05-103930 0 • '
City of Federal Way Building - Commercial Permit #: 05 - 103930 - 00 - CO
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: FEDERAL WAY PROFESSIONAL PLAZA PORTABLE C
Project Address: 31919 6TH AVE S SuiteC-100 Parcel Number:082104 9233
Project Description: ALT-Interior remodel to create office space and add restroom,including plumbing&mechanical
(vent fan).
Owner Applicant Contractor Lender
FEDERAL WAY PROFESSIONAL P1 FEDERAL WAY PROFESSIONAL P1 FEDERAL WAY PROFESSIONAL P1 NONE
31919 6TH AVE S SUITE A100 31919 6TH AVE S SUITE A100
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 31919 6TH AVE S SUITE A100
FEDERAL WAY WA 98003 NONE
Includes:
Census category: 437-Comm
I
#1 I #2 I #3 #4
JI Occupancy Group: B u
Construction Type: Type V-B
Occupancy Load:
1 Floor Area(Sq.Ft.): 1152
1''
1st Floor Proposed .Peet1152 Building Pre-con,Meeting Required No
Census Category .437-Commercial altladd Fire Sprinklers... No
Mechanical..... Yes Number of Stories.: ' 1
Permit for Building Shell Only No Plumbing ... , ....... Yes
Special Inspection Required No Will Certificate of Occupancy be Issued? Yes
Zoning Designation PO
Plumbing Fixtures
Description Quantity Description 1Quantity Description 'Quantity
Lavatories 1 Water Closets __El—
Mechanical Fixtures
L Description Quantity Description Quantity Description Quantity
Fans 1
PERMIT EXPIRES April 19,2006.
Permit issued on October 21,2005
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: ?' — - y e Date: 1 --)( ,k `a,S
t .
City of Federal Way
• r Y
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 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: FEDERAL WAY PROFESSIONAL PLAZA PORTABLE C Permit number: 05 - 103930-00
Address: 31919 6TH S SuiteC-100
#1 #2 #3 #4
Occupancy Group: B
Construction Type: Type V-B
Occupancy Load: II
Floor Area(Sq.Ft.): 1152 -
Owner FEDERAL WAY PROFESSIONAL PLAZA LLC*RAJIV NAGAICH*
Name: 31919 6TH AVE S SUITE A100
Address: FEDERAL WAY WA 98003
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 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 which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
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• THIS CARD IS TO MAIN ON-SITE _ .•
CITY OF A ItommunitY pnt Develo m Inspection Record
P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103930-00-CO
Owner: RAJIV NAGAICH
Address: 31919 6TH AVE S Suite C-100
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.
O Footings/Setback(4110) 0 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) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) 0 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) .
❑ Mechanical Rough-in (4165)
Approved to install roofing Approved Approved
By Date By GcA.) Date((-Z,g .� By ,G_ `,/ Date /e- Z,.e
❑ Gas Piping(4125) 0 Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
signed off and approved IBC 1093.4/UBC 10854
By Date By C Date e. Z�w�
,❑ Framing(4120) 0 Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By G Date p(_ 22.0 By Date By G Date//-Bo. co
,-❑ Suspended Ceiling Grid (4265) 1 0 Final-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
❑ Final-Public Works(4080) 0 Final-Mechanical(4065) 0 Final-Plumbing(4075)
Approved Approved Approved
By Date By Date By Date
Final-Building(4050)
Approved
By ' s Date I d 2.Z 1D
0 QED
Federal Way PERMIT
AUG 0.6 egtI ;;Q 32
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COMMITDBVBLOPMFATSERWCSS
PER 11` CITY O M CO EL6 E
9JJ?sB�+rAvsAIUSSOfl11L.roD�,716 AppLI CATIO VILDINGE���wa A EN FP
FBD&RAL WAY,WA 98063-9718
?SJI DW. EO FAX acme-9609 1 v JPT, '� / L TC /
