21-101362 (2)40k
CITY OF
Federal Way
PERMIT NUMBER
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
31003 PACIFIC HIGHWAY SOUTH, FEDERAL WAY, WA 98003
N/A
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$164,300
BC
082104-9245
TYPE OF PERMIT
X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
DREW BEATY DDS
PARTIAL INTERIOR REMODEL (NON-STRUCTURAL) TO MODIFY
PROJECT DESCRIPTION
Detailed description of work to
1,643 SF OUT OF AN EXISTING 2,998 SF DENTAL OFFICE WITH
INTERIOR PARTITIONS, EQUIPMENT, FINISHES AND LIGHTING.
be included on this permit only
NAME
PRIMARY PHONE
DR. DREW BEATY
253-389-8544
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
31003 PACIFIC HIGHWAY SOUTH
DREWBEATY@AOL.COM
CITY
STATE
ZIP
FEDERAL WAY
WA
98003
NAME
PHONE
TBD
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
NAME
PRIMARY PHONE
CAROLINE TEDJAi FREIHEIT ARCHITECTURE
426-827-2100
APPLICANT
MAILING ADDRESS
777 108TH AVE NE SUITE 1650
E-MAIL
CTEDJA@FREIHEITARCH.COM
CITY
STATE
ZIP
FAX
BELLEVUE
WA
98004
NAME
PRIMARY PHONE
cAROLINE TEDJAi FREIHEIT ARCHITECTURE
426-827-2100
PROJECT CONTACT
MAILING ADDRESS
777 108TH AVE NE SUITE 1650
E-MAIL
CTEDJA@FREIHEITARCH.COM
(The individual to receive and
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
BELLEVUE
WA
98004
NAME
PROJECT FINANCING
COLUMBIA BANK
+ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCw 19.27.095)
1301 A STREET, TACOMA, WA 98402
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 a part of this application.
Bulletin #100 —February 19, 2020 Page 1 of 2 k:AHandouts\Permit Application
SIGNATURE: Caroline Tedja DATE 07/19/2021
PRINT NAME: CAROLINE TEDJ
Bulletin #100 —February 19, 2020 Page 2 of 2 kMandoutsTermit Application
MECHANICAL PERMIT UNDER SEPARATE PERMIT $
Indicate how many of each type o ixture to be installed or relocated as part of this project. Do not include existin ixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT UNDER SEPARATE PERMIT $
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower combo) LAVS (Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen/utility) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
NO
$ 164,300
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
B-DENTAL OFFICE
2998
❑ Yes X No
❑ Yes X No
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in Occupancy Group(s) Construction
Square Feet Tvve
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
2998
B
3B
1
TENANT AREA ONLY
2998
B
PROJECT AREA ONLY
1643
B
Bulletin #100 — February 19, 2020 Page 3 of 2 k:\Handouts\Permit Application