21-102825 Building Permit ApplicationCITY OF PERMIT APPLICATION
PERMIT CENTER + 33325 80' Avenue South + Federal Way, WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 + permitcentel rbcityoffederalway.com
PERMIT NUMBER _
TARGET DATE _ --
SITE ADDRESS
SUITE/UNIT0
32717 1st Ave S., Federal Way, WA 98003
Suite 9
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL A
$ 350,000
BN
6 9 7 9 0 0_ 0 0 5 0
TYPE OF PERMIT
11
BUILDING 1L PLUMBING 6 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
First Smile Family Dental
INTERIOR FINISH -OUT OF EXISTING SPACE FOR THE PURPOSE OF A DENTAL
PROJECT DESCRIPTION
OFFICE. WORK INCLUDES NEW INTERIOR NON -LOADING PARTITIONS IN
Detailed description of work to
be included on this pennit only
ADDITION TO ALL RELATED MECHANICAL, ELECTRICAL, AND PLUMBING WOR
NAME
PRIMARY PHONE
FWC, LLC c/o Rush Properties
(253) 858-3636
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
6622 Wollchet Drive
Icfairakd;therusheompanics. c
O17Gig Harbor
sTWA
ZIP 98335
NAME James Company
PHONE(360)863-3302
MAILING ADDRESS
154 Village Ct, Suite 100
E-MAIL
eric@jamescoinc.com
CONTRACTOR
CITY Monroe
STATE WA
ZIP 98272
FAX (360) 243-3251
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
UBI Y
601844298
JAMESC*011JF
04 / 16 / 0
NAME Vien T. Nguyen
PRIMARY PHONE
(206) 245-7463
MAILING ADDRESS 33130 2nd Pl SW
E-MAIL
ngocvien282 002@yahoo. c
APPLICANT
CITY Federal Way
STATE
ZIP 98023
FAX
NAME
PRIMARY PHONE
PROJECT CONTACT
Eric Cavanaugh
(360) 294.8607
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
154 Village Ct, Suite 100
eric(a),jamescoinc.com
CITY
STATE
ZIP
FAX
concerning this application)
Monroe
WA
98272
(360) 243-3251
PROJECT FINANCING
NAMEBank of America Practice Solutions
❑ OWNER -FINANCED
When value is $5, 000 or more
(RCW 19.27,095)
MAILING ADDRESS, CITY, STATE, ZIP
P Or4�
(210) 63T-553
San Antonio, TX
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
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 apart of this application.
SIGNATURE: DATE
Eric Cavanaugh
PRINT NAME:
Im
M
Bulletin #100 —February 19,2020 Page 1 of k:\Handouts\Permit Application
MECHANICAL PERMIT
VALUE OF MECHANICAL WORK
$ 75,000
Indicate haru umny peach type
of fixture to be installed or relocated as
art o this roiect. Do not include existi
cures to remain.
AIR HANDLING UNITS
�_ FANS
GAS PIPE OUTLETS
OTHER (Describe)
I AIR CONDITIONER
FIREPLACE INSERTS
HOODS(commemiall
Reusing existing,_
BOILERS
FURNACES
HOT WATER TANKS (call
5 ton unit.
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
VALUE OF PLUMBING WORK
` PLUMBING PERMIT $ 55,000
BATHTUBS (arn,h/Show-Combol
O LAVS (Hand Sinks(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
2 OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
j����/_O��Sink
DRINKING FOUNTAINS
3 SINKS (Kitehee/ueetyl
1 WATER HEATERS (eie mo
—LSackmow
HOSE BIBBS
SUMPS
I WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Lakehaven Water and Sewer
Lakehaven Water and Sewer
31627 1st Ave S., Federal Way, WA 99003
31627 1st Ave S_ Federal Way, WA 98003
$ 1, 683,100
EXISTING I PREVIOUS USE
LOT SIZE (In Square Feet(
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
36,276 sgft
o Yes 0 No
u Yes o No
RESIDENTIAL -NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
--
COVERED ENTRY
—�
........... ,»_.__.......................................................................................
DECK
.......................... .......... ........ r........... ,.._. ,.-. .-.........._......_....__..�_
GARAGE ❑ CARPORT ❑
—�
—_......_........_..._......_....._.......................... ..... ......... ............... _
OTHER (describe)
—�
EXISTING
----
I PROPOSED
TOTAL
..._........ ......................... _..,......... ... ,..._,.,.__,..
... ............. ................ ......
--- --
Area Totals
"NEW HOMES ONLY'"
ESTIMATED SELLING PRICE $
I # OF BEDROOMS
COMMERCIAL— NEW/ADDITION
AREA DESCRIPTION Area to Occupancy Group(s) Construction I # of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area to Occupancy Group(s) Construction 1 # of Additional Information
Square Feet Type Stories
TOTAL BUILDING 4,000 11B 11B Single 1 Business/Dental
TENANT AREA ONLY
2,174
11 B
11 B
Single
Business/Delntal
PROJECT AREA ONLY
2,174
11 B
11B
Single
Business/Dental
Bulletin #100 - February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application