06-103015 .. ` •
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r of Way
c„..niuntyCityDevelopmFederalentServices Bul ing - Commercial Perml #: 06-103015-00-C6
P.O.Box 9718
Federal Way.WA 93063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: FEDERAL WAY CENTER FOR PERIODONTAL MEDICINE
Project Address: 2505 S 320TH ST Suite 330 Parcel Number: 797820 0535
Project Description: TI-commercial tenant improvement in NE corner of 3rd floor for dentist office. No
plumbing or mechanical.
Owner Applicant Contractor Lender
J&Y INVESTMENT LLC J&Y INVESTMENT LLC THE THOMAS GROUP MELISSA CRUMBY
2505 SW 320TH ST SUITE 400 2505 SW 320TH ST SUITE 400 THOMAL945D2 03-09-2008 MBNA
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 1720 S 341ST PL#C-10 2740 AIRPORT DR SUITE 300 i
FEDERAL WAY WA 98003 COLUMBUS OH 43219 J
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 il4
Occupancy Class: B a ,R„` -t ,c h
Construction Type: Type II-A
Occupancy Load: 20
Floor Area(sq. ft.) 1,993 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories 3
Permit for Building Shell Only? No Plumbing to be Included? No
Occupancy#1 -Use Clinic-Outpatient Zoning Designation CC-C
Existing Sprinkler System in Building? Yes
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Thursday, July 3, 2008
Permit Issued on Monday, July 3, 2006
I hereby certify that the above information is correct and that the construction on the above describes property and
the occupancy and the use will be in accorda►ce with the laws, rules and regulations of the State of Washington
a,d th- City of Federal Way.
Owner or agent: le.----, Date: 7/?Ab'
-,:�y of Federal Way • I
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: FEDERAL WAY CENTER FOR PERIODONTAL Permit If: 06-103015-00-CO
Address: 2505 S 320TH ST Suite330
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II -A
Occupancy Load: 20
Floor Area(sq. ft.) 1,993 0 0 0
Owner Name: J&Y INVESTMENT LLC
Owner Address: 2505 SW 320TH ST SUITE 400
fFEDERIAL WAY WA 98003
r mac. rou , CO
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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.
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DATE !INSPECTOR r AREA AND TYPE OF INSPECT ON
It' � ' 7 a l ( vfj' a bic /w 41 e.
lwa 0_5
b THIS CARD IS TO MAIN ON-SITE , -.
ommunity Developm nt Inspection Record
CCITY
federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103015-00-CO
Owner: J & Y INVESTMENT LLC
Address: 2505 S 320TH ST Suite 330
FEDERAL WAY, WA 98003
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 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 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
❑ 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
'17
NOTE: Prior to scheduling a Framing(4120) 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
N. / By Date P/06 By Date
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•❑Gypsum Wallboard Nailing(4130)� 0§ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
` By "' Date d �� B 0 1,(/ f Date V i By 1 Date ,—/A4)0,
•❑ Final-Planning (4070) • ❑ Final -Building (4050)
Approved Approved
By Date By Date I (- 602
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RE,cEN -- IP II
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Federal Way JUN 1 200E � � - �� Ot s---
PERMIT SFMF � MEELPLDEENFP
COMMUNITY DEVELOPMENT SERVICES
333258TeAVENUESOUTH•P603.V •718��FEDERALWA.APPLICATION
FEDERAL WAY,WA 53-8 3-260 TD /)11) /'
253-835-2607.wFAX2waticorn609 BUILDING DF
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The following is required information-an incom•lete application will not be acce•ted. Please •rint legibly in in or type.
. ■ PROPERTY INFORMATION
SITE ADDRESS 4 ,C 3 L S'T SUITE/UNIT# .J :I) -
r
ASSESSOR'S TAX/PARCEL# -7 et 7 0 2- C - Lo S 3 LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) �"1e"- (- 1449-Y e� --7?
(Attach separate page for lengthy legal description)
, . ..-• c. I i. ;Ill PROJECT INFORMATION: „ ••-:
TYPE OF PERMIT 10 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 only)
4,
�� f�arY' f.-�C'h.,',Pi t-r-e-r of J ',,c „tiTt„' f,d/r roveiner,
wl meek 4,el L----7/.4.-- aet-d se.--,;., je k_.,-- /-6-4 ea -6 e)-7
PROJECT NAME(Name of Business or Owner Last Name) '- W 4 i/ ( J1"E-0- / O !O poitJ t✓ PO El);Li N
U PEOPLE INFORMATION
PROPERTY NAME \ 1 PRIMARY PHONE
OWNER 1 INVes-rm0L-' ' ( Z"'3) 237 Se,05
MAILING ADDRESS CITY,STATE,ZIP
/� /3?I Li sr -7cnfi r E getcri t.�,A l PvScj
( CONTRACTOR ` COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
i (L 5D 1'-7°.7 ' "Sc VII Ml.6\3(7 (-25-- )1.3-7 - i.x
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE'
s> t� .le a j 1- (2 -) '71 - O71
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant 0 Agent .ether(Describe) CL- ' t'-1 (".'' - ) 1- 61 -SGNL' '1
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
0511— U t (; - , ) c - "-S 071 Ke kIS D. CV,-r-•676: 614/1.(..
LENDER W - •- cR�" ' NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
-2-71-to Ar,--p-r-1- u-. S.--"; " .. 30c) (e.l.�.b.s,o1{ x}32 i (eon)3b3- Dbb1 eKl.2l"
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■ DETAILED BUILDINGINFORMATION'
EXISTING USE OFFt L& SP A-c E PROPOSED USE O n-c QF'/e F
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 2---CP, ODO, 41%."
SPRINKLERED BUILDING? 74.,YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDERAKEHAVEN ❑ HIGHLINE o TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
4110 410
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTALx" w ,� vr, , {� Y w111 •
NUMBER OF FLOORS da `
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project Do not
fixtures
include existing to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS 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/shower Combo) SHOWERS WATER CLOSETS(-rode) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 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.
Pa--,-74661 DATE l )�'/(Ye,
--
NAME/TITLE —
(Signature( (Title)
RELATIONSHIP TO PROJECT q Owner 0 Agent 0 Contractor 0 Architect ❑ Other
Wtet, t"°, '`�.x. 1 '`awl
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". ELECTRICA 'PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage 0 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
0 801 - 1000,amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00
El -800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
Service or Feeder
CI 601 - 1000 amp 410.00
❑ 0 to 200 amp $89.50
Li over 1000 amp 456.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
LI #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
0 Mast or meter repair $53.50 LI Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentiai/Muiti-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats - ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50; add'n sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System
❑ Additional Plan Review
El Voice Cabling $107.50/hour
❑ Data Cabling (for modified submittals)
CI Automation Fee on all Permits .. $5.00
(Per Systems) 1.t 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) "Per WAC 296-46-9)0(5)(b)(1&ii)
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