17-103727 A )
#
. r
Building Commercial
City
yDevelFederal Way Permit #:17-103727-00-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: ACCURATE CHIROPRACTIC
Project Address: 34512 16TH AVE S Parcel Number:250090 0050
Project Description: TI-Interior improvements for initial tenant in existing space including partition walls,acoustic
ceiling and finishes. Plumbing and mechanical by separate permit.
Owner Applicant Contractor Lender
FEDWAY MARKETPLACE WEST FEDWAY MARKETPLACE WEST SIERRA CONSTRUCTION CO INC OWNER IS LENDER
LLC(C/O MJ KLEIN) LLC(C/O MJ KLEIN) 19900 144TH AVE SE
30300 AGOURA RD SUITE 270 30300 AGOURA RD SUITE 270 WOODINVILLE WA 98072
AGOURA HILLS CA 91301 AGOURA HILLS CA 91301
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 15.00
Floor Area(sq.ft.) 1,453.00
Additional Permit Information
Occupancy#1-Area(Sq.Feet) 1453 Occupancy#1-Construction Type Type V-B
Mechanical to be Included No Plumbing Work Valuation? 0
Mechanical Work Valuation? 0 Number of Stories 1
Is this an Online or O.T.C.application? Yes Permit for Building Shell Only? No
Plumbing to be Included? No Will Certificate of Occupancy be Issued? Yes
Occupancy#1-Use Professional Comprehensive Plan Designation Commercial Enterprise
Services/Offices
Zoning Designation CE
9
PERMIT EXPIRES Saturday \ 1u ,ry,2018
Permit Issued on Mo!d , • ,2017
r •
I hereby certify that the above information 1s tc That the construction on the above described property
and the occupancy and the use will be - • •. •*ftt;the laws, rules and regulations of the State of
Was M • e City of Federal Way.
Owner or agent: Date: -' -- )-1
p1 Trw„ ' I2- (11
t 4
a► •
. ..
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is 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: ACCURATE CHIROPRACTIC Permit# 17-103727-00-CO
Address: 34512 16TH AVE S Unit C
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 15.00
Floor Area(sq.ft.) 1,453.00
Owner Name: FEDWAY MARKETPLACE WEST LLQ
Owner Address:. 30300 AGOURA RD SUITE 270.
AGOURA HILLS CA 91301
- A (IA/ Irt
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.
IF . y
THIS CARD IS TO REMAIN ON-SITE
4
�m� Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103727 00 Address: 34512 16TH AVE S Unit C
Project: FEDWAY MARKETPLACE WEST L 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.
ILI Footings/Setback(4110) 0 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
El 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 .
Prior to scheduling a Framing inspection; El
[
Framing(4120) "® Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in Approved to insulate Approved to install wallboard
and Fire/Draft Stop inspectns mast be signed-
ofY and approved. IioBC 109.3.4 By % Date VI 204.4 1 7 By Date
Gypsum Wallboard Nailing(4130) El Suspended Ceiling Grid(4265) ID Final-SKF&R(4060)
Approved to install mud&tape Approved to drop tile Approved
By � Date iti'1 1 ) By 4.10 Date 91 /Of By Date
t2 Final-Planning El Final-Building(4050)
Approved Approved
`By Date ..By 4 Date I1-4.r�f"
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
,,,, _A. --3 e 3 0 PERMIT APPLICATION
CITY OF
Federal Way PERMIT CENTER+33325 8th Avenue South +Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenter@cityoffederalway. $m
OTC @10;30
PERMIT NUMBER _. D7-__
1 NIIIIIII_ /I7-
!!! / ��// TARGET DATE
SITE ADDRESS SUITE/UNIT#
(-( - 12- 1 sou n± , s G-
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ _. SS O L , n - 00 --CM
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT I 1 U►i-9 o L4 T— /cc u 2 f-`i'EC t 12U P St-7Z.e--
PROJECT DESCRIPTION (7-1 (e(411_4) G U f t--)c./.5-7-06- S6'/9 f C(U
Detailed description of work to IAV2'��ty VD I S . - v314L-B vv-t ) 'J .S'1-1L0
be included on this permit only
. .. NAME - '✓V f7 i I/' 1 I '^ (i//t- �� (c�(f�7/ /t. RI1 Yo (L' -`--414C
PROPERTY OWNER LING ? SS 30,(� 6604/2fr ^ 2)0 E-MAIL"`1' I J
Ll%10 R j l S�q ei4
cm STATE cn nA R -L s sci I ZIP Q /3 U /
... NAME PHONE 1 I _. _.
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME r r 'J / ,I/ ^ _I _ �P �� wCq PRIMARY PHONE
APPLICANT MAILING ADDRESS / ll}^I!`�`/f�L�,0'} r E-MAIL
CITY STATE ZIP FAX
NAME Il. J j� PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
PROJECT FINANCING NAME ME OWNER-FINANCED
When value is$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 supplie•moi. - city asap his a cation.
