16-104738 • Building - Commercial
Cityof Federal yDeelopmeay Permit #•16-104738-00-CO
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: SEATTLE PAIN RELIEF
Project Address: 35002 PACIFIC HWY S Parcel Number: 185295 0050
Project Description: TI- Interior tenant improvement work to combine suites and add office and exam rooms.
Includes mechanical for ducts/diffusers.
Owner Applicant Contractor Lender
FANA FED WAY CROSSINGS LP E R ELITE REMODELING LLC E R ELITE REMODELING LLC
10655 NE 4TH ST SUITE 700 2011 ADAMS AVE 2011 ADAMS AVE
BELLEVUE WA 98004 EVERETT WA 98203 EVERETT WA 98203
Census Category: 437 - Commercial alt/add /conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Occupancy#1-Construction Type Type V-B Mechanical to be Included9 Yes
Mechanical Work Valuation? 1000 Number of Stories 1
Is this an Online or O.T.C.application? No Permit for Building Shell Only No
Plumbing to be Included? No Occupancy#1-Use Professional
Services/Offices
Total Valuation:55,000.00
Mechanical Fixtures
Ducting 1
PlumbingFixtures
Water Closets 1
CONDITIONS:
Separate Electrical Permit Required
PERMIT EXPIRES Sunday,26 March,2017
Permit Issued on Tuesday, September 27, 2016
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and t - 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: ,7—Z
DATE INSPECTOR AREA AND TYPE OF INSPECTION -
Aro 191A Sade_ ctrl- LJedts oyr_ -fry 14 vet f ape._.
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,,41&._„.„. THIS CARD IS TO REMAIN ON-SITE
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16 104738 00 Address: 35002 PACIFIC HWY S Unit A-105
Project: FANA FED WAY CROSSINGS LP 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.
ral Initial Erosion Control(4365) El Footings/Setback(4110) 0 Re-steel(4215)
Initial Erosion Control(4365) Footings/Setback(4110) Re-steel(4215)
By Date By Date By Date
® Slab/Concrete Floor(4255) ® Underfloor Framing(4285) ® Floor Sheathing(4105)
Slab/Concrete Floor(4255) Underfloor Framing(4285) Floor Sheathing(4105)
By Date By Date By Date
11-1 Mechanical Rough-in(4165) ® Gas Piping(4125) ® Fire/Draft Stops(409.5)
Mechanical Rough-in(4165) Gas Piping(4125) Fire/Draft Stops(4095)
By Date ,By Date By t)t,i' Date 10))2.
nterim Erosion Control(4370 Prior to scheduling a Framing inspection; E Framing(4120)
Interim Erosion Control(4370) Electrical,Plumbing&Mechanical Rough-in
and Fire/Draft Stop inspections must be signed- Framing(4120)
By Date off and approved. IBC 109.3.4
By /11\i Date
E Insulation(4150) a ipsum Wallboard Nailing(412 E Suspended Ceiling Grid(42651
Insulation(4150) Gypsum Wallboard Nailing(4130)PP Suspended Ceiling Grid(4265)
By Date By A r.; Date 10' )`i'// < By Date
Final-SKF&R(4060) is Final-Planning 0 Final Erosion Control(4375)
Final-S K F&R(4060) Final-Planning Final Erosion Control(4375)
By Date By Date By Date
E Final-Mechanical(4065) a Final-Building(4050)
Final-Mechanical(4065) Final-Building(4050)
By p, -,r Date i ` _'a 2—1 t By ( Date t\ --`43--1 c,
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
II
rEV.. PERMIT tPPLICATION
FederalFWay RECEIVED
1O l 0 4_7d Co SEP 222016 / 00
PERMIT NUMBER
- l � l
_ _ - _ CITY OF yAY
CDS
SITE ADDRESS
SUITE/UNIT#
.T.,
5 cbt) e- PoQi I C H 47 soc(TH A 6-76 61- /279--e,\Xil,,.
PROJECT VALUATION ZONING ASSESSOR TA ARCEL Z ( 5— (7
$ TYPE OF PERMIT ILDING D PLUMBING CHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT S"673- 1-6 AA-14 P 672-,"677--
PROJECT
6PROJECT DESCRIPTION � // � 7/1/
(,/ Jay � (j� 7 i
Detailed description of work to it-2f►A'✓J l/ /90 /� ) / c,T
be included on this permit only Off
7 //+/_ C fQ �� / /�� - rJ j f� _
jairsarntyrielr
v� �s//!/�%J /K vV/'1 /V(�
NAME PRIMARY PHONE
PROPERTY OWNER 7A / tY\ 6-R l\ T�Q67.I..1_ \X/O
MAILING ADDRESS
C- C '/ ki CS / /�i E-MAIL
CITY STATE ZIP C`- YF
NAME (1Z. ka_ PHONE z r z 6 f_Fj ( 3
MAILING ADDRESS E-MAIL
/LOCONTRACTOR �� am; rAV�- �M�L��K 4 a m'L. �k�
CITY ST\ / ZIP%P Z�n 3 FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
4`.7-- - 32<) 9-‘ s3 / / )l/ /
NAME PRIMARY PH NE
Crn,I k L g-4- qts-'-i6r ,-ci $(3
APPLICANT MAILING ADDRESS E-MAIL
20i/ (4A61ANS 4U6- &lit gcek I3.(9vi0;, .c.4-1
CITY STATE ZIP FAX
NAME PRIMARY PHONE (
PROJECT CONTACT 6/h- Z...- �0.0� ç, - -Z ,61— A T 3,
(The individual to receive and MAILING ADDRESS `'q _ E-MAIL ( /
respond to all correspondence 2 01 I fiA(/-0 I S il`kid cm,(,_i2ct es 0 phol(•C
concerning this application) CITY STATE ZIP FAX
EVE !'E \7C Se8ZoS
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part-q$this application.
SIGNATURE: ~'~— DATE 613
2 2 ^Z`°
PRINT NAME: ---Z--/771 /‘e_ Ik
iiBulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
11
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ / d 0 0
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do n.dude existifig fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE•U_=> S OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOOD 'oil:merciat)
BOILERS FURNACES w+ATER TANKS(Gas)
AA COMPRESSORS GAS LOG SETS ## REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Iv
I, VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type offixt -to be installed or relocated as part of this 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 F•- ' AINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE B ::S SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
NO WD L $ /A
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FI PRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
C21 hi
f Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Construction # of Additional Information
AREA DESCRIPTION Area Occupancy Groups)
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Construction #of Additional Information
AREA DESCRIPTION Area Occupancy Group(s)
in Square Feet Type Stories
TOTAL BUILDING A V/"��!
TENANT AREA ONLY 1, 1 0 I I .
I
I
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application 4