00-100612 T
S
. • • ,
of Federal Way
Community Development Services Building - Commercial Permit #:00 - 100612 - 00 - CO
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: AUSINK DENTAL(TI)
Project Address: 2345 SW 320TH Parcel Number: 132103 9087 �o
Project Description: TI-2070 SQUARE FOOT,INCLUDES PLUMBING AND MECHANICAL devised 1 1 y SYe,`'" j&_
Owner Applicant Contractor Lender
DONALD AUSINK EDWARDS DENTAL COMPLEX D W SAFFLE COMPANY OWNER IS LENDER
2345 SW 320TH ST
FEDERAL WAY WA 98023 7120 40TH ST W
TACOMA WA 98466
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: B
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
1st Floor Proposed Sq.Feet 2070 Census Category 437-Commercial alt/add;
Fire Sprinklers No Mechanical Yes
Number of Stories 1 Permit for Building Shell Only No
Plumbing Yes Total Proposed Sq.Feet 2070
Will Certificate of Occupancy be Issued Yes Zoning Designation PO
Plumbing Fixtures
I Description Quantity Description Quantity Description Quantity
---
n Lavatories iIff 3 Sinks 15 Water Heaters 1
Water Closets 1 3
1—A R 3- CohdtAso1g
3-fur nate5 Z- Can5
1-Dura
CONDITIONS:
1.All new and refaced signs require a separate sign application and review.(FWZC,Sec.22-335(g)(6))
PERMIT EXPIRES August 14,2000,IF NO WORK IS STARTED.
Permit issued on March 16,2000
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.
<-
2
Owner or agent: Date: J f
T
•
•
• • • *
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform 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: AUSINK DENTAL(TI) Permit number: 00- 100612-00
Address: 2345 SW 320TH
#1 #2 #3 #4
Occupancy Group: B
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Owner DONALD AUSINK
Name:
Address:
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 severely
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.
• 0 a
INSPECTION LOG
r
°T INSPECTOR . OK : : CORR/REJ AREA AND TYPE OF INSPECTION
Mg fid i ,
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4joo •/ )6 Out Fork rifi 'G
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POS IS CARD ON THE FRONT OF BUILDI.
E EJ IFIL BUILIDNG DIVISION
VV FlY INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-661-4140
Request must be received by 3:30 PM for next day inspection
PERMIT #: 00-100612-00-CO
OWNER'S NAME: DONALD AUSINK
SITE ADDRESS: 2345 SW 320TH
() FOOTINGS/SETBACKS () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTILTHE ABOVE IS APPROVED
() UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV / / o-a'' t Water piping h' if; ,/�,
"� d
AI7 /( ) ROUGH MECHANICAL / Gas piping {/ /
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APP JOVED PRIOR TO/FRAMING I PECTION
O FRAMING/FIRESTOPPING e / z /00 0.�
THE ABOVE MUST BE APPROVED PRIOR TO INSULATI G OR SHEET OCKING
INSULATION: Floors Walls 7
THE ABOVE MUST BE APP y VED PRII, RG PLYING SHEETROCK
( ) WALLBOARD NAILING ' `J / g� ) SUSPENDED CEILING 740, A G�
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
( ) ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APPRO D PRIOR 0 BUILDING DEPARTMENT FINAL
() BUILDING FINAL �i �/✓ `/ �� L�/
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
il
IIIL
0 0 BUILDING DIVISION
33530 First Way South
Federal Way,WA 98003
AY (253)661-4000
Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # 00 - t DO617_
FiliiiSite address
ct►
a 3"-4'� s .w . 3�-- III V,w. eta .
Tenant name PcuS'1c DOS Lot # Assessor's3Tax#9oUt r454.
Building Owner's Name Address
Lib.300-.m C., . 1-4,u.5=*-N1< 106L{ 5.uZ. .3.1572-t 6o,.eT c.u5. bJA 9 01'6
City State 1).. a., Zip [ S 0 .-5 Phone 253•1338-Mt%
w1
Description of Work sSc.,4.A.o Lt Ztu.ErJ-f"'" '3>ct)rA4l., occte-G
.............................................................................................
................ ......................................................................
............................................................................................
Name (F,M,L)
Address .. `s, c A .s . ,00.
City 'l State l).%4, Zip Q(Sop______ a_________
Contact Person Day Phone Other Phone Fax
. ZzIaQD a53- 1 (c a53-5(09-Sze*).. 9,53-941•(.)71(,
iiiiiiiiiirdlibii1T1;TC3R.............................. Federal Way Business License it 1-013
Company Name
D. v,I . C IN•cc 7,,g, (1) • i -c— .
Address
'-r l aO LkU STQ T" vS S l A
City tu, p. State WA , Zip 9eALL2
Contact Person�C �C--cc
Phone Fax t,,.. a7
J X53—Sb5-c 94 a5 _.'4by- 5&
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
-D vct 5 Ia.>r C - C>°19 L,S to-1%-
AficORMIUMummommmigm
Name
�P+...S tzsx
Address
1030 3r-a- -STZeeT
City 1K.s.CZK LA..So State 1.4t4 _ Zip el bo 33
Contact Person Phone Fax
T)e..S ur..x Wcas-828-m5S 1-4.5-S21- 21,
LEGAL DESCRIPTION
Please Complete Reverse Side
Pr _ _ ____ . _ _
SmU4'.TURe. Existing Use • Proposed Use lm :All
Permit includes: IDBuilding f:Y'lumbin: l Mechanical CI Other Type of Work: CIResidential I flew CIRemodel ❑ #of bedrooms ❑ Deck
❑etommercial CIAddition CIRepair ClGarage CIShed
Enter 1st Floor 2x10 sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq fWater Availability Sewer Availability l On-Site Septic System Availability CIProject Valuation $ �50Obo
Zoning (..PC,D I Lot Size i-43 iUit:Az> Tor P. Existing Bldg Valuation $ N/A _
<.:;:;; For new residential o
n
/ Proposed osed
selling 9
Cost: $
Name //A Address
, City �`! State I Zip
AtibRiE `M:
Contractor Name Address
qi S t'SV W EQb-I,uE zvE, sL)1-:- . Cin9 s S
City -T-iS-C G L� .¢S. State t.:.-ick , Zip 96 409
Contact
Phone Fax
License # 1-41..P.,5 L-14 9‘,‹ti AL,,"T (-401`t Expiration Date 'r"w2cc.1 Verified ❑ Yes ❑ No
P1i1M BtMa' t�N7'kiACT. .
Contractor Name Address _
City rc?u` r>.1/4„i.��P State iak , Zip (16.31,-:)--
Contact Phone Fax
..LE, c71.P..TN ,R ,7-- y 1-ea-R . 53—770--C-3%S
Expiration Date 3--31-Ao Verified CI Yes 0 No
License # �E��Q�C'�4 0�. �•�° S"t�7 p
PLUM BENG Fl€XTUF3EZ. .
Water Closets Sinks i"7 Urinals Lawn Sprinklers 'e C
Bathtubs Dish Washers Ci Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine i Drains Total'Fixture'Count v
EFANIC# LsNlTC3UNT> »> > > MECHANICAL EVALUATION
ONLY $
z
coo e
k
�
i
Fuel Type (gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify 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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in 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.
Owner/Agent: - z - < In-- Date: al,- I,t.' a-C-k-Li
BuiLDmc.AF?
REVISED 5/18/99