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17-102696City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 8352609 Project Name: EVERGREEN EYE CENTER Project Address: 34719 6TH AVE S Building - Commercial Permit #:17 -102696 -00 -CO Inspection Request Line: (263) 835-3050 Parcel Number: 202104 9178 Project Description: TI - Tenant improvement to include relocating reception desk, adding partition walls to create testing room in existing administrative office, casework and finishes. No Plumbing. Mechanical Included. ** REVISED on 12/6/17 TO INCLUDE ADDING (3) PARTITION WALLS, MODIFICATIONS TO EXISTING CEILING AND DUCTS AND DIFFUSERS FOR NEW OFFICE SPACE. Owner Applicant Contractor Lender VERISTONE CAPITAL MAGGIE BRASWELLPACIFIC BRETr REYNOLDSONPACIFIC OWNER IS LENDER 6725 116TH AVE NE SUITE 210 CONST PARTNERS INC CONST PARTNERS INC KIRKLAND WA 98033 12100 NORTHUP WAY 12100 NORTHUP WAY BELLEVUE WA 98005 BELLEVUE WA 98005 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V - A Occupancy Load: 104.00 Floor Area (sq. ft.) 1 6,479.00 1 0.00 1 0.00 0.00 Additional Pe'n"ft Information Occupancy #1 - Area (Sq. Feet) .............................. 6479 Occupancy #1 - Construction Type...... ............. Type V - A Mechanical to be Included? ..................................... Yes Plumbing Work Valuation?..................................... 0 Mechanical Work Valuation? .................................. 1000 Is this an Online or O.T.C. application? .................. No Plumbing to be Included? ................. I ...................... No Comprehensive Plan Designation....... I ................... Office Park Number of Stories ................................................... 2 Permit for Building Shell Only? .............................. No Occupancy #1 -Use ................................................ Professional Services/Offices Zoning Designation ................................................. OP Vuctmg PERMIT EXPIRES Saturday, 5 May, Permit Issued on Friday, July 7, 2017 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. % 'IZ-110. Owner ora gent: D­(sa'I p�!ln Date: Project Name: EVERGREEN EYE CENTER Project Address: 34719 6TH AVE S fuildi�ng -IMl hnercial Permit #:17 -10269600 -CO Request Line: (253) 835-3050 Parcel Number: 202104 9178 Project Description: TI - Tenant improvement to include relocating reception desk, adding partition walls to create testing room in existing administrative office, casework and finishes. No Plumbing. Mechanical Included. Owner Applicant Contractor Lender VERISTONE CAPITAL BRETT REYNOLDSONPACIFIC BRETT REYNOLDSONPACIFIC OWNER IS LENDER 6725 116TH AVE NE SUITE 210 CONST PARTNERS INC CONST PARTNERS INC 2 KIRKLAND WA 98033 � c No Plumbing to be Included? ........................................ BELLEVUE WA 98005 BELLEVUE WA 98005 Professional Services/Offices Comprehensive Plan Designation ........................... Office Park Zoning Designation ................................................. OP Total Valuation: 55,000.00 City of Federal W96F Community Development beet. 33325 8th Ave S [Ph:(253)835-2607 Federal Way, WA 98003T^ Fax: (253) 835-2609 x - Project Name: EVERGREEN EYE CENTER Project Address: 34719 6TH AVE S fuildi�ng -IMl hnercial Permit #:17 -10269600 -CO Request Line: (253) 835-3050 Parcel Number: 202104 9178 Project Description: TI - Tenant improvement to include relocating reception desk, adding partition walls to create testing room in existing administrative office, casework and finishes. No Plumbing. Mechanical Included. Owner Applicant Contractor Lender VERISTONE CAPITAL BRETT REYNOLDSONPACIFIC BRETT REYNOLDSONPACIFIC OWNER IS LENDER 6725 116TH AVE NE SUITE 210 CONST PARTNERS INC CONST PARTNERS INC 2 KIRKLAND WA 98033 12100 NORTHUP WAY 12100 NORTHUP WAY No Plumbing to be Included? ........................................ BELLEVUE WA 98005 BELLEVUE WA 98005 Professional Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V - A Occupancy Load: 104.00 Floor Area (sq. ft.) 6,479.00 0.00 0.00 0.00 Additional Permit Information Occupancy #1 - Area (Sq. Feet) .............................. 6479 Occupancy #1 - Construction Type ......................... Type V - A Mechanical to be Included? ..................................... Yes Plumbing Work Valuation?..................................... 0 Mechanical Work Valuation? .................................. 1000 Number of Stories................................................... 2 Is this an Online or O.T.C. application? .................. No Permit for Building Shell Only? .............................. No Plumbing to be Included? ........................................ No Occupancy #1 - Use ................................................ Professional Services/Offices Comprehensive Plan Designation ........................... Office Park Zoning Designation ................................................. OP Total Valuation: 55,000.00 Ducting 2 PERMIT EXPIRES Wednesday, 3 January, 2018 Permit Issued on Fridav, Julv 7, 2017 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 an City of Federal Way. Owner or agen . Date• D114 THIS CARD IS TO REMAIN ON-SITE CUT CW - Construction Inspection Record Federal WayINSPECTION REQUESTS: (253) 835-3050 PERMIT #: 17102696 00 Address: 34719 6TH AVE S Project: VERISTONE CAPITAL FEDERAL WAY WA 98003-8714 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. ® Initial Erosion Control (4365) 0 Footings/Setback (4110) ® Re -steel (4215) Fire/Draft Stops (4095) To be done PRIOR to breaking ground Approved Approved to place concrete Approved to release test Approved to place concrete or grout By Date By Date By Date ® Slab/Concrete Floor (4255)❑ ® Underfloor Framing (4285) ® Floor Sheathing (4105) Fire/Draft Stops (4095) Approved to place concrete Approved Approved to sheath floor Approved to release test Approved to install flooring By Date By Date By Date E Mechanical Rough -in (4165) ® Gas Piping (4125) t4 ® Fire/Draft Stops (4095) Approved to install wallboard Approved Approved to install mud & tape Approved to release test Approved to drop tile By Approved By Date By Date By Date o Interim Erosion Control (4370)EEk�-ctr�ic*Leduling a Framing inspection; 1 t Approved & Mechanical Rough-toStop inspections must be signed - By Date approved IBC 109.3.4 By Framing (4120) �p Approved to insulate �f ! Date I tja Wit; 2 Insulation (4150) 1s Gypsum Wallboard Nailing (4130) t4 Suspended Ceiling Grid (4265) Approved Approved to install wallboard Approved to install mud & tape By Approved to drop tile By Date By Date By Date I I — �- 15 Final - S K F & R (4060) 6 Final - Planning 't7 Final Erosion Control (4375) Approved Approved Approved By Approved By Date By Date By Date �$ Final - Mechanical (4065) Final - Building (4050) Approved Right of Way Approved By Date Approved By Date c. Rough Electrical Final Electrical E] Right of Way Approved Approved Approved By Date By Date By Date �-ca,M; ; n L�allwq vz.- -o-7 w. ms. S Z aq Z to oz, �� RECEIVED JUN 0 7 2017 CITY( OF FEDERAL WAY COMMUN17Y DEVELOPMENT PIAT NtrisssR I L PERMIT APPLICATION PsRUM CEzn= + 33325 8th Avenue South + Federal Way, WA 98003-6325 253-835-2607 + PAX 253-835-2609 + permitcenteru cityoffederalwaayk com TC_ c0 TAitaw DAT$ 1 SITE Aaatxass `�j��` L) !SOL" svtrsl' � PROJECT VALUATION ZONIISO A88E880R'8 TAXIPARC1EL ♦ TYPE OF PERMIT BUILDING © PLUMBING ❑ MECHANICAL D DEMOLITION [I ENGINEERING it FIRE PREVENTION NAME OF PROJECT V e 6r it r c r N � t PROJECT DESCRIPTION Detailed description of urork to ti f* t._ C, I_ �r vis is k be included on this permit only NAMS PRILxxRY PHdNs KAZING ADDURM E-MAIL PROPERTY OWNER csrY STAff ZIP r,,, G v1 DAAM c lit PRONE lSMOG ADDRESS iOleC� Gr ( �I