Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
05-104521
yrk • S r • City or Federal Way Community Development Services Building - Commercial Permit #: 05 - 104521 - 00 CO P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: SOUTH SOUND ORAL MEDICINE Project Address: 34709 9TH AVE S SuiteB300 Parcel Number:926480 0015 Project Description: TI-Addition of(3)partition walls;(2)new sinks,and associated duct work Owner Applicant Contractor Lender CCD ENTERPRISES RETAIL CONTRACTORS LLC RETAIL CONTRACTORS LLC NONE 1601 5TH AVE SUITE 1703 17150 TYE ST SE SUITE A RETAICL985R6 12/07 SEATTLE WA 98101 MONROE WA 98272 17150 TYE ST SE SUITE A MONROE WA 98272 NONE Includes: Census category: 437-Comm r #1 #2 #3 #4 Occupancy Group: Construction Type: _ Type V-B Occupancy L• u: Floor Area(Sq.Ft.): _ 1454 1st Floor Proposed Sq.Feet ....1454 Census Category ...�. ,4,41.43 mmprcial alt/add Fire Sprinklers ...». Yes Mechanical,..... „fi,., 4. Yes Number ofStO€ies......i 1 1, Permit for Building Shell Only«..M' ,.....Aln Plumbin Yes Will Certificate ofOccup�y be ssued?..._....,,,Yes Zoning Designation....'...„ ... , ' ........ ..... .i OP .� Plumbing Fixtures Description Quantity L Description Quantity Description Quantity Sinks 2 Mechanical Fixtures Description Quantity Description Quantity Description Quantity] Ducts 3 PERMIT EXPIRES May 9,2006. Permit issued on November 10,2005 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:_ Date: „.- • City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the Uniform 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: SOUTH SOUND ORAL MEDICINE Permit number: 05 - 104521 -00 Address: 34709 9TH S SuiteB300 #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V_B Occupancy Load: it Floor Area(Sq.Ft.): 1454 Owner CCD ENTERPRISES Name: 1601 STH AVE SUITE 1703 Address: SEATTLE WA 98101 • ma,444%. ► rCID �2•Z�-vs''�c� 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. ,. .. THIS CARD IS TO MAIN ON-SITE , CITY OF tommunitY p Inspection m t Ins ection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-104521-00-CO Owner: CCD ENTERPRISES Address: 34709 9TH AVE S Suite B300 FEDERAL WAY, WA 98003 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. O Footings/Setback(4110) ❑ Foundation Wall(4115) 0 Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date ❑ Re-steel(4215) 0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Date By Date ❑ Underfloor Framing(4285) 0 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) 0 Rough Plumbing(4230) �❑ Mechanical Rough-in(4165) Approved to install roofing Approved Approved By Date By -(A) Date 2P a ' e.''�'-By .c.,3 Date 2.,c-&S ❑ Gas Piping(4125) 0 Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) Approved to release test Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be • By signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date G, Date/2-4^„�._ • • '❑ Framing(4120) �❑ Insulation (4150) '❑Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By G c,�,,,� Date f .J.d J • `By Date `By � Date/2.. a . ❑ Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060) 0 Final-Planning(4070) Approved to drop tile Approved Approved By .