17-103490 Building - Commercial
City of Federal Way Permit #:17-103490-00-CO
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax.(253)835-2609
Project Name: DR JULIA FREDERICKS
Project Address: 33516 9TH AVE S Parcel Number:926925 0060
Project Description: TI-Interior modifications for new tenant including removal of non-structural partition walls,
construction of partition walls and addition of ACT. Plumbing& mechanical by separate
permits.
Owner Applicant Contractor Lender
JULIA FREDERICKSDR JULIA BOBBI CHAPMANBQC CONSTANTINE BUILDERS INC COLUMBIA BANK
FREDERICKS PLLC PLANNING&DESIGN 18486 BALLINGER WAY NE PO BOX 2156
34617 11TH PL S UNIT 102 1321 S LAUREL ST LAKE FOREST PARK WA 98155 TACOMA WA 98401-2156
FEDERAL WAY WA 98003 PORT ANGELES WA 98362
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B _
Occupancy Load: 15.00
Floor Area(sq.ft.) 1,490.00
Additional Permit Information
Occupancy#1-Area(Sq.Feet) 1490 Occupancy#1-Construction Type Type V-B
Mechanical to be Included? No Plumbing Work Valuation? 0
Mechanical Work Valuation? 0 Number of Stories 1
Is this an Online or O.T.C.application9 No Permit for Building Shell Only? No
Plumbing to be Included? No Will Certificate of Occupancy be Issued? No
Occupancy#1-Use Professional Comprehensive Plan Designation Office Park
Services/Offices
Zoning Designation OP
Total Valuation: 140,606.00
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PERMIT EXPIRES Sunday, 1 April,2018
Permit Issued on Tuesday, October 3,2017
I hereby certify that the above information is t and that the construction on the above described property
and the occupancy and th- . -: will b I cordance with the laws, rules and regulations of the State of
% ashiton and the City of Federal Way.
/
Owner or agent: Date: ,r(, ''"- ) �/7
(.bvum1..c-D
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is 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 JULIA FREDERICKS Permit# 17-103490-00-CO
Address: 33516 9TH AVE S Bldg 6
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 15.00
Floor Area(sq.ft.) 1,490.00
Owner Name: JULIA FREDERICKSDR JULIA FRED
Owner Address: 34617 11TH PL S UNIT 102
FEDERAL WAY WA 98003
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 REMAIN ON-SITE
CITY OF '.- =.' Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 103490 00 Address: 33516 9TH AVE S Bldg 6
Project: JULIA FREDERICKS FEDERAL WAY WA 98003-6322
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.
i
-3❑ Initial Erosion Control(4365) ® Footings/Setback(4110) 3❑ Re-steel(4215)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date By Date
111 Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) CI Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
ElFire/Draft Stops(4095) ® Interim Erosion Control(4370) Prior to scheduling a Framing inspection
Electrical,Plumbing&Mechanical Rough-in
Approved Approved
and Fire/Draft Stop inspections must be signed-
off and approved IBC 109 3 4 '
By Date By Date
0 Framing(4120) 111 Insulation(4150) CI Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
•
.By" .---Cl! Date 't ` 1..\\--) ._By Date By Date
CI Suspended Ceiling Grid(4265) 0 Final-S K F&R(4060) El Final-Planning
Approved to drop til Approved Approved
t ------c------c> Date tt. 301, By Date ,By Date
0 Final Erosion Contro (4375) IA Final-Building(4050)
Approved Approved
By Date GS Date l Z 15 CI
Ei Rough Electrical ❑ Final Electrical111Right of Way
Approved Approved Approved
By Date By Date By Date
RECDVE® PERMIT APPLICATION
CITY OF
Federal VVayJUL 2 0 2017 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+Dermitcenter(cucitvoffederalway.com
CITY OF FEDERAL WAY
/ COMM lrb' tyELOPMENT
PERMIT NUMBER (/_) g () _ C o
TARGET DATE
SITE ADDRESS SUITE/UNIT#
L' l�ni (i4'essM`//(ott C ndoin r�ic m)
PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL#
$ I yd)0bU (,ISPd Le/GI.a / 5 - CO 0
TYPE OF PERMIT g.BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT art q lit&a., edci/`d
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PROJECT DESCRIPTION wti�ei _/,'J
Detailed description of work to �i )Jif 1� 2� �/ GT`!�1'11� /1Pr7-
be included on this permit only L, , d,'{�0 , to��$�„�rtial tutu no J�j,S ��.}� wear iW! I I INS ��I'il/I� fklepL
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NAME t � i ✓ (J)/J f �P/RIMMAARRY PHONE
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PROPERTY OWNER MAILINGpt. .
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CITY e_ / a ! , 8T/ATE ZIP too
PHONE
NAME X79.� Ce' W/j/► torn/wolfD4/! ffiAIL
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CONTRACTOR 0 mjUy ?cc/- /eank /e'
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WA STATE C.ONTRACT4S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C 001
NAME PRIMARY PHONE
/c/CI', iv/mr-d7 0 -'1/l-249 5-
APPLICANT MAILING A HESS E-MAIL
CITY ppm STATEZIP LJ
fir
NAME q M�rr-t a PRIMARY PHONE
PROJECT CONTACT 6 tt// t% �/���"'"'e c
(The individual to receive and MAILING ADDRESS / E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME /�
PROJECT FINANCING ( ttun Piet 4 it0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 this application. r y
SIGNATURE: -d DATE 7-/`J - 20/7
PRINT NAME: II f �4A /L ./) "al/9i
1 /ll /7
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
NIECilANICAL PERMIT deiocreef. $
Indicate how many of each type of fixture to berinstalled or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT gored $
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 Tub/Shower Combo) LAVS)Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
f a tdAke//elan l ihi L �� talt $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTE PROPOSED FIRE SUPPRESSION SYSTEM?
P1ijj,�il `_, - ,`t' 0 ❑Yesy. No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT <- - --e9-
FIRST FLOOR(or Mobile Home) 11-110 I i/ a / qt2
SECOND FLOOR ._ - -- --e--'
COVERED ENTRY • -.
DECK .. - ._ 2- -1--
GARAGE ❑ CARPORT 0 fi
OTHER(describe) /
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY'*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL BUILDING Iwo e ve ' ince/iD`��/nn.s
TENANT AREA ONLY / II M0 3 ye / 1Jr G7�Z L��
PROJECT AREA ONLY i tigo L12� p f5 /
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application