13-104405 ;, ti f , ,
. . •Building'- Commercial
ill
�l City of Federal Way Permit #: 13-104405-00-CO
Community 8,Econ.Dev.Services -
33325 8th Ave S
Federal Way,WA 98003 ""`' Inspection Request line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: AESTHETIC DENTAL
Project Address: 34704 11TH PL S Parcel Number: 215470 0030
Project Description: INITIAL TI-Interior tenant improvement to include walls,finishes,casework for new
dental facility.Plumbing and mechanical included
Owner Applicant Contractor Lender
VC INVESTMENT LLC CONSTRUCTION CONSTRUCTION OWNER IS LENDER
14349 SE 92ND ST INTERNATIONAL INC INTERNATIONAL INC
NEWCASTLE,WA 98059 12040 98TH AVE NE CONSTII108O7(9/15/15)
KIRKLAND WA 12040 98TH AVE NE
KIRKLAND WA
Census Category: 437 - Commercial alt/add/conversion
.- Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 42
Floor Area(sq.ft.) 4,148 0 0 0
Additional Permit Information
Building Pre-con.Meeting Required9 No Existing Sprinkler System in Building9 Yes
Mechanical to be Included? Yes Plumbing Work Valuation? 14000.00 e
Number of Stories. 2 Permit for Building Shell Only? No
Plumbing to be Included? Yes Special Inspection(s)Required? No
Occupancy#1 -Use Professional Zoning Designation OP
Services/Offices
Mechanical Fixtures
Ducting 1 Fans 3
Plumbing Fixtures
Drains 1 Lavatories 5 Other Plumbing Fixtures. 1
Sinks 3 Water Closets 1
PERMIT EXPIRES Sunday, May 4, 2014
Permit Issued on Tuesday, November 5, 2013
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: y ;
i`
l
City 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: AESTHETIC DENTAL Permit#: 13-104405-00-CO
Address: 34704 11TH PL S
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 42
Floor Area(sq. ft.) 4,148 0 0 0
Owner Name: VC INVESTMENT LLC
Owner Address: 14349 SE 92ND ST
NEWCASTLE,WA 98059
tt
J 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.
•
DATE INS-PC1rOR._, AREA AND TYPE O&INSPECTI • °
.4( (2( ( 13 Iv..4 PiWkiaI pus$ - 0iK5c4,lak t viAS 04 -IviW
Walk .e4KGl(tiA GteGc•S 0-'64` fluttm.bl h j .
1-2.1a11.5 Payac Fats Pkvivloc i , oV 4 cwev
Gt,„C' C V 1V`S - (4- wSerid't Gn 4tr. Va-(,v1A WA,
etnel G.c(r
I('1-5 .
r ..
3,--1".-C) C`\,\ 1 {` Com_ d �.� �a 1-- ��: \
•
THIS CARD IS TO MAIN ON,SITE
"TM°F ~`r '' . • Construction In ection Record
•
Federa! Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 13-104405-00-CO Address: 34704 11TH PL S
Project: VC INVESTMENT LLC FEDERAL WAY, WA 98003-6715
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 SWM Precon Site Mtg(4400) El Initial Erosion Control(4365) Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
0 Re-steel(4215) 0 Plumbing Groundwork(4190) El 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) El Floor Sheathing(4105) •� Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
•0 Mechanical Rough-in(4165) 0 Gas Piping(4125) El Fire/Draft Stops(4095)
Approved Approved to release test Approved
By Date By Date By Q.)4‘....„\ Date (2.710/....1?)
`El Interim Erosion Control(437/0) P;;;;;scheduling a Framing inspection; 0 Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Ry Date Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By (I' % Date t2-1120 1 13
0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date 01l`'a.5.4'3 By ( j„ Dated a _23^13 Byl 'c•n Date. -0._1-i
Final-Fire Department(4060) Final-Planning 0 Final Erosion Control(4375)
Approved Approved Approved
By Date By Date By Date
El Final-Mechanical(4065) ❑ Final-Plumbing(4075) Final-Building(4050)
Approved Approved Approved
B t C�, Date-7 `P- t ct-i - I By IrAi5 Date 2 1( to (14 By Date 4
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• 0
PERNivtTv
PPLICATION
ftZa AD
OCT 0 3 2013j% l 0 4 4_ 0 COOCFT FE03201u `
�- RET\1�A
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CDS
SITE ADDRESS SUITE/UNIT
#
OCATil `" rF+/cr �tV0
PROJECT ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT V BUILDING ZI PLUMBING C MECHANICAL 0 DEMOLITION ❑ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT `> VAN` V UO N G/DDS
10,4_4,a, `� pact, ** -Ac.t dtaA4, t✓l- /-0,20A. '4) Irl-k,cp i h,N.
