14-101155 ,
` • `.Building - c'on rimrcial
Comm nicety&Econ.�Dev.of Fedel Services Permit #: 14-101155-00-CO
33325 8th Ave S
Federal Way,WA 98003 FILE
Ph:(253)835-2807 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: SEATTLE PAIN RELIEF
Project Address: 35002 PACIFIC HWY S Suite A105 Parcel Number: 185295 0050
Project Description: TI-Addition and removal of interior partition walls for office reconfiguration. No
plumbing or mechanical.
,
Owner - Applicant Contractor Lender
SEATTLE PAIN RELIEF PLLC NEW LEAF PROPERTY NEW LEAF PROPERTY OWNER IS LENDER
35002 PACIFIC HWY S SUITE A105 PRESERVATION PRESERVATION
FEDERAL WAY WA 98003 2710 YAKIMA AVE NEWLELP27NG(9/6/14)
TACOMA WA 98409 2710 YAKIMA AVE
TACOMA WA 98409
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories. 1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0 Zoning Designation. CE
No Fixtures Associated With This Permit!I
PERMIT EXPIRES Wednesday, September 10, 2014
Permit Issued on Friday, March 14, 2014
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the a will be in accordance with the laws, rules and regulations of the State of Washington
nd the City of Federal Way.
Owner or agent: ( Date: l4 Hy
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:fINALED.
sum cAly4
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City of Federal Way 41/-
•
* 14
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: SEATTLE PAIN RELIEF Permit#: 14-101155-00-CO
Address: 35002 PACIFIC HWY S SuiteA105
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Owner Name: SEATTLE PAIN RELIEF PLLC
Owner Address: 35002 PACIFIC HWY S SUITE A105
FEDERAL WAY WA 98003
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 sever*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.
3 vi
• DATE INSPECTOR AREA AND T'A'PE'('" I1NSPECTION
3 • ,, - 144 ( P a I c1-AIV;Ky . Scv1.4.4 ,4-0 174 fua
c.c°"4-til ottl4of rtet L''w`'/1
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THIS CARD IS TO IN 6N-SITE .
"T" 0 Construction In '
Federal Way ection Record
INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-101155-00-CO Address: 35002 PACIFIC HWY S Suite A105
Project: SEATTLE PAIN RELIEF PLLC 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.
0 SWM Precon Site Mtg(4400) 0 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
,
0 Re-steel(4215) ❑ Slab/Concrete Floor(4255) •0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
Floor Sheathing(4105) El Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to install flooring Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; El
Framing(4120) Insulation (4150)
Approved to insulate Approved to install wallboard
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
approved. IBC 1093.4 By �, Date - ..,‘.N--,\Li By Date
'❑Gypsum Wallboard Nailing(4130)% ID Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date 3 `9,1-st-- I . By Date By Date
•
0 Final-Planning 0 Final Erosion Control(4375) Final-Building(4050)
Approved Approved Approved
By Date By Date — . .— Datet I_( j
•
D Rough Electrical El
Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
aCor~oF • PERMI'1 APPLICATION
II
Federal Way RECEIVED
I r� E MAR 14 2014 O
PERMIT NUMBER i4 _ l �/ ( 5 5 _ Cb_ CITY®1�EEE
AL WAY �C
CDS
SITE ARESS , (� SUI /i NIT
2
55 oo Pactyg \c 4 ki i o
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ (0115 , (76) \ $ .S i 9 S _ O o S o
TYPE OF PERMIT Kr BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Se-kW U, Q' (12L e. lextetvts' 194ii iewl.e,4
PROJECT DESCRIPTION (e,m ove. 10 wG °' t 11 &v�i --l!exi S'+- D- 1/.�.'e Ab
� 9 __QQ, t P
Detailed description of work to V JX t 1 aVett (A Y1 6A.1 �C `IW o 1( dI aktc 4I, €iYI(�C,0;
be included on this permit only .I ° &yea a im \ t-� - (,e, _ I v()Ai Wal 6 S W011 be lo
(
-
.- _... tt i as �1C1ST14� (,Qil1'l%, ( i(IC } 111 �pvfGtrC�C 40 OtCAAC4rUl W5
NAME �J U Q PRIMARY PHONE t1
PROPERTY OWNER \ah4 Ve, Viol C occiv c i`` 42-c co5-25oZ.
MAILING ADDRESS �,j. C i 51-e-
L /yam E-MAIL
1®1067 �E 1 Ji-. ✓ . �W
CI STATE ZIP
jit
kEVtle \n/Ar 9 52004
NAM_N VW$ h-12.6k� \•oatercil Q\1.J e 1 v& oA PH44E
53-200 - `U13
MAILING ADDRES E-IL , ,may
CONTRACTOR 21 i 0 yA V irnA INP �V�`^�-( rW� J•ci
CITY STAT ZIP FAX `
lit,COAM6, v\1 o l S1 -krn - 11-76
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
N \IJLELPg2/N . 'I/ (o tit PRIMARY Q]
APPLICANT
^
MAILING ADDRESS NA h E-ML
CI d l I o Yah Ave STAT ZIP FAX C at ccs.��
a wP RRlo1 Y6( 4-1 . W/5
NAMX,
4�`ot �C.. PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
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 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 e I4
city
����a��sQQa part of this application.
WY
SIGNATURE: ��J - i DATE 3 41 ii
PRINT NAME: 1"DQ/Ii
Bulletin#100-January 1,2013 Page 1 of 3 k:AHandouts\Permit Application
i • • VALUE OF CHANICAL WORK
MECHANICAL PERMIT $
o
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.
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
VALUE OF 1�UMBING WORK
PLUMBING PERMIT $ IBG//
Indicate how many of each type of fixture to be installed or relocated as part ofTthis project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS 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 SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑Yes ❑ No
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
r �rsmN / ray/�,j s/siC- ,q� ,� / ... ......... .... ..... ........ ..................
�' o
FIRST FLOOR(or Mobile Home)
, /'
COVERED ENTRY
70.0—!;
° 30 �� ,,,e':.%4/.
..,i ...., o'� �i� � ',, l �.:..�%li.��,;'4;:
�/`i�ia {���"S'A'///�ii.�.` ,%�/✓/ir^v>r.., :. ///G
GARAGE ❑ CARPORT 0
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
M Square Feet
Type Stories
/i ,� Y tr � e //r
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION ` reaConstruction #of
in S uare Feet Occupancy Group(s) Additionaln ormation
Type Stories I f
• r Al w e9; ' ✓/:11 . % ' //%i II; r/rr/
TENANT AREA ONLY 11'1 0 C„ . re l'Q1n G`1 I'f /IPSP
r / ' r fj i r/ 7� � in ''''4-'''," xsr / ,G�f . $%
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application