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Comm n'ityDevelopmeof FederalntServices Built-Ping — Commercial Perm: 07-101976-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: LBA REALTY
Project Address: 33405 8TH AVE S SUITE 200FILE Parcel Number: 926500 0060
Project Description: TI-Non-structural interior restroom demolition; new suspended celing system with ACT;
upgrade restrooms for handicap accessibility.
Plumbing,mechanical,and electrical work to be performed under separate permits.
Owner Applicant Contractor Lender
LBA REALTY FUND II CO,LLC BURGESS DESIGN INC FOUSHEE&ASSOCIATES
660 SW 39TH ST SUITE 255 1326 5TH AVE S SUITE 500 FOUSHAC158OD(8/12/07)
RENTON WA 98055 SEATTLE WA 98101 PO BOX 3767
BELLEVUE WA 98009
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Tape II-B
Occupancy Load
Floor Area(sq.ft.) 56422' _ , 0 0 0 7.
,3 �a y�r Itl rr>rilr>iolnatillt
Existing Sprinkler System in Building? Yes 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!!
PERMIT EXPIRES Thursday, May 14, 2009
Permit Issued on Monday, May 14, 2007
I hereby certify that the above information is correct and that the construction on the above described propertyand
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
4., and the City of Federal Way. jOwner or agent: (� Date: S1/sl/�`0
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THIS CARD IS TO MAIN ON-SITE r '
CITY OF itommunity DevelopnWnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-101976-00-CO
Owner: LBA REALTY FUND II CO, LLC
Address: 33405 8TH AVE S SUITE 200
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) ❑ 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) CIFire/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
- R m . . , a By Date G i l t)1
By Date
. . ,
11 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile
� ' Approved
By c........)c........) Date Co—7- 0 7 By A I Date /,s ',/�u+Oi By Date
❑ Final-Planning (4070) 0 Final-Building(4050)
Approved Approved
By Date Date /-1-1
For inspector reference only
❑ Rough Electrical 0 FINAL - Electrical
Approved Approved
By Date By Date
A, mcswei or - i_o_La--) f4•\,
Federal Way 2007 PERMIT
COMMUNITY DEVELOPMENT SERVICG�.SAPR 1 3 SF MF )ME EL PL DE EN FP
33325 D AVENUE.SOUTH•PO 6397 88 of p� LI CATI ON 4.911t-
www.cituoffederalwau.amAllFEDERAL WAY,WA 98063-9718� 7�253-835-2607•FAX 253-835-2 e0EBUILDING ' _
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY�INFORMATION
SITE ADDRESS 33405 -;/Q�� ' r- Soo -
PtAiG 'LJX l 1k� {� SUITE/UNIT#_, Zet)
ASSESSOR'S TAX/PARCEL# '1 _ ly S o D - V 0 � V LOT SIZE(sj
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
IN PROJECT INFORMATION
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PR0OJECT DESCRIPTION(Provide detailed description of work included n this permit only) )
�yo� 40 WW, l,/ t&drnt , NEIN. Owl., & 4\ a.
W VU VIS S
NO P/i l4;7z qr A42/`eszi,
PROJECT NAME(Name of Business or Owner Last Name) L- ` ^ &kJ
• PEOPLE INFORMATION
PROPERTY
Ribfp12Yp
NE
OWNER t OA ( 7yZZ -62406
ID DD S .STATE, IPw E-MAII.ADD
S
CONTRACTOR 1 O kite
i APPLICANT NAME OFF'I.HOAN) -, -
I COO
UAISDF�/"�,���r��' M j ,STA ,ZIP CELL PHONE
CITY OF FEDERAL/JAY BUSIN S L CENS^E lc
- - UgAFAX I ER
C�TOROS REGISTRATION
GISTRA'O IUM BERV— 00-GL
I 4.TION DATE O 1 •�E-MA� I !/ 7 f/
withDRESS
COPg card required b A/ b t 5 4 4,66500 I a 6 1
with a ch application (J(, �
APPLICANT S P l -' 00616114jjI�`IE C7 _i (O�)0$0t, 010/
‘u•,I1VTa•aa•y. 1 � I QIN
ST (y/�i/I, J�vll� � i� ( CELL PHON
]�,( _
RE TISIOO/NSHIP •PROJECT / (vim kgf...tr lF M/BE Q❑ Architect ❑ Tenant ❑Agent Other O 625 (S �5N•7 -7121
PROJECT N-. : r P•�i•YP • -MAIL ADD' _./
CONTACT _.'��� �l� .f ( !�A ) i 0 0 .. A 10., ..
LENDEWDDRESS
` ' . ,� Per RCW 19.27.095: �[w
Lender information is required if project value exceeds$5,000 _i
criY,STATE,ZIP PHONE
(
,� • DETAILED BUILDING INFORMATION
EXISTING USE 'l A i. PROPOSED USE " 11 / dig,
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 2557/
SPRINKLERED BUILDING? ) o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
IN PROJECT FLOOR AREAS
• AREA DESC' •N EXISTING PROPOSED TOTAL
J SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND Nelm6604+45 ¢ fin\ qwee.,
50, 3Z2 / 3Zz
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS PROPOSED TO TOTAL EXISTING SF 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 Nod ii4 W 1 OLO iN 'S P€ fln1 '
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS pp,�,� GAS(LOG cSETS Q�,�� REFRIG.SYSTEMS
PLUMBING 1 o' 11tLU O 4) i !1 S pea"' `rr
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roller)
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 ma by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance oft city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. I A
NAME/TITLE DATE I1 I3/ i
gnature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner o Agent ID Contractor ❑ ArchitectOther OW1 45
.FO'R,t F1 ICE USE ONLY .*
o NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\Permit Application