PROJECT DESCRIPTION ,f [o�n nr�.1 -�v
Detailed description of work to t./S�`.ii��^ �.S `;, CC�:.»x+Pu , 1 `) y 6,-,./ ,+is �rr
be included on this permit only .e.........e........ A,.1 I 14 ......)1.1......)1.1e• IG c..:,A,n el,w i •Q Y`,a'�S MCC
PRIMARY PHONE
NAME � ��� � /1���
PROPERTY OWNER V L NV IFS . 1� C (_SIL )
MAILING ADDRESS Mooc5-e,
CITY STATE ZIP 40.k Q 4 ,(/A..%i t_ \L 7
PHONE I
NAME $2 3-C,'4-470PJ��j-, '✓UC +I/1^ ‘144% ,••YNCIA.vn'.,` \r-P E-MAIL��
MAILING ADDRESS 0-s5-1 � �
CONTRACTOR __:\ �' p
CITY STATE ZIP FAX-.__---'�"�'
I1...,„>I, 1.‘-:-.-(I '/.- nt0) 34.
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE _ FEDERAL WAY BUSINESS LICENSE#
O Vt<i 1 O�Q 1 ''-j
/ t� / f c PRIMARY PHONE
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NAME Se' 6.V.�. �lYn '.
�� r=L��O ( "'T'�1‘�3
MAILING
SS E-MAIL
APPLICANT t267, 0 at gtkaUQ N� fite
Je� r1 .WA ,C,"
CITY STATE ZIP FAX
t'I\it_GA,---,a �4 61 9 O 3
NAME PRIMARY PHONE •
'�/3 �, ��
PROJECT CONTACT A+ d�E-MAIL ,
MAILIN ADDRESS(� �� G /�' (^ ,_1 ✓61 Y�'Q��1
(The individual to receive and 2v 4 JJ l
respond i allt is application)
I STATE I ZIP �` 2 FAX
concerning this application) CITY 41 B D
w
NAME { OWNER-FINANCED
PROJECT FINANCING /"'� PHONE
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP �n D� ,. �;, - / �'
(RCW 19.27.095) ` ) 60
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 s apart of this application.
)1;7 DATE [ I lirz
� I
SIGNATURE: , �/
PRINT NAME:_ -e(J€ b ��1-
Bulletin#100-January 1,2013
Page 1 of 3 k:UIandoutSWermit Application
. • • •
1
• VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$ 1 a'i aed
.v Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS 3 FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
/I DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT VALUE OFPLUM$INO WORK
$ 14 oav
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Thb/shower combo) S. LAVS(Hann soils) I TOILETS i( WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
t DRAINS SHOWERS VACUUM BREAKERS fJin(rreSy4. p t/,
DRINKING FOUNTAINS -g SINKS(Kitchen/Utility( L WATER HEATERS(erectOc) V4C Wt/A4
HOSE BIBBS SUMPS ' l WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
O(/)°4 -114 ‘JE/1 (^ZIIGC 1%iGLV �'1 $ zoo
EXISTING/PREVIOUS USE LOT SIZE lin Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
De40/‘kkei ( )(Yes ❑ No ArYes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT,
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT 0
OTHER(describe)
EXISTINGPROPOSED TOTAL _................................................. ... ........................................_...................._........:................
Area Totals
**NEW HOMES ONLY*" — —
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
Area Construction #of
AREA DESCRIPTION
in Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) .
Type Stories Construction #of
in Square FeetAdditional Information
TOTAL BUILDING ---�
TENANT AREA ONLY " -_ ;: , V I
..:PROJECT AREA ONLY 1
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application