02-104251 ty
Fed
Community
type el Way Building - Commercial Permit #:02 - 104251 - 00 - CO
Conununity Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: PACIFIC FLOWER
Project Address: 33525 PACIFIC S SuiteB Parcel Number: 926503 0020
Project Description: TI-Minot non-structural modifications to accommodate a new retail tenant. No plumbing or
mechanical. No exterior work allowed under this permit.
Owner Applicant Contractor Lender
FIRST WESTERN DEVELOPMENT FIRST WESTERN DEVELOPMENT RAFN COMPANY NONE
1359 N 205TH ST SUITE B 1359 N 205TH ST SUITE B RAFNC**061J7 4/20/04
SHORELINE WA 98133 SHORELINE WA 98133 PO BOX 4229 ._
BELLEVUE WA 98009 NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: M
Construction Type: Type V-N
Occupancy Load: _
Floor Area(Sq.Ft.): 1500
1st Floor Proposed Sq.Feet 1500 Census Category 437-Commercial alt/add
Fire Sprinklers Yes Mechanical No
Number of Stories 1 Permit for Building Shell Only No
Plumbing No Will Certificate of Occupancy be Issued9 Yes
Zoning Designation BC
CONDITIONS:
Ail new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6))
PERMIT EXPIRES March 30,2003,IF NO WORK IS STARTED.
Permit issued on October 1,2002
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
the City of Federal Way. /
Owner or agent: Date: �a/I[(/J
�c/
7/—
! • • • ., 0
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at
the time of issuance,this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: PACIFIC FLOWER Permit number: 02- 104251 -00
Address: 33525 PACIFIC S SuiteB
#1 #2I #3 #4
Occupancy Group: M _
Construction Type: Type V-N _
Occupancy Load:
v
Floor Area(Sq.Ft.): 1500
Owner FIRST WESTERN DEVELOPMENT
Name: 1359 N 205TH ST SUITE B
Address: SHORELINE WA 98133
Ain• )'ka'M , cao 7-0.. c,,)
ma
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely
affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time
and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance
with each anal every ordinance or regulation of the City or the State of Washingter affecting the construction or use of said structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
POOTHIS CARD ON THE FRONT OF BUIL ' •
•
OerZRL_ BUJ DING DIVISION
VU f3Y INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 02-104251-00-CO
OWNER'S NAME: FIRST WESTERN DEVELOPMENT
SITE ADDRESS: 33525 PACIFIC S SuiteB
() FOOTINGS/SETBACKS () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
() ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
() SHEAR WALLS
() ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
( ) FRAMING/FIRESTOPPING //--6—Z SS
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING () SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
( ) ELECTRICAL FINAL /•— Z Z, — O- S
/ PLANNING FINAL SEE INAIKhe Lull) ItV\tw 2 t--)X
() PUBLIC WORKS FINAL
( ) FIRE FINAL 7 _7
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL — —tom
-�1
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
: -4
CRY Of ,i= R•EIVED CONSTRU ION PERMIT APPLICATION
�
— APPLICATION NUMBER: C%T,- 1(�t"c L �_C'1
OCTO 1 2002 APPLICATION NUMBER: - -
CITY OF FEDERAL WAN APPLICATION NUMBER: - -
BUILDING DEPT
**The following is required information-Please print(in ink)or type** ()C
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
S2
• PROPERTY INFORMATION
%
SITE ADDRESS: 13 2 5 04,46,15y CU 1. $ ASSESSOR'S TAX/PARCEL#: C) 2 5 o a - 40
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): Lei 2."r tAJ TCAMPOS
dr ./e--e- / V 0/!//6/.))14, A fq2 a -r f? !'.'P xi to vet-. t Di oF 1-r
r)Ab 34 AL;O 35/ w.eGoRt:› p ��
S o v Cou't.SrY,
• PROJECT INFORMATION
TYPE OF PROJECT(This application): UILDING o PLUMBING o MECHANICAL 0 DEMOLITION
ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): lin icor rlo -��-1}(.2.i.} I t..;-- word ric. 7 S -Y
Ares`-el t---T_,--4--PA.--7-1.-3 A 1.-1 lA3 S •It Al r.}er. MO EX-t --1;2±671-
IMOD
1 2!6IMGD I ' (.7.41-71.16Y6 1,0!L.I.. , H�'-c ; .
PROJECT NAME: 1 X6-1 t-lc l,AJEQ- i • I.
• PEOPLE INFORMATION
PROPERTY OWNER: NAME:,, , ID' I L. .G DYTIME PHONE:
(A )6.. .5 - 21 et
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
1361 N t 20stb hT.fhurE '3 , �-1-r,P--:1.. �a i ��.�
CONTRACTOR: NAME: DAYTIME PHONE:
RAS i\I , (4Z5 )Ivy -. %
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
I-7'l.1 I32."'- ,vE til ? 4V'tVI< wA ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: /_ FAX NUMBER:
_ - X0_ 0 5 0. - OD (425) ?a2 -s580
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) L i E dl 6. 4 i6- 1) & 1_ L7 / /
APPLICANT: NAME: DAYTIME PHONE:
JIM lAil t-;:• 0J 1k)4... (?,e) *3' - i0.1
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP): / EVENING PHONE:
135 N. los-t---,= - -t., �ut-r'1 / � 1^,p,.),..)= (425 )�5 - 32la
RELATIONSHIP TO PROJECT: I ,,,,,� p FAX NUMBER:
❑ ARCHITECT o TENANT ,OTHER(DESCRIBE): eirl �I: 'f2.• (1,4G ) , y3 - 2i A4{
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER m •PPLICANT o CONTRACTOR ,._1Iiv,(P.LC t •Cb Mt
Qp
• DETAILED BUILDING INFORMATION
EXISTING USE: ( I bTA I Y I 1 ' EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ -231Y2-� 62 62(5P)
PROPOSED USE: Fri 1L--- PROPOSED VALUATION FOR IMPROVEMENTS: $ *�061f)
SPRINKLERED BUILDING? o YES ) NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: LAKEHAVEN o HIGHLINE ❑TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: /LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
_.,
•**NEW RESIDENTIAL CONSTRUCTION W** •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT r
FIRST ' 60 � `'!
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GA LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) H D(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) E(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) H AT SOURCE: ❑ ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• DISCLAIMER/SIGNATURE BLOCK
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 ay be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such claim arises o of the reliance of the city,including its officers and employees,upon the accuracy
of the information supplied to the ci as a •-rt o th% application.
NAME/TITLE: �� . AL.. DATE: ! 6�
❑ PROPERTY 0 - APPLICANT o CONTRACTOR om
FOR OFFICE USE ONLY: y y �2', ? V4 '
II r5(54
❑ NEW ❑ ADDITION o ALTERATION o REPAIR r �7TENANT IMPROVEMENT
CENSUS CODE: L ' LOT SIZE: L"l I-E ;
ZONING DESIGNATION : ��C BUILDING SHELL ONLY? o YES 71NO
COMP PLAN DESIGNATION BASIC PLAN? o YES o/NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES NO
PLATTED LOT? o YES ❑ NO IV ] CHANGE OF USE? ❑ YES /NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.otvoffederalway.com