SIGNATURE: / DATE I7�/-2
/ __i 1 ' 1
PRINT NAME (� moi)
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
Indicate how many of each type offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPINGWOODSTOVES
PLUMBING PERMIT
�� „ru ���xn
/f $
Indicate how many of each type of fixture'-to -d or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower combo) LAVS ”..a s nks) TOILETS WATER PIPING
DISHWASHERS . , ATER SYSTEMS URINALS OTHER(Describe)
DRAINS HOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 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 IMPROVEMENTS
No Lt,, L ).D.
$
EXISTING/PREVIOUS USE LOT SIZE(In S eet) EXISTING FIR/EE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESS�N SYSTEM?
Cot-9102Q Vi4es ❑ No ❑Yes �',No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
/r%4/S 'tt'?,.,'r/ ,./rrr�r'/ ",yr e.+#P"'t ,,rA rr'rir"'' r///"' r!-d'rz'' ",'/,�'�J'i rlicere ``"',Ai: 4/f7 f f f !r r'� ...._................:.........:........ ... ...__........._................................._......_._.._..........._._..___
r r
r
r� r J F � r ,'
/i/
Q1:4=4,0:0,l� 0y �'r rn5,rr, J/J�J' a„4 lie. J ,r`i �,�'iY,0?4' r, '' ' '
�,. ,Uu!,.y0r,3�,l,-f�r�.,:. r /.r;�r� .,r'rr.,,''-.`�,2,'::cr „r�..E' J4f�lfrJ�„/,fir k.J,'"'rJ,Jr�,f ,,,.'` ..,/'r'u'J ...._.._........_...................._........................................ ........_.. ...... ....._........_....__.._
FIRST FLOOR(or Mobile Home)
r, J iJr;tr J%�� syJ P� xte / /rT y y i rx� r F s
Yr
F
damN4/t�F, f,,s�� xiff ; n, ,!,%-:„.:ra, rz ' „ �l ,� H d
_..............._..__.......... _ ........_._ ..... __.... .......____........._.._.__...
COVERED ENTRY
,,.rr, '-'"f5,.(, %' / '�!�' /i' 5 %dP�, ,'•`', .,,�, r,r !.?,,,r' ,,r a,,,.. r ,!" /T;7F.irr�.._..._......._.._......_..... .............__..............................__............_. ...__._._...._..._____. _....
Jtg
10"
,:040.4'••. /lir •4 ' 44 / //f f fit, !, r, '�;�,,44110,(1/10,","1/,,,K,, 4,';40,0-00 , ..___
GARAGE 0 CARPORT 0
S' fiJ. n !,?"" „".�,'x'✓r,+,r.99„ 499-4.ye.,/,24,,,,,n._1„,.4 /;,y;"rrJ r,�s r,rl >l„�J ,'f .._.............................._..............._........................._........_......_._.._.._._.._._..._......__...._....__......._...__...
'; /
491970';99749>"r/0949i-/ . ' ;'s� Jr ,fr 0 9 _r,, 0,,,, `rTr r ,/r'� r
r rrJ�, ,�,�J'J'�'��r'���2f;„o-rf,�„�i� ���,'ir`i✓ ,,.�' J .-.. �, ,r,:a`;,. �"," <�,,.fr. �,�,>! r�>lF,,�'� J ,,................... _.....
EXISTING PROPOSED TOTAL
Area Totals
i y�/Jr'r rr ra °j r s''. „,Z,1";7(":::".;
/! r r d!,,,, a„
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
,�,�,�e Stories
Snnare Feet
yr F'` 5 rr+r'.f .� r, '�°� '. s 3 ,- ;;:;'Y r f/' :.-.:2
/ /rJf r'„ i f /V r %/; » �' r
�� .i3 r �;
;r
��rE/xr��„'.,r „ ,<�.`�” rr /!`7 .F..r !;.' ,.,.�„* F-,€-r �;.,<� ,rsr'�`".�” ,.,,% .'�A ,,,'gx;,�. � ,r/,r,,r;::
ADDITION I
L COMMERCIAL--REMODEL/TENANT IMPROVEMENTS
f” Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
S.uare Feet • .e Stories
TENANT AREA ONLY 1453
l &b 't.�,4 f�ttir /� /�.,.. > °�, /, * j iiJ �` J � " * !r :�-�„" / i i1 , frrt
F �, c ®.. ,.fi ;. i t -*'1*. .;;444X /� i ! ; 1f'�� _fM ;",/.. r `rVJK , ' 9"1 , . *5A4
,F./r, e:fi,...„2., ,,,T ,_
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application