15-104889 C �{ 411 i 'building - Coninterciul
C Hof Federal Way Permit #: 15 104889 00 CO
Community&Eton.Dev.Services - -
33325 8th Ave S
Federal Way,WA 98003 inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 q
Project Name: SEA-MAR CLINIC
Project Address: 31405 18TH AVE S. Parcel Number: 092104 9233
Project Description: REP-Inspection of fire damage. ***NO construction work approved under this permit***
Owner Applicant Contractor Lender
SEA-MAR COMM HEALTH SETH LUNDGAARD OWNER IS CONTRACTOR
CENTER BAZAN ARCHITECTS
1040 S HENDERSON ST 2000 116TH AVE NE SUITE 4
SEATTLE WA 98108 BELLEVUE WA 98034.
` I
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: R-3 •
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
• New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Basic Plan? No Occupancy#1-Construction Type. Type V-B
Mechanical to be Included? No Occupancy#1-Class R-3
Plumbing to be Included? No Occupancy#1 -Use Residence(1 or 2
family)
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Wednesday, March 23, 2016
Permit Issued on Friday, September 25, 2015
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: [Z C■ rv4 Pcf(h ,T T L Date: G 1 281 i
6
J
a
, . t Silding - Single Family
City of Federal Way ' Permit #: 15-104889-00-SF
Community&Econ.Dev.Services 4 (,
33325 8th Ave S
Federal way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p
Project Name: SEA-MAR CLINIC
Project Address: 31405 18TH AVE S Parcel Number: 092104 9233
Project Description: REP-Inspection of fire damage. ***NO construction work approved under this permit***
Owner Applicant Contractor Lender
SEA-MAR COMM HEALTH SETH LUNDGAARD OWNER IS CONTRACTOR
CENTER BAZAN ARCHITECTS
1040 S HENDERSON ST 2000 116TH AVE NE SUITE 4
SEATTLE WA 98108 BELLEVUE WA 98034
,
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: R-3
Construction Type: Type V-B
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement. 0
Occupancy#1-Construction Type. Type V-B Mechanical to be Included? No
Occupancy#1-Class R-3 Plumbing to be Included? No
Occupancy#1-Use Residence(1 or 2
family)
No Fixtures Associated With This Permit H
PERMIT EXPIRES Wednesday, March 23, 2016
Permit Issued on Friday, September 25, 2015
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 e City of Federal Way.
Owner or agent: Date: /72 1
THIS CARD IS TO ON-SITE
CITY Construction In TAIN
t i n
Federal Way ct o R ecord�/ INSPECTION REQU : (253)835-3050
PERMIT#: 15-104889-00-CO Address: 31405 18TH AVE S
Project: SEA-MAR COMM HEALTH CENTEF FEDERAL WAY, WA 98003-5404
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.
0 Final-Building(4050) -
Approved
By�� Date t 6 I CI )<---------"------
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
REC1TVED
CRY OF SEP 25 2015 PERMIT IIPPLICATION
Federal Way
CITY OF FEDERAL WAY
CDS j /�
I
PERMIT NUMBER 1 5 _ 0 Li , _ C l.J "I 2 51 ) 5-) 5
TARGET DATE
SITE ADDRESS SUITE/UNIT#
51 ids— ( fr �`"`. e.-- S O .
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ D 9 1, 1 0 Li _ GI ? ?3
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECTS_ AAA- C,1,ti.7 L
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME 1t.' ' � ) PRIMARY PHONE
PROPERTY OWNER 5 et. ,t4 e4,..- G...a... .-.•0'y "�4& Ce�4,vS
MMAILING H DDRESS .l Si.. E-MAIL
Koo S. " ' oti
CITY STATE ZIP
5eaf.- 1e, 1414- g8'',cs`
NAME b l3\€ k IW 1 c..� 1 - PHONE
MAILING ADDRESS 1 ,y9/►` T E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT 5 L-'t. v
(The individual to receive and MAILING ADDRESS 116 I' S c.
respond to all correspondence ��
concerning this application) CIT STATE ZIP FAX
PROJECT FINANCING NAME [] OWNER-FINANCED tom"
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 harniless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense f such claim), which may be made by any person,including the undersigned,and filed against the city,
but only where such claim ,* ses out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the as a part of this application.
OF
7 2- S-/ IS'
SIGNATURE: -� ��� DATE t/
PRINT NAME: S i .w. �i lvGt,�/�O� [[
c
Bulletin#100—January 1,2013 Page 1 of 3 161-3andouts\Permit Application