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The ollo , is -• fired i ormation-an Inco •late • ••lication will not be acce•ted. Please •rint le, , '
1�
IN PROPERTY INFORMATION or �•
SITE ADDRESS 3i 9\�I "' 6'I' t\N-z % . F_ (Acbt ` o. SUITE/UNIT It .C--I O e
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
41 a erPa&ala r*MOM d r
■ PROJECT INFORMATION
TYPE OF PERMIT ,BUILDING 0 PLUMBING 0 MECHANICAL -
• 0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 13 FIRE PREVENTION SYSTEM
PROJECT 'ESCRIPTION(Provide detailed description of work included on jhi permit only
- A. - g .,..l ,;1X7 .lam' gt.o i_g { ,t ).!...1: � -..,± �uK`��•�� I_
pnr� QtN�I. n '.JS- - ' I_,' .' �.v� 2 .n.Y�i�'+\4/4v-ve pi—ix.... ..f• ir0 era e / I
O f% V i
PROJECT NAME(Name of Business or Owner Last Name) F ?tro rt$S (�FLA) (t.. Z I ?(Aza. - C Ob
M
• PEOPLE INFORATION l
PROPERTY NAME /) n PRIMARY PHONE
OWNER F.,. .11 _/,e(X) (4040, (�/_ D_y.>4a ( LLCM . (.2.i3 ) 33C -343-4
MAILING ADDRESS _ v ` CITY,STATE,BIP
'3i1 11 - 0. A S. Ito-op rol.-Q (zzxb, L.N1A 9Svc' 3 _
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
OWweA ( ) -
MAIMAILING ADDRESS CITY,STATS,ZIP CELL PHONE -
CTTT• OF�+BDI3RAL WAY BUSINESS LICENSE NUMBER ' �'
EXPIRATION DA; FAX NUTAI3ER
_� / / , ( ) -.
CONTRACTOR'S REGISTRATION NUMBER(copy et owl required with each application EXPIRATION DATE
I /
APPLICANT COMPANY NAME APP CANT NAME
OFFICE PHONE
11= eLING� c ii.4. (/,, .C�c �3lv �r.,�-,cat • ( l3 ) (9-33 - 34j4-.
ESS CITY,STATE,ZIP - CELL PHONE
3111`1 - b"` 4re . S . 1~ -tz>QLYN°1itos (o3'3 ) '74a - `VC
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect o Tenant ❑Agent ❑Other(Describe) ( ) -
CONTACT NAME ()) r\ ' PRIMARY PHONE E-MAIL ADDRESS
Kf\z1v 1� A, i (Q13 ) `740 - `16CZ
LENDER ., a w:,-, ,,,,,e a 44 sr�,:: 1:
11 ir.Aliah:141111 .
MAILING ADDRESS. CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE C 1'F-t C( PROPOSED USE C t= F I L L
EXISTING ASSESSED/APPRAISED VALUE $ 1 'o` J M VALUE OF PROPOSED WORK $ 20 r)0 • C r) ,
SPRINKLERTD BUILDING? a YES ) )NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES 0 NO
WATER SERVICE PROVIDER LAICEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDERLAKEHAVEN 0 HIGHLINE . 0 PRIVATE(SEPTIC)
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PROJECT FLOOR AREAS
AREA DESCRIPTION ► EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST 1kscr%1 i ��a
SECOND
C T —
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
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•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =ATOM PROPO8LD TOTAL ;>,r -_e1
• .' a
**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
oec .
Value of Mechanical Work $ 1
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AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOOS REFRIG.SYSTEMS
BBQS I FANS HOODS tcemmectrs WOODSTOVES
BOILERS .,. FIREPLACE INSERTS RANGES ' MISC(Describe).,
• COMPRESSORS :' FURNACES GAS"WATER HEATERS`
DUCTS GAS PIPE OUTLETS
PLUMBING . 1 0 0
BATHTUBS(or Tub/Shower combo' SHOWERS WATER CLOSETS(renes MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
OAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
1 LAVS mamemsasso VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMTER/SIGNATURE BLOCK
I eert(fy 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 authorised 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, n the information supplied to the city as a part of
this application. GII'f
NAME/TITLE \ ,� kkU �r 1 >C-i . DATE Els-10J
(Signature) " 0 (MelRELATIONSHIP TO PROJECT p'Owner gent a Contractor a Architect a Other
(.l�E ~:
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Bulletin#100—January 7,2005 Page 2 of 4 laHandouts\Permit Application