07-106872 CommunityDeveopmIIla ervices Buildi*- Commercial Permit #O7-1068.72-00-C..
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: WHISPERING HILLS LEASING OFFICE
Project Address: 2120 SW 352ND ST i- -Parcel Number: 176150 0290
Project Description: REM-Interior remodel including demolishing several -s earing s and one bearing
wall.New carpet,paint. New bathroom fixtures and hot er tank,ne, indow on South
side.
Owner Applicant ntractor Lender
MOSAIC USA FEDERAL WAY KEN TOUSLEY MOSAI FEDE AY LP
401 PARKPLACE CTR#311 MOSAIC USA FEDERAL WA P MOSI 38 /25/09
KIRKLAND WA 401 PARK PL SUITE 311 401 PAR UITE 311
98033-6200 KIRKLAND WA 98033 KIRKLA A 98
•
Census Catego 437- Comm t/ a / csfon
e
Includes: #2 #3 #4
Oancy Class.
,Coot tionti Type::
an
oad ,
Floo 0 0 @
k
.
ical be I •ed? No Number of Stories 1
rmit for lding S • 1y7 No Plumbing to be Included Yes
/ ttional Sq.Fe Total 0 Zoning Designation RM 1800
Plumbing Fixtures
Lavatorie 1 Water Closets 1 Water Heaters
PERMIT EXPIRES Monday, February 1, 2010
Permit Issued on Friday, February 1, 2008
I hereby certify that the abov- information isr correct and that the construction on the above described property and
the occupancy and the u•, ill be in accordance with the laws, rules and regulations of the State of Washington
e I of Federal Way. p
Owner or agent: Date: 2 ( 00
THIS CARD IS TO MAIN ON-SITE '
CITY OF kommunity DevelopnTnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-106872-00-CO
Owner: MOSAIC USA FEDERAL WAY
Address: 2120 SW 352ND ST
FEDERAL WAY, WA 98023-3114
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.
O Footings/Setback(4110) ❑ Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
- ❑ Re-steel(4215) ❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By il Date2__24_6 8 By Date
❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
,.
❑ Roof Sheathing(4220) ❑ Rough Plumbing(4230) 0 Fire/Draft Stops(4095)
Approved to install roofing Approved Approved
By Date By C , Date 2_2 t_o Y , By Date
t
NOTE: Prior to scheduling a Framing(4120) El 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 ByDate ByDate
c,,,,._ - ! '�-11— 1 c \.11,, 2-2-3,
❑GYPsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265) 0Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By L`.. N.4,,,,.0 Date 2_-1:--)....0$ By Date By Date
❑ Final-Planning(4070) ❑ Final-Plumbing(4075) ❑ Final-Building(4050)
Approved Approved Approved
By Date By9 Date L1 -3-O es By M -VDate 6
•
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
r • I
CITY OF
RECEIVED
EIVED ]L1- — O L X �.,
Federal Way nF PERMIT U
COMMUNITY DEVELOPMENTSERPCC 2 1 2007 SF MF CO ME EL PL DE EN FP
33325 38TMD8 AVENUE SOUTH•13 BOX 9718
p LI C ATI O N '�
FEDERAL WAY.WA 9 7 8 � ' 0
2538352607•FAX 25 - c�P FEDERAL lo / / 91111.
:,;r, - d'''t'2Ga ,'BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_ 2 I-2.0 S\{J "4.'""e\ c ' SUITE/UNIT# -
ASSESSOR'S TAX/PARCEL# l 1.f \ S () - 0 - t ( LOT SIZE(sffl
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1)
(Attach separate pagef r lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT VBUILDING ¶PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Q-t_,\MI C\ te-Nkr-r ()'•C' lOt- V,6Ai06 7\f' v°,le \ie>rt,k,`.`.',,, ff •..,.'i l,r,- _.*t V-in,,,?- yr!I 'i 'x.l
boa-l‘") &ted ( Yti L 187 fct v i 1 . 4,. 'c- KY??it , (A) (Airy.. r,��, ;�� '.- f?. ,:l..- -;
t
1 Lh.�� i���`/�l.).) 1-fR�\ ��f�ikl'`-U''Y'; ..G"br:�tC,�:\l/��i , !//
PROJECT NAME(Name of Business or Owner Last Name) A KIS pc(t v<3 C'�( \ks Lt` ASI Aly t'1 C-
• PEOPLE INFORMATION
PROPERTY NAME,./� ( ^ �} ( t PRIMARYI� PH NE `
OWNER 1 v l USA E C L�- \R- .-c..4ra l t ` LP ('12!) _...„..,,,,LV, -a #)' 1)
MAILING AD S ,. CITY,STATE,ZIP 1 E-MAIL ADD
LioI c` At.r i ac .. i 7.- 1) V.:l l(VA 0it tAk1 IIS ter'
CONTRACTOR COMPANY NAME �^ , APPLICANT NAME OFFICE PHONE q
0 7C l i C.k ��� K Gi tail PI U c s�elt'1r(J4.t_ 1 g-12 ELL ))rZst rE ,3 -'ROLL
LU l ING DpsESS' �/ti4-'10 c cL 3''. �t-la-�dL IP t,�h4 63'�( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
exp -24,-6.1. '2,9 ILA - b u - SL 172-.13k I 0�
CONTRACTOR'S REGIS ON NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME {, , APPLI NAM (e. O��FFICE PHONE��'
01 OSA I L IA . c'.e in`ki 'Ln. -:4),eI..,.A l 7 - ) +,�4�. - ,F ,W)
ny,STATE,ZIP
MAILLP T ,�`v°`� R' �$,! C!`S y f.,,1 et-v.1 ! 'V'I q(y,}t, (ELL PHONE -
RELATIONSHIP TO PROJECT FAX NUMB/ER
❑ Architect 0 Tenant ❑Agent Other e-w\ \J's.4C -" ( ) -
PROJECT Nom( --�-^ t PRIMARY PHONE l E-MAIL ADDRESS
CONTACT ((�nI Iii 51(1-4 (12,S ) r) - ,) Rift),'743,0'sieve)4'i,'t 1)7,e5•::h:4A'r ,(e
LENDER NA E-v7 ( r L Per 19.27.095:mati
"kk � I.�k'?ie:-.. Lender information is required if project value exceeds$5,000
MAILING ADDRESS COY,STATE.ZIP PHONE
a 2 CYe) 6 Wit i$ 4ik +,i .Jird. , btl A ' tZeY (q?e ) Si H - , ,
/• DETAILED BUILDING INFORMATION
EXISTING USE LG y,S m 044 G.L PROPOSED USE `Y-ti.1,1 q OA-6 4--
EXISTING ASSESSED/APPRAISED VALUE$ 2 2 5 i ,)(r19 VALUE OF PROPOSED WORK $ 19,0 00
SPRINKLERED BUILDING? o YES I�CfiNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES I$NO
WATER SERVICE PROVIDER )(LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
411
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST f 1 1` h J C
SECOND I
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
""NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture 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 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 GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) t LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(ronet)
I i/ ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, 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 ap ' ion.
SIGNATURE: — DATE t )24/6
_
Property Owner and/or A prized Agent
FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100—August 16,2007 Page 2 of 4 kU-Iandouts\Permit Application