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06-104779 Ci of Federal Wa R + 1 �taCommun DevelopmentServices BulY ing — Commercial PermI #: 06-104779-00-CO P.O.Box 9718 Federal` Way,WA 98063-9718 V*111 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: CAMILLE VAN DEVANTER DENTAL OFFICE Project Address: -335%-1 . c ' S S . ,,,,,, Parcel Number: 926500 0020 Project Description: TI-Initial improvements to interior of shell building for dental office. Does not include plumbing or mechanical. Owner Applicant Contractor Lender SOUTH THREE THIRTY SIXTH, GENA LEWIS CONSTANTINE BUILDERS INCA'`"'` STERLING SAVINGS BANK LLC S J BARRETT&CO CONSTBI982J5 4/25/08 31620 23RD AVE S 1611 9TH AVE N 221 S 28TH ST SUITE 100 PO BOX 82040 FEDERAL WAY WA 98003 EDMONDS WA 98020 TACOMA WA 98402 KENMORE WA 98028 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.) 3,256 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 New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Professional Services/Offices Zoning Designation OP Existing Sprinkler System in Building? No No Fixtures Associated With This Permit !! PERMIT EXPIRES Sunday, January 4, 2009 Permit Issued on Thursday, January 4, 2007 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,of Federal Way. Owner or agent: `, - i c - Date: /1/(1-7 • 1111,1 Chy of Federal Way • s 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: CAMILLE VAN DEVANTER DENTAL OFFICE Permit#: 06-104779-00-CO Address: 650 S 336TH ST Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: 33 Floor Area(sq. ft.) 3,256 0 0 0 Owner Name: SOUTH THREE THIRTY SIXTH,LLC Owner Address: 1611 9TH AVE N 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 OF INSPECT ON i' 2 - 67 b /< ?"'O /rtsw/6r: '�i~ ,_ 4/ /s4- liatAlyiec, n e aZ THIS CARD IS TO PEMAIN ON-SITE , • ,, .• Aathi&..... CITY OF ommunity Development Inspection Record . Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06-104779-00-CO Owner: SOUTH THREE THIRTY SIXTH, LLC Address: 650 S 336TH ST FEDERAL WAY, WA 98003-6355 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. '❑ Footings/Setback(4110) '❑ 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 .❑ Underfloor Framing (4285) �❑ Floor Sheathing (4105) lik Fire/Draft Stops (4095) Approved to sheath floor Approved to install flooring Approved By Date By Date By e, W Date [ Z g..� r7S70TE: Prior to scheduling a Framing(4120) Framing (4120) ElInsulation (4150) inspection;Electrical,Plumbing&Mechanical 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 c cdj Date (••2.�--0: By Date . ' ❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department (4060) Approved to install mud&tape Approved to drop tile Approved By Date 2. 7_41 7 _By C Date 3 ..„ ._. ,3. 07 By Date ❑ Final -Planning(4070) ❑ Final-Building (4050) Approved (� Approved By Date By C6 Date _Zi • 1 wIllill1117 _72. .__? twaR y PERMIT? 0.6Y {'�' �2p a006 ` SF MF ME EL PL DE EN FP COMMUNITY DEVELOPMENT SERVICE L„P w 0 A `� J� 333258T"AVENUE SOUTH•P X9718 R A�MPLICATION / FEDERAL WAY,FAX 53-8 3-6 p�yyC //V/ / / TD 253-835-260TFAX 253-83 'Kar `NG /// artuu;.cituoifederrilulail c• L2l IIL(lING D�. The ollowin• is re.uired in ormation-an incom•lete a..lication will not be acce•ted. Please .rint le•ibl (in ink)or ty•e. • PROPERTY�' INFORMATION SITE ADDRESS J'S. 33(e.41----- . — e-eitit1iU_S" Pa,-k___. SUITE/UNIT# •,( ASSESSOR'S T /PARCEL# - 1 2 �!J 0- (� /2- /� LOT SIZE(s� ` '? 