10-102331 F ;v r •
• Building - Comril e1c'ia1
City of Federal Way
Community Development Services Permit #: 10-102331 -00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: 253
Ph:(253)835-2607 Fax (253)835-2609 p Q ( )835-3050
Project Name: DR WEI GUO
Project Address: 33801 1ST WAY S Suite 311 Parcel Number: 926504 0160
Project Description: TI-Construct partition walls to build out dental clinic office space and accessible restroom
on third floor.Mechanical and plumbing on separate permit
Owner Applicant Contractor Lender
WASHINGTON PARK CHERYL BECHTEL W R HANSON INC WEI GUO
PROPERTIES DANNIX DESIGN WRHAN**251B1 (6/24/11) 1030 3RD ST
PO BOX 1310 1030 3RD ST 12510 130TH LN NE KIRKLAND WA 98033
VANCOUVER,WA 98666-1310 KIRKLAND WA 98033 KIRKLAND,WA
98034
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type Ill -A
Occupancy Load:
Floor Area(sq.ft.) 2,700 0 0 0
*^ ' 3h;� sssy o a' 1'a P. y
s
Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? Yes
Mechanical to be Included? No Number of Stories 3
Permit for Building Shell Only? No Plumbing to be Included? No
Special Inspection(s)Required? No Occupancy#1 -Use Professional
Services/Offices
Sensitive Areas?(Wetlands/Slopes,etc) No Zoning Designation OP
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PERMIT EXPIRES Sunday, January 23, 2011
Permit Issued on Tuesday, July 27, 2010
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: i�1'A _.a Date: "-7/L I[b
c
FIt iau. a/zfio
City of Federal Way • O
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 compliat ce with the`various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: DR WEI GUO Permit#: 10-102331-00-CO
Address: 33801 1ST WAY S Suite311
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type III -A
Occupancy Load:
Floor Area(sq.ft.) 2,700 0 0 0
Owner Name: WASHINGTON PARK PROPERTIES
Owner Address: PO BOX 1310
VAN UVER,WA 98666-1310
z iD
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 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.
J
W t4 # * A 9 m 9
• a•«
DATE INSPECTOR AREA AND TYPE OF ii*SPECTION
8-q- u) SCS 'DAY w4.0 ov.c. s,�ti ��e�,,,;�,� � - gr ,.tAcc_
THIS CARD IS TO ! - IN ON-SITE rr
CITY OF Federal a 0 Construction In ction Record
Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 10-102331-00-CO Address: 33801 1ST WAY S Suite 311
Owner: WASHINGTON PARK PROPERTIE: FEDERAL WAY, WA 98003
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.
CI Footings/Setback(4110) 0 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(4285) ElFloor Sheathing(4105) ElFire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
• •
Framing(4120) � Insulation (4150)
t
Prior to scheduling a Framing inspection;
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and p
approved. IBC 109.3.4 By "tic
Date v ,,/z4,/v By Date
0 Gypsum Wallboard Nailin l (41 0); 0 Suspended Ceiling Grid (4265) Final-Fire Department(4060)
p0r d install mud .p:z. 0 Approved to drop tile Approved
i
By ate „�„'j i By Dat By Date
C` A 110 -l'3
El Final-Planning(4070) ❑ Final-Building(4050)
Approved Approved
By Date By 7/1"- ---
Date f/0.. l e
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
, _
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it IV BID 4° _ / 0133 (
Federal.., N 2010 PERMIT SF MF CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICE
S A ,I CAT I O N . &/Z*/fo
253FAX
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FEDERAL
CDS
SITE ADDRESS SUITE/UNIT#
3C5 o\ Ism ./ -( 5J ,._.41'3� —Si I
I
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ / Cbl v On1 P ci 2 (40 'v A - 0 k (o
TYPE OF PERMIT X.ItUILDING ❑ PLUMBING ❑ MECHANICAL
DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT j�
(Tenant Name/Homeowner Last Name) -✓
PROJECT DESCRIPTION B U IL-0-0 J T' o p
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Detailed description of work to 1.1 v'n-1 -SI VI v`f.-464eL. Y kg'-i'-t i o 1- \1..A L S ��-t'�L fa i �/. wd)\
be included on this permit only l t u41 1-4�\ , S�'" i lS i-5 � b
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NAME - ' —rit .vv C-4,'. PRIMARY PHONE __..
PROPERTY OWNER J�1,\ 1 113-1--.t v.-{f,�c i'I'1.4 Pj B1rr ay SLS ?c3- 4 —t14-0O
MAILING ADDRESS . E-MAIL ,v"1
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°h 1 tel s- f. STATE
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NAME
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MAILING
4®' ONTRACTOR �J 10 ADDRESS 3 o' 1--49_if- 1-4E- 41—4 do fa‘,..)rbo,,vlsolf,LevA,
A _CITYvr-►L,LA-LtVD STANal/50 3`(TE ZIP FAX
- 1939
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
ARIE
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APPLICANT _�0 37 -11-h CoS • G e.,�) Q- 1(1,KA
FAX
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CITY STATE ZIP ZIPSS 4
i7/C-(672=2-I SIP.
PROJECT CONTACT NAME
(The individual to receive and 4L-- 6 i-1 ti/.Dl4'44 1'41'41X. 1 1C1i-j'1]
G2-1 5 2-'3-v
respond to all correspondence MAILING ADDREss E-MAIL
concerning this application) JO " t/L0 - G ✓+
� j1 --aqi 2.614
CITY FAX
f?.►ie+ - 17 STATE‘,,LAN- `�v J`� q2-S'- 2,2-2,I
ALTERNATE CONTACT NAME: PHONE E-MAIL
D ►--k r x -6bv,,-a5s- _day.� clar,�r,x &..� , "
PROJECT FINANCING NAME OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY.STATE.ZIP PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part ofofthis application.
SIGNATURE: CYJL2.45A-,C,LDATE CO'-1 —( 0
PRINT NAME: G 1C_ /3 °/}-f' '-"C.--
Bulletin#100—April 14,2010 Page 1 of 3 k:\Handouts\Permit Application
• •
st
MECHANICAL FIXTURES ) V: - SJ$m
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures 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 FIXTURES Q 'L IL.(L€A' IM t'TT71„r
_
Indicate_ how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or 71tb/shower Combo) LAVS(Hand Sinks) TOILEIS 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
y �.� t SEWER PURVEYOR
, VALUE OF EXISTING IMPROVEMENTS
92 I/A LA\ t�'a'C"21'6 Iom _l-\- -p bjk $ /SO1 °DO
�I�I,S�T1ING/PREVIOUS US& �T SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
1/ `$'r1'7t Lha Yieit�J uj
J �y'�. .S ❑ No ❑Yes ❑ No
Gl..t.y Pel�-� (g
RESIDENTIAL - NEW OR ADDITION t�-7 ,
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
AreaConstructionGroup(s) Construction #of Additional Information
in Square FeetType Stories
TOTAL BUILDING i 1 l 1�.Q 0 .1 ► I-� t-
TENANT AREA ONLY 07,--4. D7 J
PROJECT AREA ONLY 271 (I tJ
Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application