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07-100454
i ye 114 e Communi DeveopmentService�, I ,Bui><�ii ing - Commercial Perm"#' 07-100454-00-C® P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: DR DUANE JONES-DENTIST Project Address: 33507 9TH AVE S Bldg E Parcel Number: 926500 0020 Project Description: TI-Initial tenant improvement of a new building to be a dental office. **Mechanical & Plumbing on seperate permit.** Medical gas requires a separate permit from the fire department** Owner Applicant Contractor Lender ANTHONY STARKOVICH GENA LEWIS CONSTANTINE BUILDERS INC VINTAGE CAPITOL S J BARRETT&CO CONSTBI982J5 4/25/08 INVESTMENTS LLC 221 S 28TH ST SUITE 100 PO BOX 82040 1611 9TH AVE E TACOMA WA 98402 KENMORE WA 98028 EDMONDS WA 98020 Census Category: 437 - Commercial alt/add /conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: 33 Floor Area(sq. ft.) 3,250 0 0 0 Additional Permit Information Existing Sprinkler System in Building? No 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 Occupancy#1 -Use Professional Sensitive Areas?(Wetlands/Slopes,etc) No Services/Offices Zoning Designation OP No Fixtures Associated With This Permit !! CONDITIONS: Tenant Improvements require Traffic Division review. A balance of$8.87/square foot pro-rata mitigation required once more than 50% of the buildings are sued for Medical/Dental office use (per SE#05-102187 folder). PERMIT EXPIRES Sunday, April 19, 2009 Permit Issued on Thursday, April 19, 2007 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the usp-will bein-acco •- e with the laws, rules and regulations of the State of Washington -nd the City of Federal Way. Owner or agent: ! 1-1'17-777 City udf Federal Way • • 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: DR DUANE JONES - DENTIST Permit#: 07-100454-00-CO Address: 33507 9TH AVE S B1dgE Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: 33 Floor Area(sq. ft.) 3,250 0 0 0 Owner Name: ANTHONY STARKOVICH ANTHONY STARKOVICH Owner Name: VINTAGE CAPITOL INVESTMENTS 1 Owner Address: 1611 9TH AVE E EDMONDS WA 98020 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. °DATE: INSPECTOR AREA AND TYPE LANSPECTION D/ q S o K 6&4 fJ �,� � s vki ty • ikhTHIS CARD IS TO MAIN ON-SITE ' CITY OF � k.ommunity Development Inspection` Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07-100454-00-CO Owner: ANTHONY STARKOVICH Address: 33507 9TH AVE S Bldg E 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) 0 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) 0 Floor Sheathing(4105) ❑ Fire/Draft Stops (4095) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date NOTE: Prior to scheduling a Framing(4120) ❑ Framing (4120) ❑ Insulation(4150) inspection;Electrical,Plumbing&Mechanical I 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 By Date ta, _% _prl By Date 4. ❑Gypsum Wallboard Nailing(4130) . 0 Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved By C.,.. i..ei Date 6,- g.o7 By - Date' , 6-., 07 By2 1 Date S_ ( ..,„7 ❑ Final-Planning(4070) ❑ Final-Building(4050) Approved Approved By Date By Date 6_t " n , RECEllir-f- a. r 4411116. NIF JAN262uo — L ° CD--q 6-' (if Federa�Way PERMIT coMMUNITYDEVELOPMENT SEtVIGgk-rOP =no SF MF AeME EL itiptPL DE EN FP 3332FEDERAJIV L•W�ISWA 980 fia�LDIN©0�'P} PLICATION 'ID 1 25:3A352609•FAX 253835260:7 tow w.eiiuoffedera(wau.c»m 4:39 The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. �- ^ • PROPERTY INFORMATION SITE ADDRESS , 35017 2 5O l^] qA-1).e S SUITE/UNIT#131..11 'E.' q ASSESSOR'S TAX/PARCEL# 1 2 tP 5 0 0 - O 0 20 LOT SIZE(sf) ILO)1-1(p3 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 63--1 L -T dF 1 j (Attach separate page for Srtgthy legal description) • PROJECT INFORMATION TYPE OF PERMIT ,BUILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onilf) I t-.MAL- --1 --'-i- az I-t" I F'1:1 _0(vV 1[ 1 4T A I—I L-A.