06-106084City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way. WA 98063-9718
Ph: (253) 835-26C7 Fax: (253) 335-2609
Blafiding - Commercial Permii #: 06-106084-00-CO
Project Name: NIEMAN GLASS
Project Address: 34621 16TH AVE S
Inspection Request Line: (253) 835-3050
Marcel Number: 889700 0080
Project Description: TI - Construct interior walls to create office space. No plumbing & mechanical.
Owner
Applicant
Contractor
Lender �1
FRANCINE O. HOYT
MICHAEL HOVLAND
NIEMEN GLASS CO
FRANCINE O. HOYT
14117 12TH SW
HOVLAND ARCHITECTS, LTD
34331 PACIFIC HWY S
14117 12TH SW
SEATTLE, WA
900 MERIDIAN AVE E SUITE 408
FEDERAL WAY, WA
SEATTLE, WA
98166
MILTON WA 98354
98003
98166
Census Category: 437 - Commercial alt / add / conversion
Includes:
91
#2
#3
#4
Occupancy Class:
B
Construction Type:
Type V - B
Occupancy Load:
15
Floor Area (sq. ft.)
1,495
0
0
1 0
Additional Permit Information
New / Additional Sq. Feet - lst Floor....................0
New / Additional Sq. Feet - 3rd Floor..................0
Building Pre -con. Meeting Required?; .................
No
New / Additional Sq. Feet - Garage.......................0
Number of Stories..................................................1
Permit for Building Shell Only?............................No
Special Inspection(s) Required? .................:..........
No
Occupancy`# I -Use ............................:..................Professional
Services/Offices
New / Additional Sq. Feet - 2rd Floor..................0
New / Additional Sq. Feet - Basement.... .........
..... 0
New i Additional Sq. Feet - Deck ...... ....................
00
Mechanical to be Included?...................................No
New / Additional Sq. Feet - Other.........................0
Plumbing to be Included?......................................No
New / Additional Sq. Feet - Total ..........................
Zoning Designation ............................................. BC
No Fixtures Associated With This Permit II
PERMIT EXPIRES Monday, December 1, 2008
Permit Issued on Friday, December 1, 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 ill be in accordance with the laws, rules and regulations of the State of Washington
%. and the City of Federal Way.
Owner or agent: `'� / 7 Date: �� G`
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: NIEMAN GLASS
Address: 34621 16TH AVE S
Permit #: 06-106084-00-CO
Includes:
#1
#2
#3
#4
Occupancy Class:
B
Construction Type:
Type V - B
Occupancy Load:
15
Floor Area (sq. ft.)
1,495
0
0
0
Owner Name: FRANCINE O. HOYT
FRANCINE O. HOYT
Owner Name:
Owner Address: 14117 12TH SW
SEATTLE, WA
98166
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 severly affect the health and safety of the general public. Although the City has inarle as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neitner guarantees nor
warrants to the owner loccupant 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 UF,MAIN ON -SITE
CITY OF �` r't '�, ..f % ;ommunity Developmeat Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-106084-00-CO
Owner: FRANCINE O. HOYT
Address: 34621 16TH AVE S
FEDERAL WAY, WA
98003-6803
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on -site. DO NO.r LOSE 'rilIS 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.
0 Footings/Setback (4110)
❑
Re -steel (4215)
❑
Slab/Concrete Floor (4255)
Approved to place concrete
Approved
to place concrete or grout
Approved to place concrete
By Date
By
Date
By
Date
❑ Underfloor Framing (4255)
❑
Floor Sheathing (4105)
❑
Fire/Draft Stops (4095)
Approved to sheath floor
Approved to install flooring
Approved
5;ez- X07;;'-s
By Date
By
Date
By
Date
VOTE: Prior to scheduling a Framing (412]54
❑
Framing (4120)
❑
Insulation (4150)
inspection; Electrical, Plumbing & Mechani
Approved to insulate
Approved to install wallboard
Rough -in and Fire/Draft Stop inspections musigned-off
and approved. IBC 109.3.4/►JBC10
By
Date
By
Date
❑ Gypsum Wallboard Nailing (4130)
❑ Suspended Ceiling Grid (4265)
❑
Final - Fire Department (4060)
Approinstall mud & tape
Approved to drop tile
Approved
jved
dtto
By 4 ' Dante
By
Date
By
Date * p
❑ Final - Planning (4070) ❑ Final - Building (4050)
Approved Approved
By Date By C�tJA..) Date r �• .04j(
•.vm
r,,, F A R EC E I E L- i 1D
Federal Way PERMIT
=2ian'AW;p(NNSOMI•POFi�V 34 2006
FEDERAL WAY, WA 3 APPLICATION
253-835-2607• FAX 253-853�35-200-2609
,mtni,ctllit'ff:d_.'Fj'-aA.Vfi1� o+ilFnFED;ENAL WA,
Thefollowing7i�s' r�rlli�(ir}�aD -- an incomplete npplicaiion will not be
L�
SF MF CO EL PL DE EN FP
ee�"�P-Ez t Y-E6 I
ted, Please p nt o lu IlR iC k] or ft..