c = � t✓ l E laAss CONTRACTOR 2"ZIP 1 f t^ "P— A— WA— FAX WAjSSTATE C0 CTOR'S LICENSE M EXPIRATION DATE WA FEDERAL WAY NiISINM LICENSE M T r- I (- I i NAMEy•' PR/DIARY PHONS ) APPLICANT MAualrcI ADDREss �}� f(3C� 0(Al ,`t r e STATE ZIP PAR SAM PHONE PROJECT CONTACT L --> � i ' NAWNO ADDRESS E'er (The individual to receive and respond to all correspondence! ':7 CXTY STATE ZIP FAR concerning this application) PROJECT FINANCING NAM ie OWNER -FINANCED SAMINGADDRX80 CITY, STATZZyIP 3 q -/ 111 "t PHONE --3L1C " ^� ' When value o $'5,000 or More (RCW 19.27o95) I cert}* under penalty of perjury that I am the property owner or authorized agent of the property owner. I certi& that to the beat of my knowledge, the information submitted in support of this permit application is true and correct. I certgq that I will Comply with all applicable City of Federal Way regulations pertaining to the worts authorised bg 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 JUrther agree to hold harmless the City of IMderal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claire,►, which may be made by any person, including the undersigned, and filed against the city, but oaly where such claim arises out of the reliance of the city, including its gfylcers and employees, upon the accuracy of the ir&rrnation supplied to the city as apart of h application. SIGNATURE: ,t --' DATE 91 PRINT NAME: Bulletin #100 -- January 29, 2016 Page 1 of 2 k:\Handouts\Petmit Application ", "I s _ i AREA DESCRIPTION (in square feet) WASTING VALUE OF A&CHANICAL WORK MECHANICAL PERMIT FOR OFFICE USE BASEMENT 0bC� Indicate how many 9L each type offixture to be installed or relocated as part of this project Do not include ex's ' res to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (c mem om SHOWERS BOILERS FURNACES HOT WATER TANKS (taa SINKS (Kitchen/vmity) COMPRESSORS GAS LOG SETS REFRIGERATION SYST WASHING MACHINES DUCTING C— rt`) GAS PIPING WOODSTOVES PLUMBING PERMIT AREA DESCRIPTION (in square feet) WASTING VALUE OF PLUrvramrc WORK TOTAL FOR OFFICE USE BASEMENT Additional Inflarxnation Indicate how many of each type of re to be installed or relocated as part o this project Do not include existingjbftreS to remain. BATHTUBS ("1/ab/showereomboj LAVS (Hand sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS COMMERCIAL - REMODEL/TENANT IMPROVEMENTS — DRINKING FOUNTAINS SINKS (Kitchen/vmity) WATER HEATERS (meo6p) HOSE BIBBS SUMPS WASHING MACHINES AlK TOTAL FDnMN 9 / I i 9 GARAGE © CARPORT D GENERAL INFORMATION Timma AREA oNLY CRrrWAL AREAS OR PROPERTY? WATER PURMOR s>SWStt PvwvvmR VALUE or wasme ualtovxamm ti L1 Area Totals xxunm P ROPOSM TOTAL ZX1VIAO/P1t=00s USE WT ezm )In square Poet) XxWtRo PIKE sPaum m sYSTEA[P PROPosED FIRE sup"amox XywmF 0 i - Yes ■ No Yes o Na vti t RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) WASTING PROPOSED TOTAL FOR OFFICE USE BASEMENT Additional Inflarxnation NNW RUIL1D RG FIRST FLOOR (or Mobs% Name) - .r ADDITION ..�..-._._..._... __.........__..__.............._.__.,..,..._....�..._......__._..._ SECOND FLOOR COMMERCIAL - REMODEL/TENANT IMPROVEMENTS COVERED ENTRY Area in uare Feet Occupancy Group(*) Construction # of Stomas DECK TOTAL. RVUM Na / I i 9 GARAGE © CARPORT D {Additional R,,set9+ie,± .c, Timma AREA oNLY O'T'HER (describe) fpm PRWWT AREA On'V ti L1 Area Totals xxunm P ROPOSM TOTAL 01&Y** ESTIMATED SELLING PRICE I # OF BEDROOMS COMMERCIAL - NEWIADDITION AREA DESCRIPTION Area in st are Feat Occupancy Group(*) Construction # of stories Additional Inflarxnation NNW RUIL1D RG ADDITION COMMERCIAL - REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in uare Feet Occupancy Group(*) Construction # of Stomas Infara�eyation TOTAL. RVUM Na / I i 9 {Additional R,,set9+ie,± .c, Timma AREA oNLY fpm PRWWT AREA On'V ti L1 Bulletin #100 — January 29, 2016 Page 2 of 2 kAliandoutsTermit Application