06-104780 s
rcommet:=ervices
R _ �
Lui ing Commercial Perm#: 06-104780-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609Inspection Request Line: (253) 835-3050
Project Name: DR BRIAN FILBERT-FAMILY DENTISTRY
Project Address: Parcel Number: 926500 0020
Project Description: TI-INITIAL tenant improvement, partial first floor,3,626 sqft of building "B". NO
plumbing or mechanical on this permit.
Owner Applicant Contractor Lender
ANTHONY STARKOVICH KATIE WRATH CONSTANTINE BUILDERS INC US BANK
VINTAGE CAPITOL S.J.BARRETT&CO INC CONSTBI982J5 4/25/08 PO BOX 82585
INVESTMENTS LLC 221 S 28TH ST SUITE 100 PO BOX 82040 KENMORE WA 98028
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: _
Floor Area(sq. ft.) 3,626 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories I
Permit for Building Shell Only? Yes Plumbing to be Included? No
Special Inspection(s)Required? Yes Occupancy#1 -Use Professional
Services/Offices
Zoning Designation OP Existing Sprinkl.r System in Building9 Nn
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 City of Federal Way.
Owner or agent: ��, �. Oet'icc. Date: l� "
t2: (._L�. (k `!(- s I
City "s)\
of 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 BRIAN FILBERT - FAMILY DENTISTRY Permit#: 06-104780-00-CO
Address: 650 S 336TH ST
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 3,626 0 0 0
Owner Name: ANTHONY STARKOVICH
ANTHONY STARKOVICH
Owner Name: VINTAGE CAPITOL INVESTMENTS I
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 Beverly 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.
- iik,
THIS CARD IS TOIVIAIN ON-S,ITE
•
CITY OF ``-" it ommunity Development Inspectionection Record
Federal Way
IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-104780-00-CO
Owner: ANTHONY STARKOVICH
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.
e❑ 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
0 Underfloor Framing (4285) ❑ Floor Sheathing (4105) ❑ Fire/Draft Stops (4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By C () Date2 -lf� Z
�O
tlNOTE: Prior to scheduling a Framing(4120) 0 Framing (4120) ❑ Insulation (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
B '�5 Date ,—k-O'7 By W Date z...-7 —c)7
,❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final- Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By a...J Date Z p.td...d By Date , /3 1 07 . , By Date ,
� ,
Final -Planning (4070) ❑ Final-Building(4050)
[❑
Approved Approved
By Date By C Date 4. ' 3• .e
CEi n •
CITY OF / �� o_ / Q Ai /Federal Way SE? 2 0ZQQ6PERMIT -IF
COMMUNITY DEVELOPMENTSERVICES
SF MF CO ME EL PL DE EN FP
33325 Ent AVENUE SOUTH•63 BOX 9718 F r .p •1q L I C AT I O N �°
FEDERAL WAY,FAX
98063-9718 10
253-835-2607•FAX 253-835-2609 �t (�D(N I � 'I'
ii
www ci tuollederatwau.corn
The oliowing is re.uired in ormation-an incom.lete a..lication will not be acce.ted. Please .rint le.ibl (in ink)or t
• PROPERTY INFORMATION
SITE hiaS J• -2J- j-/ -1.-• - L.ovS P-r- . > ?I ( L SUITE/UNIT# OCT.
ASSESSOR'S TAX/PARCEL# c 2 6 S (-) r) - Q C ) '2 n LOT SIZE(s) i 3
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) S Ems. P1/4--(...4--E-
(Attach
separate page jor lengthy legal descriptton)
• PROJECT INFORMATION
TYPE OF PERMIT ,$UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit on/t4)
* 1 vv-A—NA( • � 1n rF-mie r l in arc S r Fubur,
C 'F,JA Lot,k_- CA- 'R 4 Co C A ) Al- -rt- C- -Pv% fit-:
17e--6c . Pik-?---14- - _
PROJECT NAME(Name of Business or Owner Last Name) t g- . j t--I Aim 1(..- -"" --N- " F -TIS' (•.(
• PEOPLE INFORMATION
PRO?ERTY I NAME PRIMARY PHONE
OWNER ; AO-AQUI % -Cv1c,A{1Vt&T?Y:XE CAArN-UL 1tv\iESflvkavTS) (42S )11 S - 6ss z
MAILING ADDRESS CITY,STATE,ZIP LL.
16 I q" AN E.,v• -Drnot pS,U)1\ °t -2_o
CONTRACTOR COMPANY NA OPAPPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
9
w - ► I ( )
CITY OF FEDE ESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - B L
t(2-01': / / ( ) -
TRAR'
CfOS REGISTRATION UMBER(cop f card required with each application) EXPIRATION DATE
1Q� 0 ` - _- I2 / 31 O--
APPLICANT COMPANY NAME APPLICANT NAME I OFFICE PHONE
s:T.&C12--e 't As,Cc,. VILtii- • \ --c-- '-- --}k (2S 1)S 1-3 - b-Z
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
'Zak S . 2t.." SV. . 100 1L rnAi 9&102. ( ) -
RELATIONSHIP TO PROJECT 1��-- FAX NUMBER
Ii] Architect D Tenant ❑Agent )0ther(Describe) 1x=S`���12-- (ZS ) ZTL -668
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
aD. L ifl (2S3)S 13 - C -00 k};ems: jbarren.Ce r
t-
LENDERPer RCW 19.27.095: Lender information is NAM C �„ .� (
required if project alue - cee.-$5,000 Jp � {�
�/ '•tESS I g
, CITY,Rol i� (� PHONE )
'Y' • DETAILED BUILDING INFORMATION'l�} 1
EXISTING USE 1)�uJ ' \'`,Qu,Cx..• _PROPOSED USE IC /` G C€
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ v1\t So +
SPRINKLERED BUILDING? 0 YES ki0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES10
WATER SERVICE PROVIDER EHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) YES )
SEWER SERVICE PROVIDER EHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
' , . •
4 PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
:;,--2. E> 3 6
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**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 EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commerda)) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
'LUMBING
.A- ■ BS(or Tub/Shower Combo) SHOWERS 2. WATER CLOSETS(Toilet) MISC(Describe)
t DISHWASHE• SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS ,• RAINWATER SYST
WASHING MACHINES URINALS .• BIBBS
2 LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIC`NATURE 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 officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. ? /
NAME/TITLE /( V 2 Yom. ��. e�j' CO. WC- DATE ( Zb I bb
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent o Contractor 0 Architect Other 10 S‘L rz.-
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑ NO BASIC PLAN? _,YES 1 NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January I,2006 Page 2 of 4 k\Handouts\Permit Application