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12-100197 uilding - CommercialCity of Federal Way •Community&Econ.Dev.Services Per t #: 12-100197-00-CO 33325 8th Ave S Federal Way,WA 98003 ! Ph:(253)835-2607 Fax:(253)835-2609 ( 6 ' Inspection Request Line: (253)835-3050 t,1 ilii 3 7. Project Name: GO WIRELESS AT FEDERAL WAY MARKETPLACE Project Address: 34512 16TH AVE S Unit B Parcel Number: 250090 0050 Project Description: TI-INITIAL tenant improvement work by landlord; work to include construction of demising wall,ceiling grid& tile,relocation of ducts and diffusers and addition of store front door.Mechanical work included. Owner Applicant Contractor Lender FEDWAY MARKETPLACE WEST SIERRA CONSTRUCTION SIERRA CONSTRUCTION FEDWAY MARKETPLACE WEST do MICHAEL JOHN KLEIN,CPA 19900 144TH AVE SE SIERRCC 145N8 (3/31/12) do MICHAEL JOHN KLEIN,CPA 5743 CORSA AVE SUITE 216 WOODINVILLE WA 98072 19900 144TH AVE SE 5743 CORSA AVE SUITE 216 WESTLAKE VILLAGE CA 91362 WOODINVILLE WA 98072 WESTLAKE VILLAGE CA 91362 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.) 1,698 0 0 0 Existing Sprinkler System in Building? Yes Mechanical to be Included? Yes Number of Stories. 1 Permit for Building Shell Only? No Plumbing to be Included? No New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Sales Room Zoning Designation CE Ducting 1 PERMIT EXPIRES Wednesday, July 25, 2012 Permit Issued on Friday, January 27, 2012 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 th- of Federal Way. � , �/moi Owner agen • _e1� _ Date: /27 4/ Amj rfNALtgr' 2/!7 Z tiA THIS CARD IS TO EMAIN ON-SITE , w CITY 6F ', • Federal WayConstruction I ection Record INSPECTION REQUE TS: (253)835-3050 PERMIT #: 12-100197-00-CO Address: 34512 16TH AVE S Unit B Project: FEDWAY MARKETPLACE WEST C FEDERAL WAY, WA 98003 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 SWM Precon Site Mtg(4400) 0 Initial Erosion Control (4365) El Footings/Setback(4110) Approved To be done prior to breaking ground Approved to place concrete By Date By Date By Date El Re-steel (4215) 0 Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) Approved to place concrete or grout Approved to place concrete Approved to sheath floor By Date By Date By Date •LJ Floor Sheathing(4105) El Mechanical Rough-in(4165) 0 Gas Piping(4125) ' Approved to install flooring Approved Approved to release test By Date By /,�40C Date HCl! '/L By Date 0 Fire/Draft Stops (4095) ❑ Interim Erosion Control (4370) Prior to scheduling a Framing inspecrlo,I; Approved Approved Electrical,Plumbing&Mechanical Rough-in and By Date By Date Fire/Dratt Stop inspections must be signed-off and , approved. DIC 109.3.4 EM—Ti:ami (4120) 0 Insulation (4150) —s 10 Gypsum Wallboard Nailing(4130)s Approved to insulate Approved to install wallboard Approved to install mud&tape /-� BvCS Date�- -S- ( By Date [ By__•_--•----- _ Date Z• .7-( Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060 (0 Final-Planning Approved to drop tile Approved (I �—' Approved By fit(' tDate 7.---/6•14 By 6� Date 2 "V /ZIBy Date Final Erosion Control(4375) El Final-Mechanical (4065) ElFinal -Building(4050) Approved Approved � Approved Ey Date By r � Date 2 ./,1 -/a By i •--6/4-- •-6/� Date j.`` ' ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date cn I vJ O - A. federal Way �E PERMIT MF 0 ME PL DE EN FP �';JMMUNITY DEVELOPMENT SERVICES 1 AN 1� PLICATIONI/i / 253-835-2607•FAX 2538352609 Ju'wwtoj(tderaa9.earn ^ V/) N SITE ADDRESS SUITE/UNIT# 3Lt5f2'— j(04,'-` /t,, 5o4 � E. PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 39� y O l g c._ c„..., 545 . S 0 © 9 v _ b G r o TYPE OF PERMIT IA BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT • 1 , (Tenant Name/Homeowner Last Name) L 4 G( r16,, /cl 5 (A` /"k _ 6, ter+ T /yz S 5- , 1 ` v ( �/, d k ( f Ge l.,-/I ,// less. . /PROJECT DESCRIPTION Detailed description of work to Rt.,, (,..9 t-e.