15-104968 op t �! I fir-�� s/f fo � P L.
•
PER PPLICATION
Federal Way IVED
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e_, �� SEP 302015
PERMIT NUMBER (%1 CITY OF VAggEgabAVAY (7 A5—C
CDS
SITE ADDRESS SUITE/UNIT#
wey
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ , LIC • `2 1 5' `r , _ n 0, 2. CS
TYPE OF PERMIT '9BUILDING ❑ PLUMBING El MECHANICAL El DEMOLITION El ENGINEERING D FIRE PREVENTION
NAME OF PROJECT CcC( 1-k C \.✓ S Ct 1C<i2. � a ‘f G'Jc'"`
PROJECT DESCRIPTION ff � � I � k' / Ca a t -11
✓1
Detailed description of work to L't G .+t I'C a e yr(�/>r,
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER c 0 L QS'C i.1 ICt rr�..:-- • J� �� x.71 0']
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MAIL G ADDRESS �) E-MAIL f i e
CITY nGCLSTATE ZIP -23
tla Sc w1a r�G c,
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NAME PHONE
51 r ( .C)VN u)- -7- S z�
MAILING ADDRESS ` �y, E- L
CONTRACTOR tel LI C') ) ('( L( t� 1'7 `i'? st-j ,.-- C tr'�/.e h e
CITY STATE ZIP FAX
lAoti.,)) C-01: ��V ® L.L"4, �`7 — -f � - 5-z`1 0
W STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
I&2a' CiySrii 3 2,e) - OS•--joLZ'L"L
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NAME / "J q PRIMARY PHONE 'L
Cr
Ci L.Ci n j 41P. C '(-(C)!�-y
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME
PRIMARY PHONE
PROJECT CONTACT �(� ') , C'i '14 C(C (/'i 6 ( "4- a - 7 Gy Z_
(The individual to receive and MAILING ADDRESS ) �j! ` E
respond to all correspondence t ! l ! �� / ' " 1 - C"Ck.Le 7 iir'crt
concerning this application) cI Y I �? STATE ZIP�, C ,.,,, FAX C
�C�Z ✓�Jt �---" t A
2r-1 (iTJ7. sZC1 ci
NAME OWNER-FINANCED
PROJECT FINANCING
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP r , PHONE
(RCW 19.27.095) v / (" 31 —-r7?O
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.(II 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 .- City of Federal Way as to any claim(including costs, expenses,and attorneys'fees incurred in
the investigation and defense of su• laim), which may be made by any person,including the undersigned,and filed against the city,
but only where su�claim arise of the reliance of the city, including its officers and employees, upon the accuracy of the
information sup ed t thi‘city • •art of this application.
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SIGNATURE: _~ DATE ?"--2C.)' (Jl
INT NAME: 'Cl:// 44 CittiLe( f 9
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type o f fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLE OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(c.-....ercial)
BOILERS FURNACES HO TER TANKS(Gas)
COMPRESSORS GAS LOG SETS FRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
( 1C
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to b-' stalled or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) AVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAI 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 IM OVEMENTS
NLS LVb L-ub
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FI PRIMMER SYSTEM? PROPOSED FIRE SUPPRESSIO SYSTEM?
0 Ff( Cr 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 ❑ CARPORT ❑ �/'/ __ �_
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**INEW HOMES ONLY**
ESTIMATED SELLI PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2013 Page 2 of 3 k:'Handouts\Permit Application
Building - Commercial
City ofEcWay • 0,�a #:Permit 15-104968-00-CO
Community&Econ.Dev.Services �'
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050
Project Name: PACIFIC VASCULAR
Project Address: 32014 32ND AVE S Unit 102 Parcel Number: 215480 0020
Project Description: ALT-ADA PARKING STALL MODIFICATION.INSTALL PER COFW BULLETIN#
41.
Owner Applicant Contractor Lender
SOUND VASCULAR&VEIN SIERRA CONSTRUCTION CO INC SIERRA CONSTRUCTION CO INC
32014 32ND AVE S 19900 144TH AVE SE SIERRCC145N8 (3/31/16)
FEDERAL WAY WA 98001 WOODINVILLE WA 98072 19900 144TH AVE SE
WOODINVILLE WA 98072
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
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Tuesday, April 26, 2016
PermitIssuedon Thursday, October 29, 2015
I hereby certify that the a.•i- ' for - .' is correct and that the construction on the above described property and
the occupancy and th- se •e iccordance with the laws, rules and regulations of the State of W shington
4and the City of Federal Way.
Owner or agent: ' i�1 Date:
THIS CARD IS TO REMAIN ON-SITE r . A
CITY OF _ Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-104968-00-CO Address: 32014 32ND AVE S Unit 102
Project: SOUND VASCULAR & VEIN 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.
O Initial Erosion Control(4365) 0 Footings/Setback(4110) ® Foundation Wall(4115)
To be done prior to breaking ground Approved to place concrete Approved to place concrete
By Date By Date By Date
® Drainage/Downspout(4040) �0 Re-steel(4215) 0 Slab/Concrete Floor(4255)
Approved to backfill Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
® Underfloor Framing(4285) Li Floor Sheathing(4105) Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
Roof Sheathing(4220) • Fire/Draft Stops(4095) Interim Erosion Control(4370)
By
Approved to install roofing Approved Approved
0LBy Date By Date Date
Prior to scheduling a Framing inspection; 0
Framing(4120) �� Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. 1BC 109.3.4By Date By Date
O Gypsum Wallboard Nailing(4130) Suspended Ceiling Grid (4265) ❑ Final S K F&R(4060)
• Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
O Final-Planning `0 Final-Public Works(4080) 0 Final Erosion Control(4375)
Approved Approved Approved
By Date By Date By Date
O Final-Building(4050)
Approved
y Date to 36
rEl Rough Electrical
Approved Final Electrical e❑ Right of Way
Approved Approved
y Date By Date By Date