05-103689 J
, i .. 1
i
City of Fed Way
Community Development Services Building - Commercial Permit #: 05 - 103689 - 00 - Co
P.O.Box 9718 4
Federal Way,WA 98063-9718 i
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: REUSA OFFICE
Project Address: 31919 6TH AVE S SuiteA200 Parcel Number:082104 9233
Project Description: TI-Demo and install of new walls; no plumbing&mechanical. Work only in Suite A200
Owner Applicant Contractor Lender
FEDERAL WAY PROFESSIONAL PI FEDERAL WAY PROFESSIONAL P1 FEDERAL WAY PROFESSIONAL P1 FEDERAL WAY PROFESSIONAL P1
31919 6TH AVE S SUITE A100 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
FEDERAL WAY WA 98003
Includes:
Census category: 437-Comm #1 #2 ft11 #3 #4
Occupancy Group: B _ _
Construction Type: Type V-B
Occupancy Load:
Floor .(Sq Ft): 3454
1st Floor Proposed Sq Feet ,,.3454 Census Category �,cat 0,
') ..w. ,.......437-Co! ial alt/add
Fire Sprinklers ...�,._ No Iklecptcal...,...,. ........... ...�„* o
Number of Stones .,..:;.. .1 Permit r building Shell Only....,.' No -��
Plumbing No Will Certificate of Occupancy be Issued?......::....Yes
Zoning Designation .PO
PERMIT EXPIRES January 28,2006.
Permit issued on August 1,2005
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: 1may_ Date: 8 0 S
City of Federal Way
•
� 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: REUSA OFFICE Permit number: 05 - 103689-00
Address: 31919 6TH S SuiteA200
#1 #2 #3 #4 sl
Occupancy Group:
Type: Type y__B
Construction T e: { -- ,�_ __
Occupancy Load:
Floor Area(Sq.Ft.): Ij 3454
Owner FEDERAL WAY PROFESSIONAL PLAZA LLC*RAJIV NAGAICH*
Name: 31919 6TH AVE S SUITE A100
Address: FEDERAL WAY WA 98003
MS ?k*.A , C110 9/Z//a1--
Building Official ,t 9/z/IOs- 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 genera!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.
THIS CARD IS TO brVTAIN ON-SITE
art OF
A ' d tommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-103689-00-CO
Owner: RAJIV NAGAICH
Address: 31919 6TH AVE S Suite A200
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) 0 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) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date _ By Date
•
r Roof Sheathing(4220) ❑ Fire/Draft Stops(4095) , NOTE: Prior to scheduling a Framing(4120)1Approved to install roofing Approved inspection;Electrical,Plumbing&MechanicalRough-in and Fire/Draft Stop inspections must be Date By Date $ , L ? or signed off andapproved IBC 109 3.4/UBC 108.5.4
❑ Framing(4120) 0 Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By e.....‘�J Date 8 , (9. ate By Date By Gto3 Date s• 2,2-4S
,❑ Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date /Z � By CI._ Date 9/!G/af `By Date
•. •
❑ Final-Public Works(4080) 0 Final-Building(4050)
Approved Approved
By Date By Pe/C Date //2 Vas—
•
A 9 RECEOED• IAA-)
Federal Way JUL 2 2005 — —
L02th1
COMMUNITYDEVELOPMENUSERVICES I ` 7 SF MFM ME EL PL DE EN FP
33325 11174 AVENUE S0U771•PO BOX 9718 A p p L I CA'I�1�
FEDERAL WAY,WA 98063-9718 F�'�D E RAL W
T53d3W.atuo FAX 253-8354609
Lbw!G DEPT. /�.('f l /
Nrwur26O7 rpAX 25 ay.00rk ,`�
The ollowf • is . fred in ormation-an Inco .fete a••lication will not be acce•ted. Please •Tint le.ibZ
•I INFORMATION
INFORATION or
SITE ADDRESS 3 I el 1 0\ '— 6 M 4\re F(N 9R-0,0.1 SUITE/UNIT#I A c 49Q
ASSESSOR'S TAX/PARCEL# - — _ _ LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach$eparatepage for lengthy legal deao{ oft)
■ PROJECT INFORMATION
TYPE OF PERMIT ,'8'BUILDING 0 PLUMBING 0 MECHANICAL -
•ErbEMOLITION APPELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onl
r
PROJECT NAME(Name of Business or Owner Last Name)
\zea56-
NI PEOPLE INFORMATION
PROPERTY NAME 4 PRIMARY PHONE
OWNER MAILINGRE � V' JI N eir:IP- %S
EiN ` If
(.AZA. I (oS"3 ) & 3e - 34.1-4
CITY,STATE,ZIP
3191 C - 6" Q yr S. S'M-.t A-100 F--,24.....Q ( i u-.D 980v 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER ) r
EXPIRATION DATE FAX NUMBER
/ / ( )
-B L CONTRACTORS REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPë-fv
CANT NAME
V °a"
OFFICE PHONEF
a "
MAILI ADDRESS ex/ic a "'I ( i _ N1 aeric„ (0�.� ) 8.3p - 243y-
'
1 CITY,STATE,ZIP - CELL PHONE
3►Q 19-61"Ave S A A-loo 1.2c 903 ( ) -
RELATIONSHIP TO PROJECT
FAX NUMBER
O Architect ❑Tenant ❑Agent ,erOther(Describe) l'Ae,r4., (Obl ) 8s8 -Ski .
CONTACT - _ PRIMARY PHONE E-MAIL ADDRESS
31v NaNcanrem Ian_ ) 61.g - . 4J4.
LENDER •
? b . a..pi -c ,'air r-r f,frJtir •tdi;'r;" a b 0�
a <,;r• _. I-'fl .e4,7 11X1 Xek, h•re•
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE
ri • e PROPOSED USE ,i�P'
EXISTING ASSESSED/APPRAISED VALUE $ OCT//OOD CO VALUE OF PROPOSED WORK $..OZ/ 000
SPRINKLERED BUILDING? O YES I0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER , LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER *LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST S .;45^1-(- � �� , _
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
R7QSTme PROPOSRD TOTAL r,f..!2". ,1_0_11, SR/
NUMBER OF FLOORS 2 ,Z } , v
**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 $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS =.mmerd.y WOODSTOVES
BOILERS FIREPLACE INSERTS • e ES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combs, ' •WERS WATER CLOSETS(roues MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHI URINALS HOSE BIBBS
LAVS : 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.
( 7 'f os-
NAME/TITLE �+ • - ►. n•__ _ „ • DATE
o f ((Title) U J
RELATIONSHIP TO PROJECT a Owner ❑Agent ❑ Contractor ❑ Architect .43-OtherInrll�r•.W�vc,
;P •:t )k•E'(i).( '4f 4` � f(o#.. ks.•;F.v,rI I'S:. i.•. : 'i��rt
41mic)04e>; $�� �6���af�' :'. �r� } �fe) f, )(e
)D.-1(t)4,'k (c)4 'e��d�Ic)�'e�a If p:- Stu yyt �fe,
Bt.4 F ri fa`
t
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, , e ��feto.j �(o� I !��`(�����t'.ly..i.�.� b�s)Kpi;4-�®r: � .01-1,1u. .
Bulletin#100—January 7,2005 Page 2 of 4 k\HandoutsTermit Application