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06-103379 J , r 6 Comm n' De4eopmentServices 1�ullaaln — Commercial Perm#: 06-103379-00-CO P.O.Box 9718, Federal Waye,V 98063-9718 Ph:(253)835-2607 Fax (253 335-2609 Inspection Request Line: (26,3)835-3050 Project Name: DR BRIAN WILLIAMS Project Address: 32225 PACIFIC HWY S Suite 102 Parcel Number: 150050 0100 Project Description: TI-Initial TI to create a Dental Clinic to include building new interior partitions,installing cabinetry and installing materials and finishes. **NO MECHANICAL OR PLUMBING** Owner Applicant Contractor Lender HARSCH INVESTMENT CHRISTINE BENDA SAFFLE COMPANY BARBARA COOCH PROPERTIES SJ BARRETT&CO,INC SAFFLC*001P1 10/21/06 CASCADE BANK PO BOX 2708 7350 CIRQUE DR S SUITE 202 7350 CIRQUE DR 200 108TH NE PORTLAND OR 97208-2708 UNIVERSITY PLACE WA 98467 TACOMA WA 98457 BELLEVUE WA 98004 Census Category: 437- Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-aoh occupancy Load:25 ?x 3= Area(sq. ft.) 2,481 0 0 0 '114 '.,- .-- tuftal t vatic 4 Mechanical to be Included? ,Ne s = --, ,a Number of Stor . .4. Permit for Building Shell Only? No Plumbing to be Included? No Special Inspection(s)Required? No Occupancy#1 -Use Professional Services/Offices Zoning Designation CC-F Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? Yes No Fixtures Associated With This Permit !! PERMIT EXPIRES Thursday, October 2, 2008 Permit Issued on Monday, October 2, 2006 - 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 agd . Date: /1/ Q-9 ,D Eli t-- C ,a1 Q uk re Cit y Federal Way 044k 4. �� 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: DR BRIAN WILLIAMS Permit#: 06-103379-00-CO Address: 32225 PACIFIC HWY S Suite102 Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: 25 Floor Area(sq. ft.) 2,481 0 0 0 Owner Name: HARSCH INVESTMENT PROPERTIES Owner Address: PO BOX 2708 PORTLAND OR 97208-2708 6 L v 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. • S.• • • • • • a DATE INSPECTOR • AREA AND TYPE OF INSPECTION 0014 � = P/47 / Da ykilif)7_,6 &7C r— Ci 9G iNG /Ai /V/T/teq/ 6A-5 D/7-7 aTHIS CARD IS TO 'MAIN ON-SITE - •• CITY oAtommunit Developm nt Inspection Record Y 1' p Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-103379-00-CO Owner: HARSCH INVESTMENT PROPERTIES Address: 32225 PACIFIC HWY S Suite 102 FEDERAL WAY, WA 98003-6000 This card is part of your required inspection documents. 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 withyour 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 Footings/Setback(4110) ❑ 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 0 Underfloor Framing (4285) ❑ Floor Sheathing(4105) ‘ ❑ Fire/Draft Stops (4095) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date NOTE. Prior to scheduling a Framing(4120) i ❑ Framing (4120) ❑ Insulation(4150) inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4/UBC 108.5.4 Date L t -t '11. 