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02-100739
` . 1411 c Icity of Federal Way , Conmunity Development Services Building - Commercial Permi #:02 - 100739 - 00 - CO 33530 1st Way S Federal Way,WA 98003-6210 + ' Ph:253.661.4000 Fax:2253.661.4129 Inspection request line: 253.835.3050 Project Name: BRETT WALLEN DDS Project Address: 118 SW 330TH Parcel Number: 182104 9045 Project Description: TI-Interior alterations for for a 2419 sqft dental office located on the 1st floor; includes plumbing and mechanical work. Owner Applicant Contractor Lender QUAD PROFESSIONAL BUILDING NONE MILLER ENTERPRISES TERRY WALLEN PO BOX 53290 MILLEE*0100S(9/21/03) 118 SW 330TH SUITE 200 BELLEVUE WA 98015-3290 552 DODGE RD FEDERAL WAY WA 98023 NONE ELLENSBURG WA 98926 Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: B 1 r Construction Type: I Type V-One-HR Occupancy Load: i 16 ' Floor Area(Sq.Ft.): 1 2419 1st Floor Proposed Sq.Feet 2419 Census Category 437-Commercial alt/add Fire Sprinklers No Mechanical '0110 .w Nweat' Ye* Number of Stories 1 Permit for Building Shell Only No Plumbing Yes Total Proposed Sq.Feet 2419 Will Certificate of Occupancy be Issued' Yes Sensitive Areas' No Zoning Designation BN Plumbing Fixtures __ 1 i ! Description Quantity DescriptionQuantity! Description Qua tTity Lavatories 1� 7 Laundry Washer Outlets 1r 1 Sinks II 2 Water Heaters i 1 Urinals 1 Water Closets 2 Mechanical Fixtures ,; Description �Quantityj Description (Quantity Description 1Quantity Ducts !1 I 'I Fans 5 1L _ CONDITIONS: 1.All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6)) 2.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES January 21,2003,IF NO WORK IS STARTED. Permit issued on July 3,2002 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. See Application Date: Owner or agent: City of hederal 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: BRETT WALLEN DDS Permit number: 02- 100739-00 Address: 118 SW 330TH #1 #2 I #3 #4___i Occupancy Group: B Construction Type: I Type V-One-HR 1_ Occupancy Load: 16 L i Floor Area(Sq.Ft.): 2419 f Owner QUAD PROFESSIONAL BUILDING*QUAD PROFESSIONAL BUILDIN* Name: PO BOX 53290 Address: BELLEVUE WA 98015-3290 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 af)ect 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. . City of Federal Way Building - Commercial Permit #:02 - 100739 4 00 - Co Community Development Services 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661 4129 Inspection request line: 253.835.3050 Project Name: BRETT WALLEN DDS Project Address: 118 SW 330TH Parcel Number: 182104 9045 Project Description: TI-Interior alterations for for a 2419 sqft dental office located on the 1st floor; includes plumbing and mechanical work. Owner Applicant Contractor Lender QUAD PROFESSIONAL BUILDING NONE MILLER ENTERPRISES TERRY WALLEN PO BOX 53290 MILLEE*0100S(9/21/03) 118 SW 330TH SUITE 200 BELLEVUE WA 98015-3290 552 DODGE RD FEDERAL WAY WA 98023 NONE ELLENSBURG WA 98926 Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-One-HR Occupancy Load: 16 _ Floor Area(Sq.Ft.): 2419 1st Floor Proposed Sq.Feet 2419 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 2419 Will Certificate of Occupancy be Issued? Yes Sensitive Areas No Zoning Designation BN Plumbing Fixtures Description , .- Quantity Description Quantity Description [Quantity Lavatories 7 Sinks 2 Water Closets 2 Mechanical Fixtures 4Description. 41'. _Quantity Description IQuantity Description Quantity Ducts 1 CONDITIONS: 1.All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6)) 2.