463, LEGAL DIES PTION(e.g.Acme Estates,Lot 1) -Q.*. Ac pmt /I /7 V (Attach separate page for lengthy legal deseripeoo) / / • PROJECT INFORMATION TYPE OF PERMIT ) UILDING ❑ PLUMBING IDMECHANICAL ❑ DEMOLITION ❑ ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlq) ds/ / i �. Via. // ....44/—.4 L. ,/ - e.. A_• L/ .!r. .t 0 fL Awl - ,o..� /lit/ PROJECT NAME(Name of Business or Owner Last Name) l- V . i�Q ph/1/d. Va!✓1A.P ,&k--- — • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE AV tV\-1- x.71 akin--CV ICL-1 A r / I (1 (42.G1-11`J - (0� OWNER � V ,� (.Lp"/+�� �N�I2�'�Mfetul.� �1 MAILING ADDRE 5'CITY.STP ZIP 1letl Cl I - _-1rndkA.sl JA i3(:)2'0 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE A .;-fi' �M 1 N-Er) ) MA LIN LING D ESS CITY,STATE,ZIP CELL PHONE ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER _ / / ( ) B L CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE • h- r 14 CO A _. (2-53)5'73 -024a MAILING ADDRESS CI ,STATE.ZIP CELL PHONE 22-( 5 2- 3-11-- g /tic ,-r4 -c) (A (tUA 16f02,. ( ) RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect 0 Tenant 0 Agent BKther(Describe)•, C-1 NyE..42__, (15-3)7--1.71-- G$(o)3 CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS _6-0-41- - c__- kiLS (153)5-73 - 02-Oo (- �-1 3 Pwe tett LENDER Per RCW 19.27.095: Lender information is NAME h required f project value exceeds$5,000 .5 ahV�., Aus st' .v((Y, .6V(u +mac, 'jcl, MAILING ADDRESS CITY,STATE,ZIP (HONE -4 t c0 7136' 6.15 (P,II©-C aZ LO, i WA-q9003 45--0((-7 -3)4ett 1 • DETAILED BUILDING INFORMATION ` EXISTING USE f-4: 3 —(�J�I tJ 6i PROPOSED USE fes, _._;iA4I a . 'ASV EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SOO, O DC) SPRINKLERED BUILDING? ❑ YES 'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YESVO WATER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) /\ SEWER SERVICE PROVIDER ,(AKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) 0 I / /' PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ. FT. SQ. FT. BASEMENT ----— FIRST SECOND THIRD .—.---. FOURTH ,_-- ADDITIONAL r._ADDITIONAL FLOORS(DESCRIBE) Art( DECK(COVERED?) 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 $ AIR HANDLING UNITS EVAPORA i OOLERS I GAS LOGS REFRIG.SYSTEMS BBQS FANS n / r A HO.e-(commercial) _ WOODSTOVES BOILERS FI• ' •C N T •• GES MISC(Describe) COMPRESSORS 1 URNACE \X/ GAS WATER HEATERS DUCTS •.P •E 0IUTLDo: ir PLUMBING ' „' BATHTUBS(or rub/show SHOWERS r)-- WATER CLOSETS crone() MISC(Describe) 1 DISHWASHERS 1 SINKS DRINKING FOUNTAINS GAS PIPE OUTLET. SUMPS RAINWATER SYST I WASHING -''INES URINALS HOSE BIBBS 2- LAV :athroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS 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, including its of tcers and employees,upon the accuracy of the information supplied to the city as a part of this application. / f NAME/TITLE L „it %i - / r 1/L<_ DATE — (J--0,(-j Signature) $ e) RELATIONSHIP TO PROJECT ❑ Owner 0 Agent o Contractor ❑ Architect l� Other �.�1 FOR OFFICE USE ONLY LI NEW ❑ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES -_i NO BASIC PLAN? ❑YES ❑NO ZONING DESIGNATION CHANGE OF USE? n YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? n YES ❑NO PLATTED LOT? ❑YES Li NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application