0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (42 ❑ Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved Bk Date (1_l`i - b(/ By�� Date/Z,.?d,p4 By Date 1 _t L► _0 ei ❑ Final-Planning(4070) ❑ Final-Building (4050) Approved Approved By Date By fo ,446.4 Date©,1 ,,0/-01, .,k �`�• RECEIVE • urr oc ©1:2 — U33 �? a. Federal way I, 2006 PERMIT� COMMUNITY DEVELOPMENTSE SF MF ��9/ME EL"PL DE EN FP 33325 Ent AVENUE SOUTH•PO BOX 9718 APPLICATION LI CATI O N 253-835-2607. AX2WAY,WA 9�661A'19-F FEDERAL To 7 itC /00 www.cityo((ederalwau.covuILDING DEPT. The ollowin• is re•uired i ormation-an incom•lete a••lication will not be acce•ted. Please •rint le,ibi (in ink)or • PROPERTY INFORMATION SITE ADDRESS 2 22�� Pao I 1 L ti-1 k rot,9 /y SUITE/UNIT# 1 o_ ASSESSOR'S TAX/PARCEL# 0r. 0- 0 i 0/ 0 LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) C "1 1 Gt L'V Ce2C (Attach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT X BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit oniti) Toinc v -I I Vc cv c je c+ for. Dcln+ct I CAS v ( c 1-o Y)C.1 uck ,�u i I c v)4 Vk'w i v-rt c*- o pi r 1 t 1�--E i i v S�i C1 l I v Ca bi Y�r' ' (4 110 1116-0 I I� Y 1- 4.1 t 13 r sl-es. The*C I S kb piof),-, I i ,.t(,�4 or o✓ . '�f ! cat ,�v Iz 'Inc!u- 'c( wi G) -11 1 i s PROJECT NAME(Name of Business or Owner Last Name) PY't P3I,I Cl Y'1 t v I 1 I V)'13 is PEOPLE INFORMATION PROPERTY NAME. �^/ 1^ ` j PRIMARY PHONE OWNER t 1/4 t(JCN! 1 V)v'c5 4' c MAILING ADDRESS(. CITY,STA ZIP (A t\JC Zit 1-, 1771 10/1.4 WA 610c-1- CONTRACTOR i 9Q: 7 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE $cti f l e. Co. t vi c-° IDru r) SG�f (2 - MAILING ADDRESS COY,STA ZIP CELL PHONE 1 C�✓CItile, . _#2)2. UVI�< U& ��' 4�7 (253)�4� o CITY OF FEDE WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 1I.— 0(2— f D `� j S -B L / / ( "731i,y Ic5LCi CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE FF ICS / 21 / a APPLICANT COMPANY E APPLICANT NAME O ICE PHONE 1&(v (c- `� CO., I - c Vw15-hin . �e� G� ( 3)573 -C'2 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 2-24 S 262)-11-1 S}-_ Sur ' Imo' Tat; y wA 61E4O2 ( ) - RELATIONSHIP TO PROJECTV'�,�,, FAX NUMBER El Architect 0 Tenant ❑Agent Other(Describe)1 ,j I L�✓ I��� (23)2.1 L - tc�lj CONTACT PRIMARY PHONE L ADDRESS v I is I Benda- (Z ) 13- 02° ? Air', tSfI►epSjkY(Ctcal LENDER NAMEI V) rJIA Y ' CGISCOOt 1� VV� K a �7C MAILING ADDRESS LCC.' \ `)63 l h t&I STATE,ZIP t k JLCWtSc P(Hf/7./ )3.4 _(.2„1 • DETAILED BUILDING INFORMATION EXISTING USE NiLl - - (O A°a • e61 ' 1 I PROPOSED USE DrV ' EXISTING ASSESSED/APPRAISED VALUE $ (K VALUE OF PROPOSED WORK $2 12 r I 0 SPRINKLERED BUILDING? XTES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? kYES 0 NO WATER SERVICE PROVIDER 'LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER `'6i('LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC) • • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT �j FIRST .-.4 r�©1` 2-`"T P 1 2-1391 SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL $F - **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechaningl Work $ , r AIR HANDLING tiN,(TS EVAPoRATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS `", )FANS HOODS(Commercial) WOODSTOVES BOILERS /FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/ShowerComho) SH RS WATER CLOSETS Ironer) MISC(Describe) DISHWASHERS 'f SINKS DRINKING FOUNTAINS GAS PIPE O SUMPS RAINWATER SYST WASHIN CHINES URINALS HOSE BIBBS LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I cert(fy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. � i�1411/AR '] NAME/TITLE �� " DATE I I I '0 Y (Signature) (Title) j��L.. RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ❑ Contractor E Architect NA Other 11tq ::.-, s.- • C1AC• ; J I eykm Ifdam ; - ra • , 1�sN k . t sr * � 'r /� �� firiE fix,.. �#f.t * <' t 4: a,> , Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application