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES December 30,2002,IF NO WORK IS STARTED. Permit issued on July 3,2002 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 agent: 1-714/:14 Date: -7-3 ..02- I • City of ! ederal 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: BRETT WALLEN DDS Permit number: 02 - 100739-00 Address: 118 SW 330TH #1 #2 #3 #4 Occupancy Group: B , Construction Type: Type V-One-HR Occupancy Load: 16 Floor Area(Sq.Ft.): 2419 Owner QUAD PROFESSIONAL BUILDING *QUAD PROFESSIONAL BUILDIN* Name: PO BOX 53290 Address: BELLEVUE WA 98015-3290 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. • 111 INSPECTION LOG DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION - 02.. C.- exl� 5f c/ 4/ `- 06.4.c..74' 0y 5 %flf V � ✓I / c� . PO"THIS CARD ON THE FRONT OF BUIL '`TG • ar713L BUI DING DIVISION uv fiY INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 02-100739-00-CO OWNER'S NAME: QUAD PROFESSIONAL BUILDING *QUAD PROFESSIONAL B SITE ADDRESS: 118 SW 330TH () FOOTINGS/SETBACKS () FOUNDATION WALL 4. a " DO NOT POUR CONC TE UNTIL THE-ABOVE IS APPROVED =u ( ) DRAINAGE: Line ( ) Connection .._ a Do NOT POUR SLAB;UNTIL THE ABOVE,IS APPROVED ( ) UNDERFLOOR FRAMING () ROUGH PLUMBING: DWV 7— Z 5-- 6 Z L t✓ Water piping Z ( ) ROUGH MECHANICAL Gas piping () SHEATHING Roof Floor ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS THE ABOVE MUST BE APPROVEDPRIOR T0 ' ING'INSPECTION ( ) FRAMING/FIRESTOPPING oaf THEa ABOVE MUST BE APPROVED PRIOR TO INSULATING OR HEETROCKING ( ) INSULATION: Floors Walls 6'2.. — O Zc, ttic THE ABOVE 1VIUST BE APPROVED PRIOR TO'APPLYING SHEETROCK (C)-WALLBOARD NAILING �. J e '-G� ( ) SUSPENDED CEILING / //- U Z THE'ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE () ELECTRICAL FINAL /p - Z/ . p 2 ( ) PLANNING FINAL () PUBLIC WORKS FINAL () FIRE FINAL /O Z Z,,, THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL () BUILDING FINAL / b - Z.Z -- •C>-2-• G.c�J u. DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED crr.of�G 1RECEIVED CONS I RU•ION PERMIT APPLICATION ON • — APPLICATION NUMBER: 11 FEB 1 9 2002 APPLICATION NUMBER: _ - - APPLICATION'NUMBER: - - - CITY OF FEDERAL WA _ **The foBty}di(fg(—c information-Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. ..:PROPERTY INFORMATION ti:-= SITE ADDRESS: \IP, 7,W r 0 ASSESSOR'S TAX/PARCEL#: A2-4_6)4-'1015_o 9 _ LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): SE1= 51-1 A- ;PRO3ECT.INFORMATION TYPE OF PROJECT(This application): Tir BUILDING /.1 PLUMBING 0 MECHANICAL W DEMOLITION „AgosiceetICIDEL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): 2,4( 9 S-Q, Fr, Ti t\i.4o-47 IMP 20✓ ro tt a NTA t._.._ or-e_ r`t T(--i-P F (Z• PROJECT NAME: I:F�1TT' \Ai A P S. -"I. '.`PEOPLE INFORMATION. PROPERTY OWNER: NAME: DAYTIME PHONE: I 12•42... 1? °l , WAL-LE 11)i,a S. ' 5, ( c3) 97-7 - 61q0 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): i ! ISS.(). 33o1711'; SuVrE. 2-00J FFtcCz k)4`(/ I4 61802'5 CONTRACTOR' NAME: DAYTIME PHONE: A'A .M1/1176/14117P14. MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): S EVENING PHONE: QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: _ _ ( ) FE CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) APPLICANT: NAME: DAYTIME PHONE: fZ b 3t R-T C*k4►vk i I 0 Ni (425-) Gq 3 MAILING ADDRESSZ(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: RELATIONSHIP —TO PROJECT: e ' Ave ' 8 1 ( ) AX NUMBER: I ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): 02c- ), ,, E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER AAPPLICANT ❑ CONTRACTOR 2«4AAArAIA +1-14K` 74 ,//�� 1 .DETAILED BUILDING INFORMATION '�- ��. CC��[��. // EXISTING USE: e:I f JC - EXISTING BUILDI 0/APPRAISED VAL ATION $ "1-/4416-4/V) PROPOSED USE: Op G78 I'(✓ PROPOSED VALUATION FORIMPROVEMENTS: r�O l COD SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:Cl YES ❑ NO WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: XLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONL7** ( NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ .e `.