£.t.J Dat 2., �� '-' By Date By Date Y , ❑ Final-Public Works(4080) ❑ Final-Mechanical(4065) 0 Final-Plumbing(4075) Approved Approved Approved By Date By Date By Date ❑ Final-Building(4050) Approved By G W Date ig.Zef-04°— 1 �. Pei RE•VE 0 Federal WayJO C- aLL3 Z1_ PERMIT COMMUNITY DCVBLOPMEATSERVICES SEP Q r r SF MF 0 E EL PL DE EN FP 333258^t AVBNUB SODT(I•POlN11(9718 ��p LI CATION FBDERAL WAY,WA 9806;)-971{' 6tA1T ° / / 253-836-2607•FAX 253-835-2 OF I ER iuww.cityofredetnlway,mm BUILDING c.- The ollou/i • is re,wired in ormation-ani c.I,•fete a.•lication will not be acce•ted. Please •rint le•ibl in in or .e. -, . ►�4 PROPERTY INFORMATION SITE ADDRESS 3� /7 j)q -/ q +1,1 Av. , SUITE/UNIT# Z 3 ASSESSOR'S TAX/PARCEL it b it ( D C) f.- ( _5_ Q R LOT SIZE(sf) SD, Si 3 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) O,,I _pig Li (Attach separate page far Lengthy legal description) 12. PROJECT INFORMATION TYPE OF PERMIT BUILDING '.124,PLUMBING d MECHANICAL - 0 DEMOLITION 0 ELECTRICAL ,ELI GINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) A PROJECT NAME(Name of Business or Owner Last Name) S)L&+� 61 O(A t r t kke ►A PEOPLE INFORMATION 'PROPERTY NAME OWNER CIC . Eta" ' ' RY PHONE MAILING ADDRESS ^ CITY,STATE,ZIP PrOpelitb l/ (z��6 -��6 L� ) (,,,0, -51k A s- 17z 3 .s, k r LX4 g6101 • CONTRACTOR COMPANY NAMEI (� APPLICANT NAME OFFICE PHONE a V_�a, I Ct'Sy1)- . c"/i.0."% LLc G0.r Wt)1..V1 (3b©) SSL3 1..55 Cl MAILIN ADB ESS CITY,ST E,ZIP CELL PHONE ) 715o 'I' :. .i-,5E" :A _Al Dt..row kje.A. 9 2 72 042S) 3 LI 6 - )74.E CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER [RATION DATE FAX NUMBER / / (360 ) X63 - ,%9 -B. L CONTRACTOR'S REGISTRATION NUMBER(copy of cud required with each application) EXPIRATION DATE g gT .a r c L q 95 k la / / APPLICANT COMPANY NAMEAPPLICANTAPPLICANT NAME OFFICE PHONE MAILING ADDRES y ✓t I.,,, 1---,,,-- ( ) - CITY,STATE,ZIP - CELL PHONE RELATIONSHIP TO PROJECT FAX NUMB ER ❑ Architect ❑Tenant ❑Agent 0 Other(Describe) ( ) - CONTACT NAME PRIMARY PHONEE-MAIL ADDRESS Ga tAt,►-P U4 G{C- C.Lim, LENDER V '. Z.•r rX�� > ,z 3 z •r,-,,f,Ki �; ,r r4 #4fr,)•«r mss x-, v (,4t, g.ItrI ILK•( (%ii -4Y,-,i-(%K 31,0J MAILING ADDRESS CITY, ATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE DR, () 99)C C PROPOSED USE D (:).. -r t t i_ EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ p' Orlin SPRINKLERED BUILDING? AYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? Cl YES 0 NO WATER SERVICE PROVIDER LAKEHAVEN ❑HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION 1 EXISTING PROPOSED TOTAL -t SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST s y I L 5 L) SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 EXISTING PROPOSED ,,. 7 �P.,t �.f�..�.�L RO ®SLID t 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 $ , i AIR HANDLING UNITS 3 5 D EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commereiay WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES OAS WATER HEATERS 3 DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orTrb/shower Combo) SHOWERS WATER CLOSETS(foi5e) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bauuoomsinka) 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 ofthe city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. (6-....',, ru/rel 2/ �J NAME/TITLE i ,/ ®; n �� /r'�r►� i''�y 1� ,v s. ,iJe4 DATE gib/ll 3 RELATIONSHIP TO P TJECT aOwner ❑ AgentA.Contractor ❑Architect 0 Other )y ())''sa CsPj 1P '',�C 3< +�..a �_� J �. da. g(i)- ' °fir bac Bpt�;� l®l� Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application