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09-101142 uilding - Commercial City of Federal Way Q ,l Community Development Services Permit #: 09-101142-00-CO 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: HEALTHPOINT-FEDERAL DENTAL CLINIC Project Address: 33431 13TH PL S Parcel Number: 768190 0070 Project Description: TI-Tenant improvement of existing dental clinic.Minor remodel to include finishes, non-loading bearing walls and new equipment and casework.No plumbing or mechanical on this permit. Owner Applicant Contractor Lender KING COUNTY LAURA ROSENBERG J R ABBOTT CONSTRUCTION KING COUNTY 500 4TH AVE MILLER HAYASHI ARCHITECTS INC 500 4TH AVE SEATTLE WA 118 35TH ST SUITE 200 JRABBCI022JZ(3/1/10) SEATTLE WA 98104-2337 SEATTLE WA 98103 PO BOX 84048 98104-2337 SEATTLE WA 98124 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.) 741 0 0 0 a Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? Yes Mechanical to be Included? No Number of Stories 1 Permit for Building Shell Only? No Plumbing to be Included? No Special Inspection(s)Required? No New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Professional Zoning Designation OP Services/Offices : �> i4t p A rp F✓ r 3,,, s. n: � y €�s CONDITIONS: Subject to field inspection with plans. PERMIT EXPIRES Wednesday, September 23, 2009 Permit Issued on Friday, March 27, 2009 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 the City of Federal Way. Owner or agent: jii:ai/d/aittbr./ 9 Date: to:,‘ ,27 1 DATE INSPECTOR AREA AND TYPE OF 1 .,PECTION ) -CN 6 j 1 \.c,_Ics _cam Y, 5` 7-7 09 c ? ha/ 11.,v2ke 'G c /%f 5 e _ `7 iiii, THIS CARD IS TO MAIN ON-SITE ' - - i COT OF ommunity Develop nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 09-101142-00-CO Owner: KING COUNTY Address: 33431 13TH PL S FEDERAL WAY, WA 98003-6357 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) 0 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 Dat [] Underfloor Framing(4285) E] Floor Sheathing(4105) E] 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) E] 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 , By Date By Date ❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265) E] Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved , -gq-e'r Date .--7-7--(ZF • By Date By Date O Final-Building(4050) Approved I • By i7 Date f/�✓ i For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date ,. . A RECEj .VrAD 4109( _ /0 / 712 Federal way R M PERMIT ME EL PL DE EN FP COMMUNITYDEVELOPMENT SERVICES"�" 2009 SF MF CO 33325 STM AVENUE SOUTH•PO BOX9718 FEE I CATI O N / 0 0 FEDERAL WAY,WA 98063-9718 m r/��, 253wu,u,.607•FA -$I 6 -/ u�wm.cituoffe u.M� ((( The following is required iffcIr tion-an incomplete application will not be accepted.e7 iib11 t • privovvs • PROPERTY INFORMATION SITE ADDRESS 33431 13th Place South, Federal Way,Wa 98003 SUITE/UNIT# N/A ASSESSOR'S TAX/PARCEL# 768190-0070 LOT SIZE(sf 113,300 SQ FT (BUILDING LEGAL DESCRIPTION) LOTS 7&8, SECOMA BUSINESS PARK, LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)ACCORDING TO THE PLAT RECORDED IN VOLUME 113 OF PLATS, PAGES 37, 38, 39 AND 40, IN KING CO.,WA. SITUATED IN KING COUNTY,WA. ■ PROJECT INFORMATION TYPE OF PERMIT X BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) TENANT IMPROVEMENT OF EXISTING HEALTHPOINT COMMUNITY HEALTH CENTER DENTAL CLINIC. MINOR REMODEL OF• 741 SF DENTAL CLINIC SPACE INCLUDING FINISHES, NON-LOAD BEARING WALLS,AND NEW EQUIPMENT AND CASEWORK. PROJECT NAME(Name of Business or Owner Last Name) HealthPoint-Federal Way Dental Clinic • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER MAUREEN THOMAS c/o KING COUNTY 206-298-0238 MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS 500 4TH AVE SEATTLE,WA 98104-2337 maureen.thomas@metrokc.gov CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE JR ABBOTT CONSTRUCTION INC. TERRI JOHNSON 206-467-8500 L � MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 3512 AIRPORT WAY SOUTH SEATTLE,WA 98134-2135 206-459-6301 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER c( N/A N/A 206-447-1885 CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS JRABBCI022JZ 01/31/2010 terrij@jrabbott.com APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE MILLER HAYASHI ARCHITECTS, LLC MARLO DOWELL 206-634-0177 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 118 N.35TH ST.#200 SEATTLE,WA 98133 N/A RELATIONSHIP TO PROJECT FAX NUMBER X Architect ❑Tenant ❑Agent ❑ Other 206-634-0167 PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT MARLO DOWELL 206-634-0177 marlodowell©millerhayashi.com • LENDERNAME Per RCW 19.27.095: NOT APPLICABLE Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - • DETAILED BUILDING INFORMATION EXISTING USE HealthPoint-Federal Way Dental Clinic PROPOSED USE HealthPoint-Federal Way Dental Clinic EXISTING ASSESSED/APPRAISED VALUE$ 2,969,300 VALUE OF PROPOSED WORK $15,000 SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. sg.FT. S• BASEMENT ZWictsfli\k 41 ie.!. SECOND .THIRD THIS SECTION NOT APPLICABLE ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR ❑UNCOVERED?) GARAGE D CARPORT 0 NUMBER OF FLOC) EXISTING PROPOSED TOTAL TOTAL EXISTING SR TOTAL PROPOSED Sr TOTAL SF **N OMES 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 BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(Commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SI:1S REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS Ironer) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE 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 supplied to the city as a part of th' lication. SIGNATURE: DATE 0 a• 2l•ov operty Owner and/o uthorized Agent Fog"`o n ICE USE ONLY o NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application