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City of Federal Way #: 12-105107-00-CO
Community&Egon.1:*ilev Services -
33328'41th Ave S
Federal Way,WA 90003
Ph:(253)835-2607 Fax:(253)835-2609 V Inspection Request Line: (253)835-3050
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Project Name: SHAHRASIII,DDS , '
Project Address: 33516 9TII AVE S ! Ig9 Parcel Number: 926925 0090
Project Description: TI-Interior te I I t improvements to existing dental office space to include new T-bar
ceiling and i .-'tion walls,dental chairs. Plumbing included. No meclianial.
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Owner Applicant Contractor 1.finsi2r
APADANA LLC _ A PLUS COSMETIC&IMPLANT D P INC GENERAL OWNER S LENDER
33516 9TH AVE S / CENTER LLC CONTIkACTORS
FEDERAL WAY WA-48003 34630 111TH AVE S SUITE 200 liPINCGC066BU (1/31/14) .
, FEDERAL WAY WA 98003 19909 BALLINGER WAY NE SUM
SEATTLE WA 98155 es _
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 . #4
Occupancy Class: B
Construction Type: Type V-B ,
Occupancy Load:
Floor Area(sq.ft.) 1,487 0 ' 0 0
Additional Permit infOfteN11:1011
Existing Sprinkler System in Building? No Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be 1ncluded9 Yes New/Additional Sq.Feet-Total 0
Occupancy#1-Use Professional Zoning Designation , OP
Services/Offices .'
Plumbing Fixtures
Sinks 5
PERMIT EXPIRES Wednesday, July 24, 2013
Permit Issued on Monday, November 26, 2012
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: /,',. 4i.t-ie;6`)/2tilf.t/ et2/4-Y571-4-1-1,1'. 4.
`40, Date: i— ( 3
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• Building'- Co>Icrcia
City of Federal Way
Community&Econ.Dev.Services Permit #: 12-105107:00-CO
33325 8th Ave S M4 y
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050.
Project Name: SHAH ASBI,DDS
Project Address: 33516 9TH AVE S Bldg 9 Parcel Number: 926925 0090
Project Description: TI-Interior tenant improvements to existing dental office space to include new T-bar
ceiling and partition walls,dental chairs. Plumbing included. No mechanical.
Owner Applicant Contractor Lender
APADANA LLC A PLUS COMESTIC&IMPLANT M&M CONSTRUCTION& OWNER IS LENDER
33516 9TH AVE S CENTER LLC SIDING INC
FEDERAL WAY WA 98003 34630 111111 AVE S SUITE 200 MMCONCS933KU(6/2/13)
FEDERAL WAY WA 98003 16613 129TH AVENUE CT E
PUYALLUP WA 98374
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load
Floor Area(sq.ft.) 1,487 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? No Mechanical to be Included? No
Number of Stories. 1 Permit for Building Shell Only? No
Plumbing to be Included? Yes New Additional Sq.Feet-Total 0
Occupancy#1-Use Professional Zoning Designation OP
Services/Offices
Plumbing Fixtures
Sinks 5
PERMIT EXPIRES Saturday, May 25, 2013
Permit Issued on Monday, November 26, 2012
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: .40.E4i_ ' - A ! ■., � . 1� . Date: /01-- --
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City,p federal Way w GP
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: SHAHRASBI,DDS Permit#: 12-105107-00-CO
Address: 33516 9TH AVE S Bldg9
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 1,487 0 0 0
Owner Name: APADANA LLC
Owner Address: 33516 9TH AVE S
FEDERAL WAY WA 98003
a4 a.O.O.
BuildinT cial 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 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.
r
THIS CARD IS TO 'MAIN ON-SITE
CITY OF i � � , .•
Construction In ction Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 12-105107-00-CO Address: 33516 9TH AVE S Bldg 9
Project: APADANA LLC FEDERAL WAY, WA 98003-6322
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.
SWM Precon Site Mtg(4400) Initial Erosion Control(4365) 0 Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
El Re-steel(4215) ❑ 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) El Floor Sheathing(4105) El Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By ( Date2 - r7-1
El Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) prior to scheduling a Framing inspection/
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 1093.4
Framing(4120) El Insulation(4150) Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date 2 - i 7i 13 By Date `l Dater,( 3 "
�0 Suspended Ceiling Grid(4265) Q Final-Fire Department(4060) Final-Planning
Approved to drop tile Approved Approved
By Date 3., By VI Date 3.a -13 By Date
•Di Final Erosion Control(4375) El Final Plumbing(4075) Final-Building(4050)
LI Approved Approved Approved
By Date By Hi Date 3./g•43 By fis.,F Date 3..0- /7
FLRough Electrical Final Electrical Right of Way
Approved Approved 12y Date By Date By Date
l2 105 / 0
4 CITY OF RECEIVEE$ PERMIT IMF CO E PL DE EN FP
Federal Way
NOV
COMMUNITY DEVELOPMENT SERVICES U 8 201
253-835-2607•FAX 253-835-2609 P P L I CAT I O N 7JOA!IBIBI..Lif112atifElli-vgl, rn OF FEDERAL WAY
CDS
SITE ADDRESS hWfj
.4.? SUITE/UUNIT#
9� /hi( j7..e0eArea J 9.-
PROJECT VALUATION ZONING ASSESSOR'S TAX/P CEL#
$ /(J\)r 66 cf ) 00 6 q 2 -- - Q D q C7
TYPE OF PERMIT BUILDING PLUMBING ❑ MECHANICAL
DEMOLITION ❑ NGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) J - j4-/f%L4( /3/ O& 7 k
C-e;(4 G
70 /IeG p G e e/o% /.5 V? si
PROJECT DESCRIPTION _ o'i^w1.w'f l � , C� / Y4y
Detailed description of work to C�rwfz�- Gc�L 7
be included on this permit only ,�!_ /� ��r'.1- LMl 44 Jui. CI c
LL�t
NAM] PRIMARY ONE
PROPERTY OWNER /�(/ /�th/�Z����&.
MAILING ADDRESS E-MAIL
CITY 1 STATE I ZIP
NAME
/14S)/41 a J`jLtti.AYI(1•1 )/tc. k- Pe �/G-� e°.S, ",
MAILING ADDRESS 49 J- - / /� i / ISAI�L{U,,(14,-_ l: h e
CONTRACTOR / r'F�A di''"t- , �sj�y
CITY STAT$ ZI•- di f L FAX J '--47
WA STATE C TRACTO S LICENSE# • .IRATION DATE FEDERAL WAY BUSINESS LICENSE$
/p�I �/
NAME p , �J 1%3) 2?3 L 0/2.�
APPLICANT MAILING ADDRESS !�/'v`/N-h, \E-MAIL
/t'//(l 9/ — C i''o.c)G� @ +C,4% 1
CITY FAX
may}, STA ZIP i /
ft63) 557 -ties-
PROJECT CONTACT NAME y
/ PHONE
(The individual to receive and 72i idtPN{
respond to all correspondence MAILING ADDRESS G E-MAIL
concerning this application) /2/8/ C Li"«7
CITY STATE ZIP FAX
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
1 all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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 •art of this application. p�
SIGNATURE: ./ DATE /°�/C ''�,ei
/`-"
PRINT NAME: -L"J G✓U il S
Bulletin#100-January 1,2011 Page 1 of 3 lc:\Handouts\Permit Application