SITE ADDRESS 3 4 � 2 ( �J'� A-'j ti jF- SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # r" �5 9 -7 0 60 V 6 o — LOT SIZE (s, fl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) f'PrF-L4LL- 13 -(: I -a 1 1 (, _ YL u(-IWO L4c55 f ° Eojt- 5-iga-A 1
(Attach separate pagef tength J legal description)
PROJECT• ' •
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this Permit on[ul
0 [dc L c c ;T- aF t«S I op�Ir' o
PROJECT NAME (Name of Business or Owner Last Name) m .1 I Fr lvi.l°rr� C (,ra 5 5
0 PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
NAME
PRIMARY PHONE
`
MAILING ADDRESS
STATE, ZIP
7
7r-EOAI1A-c.. b-0 , w,4 lc'�)Ud3
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
CO wy',
( )
MAIU14G ADORPSS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
T'1.14OVp L,.au /��(Ii1'iP-Lt'
"MlC.* 14L.. C- rrvuLL4+.i0
" '
(731 )-
MAILING ADDRESS
ts�
CITY, STATE, ZIP
CELL PHONE
646Av)9N R (Af-
574-
( ) —
REIATIONSHIP TO PROJECT
FAX NUMBER
d-Aychitect ❑ Tenant ❑ Agent ❑ Other (Describe)
( 25S ) U15 - II e o
NAME PRIMARY PHONE MNL ADDRESS
MI(IIVY'S%L 0-. Ao`'LA� (253 ) 131 - 4'>??`�' ru'KVd(,,tc C.ovet_.+yr• •#"
Per RCW 19.27.095: Lender fitformaiion is NAME
required if project value exceeds $5,000 5 iEu'F J
MAILING ADDRESS CITY, STATE. ZIP PHONE
EXISTING USE C S t '-PX-f-5 T op rj�'-'M-f PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $
SPRINHLERED BUILDING? ❑ YES 1�-NO
WATER SERVICE PROVIDER ,j/<LAM91AVEN
SEWER SERVICE PROVIDER /irX LAKEHAVEN
VALUE OF
0
FIRE SUPPRESSION SYSTEM PROPOSED , I
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ HIGHLINE ❑ PRIVATE (SEPTIC) C xl�l
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
FT.
PROPOSED
FT.
TOTAL
89. FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
MOO
TOTAL
VWA�.ZrnvGee
rorne.rnarosmSr
rorncar
"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 extsting fixtures to remain.
AfEY+_HA Ivrra L
Value of Mechanical Work
AIR HANDLING 1
BBgS
BOILERS
COMPRESSORS
DUCTS
PLIIMBWG
BATHTUBS (o�n
DISHWASHERS
GAS PIPE OUTI,
EVAPORATIVE COOLERS
FANS _
FIREPLACE INSi:tYl
j;_7 l
SHOWERS �
SINKS
SUMPS
URINALS
VACUUM BREAKERS
SASS LOGS
HOODS (C—em(an
RANGES
GAS WATER HEATERS
WATER CLOSETS (Tr ue)
DRINKING FOUNTAINS
RAINWATER SYST
MIM BIBBS
C WATER HEATERS
REFRIG. SYSTEMS
WOODSTOVES
MISC (Describe)
MISC (Describe)
Jr cerL(jy under penalty ofpeejury that the information furnished by me is true and correct to the best of my knowtedgge, anti 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, aced flied against the City of Federal Way, but only where such claim
arises out of the relianceQf th fig, including its ggicers an fE employees, upon the accuracy of the irtformation supplied to the city as apart of
this application. % 7�
NAME/TITLE f DA
(Swlatu - mile)
RELATIONSHIPTO PROJECT ❑ Owner ❑ Agent ❑ Contractor a[GrehRect ❑ Other
K. -S.-e(.-
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
o REPAIR ❑ TENANT IDAPROVEMENT
BUUMING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT?
o YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts\Permit Application