■ PRO,ECT FLOOR AREAS FLOOR EXISTING S .FT. PROPOSED SQ.FT. TOTAL — BASEMENT FIRST 2 Ltlq 7' SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: 2i-I t Cl ia ■ FIXTURES Indicate number of each type of fixture MECHANICAL if AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( r____) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING r- BATHTUB(S) ..7 LAVATORY(S) 0 URINAL(S) WATER HEATER(S) DISHWASHERS) 0 RAIN WATER SYS. VACUUM BREAKER(S) ,ELECTRIC El GAS DRINKING FOUNTAIN(S) © SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) - SINK(S) � WATER CLOSET(S) MISC.( ) 0 INTERCEPTOR(S) 0 SUMP(S) - - - 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,induding its officers and employees,upon the accuracy of the informa n supplied to the ci s part of this application. r 7 NAME/TITLE: _" i ( t /�" DATE: "1 9/C/C----- ❑ PROPERTY OWNER 11 APPLICANT ❑ C TRACTOR - - - I FOR OFFICE`USE ONLY 11^NEW ❑ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT •CENSUSCODE -_ LOTSIZE: • aONINGrDESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION EBASIC PLAN? ❑ YES ❑ NO SECTION ` , --_TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO ;PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE?, ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES-33530 FIRST WAY SOUTH-PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000-FAX:253-661-4129 s ConPermit Fee Construction Calculation ?eet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building,mechanical,and fire prevention system fees are based on the following schedule. TABLE A TOTAL VALUATION a—•fes� FEE FACTOR (1)$1.00 to$500.00 (1) 4.25 (2)$501.00 to$2,000.00 (2)$24. or the first$500.00 plus .27 . .• -..iOonal 100.00 or fraction thereof,to and including$2,000.00 (3)$2,001.00 to$25,000.00 (3)$71.46 for+ -first$2,000.00.us 515.00 for each additional$1,000.00 or fraction thereof,to and including $25,000.00 (4)$25,001.00 to$50,000.00 (4)$403.61 for the fi $25,.•0.00 plus 510.82 for each additional$1,000.00 or fraction thereof,to and including $50,000.00. (5)$50,001.00 to$100,000.00 (5)$664.35 for the first 0,0.+.00 plus$7.50 for each additional$1.000.00 or fraction thereof,to and Including $100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,025.55 for 11)/first$100,000.0. .us$6.00 for each additional$1.000.00 or fraction thereof,toand including $500,000.00 / (7)$500,001.00 to$1,000,000.00 (7)$3,337.23/4r the fist$500,000.00 plus a;.• . • •..itional 1000...or fraction thereof,to and including $1,000,01y.00. (8)$1,000,001.00 and up (8)$5,789/23 for the first$1,000,000.00 plus . 1 . -1• ...rtional 1000...or fraction thereof. Bold nyfnber is the base fee for the specified increment Italicized undefined number is the fee per additional specified increment PLUS: Add 65 percent of the base building permit fee.for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only. Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. **Electrical,plumbing,and mechanical fees are calculated separately** Q/ -// - ■ BUILDING PROPOSED VALUATION: ICa /(on FEE FACTOR FROM TABLE A: Number: 5 (a)Base Fee: 70 T.ce5- (b)Additional Increment Fee: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) ■ MECHANICAL PROPOSED VALUATION: 15; OCC FEE FACTOR FROM TABLE A:Number: (a)Base Fee: 202. .70 (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) FIRE PREVENTION SYSTEM PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: e Fee: (b)Additional Increment Fee: Estimated Permit Fe Esti - -. •Ian Review Fee: (7) -. ■ PLUMBING . Base Fee Number of Fixtures $21.00+{ X$7.00/fixture}= (8) Estimated Permit Fee Estimated Permit Fee X .65 = (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) Sub Total (Page ore): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)