D-7
/
(Signa ) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 1g Agent ❑ Contractor ❑Architect ❑ Other
FOR OFFICE USE OfILT
o NEW ❑ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\Permit Application