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13-102515 f y . wilding - Coni ercft, City of FederalWay Permit #: 13-102515-00-CO Community Econ.& Dev.Services 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: COMFORT DENTAL OF FEDERAL WAY Project Address: 31401 PACIFIC HWY S Parcel Number: 082104 9216 Project Description: TI-Remodel of existing tenant space,including plumbing and mechanical work. Owner Applicant Contractor Lender PAVILIONS CENTRE MED-TECH CONSTRUCTION INC MED-TECH CONSTRUCTION INC OWNER IS LENDER ASSOCIATES PO BOX 2497 MEDTEC1895DG(6/24/15) 120 W DAYTON SUITE D-9 ROCKWELL TX 75087 PO BOX 2497 EDMONDS WA 98020 ROCKWELL TX 75087 Census Category: 437 - Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: 39 Floor Area(sq. ft.) 3,800 0 0 0 Additional Permit Information Existing Sprinkler System in Building? Yes Mechanical to be Included? Yes Plumbing Work Valuation 36446 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 Services/Offices Zoning Designation CC-F Mechanical Fixtures Air Handling Units. 1 Ducting 2 Fans 3 Furnaces 1 Gas Piping 1 Plumbing Fixtures Drains 2 Lavatories 2 Sinks 12 Water Closets 2 Water Heaters 1 PERMIT EXPIRES Sunday, January 5, 2014 Permit Issued on Tuesday, July 9, 2013 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: Date: 1 I 1 I 13 0 ..--- 7_,CM , EltSIPII L, l t " ../i 7 et) .. --___---, ___.,„ ,-. ,(, _ ( / ( Z— ( City of Federal Way 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: COMFORT DENTAL OF FEDERAL WAY Peiiuit#: 13-102515-00-CO Address: 31401 PACIFIC HWY S Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: 39 Floor Area(sq. ft.) 3,800 0 0 0 Owner Name: PAVILIONS CENTRE ASSOCIATES Owner Address: 120 W DAYTON SUITE D-9 EDMONDS WA 98020 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. ,, AP 0 THIS CARD IS TO - 'MAIN ON-SITE CITY OF 4i'll " Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-102515-00-CO Address: 31401 PACIFIC HWY S Project: PAVILIONS CENTRE ASSOCIATES FEDERAL WAY, WA 98003-5405 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. O SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) -❑ Footings/Setback(4110) Approved To be done prior to breaking ground Approved to place concrete By Date By Date By Date ® 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 S Date' S f By Date r❑ Underfloor Framing(4285) ' '� Floor Sheathing(4105) Rough Plumbing(4230) Approved to sheath floor Approved to install flooring Approved By Date By Date By g Date 'i( 1_5-1 (? ❑ Mechanical Rough-in (4165) ,El Gas Piping(4125) .0 Fire/Draft Stops(4095) Approved Approved to release test Approved By Date By Date By Date % ❑ Interim Erosion Control(4370) ( Prior to scheduling a Framing inspection; EI Framing(4120) Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Fire/Draft Stop inspections must be signed off and By Date approved IBC 109.3.4 By Date 0. .2.,,A ____)-- Insulation(4150) ❑Gypsum Wallboard Nailing(4130)' ❑ Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud&tape Approved to drop tile By Date By $U4 Date I 0 1 3 it 3 By (, Date i`I —‘3 ❑ Final-Fire Department(4060) El Final-Planning 'El Final Erosion Control(4375) Approved Approved Approved By Date By Date By Date ❑ Final-Mechanical(4065) `0 Final-Plumbing(4075) 'El Final-Building(4050) Approved Approved Approved B --!( --- Date /( B Date !Ai Date ID Rough Electrical CI Final Electrical CI Right of Way Approved Approved Approved By Date By Date By Date DATE , INSPECTOI AREA AND TYPE ( INSPECTION a -4."I 3 c r ci,A;) Lt) vL4 vi;.---)rcti-'5 - - 13 1'3 Fair-ha( P(Ass WechA-14;c4A - b(F }0 iKsk(a t ct1Ack woAL 5/7)//3 Ill \ % ' CITY OF �EC ��� PERMIT APPLICATION el a Federal Way JUN 0 6 2013 CITY OFF�EDDEFtAL'WAY - C (.- ) PERMIT NUMBER 1 }• 7 1� � tCTARGET DATE 7/c !6/ 3 SADDRESS ( SNIT# 6 Pcc�'(.. Hwy F`aQO/ LT/ u/ . ECT VALUATION ZONING TAX/PARCEL $ _32,Ga5l� 'l - — — TYPE OF PERMIT [>;(BUILDING LUMBI NG LNI,EVCHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT 00-(b- ii- /7 fit / / ,C��1,,Q/ Way a y PROJECT DESCRIPTION 2cj 9Cl,/ c�i� I7�i� l � '4 7 'D, /� 17 / Detailed description of work to be included on this permit only NAME D ,j -- --- PRIMARY PHONE PROPERTY OWNER Siti_CI`� 'Cf. )6Z0 5-2-/•40Z..<-9MAILING DRESS E-MAIL 1L/2C A-w, 41fe_ 5u; e_.- ..zdve" _ .reiGlleDtoilecoli CITY STATEZIP 1e WA '�Yi&i NAME fr1 /-7 -h ( *(1//�©p PHONE 72. 2/_(e3332 MAILING ADDRESS /' E-MAIL ,- �y ,_-./� CONTRACTOR r e2 3'oy 2,,j1. g %� rJl F��s/'II w 4/0 577Ildiji.Glc CITYar)/ ol�((.i'La.,4't T x.STATE ZIPG 5-e'!J 7 FAX -- 7 ZCP-T✓q2 WA STATE CONTRACTOR' L CERN # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# mases" RC1 / NAME /� `PRIMARY PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT +-7C7/Tv_ (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX PROJECT FINANCING NAMES e' L.el.�•he� 12 OWNER-FINANCED( 14A LtyGRXr) Required value of$5,000 or more /� I G 'ppRR CiTY,s TE, ed l(7wa° PHONE (RCW 19.27.095) �S uV 1 �"e, l©c o co ;,,,,4D, 303 $O23 ZL� 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 arty claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made by arty 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. f SIGNATURE / �/ DATE (.2, 7/r/ ,: (..)C/! ^� /i Gly PRINT NAME: , 51'i �✓LU/'Z 11 Bulletin#100-January 1,2013 Page 1 of 3 k:At-Iandouts\Permit Application tr • • ' , VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ 34 IDS$'OO 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 3 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 I GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT $2 f r`��%!' Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existiin`g}l�xDtures to remain. BATHTUBS(or Tub/Shower Combo( (1. LAVS(Hand sinks( 2. TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS _,__ URINALS OTHER(Describe) 2. DRAINS SHOWERS VACUUM BREAKERS p DRINKING FOUNTAINS {2. SINKS(Kitchen/Utility) r WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES I Q TOTAL FIXTURES GENERAL INFORMATION O OPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS CRITICAL � Q LA $ .382_, cose .02 EXISTING/PREVIOUS USE LOT SIZE(In uare Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? r (ockiE ido A) $Yes ❑ No Yes No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile me) SECOND FLOOR COVERED ENTRY /� DECK GARAGE 0 CARPORT ❑ '' • OTHER(describe)_.- EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTION Area Occupancy Construction #of in Square Feet P y Grou P(s) Type Stories Additional Information NEW BUILDING ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square,Fe t Type Stories TOTAL BUILDING 1,,it t11 TENANT AREA ONLY OO - V / PROJECT AREA ONLY 32,100 p}0 Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application