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95-100318CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 BU"t-LDING PERMIT Building Inspection Requests 661-4140 ADDRESS:728 S 320TH ST Unit: F NO.: 082104-9050 PROJECT DESCR I PT ION : T1 - TENANT IMPROVEMENT FOR NEW DENTAL OFFICE. (DENTAL OFFICE) OWNER CONTRACTOR DR. JENNIFER CHOI, ONO, US HEARSEY CONSTRUCTION COMPANY 728 S. 320TH ST., BLDG. #1 10625 62ND PL W FEDERAL NAY NA 98003 EVERETT WA 98204 946-5100 838-8327 LENDER PERMIT NO: BLD95-0111 ISSUED: 03/10/95 BY: FC EXPIRES: 09/06/95 9LO?:X NEC?: PLN?: FL ' --PROP-' COOP PLAN ......... :00 FEES: TYPE OF WORK:TEN USE:CON 1ST. 0: 103 f ST S FINAL PLAN CHECK...r # 269.43 CENSUS CATEGORY ..... :431 f N ft C PLCK-FIR CM] only$ # 20.13 OCCUPANCY GROUP---------- f ' Y ------ ---- Fi .: ING PERMIT .... & ; 414,50 :82 E ON .........: t SURCHARGE ..... 8 ; 4.50 TYPE OF CONSTRUCTION---... IDE..........: 0.00 ft `NATER SERVICE..:FED :5H 0. W>!! REAR..........: 0.00 -ft SEWER SERVICE..:FED OCCUPANT LOAD------------ EIVED. 10 10: 0: 0: 0: 0. :9f IOPERV SURFACE: 0 sf SENSITIVE AREAS?.:? FUEL TYPES.: FANS..........: 0 BOILERSJCWRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0 FURNO OOK..: 0 DUCT WORK.—.: 0 3-15 HP.....: 0 SHOWERS ............: 0 SUMPS..........: 0 GAS HIT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 CONY BURNER: 0 FURN>1OOK.....: 0 30-50 HP....: 0 SINKS ..............: 0 DRAINS.........: 0 BBQ ........ : 0 NISC..........: 0 5+ NP.......: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE ...... 0 <=10,000 CFO: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS... : 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE, r• I CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE AND RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLiCABI CITY OF FERERAL WAY REQUIREMENTS WILL BE NET. OWNER OR AGENT - `'" "2 �-�= == - DATE �� ( t- - ---------- -- --- --- -- - ; ,109.16 o r Ahk IW Date By Date By Date, By Ulsli)FwR aflR FE tAifiJihli3: .::''.......... Date By SH Date By Date By dA Date By ......... EC Date By 7 ...P AVIOT MM-:.: Date By Date — By By yDate ::: Y R: - '.: ���� ( �� � /7 �Lr . C f%L- C /L 2 a (Z Date By c�sS�� i�,T� C ff€G L ©LGGcPA a Date By C�r:CEttNlStGi Date By 77 -- Date By Date By Date By 1 U1[:E ING: NAL::.:: Date By OTHER.., . .'........... ....... Date By . ...... .... . Date By C"Ortz:_2 0 City of Federal Way 0 RECEIVED.` APPLICATION FOR BUILDING PERMIT FEB 0 6 1995 CITY OF FEDERAL WAY BUILDING DEPT. PLEASE PRINT A PPLICA TION #: 6 L Ism toCiAtON.. jAddress Capital Square, Building 11 728 S. 320th Street, Fed Way Tenant (if known) Lot # KC SP 582078 Assessor's Tax # Dr. Jennifer Choi, DMD, MS Lot 3,8209140579 082104-9050-03 Bud n$,0.rnr Address '8a . a ?(Rare Associates, C/O Omni Prop. 31919 1st Ave S. Suite 100, Fed Way 98003 City Federal Way, I State Wa lzip 98003 Phone 946-5100 Nature of Work Tenant Improvement APPLICANT. Name (F,M,L) Mark Freitas Address 33516 9th Ave So., Bld 5, City Federal Way State Wa zip 98003 Contact Person Mark Freitas Day Phone 838-8327 Other Phone Fax 838-8327 Company Name TBD 'I Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) I Expiratioin Date I Verified El Yes El No Name Tye & Nix Space Planners/Interior Design Address 10801 Main Street, #204 City Bellevue State Wa. Zip 98004 Con -tact Person Michael B. Tye Phone 462-7474 Fax 462-7741 LEGAL DESCRIPTION Attached Please Complete Reverse Side CD0492 (Rev 4/93) Si'RUCTURE . Air Handling < = 10,000 CFM sting Use Medical Office oposed Use Medical Office 30-50 Tons Permit includes: Unit Heater Building ❑ Plumbing ❑ Mechanical ❑ Other x Type of Work: ❑ Residential XX Commercial ❑ New ❑ Addition 3 Remodel ❑ Garage ❑ Number of Units _ ❑ Shed ❑ Deck ❑ Other 3-15 Tons Enter 1st Floor 1033 sq ft Area Basement sq ft 2nd Floor Decks sq ft 3rd Floor sq ft sq ft Garage sq ft Existing Floor Area Proposed Total Area sq ft sq ft Water Availability K Sewer Availability X On -Site Septic System Availability ❑ Project Valuation $ �� P49) Zoning p�;�« e' Lot Size �� SIG//AS Existing Bldg Valuation S l00 Ls -Z �Yw LENDER . Name City MEC1L4MC. IL ICON*MACTUR - Contractor Name City Contact License # Contractor Name City Contact License # PLUMBING FI`1fTiR CQN' Water Closets Bathtubs Showers Lavatories Fuel Type (electric/other) Length of Gas Piping Furn <100K BTUs Furn > 100 BTUs Gas Hwt Conv Burner BBQ's Address State Zip Address State Zip Phone Fax Expiration Date Verified ❑ Yes ❑ No Address State Zip Phone lFax Expiration Date I Verified ❑ Yes ❑ No Sinks Urinals Lawn Sprinklers Dish Washers Drinking Fountains Other Electric Water Heaters Sumps Washing Machine Drains Tii.W: i7fti *::Cd Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Range Air Handling > = 10,000 CFM 30-50 Tons Gas Log Unit Heater 50+ Tons Fans Miscellaneous Fuel Tanks Hood Boilers Above Ground Duct Work 0-3 Tons Underground Wood Stoves 3-15 Tons CaYI Uitif O.an#:>z:>::::>:.»:>>:.;;:::;..:';;.. DISCLAIMER: I certify under pen ty of wPorjluy that the information fumished 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 pe Is the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in 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 re' a of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this application. �j f Owner/Agent: Date: ,X w CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 661-4000 BUILDING PERMIT Building Inspection Requests 661-4140 ADDRESS:728 S 320TH ST Unit: F NO.: 082104-9050 PROJECT DESCRIPTION:TI - TENANT IMPROVEMENT FOR NEW DENTAL OFFICE. (DENTAL OFFICE) OWNER CONTRACTOR DR. JENNIFER CHOI, DID, MS HEARSEY CONSTRUCTION COMPANY 728 S. 320TH ST., BLDG. 11 10525 8210 PL O FEDERAL VAY OA 98003 1 EVERETT OA 98204 948-5100 838-8327 - - NEARS- - _ - C;1918T LENDER PERMIT NO: BLD95-0111 ISSUED: 03/10/95 BY: FC EXPIRES: 09/06/95 BLO?:X IEC?• PLM?: FLR--EXIST--PROP---i INELLING-UN ..0 -- -- '-COMP PLAN ......... :00 FEES: TYPE OF WORK:TEN USE•CON 1ST.: 0: 1033: if STORIES::;..:; f IN I�F$" ARRiiIII�-> +. 0 S�iNi(C RS?:z: ,. f -.� -1 FINAL PLAN CHECK ...+ = 289.43 - CENSUS CATEGORY ..... :437 .: - 0:=- 0:�p 2`1 -0+ .-- S� MAD CIATti:?' iOCCUPANCY 1 FIR co®1 only+ 20.73 DULL IMG PERMIT + 414.50 GROUP-- 3D.:---_0 , N----00E : .... :62 TD EX 1.18700 --O-.,DO-ft -SRONT.:..•..... -PLCK- 4.50 TYPE OF CONSTR-U--CT--IO ' �ft- IDE......,...0.00 ft WATER SERYICE..:FEQ :51 REAR..........O.00:ft SEVER SERYICE..:FED LOAD40� �EIVED,�/0OCCUPANT 10: 0: 0: 0: '' �:< 1!( rsf IVERY SURFACE: 0 sf SENSITIVE AREAS?.:? TOTAL FEES 1 709.16 FUEL TYPES.: FANS..........: 0 BOILERS/COMPRESSORS NATER CLOSETS......: O URINALS........: 0 GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0 FURN(IOCK..: O DUCT WORK.....: 0 3-15 HP.....: 0 SHOVERS ............: 0 SUMPS..........: 0 GAS HOT....: 0 VOOD STOVES...: 0 15-30 UP....: 0 LAVATORIES.........: 0 YAC BREAKERS...: 0 CONY BURNER: 0 FUR010OK..... : 0 30-50 HP....: O SINKS ..............: 0 DRAINS.........: 0 B84........: 0 MISC..........: 0 5+ NP.......: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS-------- ELEC VTR HEATERS...: 0 OTHER FIXTURES►: 0 RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN VSHR OUTLTS... : 0 GAS LOGS...: 0 > 10,000 CFN: 0 UNDERGROUND.: 0 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND RRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABL ITY OF FERERAL WAY REQUIREMENTS WILL BE NET. OWNER OR AGENT DATE � ,e o zr FILE COPY