-4 t31-:t L.L7 I(--i To $k .cs. 1441-11`x(,. ep=ic . kt6. rt P(_ c>,r, e m.L-- PROJECT NAME(Name of Business or Owner Last Name) 'Pr— 17-)1.)44--1 -:1©1---1 `P4�{-47-) sl- 11. PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER AIJn-k I..Ji 6T, 0YIG{-t, Y I Kil-!-SCF CA l{-iV'C i, t. . (4:21.,-) . .f - (l E67'2- MAILING 2MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS i t,1 I cril4 Avg. Id. fE 7M 9.--t17 WA 61130 -'t.7 CONTRACTOR COMPANY NAME AP,,P5 CANT NAM.; OFFICE PRONE -Lail,k,4/mer icleer5 ,44. lii- - /hule1v-on (44511.8 -75. 4") MAILING ADDRESS CITY,STATE,ZIP CELL PHONE l �55- Af 10 >f J' mt'it iv/i- ' (ate) X95 - 3o39 CITY O. 5--55- FEDERAL WAY BUSINESS LICEN E NUMBER EXPII(A11ON DATE FAX NUMBER 20— 6 6----`06416a-0o- 4i- i1-3I_ rj-i (*LSA 9 -7.57B COPY of card required CONTRACTOR'S REGISTRATION NUMBER ,^/� ../}. EXX�PIRATION,DATE/� (� y/I).MAIL ADDRRESS with each application r) C`Ola 5�&- 96‘27 2 J 5 ! —�! V(f VDD, C" /1 H %9 s t�Jin APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE f;',2) i:36j �iTco, INC. "Ti,tJeHL1.(91-1 (.21,- ))1:, 13 -07-Zr MAILING ADDRESS CITY,STATE,ZIP CELL PHONE .2 1 2071.3 6T -i*loo Tacm-ii I,iA logo . ( ) - RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant. 0 Agent )1,001er -1:2 -"SI q I--1�iiz. ("163 )272. -(p53(4 PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT jT12T"_IC14Li ,1--1 ( ' ) - i0 for y� ,6i bwrrett-i, LENDER NAME J Per RCW 19.27.095: .5T' J—/,n SQ1,,Maj c . Lender information is required if project value exceeds$5,000 MAILIN DRESS � 0 CITY,STATE,ZIP PHONE ,/4/ 7 1 j c Ci P-1- 1 • ;,4 N N ( ' 4--4 (';u/- SL • DETAILED BUILDING INFORMATION EXISTING USE 1Je4s,1 8UILp11--19' PROPOSED USE VV-i,--11-A.L. CrFIC-f= EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 1-16- 000 SPRINKLERED BUILDING? ❑ YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES )<NO WATER SERVICE PROVIDER [3'LAKEHAVEN ❑ HIGHLINE o TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER L.LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND TI-IIRD ADDITIONAL FLOORS(DESCRIBE) ATTIC, 6 -' - . DECK(❑COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF *"NEW HOMES ONLY*" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $__ (A COPY OF BID OR ESTIMATE MUST 5 INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE IN "'' S hIOODS(comme riap COMPRESSORS FURNA RANGES DUCTS •O S REFRIG.SYSTEMS PLUMBING ! Or%`64-T ef-1 rr BATHTUBS(m'Tub/Shower 9?9,11701 LAVS(Bathroom sinks) URINALS MISC(Describe) DISHWASHERS '' RAINWATER SYST VACUUM BREAKERS DRINKING F AINS SI TOWERS WATER CLOSETS(mkt) ELECT WATER HEATERS SINKS WASI1ING MACHINES HOSE BIBBS SUMPS SIGNATURE 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. NAME/TITLE ` G'U'Y ". #12P3I M-rF DATE ?L! rgnal re) (Title) RELATIONSHIP TO PROJECT ❑ Owner o Agent o Contractor o Architect XOther'13r6 \ ) FOR OFFICE USE ONLY J NEW ❑ADDITION ALTERATION J REPAIR J..TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES J.NO BASIC PLAN? YES ❑NO ZONING DESIGNATION CHANGE OF USE? YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? YES a NO PLATTED LOT? YES ❑NO DEMO PERMIT REQUIRED? o YES c NO Bulletin#100-January I,2007 Page 2 of 4 k\flandouts\Permit Application