07-103418 •
I
City ofFederal
pmentWay E , tical Permit #: 07-103418-00- L• '
Community Development Services
P.O.Box 9718 --,,
Federal Way,WA 98063-9718 5
Ph:(253)835-2607 Fax:(253)835-2609 . rs Inspection Request Line: (253)835-3050
Project Name: HOSS(HOMETOWN OFFICE SUITES & SOLUTIONS)
Project Address: 33530 1ST WAY S Suite 200 Parcel Number: 926500 0360
Project Description: Installation of low voltage cabling for voice &data during REMODEL
Owner Applicant Contractor `
ACROBAT FINANCIAL SERVICES TERRA COMMUNICATIONS INC TERRA COMMUNICATIONS INC
31620 23RD AVE S SUITE 218 14613 NE 87TH TERRACI99000 3/19/09
FEDERAL WAY WA 98003 REDMOND WA 98052 14613 NE 87TH
REDMOND WA 98052
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial.. 6,000
,ods
,PERMIT EXPIRES Friday, June 20, 2000 24,:,,
Permit Issued on sday,aJune 26, 2.007
I hereby c ify that the above inform '•rrect a that the t or truc l on the above rib 1, roperty d
the occupancy and the use will be inaccordancea laws,rules and r tiros of th ate Washington
and the City of Federal Way.
r .-.1;4. --
Owner or agent: ) 1.----- Date: ��
60
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THIS CARD IS TO REMAIN ON-SITE
CIT. A.
Y OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103418-00-EL
Owner: ACROBAT FINANCIAL SERVICES
Address: 33530 1ST WAYS Suite.200
FEDERAL WAY, WA 98003-6210
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.
❑ Slab/Concrete Floor(4255) 0 Ditch cover(4030) ti Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
,
.❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough ( ) �❑ Ceiling ( ) •❑ ( ) ,.
Electrical 4225 Cover 4020 Final-Electrical 4055
Approved Approved Approved
By Date By Date By I Date Q
, .
0 UFER Ground(4295)
Approved
By Date
1
,
•
' For inspector reference only _
*
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
06.,(22/2007 00:25 4258811563 TERRA COMMUNICATIONS PAGE 02
Federal / 0 ..3 1 ( Kr
. 0,,,,„„A_ REcEiveD 0 7-
Way
PERMIT
COMMUNRYINVELOPMR TPXRNCE¢�AI 2 5 2N(� SF MF CO 1 �'L DE EN FP
333259^,AV.way.MINN•POSOX 9 IN pLI CATI ON.
FEDElW.WAY.R'A SWnf.7.9716 T. / /
203-835-2887.FAX 253435.2R2� /
't'' nnYh�G pEP7.
The following is requg� rmation-•an incomplete application will not be accepted. Please print legibly an ink)or type.
MI PROPERTY INFORMATION
SITE ADDRESS 0 5L. ,.. S V ...LG. _ .;� SUITE/UNIT# 11, Zap
ASSESSOR'S TAX/PARCEL 9 I 2 - 5 f 0_- O - • LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(A,id:h*await pope rr k Nthj 11.921 cIclertptbM
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING O MECHANICAL
❑ DEMOLITION KELECTRICAL 0 ENGINEERING d FIRE PREVENTION SYSTEM
PR JECT DESCRIPTION(Provie detailedAscription of work included on th s nerrndri
(NW)
vo 1 b I • • Vire. .0,-d do n no rAc e
PROJECT NAME(Name of Business or Owner Last Name) $$ gromo---ie-,
• PEOPLE INFORMATION
PROPERTY N• E // PRIMARY.PHONE
OWNER Rile/- rt 1 I 41c (� 1 d�
�DieESS crrv.STAGE.211. It.MA AAARE.9 •
31�o �31'44,44-r-5, *7e- l�I .CSI 3 -
CONTRACTOR COMPANY NAME APPtrcAN'P N OFFtCF..PHONE
"' ��"'c"giS Tn� (l.T TE y� (Lt25)l�Z -1,0110
MA(jI1Ll�QN(IC j) N �� �� C� ,ST TE, SPr r / CELL PHONE
�RYOFFED& � Lr U.&.i A x.12 ( `4) ° a ..V -0
..i�f.. RAL AY BUSINESS LICENNSE NUMBER EXP i 3ON Dr FA NUMBER /
CONTRACTOR'S CTORI RE/ 115,,75 ' J ^6� >r/& 0'i 707 E-MAIL "1 1/O
seer ae 2..4,.yol.wd a
Ne!-8411,:;;; f12n DI_ et:3060 I
APPLICANT COMPANY NAME. r 55 APPL• NAM% OFFICE PHONE
2? lt '�v'' J / rle
(z.55 )Z37 -d7`tI
MAILINO.7353n0Rs.S I5 f��f�/'�C`7� yviO/+�,TATEI 1 rni _3 (ZIP ELL PHONE -
RELAnoNsHi To PROJiEECT / / FAX NUMB)ER
U Arc)ltect ❑Tenant ❑Agent ❑ O1her ( _53) 237 ^070
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS t
CONTACT AMY) (�.�`L 4 ? - rte c�rnY B rroi,
LENDER NAME Per RCW 19.27.096:
!/I
�� W
Lender inforl tion is required(f prefect value exceeds$5,000
MAILNG AD REES C?lY,STATE.VP 7 PHONE
( )
• DETAILED BUILDING INFORMATION
FISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLF.RED EUTLDTNG? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REgUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKE$AVEN 0 KIQELENE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER P LAKERA,VEN 0 HIGHLIIVE o PRIVATE(SEPTIC) I
06/22/2007 00:25 4258811563 TERRA COMMUNICATIONS PAGE 03
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
$9.FT. SQ,Tr. SQ,FT.
BASEME
FIRST
SECOND
THIRD - - - —
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?
GARAGE 0 CARPORT _ `\
axnTt O PROPOaWD TarAL 117IA[.5AostteO 5? Tam r7froom)Mr dr
NUMBS ORS
••NEWI3OMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of/ixture to be Installed or relocated as part of this project. Do not Include existing fixtures to remain.
L' CAL -
V• • . • • cal Work$ (A COPY OF BID OR ESTIMATE MUST BE INC.GUDED WWT I APPLICATTOM
AIR HANDLING UNYts EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS - GAS WATER HEATERS _ M esextba)
SOMERS FIREPLACE • - ."--c . . crazy
COMPRESSORS FURNACES RANGES
DUCTS GAS LO •. ,SYSTEMS
PLUZID3I TG
BATHTUBS(or. - rcombnt LAYS ta.Ltv„ae,ewpro URINALS MISC(Describe)
D IERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS rr,ii -
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE I3IBI3S SUMPS
SIGNATURE
I certify under penalty of perjury that the£gformation furnished by me is true and correct to the best of my knowledge,and further,that I
ant authorized by the owner of the above premises to perform the work for which the permit application is made, I farther 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 flied against the City of Federal Way.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 application. ko/ q7NAME/TITLE ,ro CE 4 ��� C - DATE ,a
( Ipt guy (flrle..)
RELATIONSHIP TO PROJECT Owner ❑Agent Contractor U Architect 0 Other
❑NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? u YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o PTO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100-April 2,2007 Page 2 of 4 k\Handouts\Permit Application