05-104213 i
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Ci of Federal Way ^ w
�' y Buil g - Com i •lr mii ft.1111 ^5-104213-06-CO
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 6,1'4 p•
Ph:(253)835-2607 Fax:(253)835-2609 r ' Inspection Request Line: (253) 835-3050
Project Name: FEDERAL WAY PROFESSIONAL PLAZA
m
Project Address: 31919 6TH AVE S Suite A-200 P. - !u .. 182104 9233
Project Description: TI-Improvements to core areas of building,half walls at re • on ar: •lumbin
restroom remodel.
Owner Applicant Contr.ctor L •
1111,
RAJIV NAGAICH RAJIV NAGAICH FEDERAL WA 'OFESSI0 4 RAJ V NA, i CH
FEDERAL WAY PROFESSIONAL FEDERAL WAY PROFESSIONAL PLAZA C FEDERA •Y ' 0FESSIONAL
PLAZA LLC PLAZA LLC 31'19 6TH AVE S. •`r A100 .'L.AZ• LLC
31919 6TH AVE S SUITE A100 31919 6TH AVE S SUITE A100 - 'ERAL WAY W•,, •103 • 6TH AVE S SUITE A100
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 'EDE' L WAY WA 98003
Census Cate_ ` 437- Com r 'al al 'd C 1
Includes: • 1 \IIIPIP
3 #4
Occupancy Class: 40\
Construction Type: `. Type
Occu•anc Load: `,Ni ,
Floor Area(sq. ft.) 0ifi\ ...._ 0 0
Additional Permit Information
*cal jo,ncluded?.... .No Number of Stories 2
rmit for g Shell Only?. No Permit for Foundation Only? No
bi e Included" Yes Special Inspection(s)Required? No
Wr icate of Occupancy be Issued? Yes Zoning Designation PO
Bui Pre-con.Meeting Required? No Existing Sprinkler System in Building? No
Plumbing Fixtures
Water Heaters 1.00 Lavatories 3.00
PERMIT EXPIRES Friday, June 13, 2008
Permit Issued on Tuesday, June 13, 2006
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: (1,-7/.0 C.
f
City of Federal Way * •
'Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: FEDERAL WAY PROFESSIONAL PLAZA Permit#: 05-104213-00-CO
Address: 31919 6TH AVE S SuiteA-200
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Owner Name: RAJIV NAGAICH
RAJIV NAGAICH A'
Owner Name: FEDERAL WAY PROFESSIONAL PLA
Owner Address: 31919 6TH AVE S SUITE A100
FEDERAL WAY WA 98003
Building Official Date
A
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those maters which
experience has shown most severly 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 and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon ir
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the jemises.
• THIS CARD IS T 'ZgMA1N ON-SITE •
CIT: OF- •''''''' ''''''', Community Develop ent Inspection R.ecord
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-104213-00-CO
Owner: RAJIV NAGAICH
Address: 31919 6TH AVE S Suite A-200
FEDERAL WAY, WA 98003-5210
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.
❑ Footings/Setback(4110) ❑ Re-steel (4215) ❑ Plumbing Groundwork(4190)
Approved to place concrete Approved to place concrete or grout Approved to cover
By Date By Date By Date
❑ Slab/Concrete Floor(4255) 0 Underfloor Framing (4285) ❑ Floor Sheathing (4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
❑ Rough Plumbing(4230) ® Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By C vi Date9•Z). a (P By A� Date 7/ ?7tr signed-off and approved. IBC 109.3.4/UBC 108.5.4
El Framing(4120) ❑ Insulation (4150) EI Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
•
By �`� Date J�Z'7/ By Date By C_ 4...,.) Date/c- 1. p 42,
❑ Suspended Ceiling Grid (4265) ❑ Final- Fire Department (4060) ❑ Final-Planning (4070)
Approved to drop tile Approved ,/ Approved
By Date /I�i,;"7/Uc By Date /�LVo By Date
❑ Final-Plumbing (4075) ® Final-Building (4050)
Approved Approved
By C...- t;..,-- Date Z./5` crl By C0..-A.3 Date2./S-07
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Y AUG 1 8 2005 PERMIT SF MF 0 E E PL bE EN FP
.MUNITY DEVELOPMENT SERVICES
25 6"r AVENUE SOUTH•PD BOX 9716 , LIGATION To e / / - /i)
FEDERAL WAY,WA 98063-97Es(NOF FERE
253-835-2607•FAX 253-835-2
www.cihtoffederalwaq.com BUILDING DPPT
The following is re.wired information-an incom•lete a.•Iication will not be acce•ted. Please .rint legibl_ (in ink)or ty.e.
• PROPERTY INFORMATION
SITE ADDRESS -';1("'1 }`) - 6 "...'aQ ( Nt e S ' c- 1./... , W P, q SZX1 '-S _ SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0 J ra L 0 Li - 9 A 3 3 LOT SIZE(sn
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
` I M PROJECT INFORMATION
TYPE OF PERMIT tX BUILDING (1PLUMBING E MECHANICAL
0 DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit°M11)
AD aCT �o^.^r- fi r' L\ ) .619,N.12.,-, ,..,0o-Qt . 3.,.} Ua2k4 O._n�.4 6_ Vo. , F 0— co-xu ,
z, !
�� ."11"..--7`r-t...„
C; ter., de..,.-..a — k(' 1, C...LI C.".1t ;-X-:C.. 1_1-2
b i‘41121 1.,4,0.--.
PROJECT NAME(Name of Business or Owner Last Name)
U PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER .---,2-46,- Qi .c11 — (af ) 71F 0 - '14c c,MAILING ADDRESS ITV,STATE.ZIP --
$1ei 1 g — 6H. ( %v.'e . S. �QA.9.-.0-Q bait, W 9 8-o4:5 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
— � L / / ( )
CONTRACTOR'S'REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Q-A 3\v ON)Rt,Alr:I-t. - ( 33 ) ')Lt o - `TEC,e,
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant i Agent 0 Other(Describe) ktrie t in jn}�¢� (963) v3& -9a6s
CONTACT NAME n j PRIMARY PHONE E-MAIL ADDRESS
.(\S\ 1\IP.c ,c>,( (ar3) 740- 1.G.Go
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE.ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE .p PROPOSED USE el • -
EXISTING ASSESSED/APPRAISED V UE $ , 1 57m VALUE OF PROPOSED WORK $ Ci o c,o,
SPRINKLERED BUILDING? ❑ YES g11O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES NO
WATER SERVICE PROVIDER X LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER mie.LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
/
i III
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ. FT.
BASEMENT
*32� 3225 11, ZLz
FIRST '7 g ci 1 -1 C 9 1- i , 6_2-2--
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
2
**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 —
Value of Mechanical Work $ r - , .
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS , WATER CLOSETS ropey MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
3 LAYS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 may be made by any person,including the undersigned, and filed 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. p
NAME/TITLE � . � UU in�Xn _ DATE 4/310^ -
(Signature) ((00���.fftle)
RELATIONSHIP TO PROJECT E Owner / Agent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
NEW ❑ADDITION ALTERATION I REPAIR XTENANT IMPROVEMENT
BUILDING SHELL ONLY? e YES XNO BASIC PLAN? e YES XNO
ZONING DESIGNATION ��s CHANGE OF USE? c YES XNO
NEW ADDRESS REQUIRED? a YES =!b"N0 UP/SEPA/SU? c YES YNO
PLATTED LOT? c YES a NO hr4 DEMO PERMIT REQUIRED? c YES >410
Bulletin#100–January 7,2005 Page 2 of 4 k\Handouts\Permit Application