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02-101598r City of Federal Way Connnunity Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 _ 'te Building - Commercial Permit #:02 -101598 - 00 - CO Project Name: NEO DENTAL INTERNATIONAL Inspection request line: 253.835.3050 Project Address: 2505 S 320TH Suite250 Parcel Number: 797820 0535 Project Description: TI - Minor tenant improvement work, including new walls and doors to create new offices. No plumbing or mechanical work. Owner Applicant Contractor Lender PRIMESTAR INVESTMENT CORP " PRIMESTAR INVESTMENT CORP PRIMESTAR INVESTMENT CORP' NONE, PRIMESTAR INVESTMENT CORP PRIMESTAR INVESTMENT CORP Total Proposed Sq. Feet ....................................... 904 2505 S 320TH ST SUITE 101 2505 S 320TH ST SUITE 101 PRIMESTAR INVESTMENT CORP FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 2505 S 320TH ST SUITE 101 NONE Includes: Census category: 437 - Comm #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V - N Occupancy Load: Floor Area (Sq. Ft.): 904 2nd Floor Proposed Sq. Feet................................904 Census Category.................... d..JW0 *0=07%10 ......................... 437 - Commercial alttadd Fire Sprinklers ................................................. Yes Mechanical................................................. No Number of Stories................................................2 Permit for Building Shell Only............................ No Plumbing ................................................. No Total Proposed Sq. Feet ....................................... 904 Will Certificate of Occupancy be Issued? ............ Yes Zoning Designation ............................................. CC -C CONDITIONS: All new and refaced signs on exterior of building requires a separate sign application and review. (FWCC, Sec. 22-335(g)(6)) I hereby certify that the above the occupancy and the use will the City of Federal Way. Owner or agent: .e .4 PERMIT EXPIRES October 13, 2002, IF NO WORK IS STARTED. Permit issued on April 16, 2002 is correct and that the construction on the above described property and lance with the laws, rules and regulations of the State of Washington and Date:`?�� tv 0 City of Federal Way Certificate of Occupancy Li This Certificate issued pursuant to the requirements of Section 109 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: NEO DENTAL INTERNATIONAL Address: 2505 S 320TH Suite250 Permit number: 02 - 101598 - 00 #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V - N Occupancy Load: Floor Area (Sq. Ft.): 904 Owner PRIMESTAR INVESTMENT CORP *& NIZAR SAYANI Name: PRIMESTAR INVESTMENT CORP Address: 2505 S 320TH ST SUITE 101 FEDERAL WAY WA 98003 MANA4,0 Cdo I- 74i cl G Building Official 16ate The priority focus in the review and inspection made by the City prior to issuance of this Certifteate 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. N A . POSWIS CARD ON THE FRONT OF BUILDI ,emo ��_ BUI VISION- AY INSPECTION RECORD INSPECTION REQUEST PHONE #: 253-835-3050 0 PERMIT #: 02 -101598 -00 -CO OWNER'S NAME: PRIMESTAR INVESTMENT CORP *Mr NIZAR SAYANI * SITE ADDRESS: 2505 S 320TH Suite250 () FOOTINGS/SETBACKS () FOUNDATION WALL () DRAINAGE: Line () Connection D- , O - WSLAW:�ivz�. is () UNDERFLOOR FRAMING {) ROUGH PLUMBING: DWV Water piping O ROUGH MECHANICAL Gas piping () SHEATHING Roof Floor () SHEAR WALLS () ELECTRICAL ROUGH -IN 4 j(%) j a, m/t�Ditch Cover • () FIRE/DRAFTSTOPS r-' _-=r ., .- :: '�. : ' ,ALL'THE ABbVE MUST. BE �PPROVEb:pRIC�R.TO "FRAMING INSPECTION = .. - , . () FRAMING/FIRESTOPPING 7 --i t — Dz. — C MUST BE AZMOP V I?'ERiQR °TO,INSULATING. OR 4CTiNG_. {) INSULATION: Floors Walls Attic aPrrRo E� Q T APPiIIIv . c�E-liT.E D Pill c sHEETRoc- WALLBOARD NAILING 479A—O?— !S' (,- SUSPENDED CEILING Aaoro ve) �PJ S --T-0 ,. , :°, .THE .ABpY MUSS BE Ai'p1ZUVED I' C?I�TU .x APIlqG OR INSTALLING CEILING TILE - () ELECTRICAL FINAL () PLANNING FINAL () PUBLIC WORKS FINAL () FIRE FINAL TIIEABOVE MUST .13E. AIVROV D PRIOR TO BUiI.DiNG DEPARTMENT FINAL () BUILDING FINAL /�/ oz, , ;DO lVo'I' C?CCUP'Y THIS BUILDING UNTIL BUYI;DING FINAL ISAPPROVED 1 i cr.� G FWENED CONSTRUAON PERMIT APPLICATION On � - PPLICATION NUMBER: i 1 _ APR 1 6 2002 APPLICATION NUMBER: - - _ _ Oily OF FEDERALWAY APPLICATION NUMBER: BUILDING DEPT. �P4 **The following is required information — Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): PROJECT•• • TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: C --e A vv - PROPERTY OWNER: NAME: '`�•1 vYtk..S �Y Yi II'� MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): CONTRACTOR: APPLICANT: '� �Iro �✓gym � i� t7 L;W ' A— IDAYTIME PHONE: c��'3) S5q -9 6� ya- (Waa wn 9" NAME: -/1 C 'Ri1 D MCL S '*If() DANqJME PHONE: (7—d h ) -le? 1 -1 n2- 5 - MAILING ADDRESS (STREET ADDRESS;CITY, STA ZIP) Is p EVENING PHONE: { CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: (z-06)9-2y-6��y� CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy'of card required) / NAME: MAILING ADDRESS (STREET AC M xA 1 ❑ ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE): 01.t9'Ow" CONTACT PERSON FOR THIS PROJECT: VPROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR DAYTIME PHONE: (>f3)T --9 i6o9 EVENING PHONE: c ) FAX NUMBE (U-3 E-MAIL ADDRESS: EXISTING USE: Pl/(i( 1/A11REXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: L PROPOSED VALUATION FOR IMPROVEMENTS: $ 124 SPRINKLERED BUILDING? B"SES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: I;eLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: VLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) "NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ■ PR03ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO FIRST NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO SECOND V —1 ( THIRD OTHER FLOORS (DESCR E) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAINS) GAS PIPE OUTLET(S) INTERCEPTORS) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEMS) FAN(S) HOOD(S) WOODSTOVE(S) FIREPLACE INSERTS) RANGE(S) MISC.( ) FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING LAVATORY(S) URINALS) WATER HEATER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS SHOWER(S) WASH MACHINE OUTLET SINKS) WATER CLOSET(S) MISC. ( ) SUMP(S) ■ 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 of the ci , including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. f f NAME/TITLE: IYPROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: WA �, _ r .r�i ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129