-k1 S , q c.v 4 I I ( t , �r 1 c, C'r( JI' f f, Le be included on this permit only I / ( / 1440 . 61�C -I-V` O Ki -e +a, ( � /t N?i,. — cn t( 7p1 NAME _. PRIMARY PHONE PROPERTY OWNERSLI c.,,c.�/J IA C.r ICt'+ ,I ( ' t,L- 'S L{_G e i t•- c L /tic(3 C G ADDRESS / E-MAIL C14 3 6 se, A-V-Q S z 1 so C(o .AA'tLc i<1e,ln 7'c:a S e a.i, c...n, --- CITY : STATE ZIP r- we11_ lg.,tce v:lluc)t C.4- `tr36L 7, _._ . NAME - ` - .__. PHONE _--. _ .- ._. `fir S --t� - -t, C. (-C-'/‘ S -1---,, c -I-,'d". Co, —�.,L.. /J `l r- 8 ) )u2e v GG ADDRESS4, 44 �` E. CONTRACTOR / li l(3) ' �/ /4✓� ni I C G'."l,i C,5,Q r r 4...,o>c .. STATE ZIP FAX CITY ,X(n0, ( L WA-- -7' --- 0-r- Y - 3ri- `IO WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# CL-�� t Si E¢t2Cc IYS'i? 3 / 3I / 1 -- 20-oS-10 -ILL?... -cc- NAME PHONE41. - _. _ - .. APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX _ " - NAME -.-... �_— ..__ - PROJECT CONTACT �� / PHONE (The individual to receive and ✓C " ` 9 Q'`'r C it (�t t! (-I 2--_. '7. .1 7 I• {� - ( v--9 2._._.. respond to all correspondence MAILING ADDRESS t� E concerning this application) 11(1 o C /(-141 t- A l/, ,Ni rte_.-. LOQ✓e C S -t' c%-C• ,..,0 (.— CITY CeG, STATE ZIP FAX _ (iv✓N Ge n ti, i t.11tl ci go')2__._ 4 Z-c "let 7_ r a cT U ALTERNATE CONTACT NAME: PHONE E-MAIL m q v.0 4/ ( c e,C? 2'C(;•.S 7.`—6,/1l-- 7 cer.r e e G S* 4 vs vet i SIC /. PROJECT FINANCING - NAME I JIDt OWNER-FINANCED Required value of$5,000 or more �`�_ (RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE 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 clai hich may be made by any person,including the undersigned,and filed against the city, but only where such claim . - - out .f the eliance of the city, including its officers and employees, upon the accuracy of the information supplied to t. - city. p, o 'h application. f i/� -- / SIGNATURE: DATE /' i (:� 1 Z- i PRINT NAME: Ail IA J ti t.t C ie, .0(.. I / Bulletin#100-January I,2011 Page 1 of 3 k:\Handouts\Permit Application ' • IIII A �cH VALUE OF MECHANICAL WORK $ S.--5 C tj (a copy of bid or estimate must be provided) Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing_fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES wa'a R ai 'a, itli wig,n r�ipa»n� r� '� ;a d P' D 't `d�..- , rid .ww ir,y'., Indicate how many of each type of fixture to be installed or relocated as part ofT this project. Do not include existing fixtures to remain. BATHTUBS(or'IUb/shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(K schen/atutty) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES O TOTAL FIXTURES GENERAL INFORMATI©N CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS Iota, 1V1 C.J 42—rI (_,G LG%.'-{ 1 $ r) EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? /1/4.) (�— VAc,o,..31-. / 1 S'CL -F Yes ❑ No Yes ❑ No � , ; � "�,_: - � a ,,,,,,% g. is „,.t,-1,_riec'- ,---,',444144-10f]'''--- , w y w "a� i�EN _ - - , ,s.. r- th»°- `�v�a,. x� .«., ., -�,,,..�,aims, »6e1�� .�nW� ,�' AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT y FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK , z '' ... .................................... GARAGE ❑ CARPORT ❑ OTHER(describe) ,F ,. .. ................................... ...... ... . . ........................................ EXISTING PROPOSED TOTAL Area Totals **,NEW HOMES ONLY** '1'" )'..: ., :. ESTIMATED SELLING PRICE$ 1 #OF BEDROOMS I IPl it ii ka�ii �(` )m t' a a �I..q �y,�^+� ,, ,,,A "s i))',,I,',7d' i 5 + a AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories NEiv BunkiNG ADDITION „' t,p _ i''.,, #li iq"Y[a - r +.i ¢ a ',111044''''' �1,�. s ,COI F PSI ,mss I)y F��#'3 9�" -" n �h Area Construction #of AREA DESCRIPTIONOccupancy Group(s) Type Stories Additional InformationSquare TENANT AREA ONLY , C"/ /fit�"L vn GI'* / PROJECT AREA ONLY Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application