18-104482RECEIVED
z 1 RECEIVED PERMIT APPLICATION
SEP 2018
CITY OF
Federal WMUNrTY
OF FEDERAL WF-. 2 7 2018
DEVELO,[G
COMM! iiU"'' MELOPMEM
PERMIT CENTER + 33325 V, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterrrtcitvoffederahvay.com
PERMIT NUMBER J y _ 1_(2 y -Y _ _r— _P
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
2505 S 320TH ST, Federal Way, WA 98001
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/ PARCEL #
$ 13,792.64
CC -C
7 9 7 8 2 0- 0 5 3 5
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING X FIRE PREVENTION
NAME OF PROJECT
Clear Choice Dental TI
• ADD OR RELOCATED SPRINKLERS AS REQUIRED FOR
PROJECT DESCRIPTION
NEW CEILINGS AND WALLS
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
MJR development
206-255-0586
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
6725 116th avenue NE, suite 100
CITY
Kirkland
STATE
WA
ZIP
98033
NAME
PHONE
Archer Construction
253-872-7222
MAILING ADDRESS
E-MAIL
7855 S 206th st
permits@archerconstruction.com
CONTRACTOR
CITY
Kent
STATE
WA
ZIP
98032
FAX
253-872-7277
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
ARCHEI*219DR
4i 01 i19
20 -00 -101463 -00 -BL
NAME
PRIMARY PHONE
Archer Construction
253-872-7222
APPLICANT
MAILING ADDRESS
7855 S 206th st
E-MAIL
permits@archerconstruction.com
CITY
STATE
ZIP
FAX
Kent
WA
98032
253-872-7277
NAME
PRIMARY PHONE
PROJECT CONTACT
kenneth kolbe
206-571-6612
MAILING ADDRESS
7855 S 206th st
E-MAIL
permits@archerconstruction.com
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
Kent
WA
98032
253-872-7277
PROJECT FINANCING
NAME \
M - - p J 0 V ,- 0C h evt `
OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
6 •-%�" N� � Sti• + l u a: ��,
'4 04, E •`2 SS• -G` 5
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,lincluding costs, expenses, and attorneys' fees incurred in
the investigation and defense of such claim), which may be made by any p son, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, incLu ing its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
`�� 9/21/2018
SIGNATURE: F' V� DATE
PRINT NAME: kenneth kolbe
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type of fLxture to be installed 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
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Additional Information
Indicate how manM 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
# of
Additional Information
Square Feet
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
yes n No
n Yes n No
COMMERCIAL - NEWADDITION
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
Type
Stories
-77777
77 477 u1 77
NEW BUILDING
ADDITION
C0MMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
Type
Stories
TOTAL BUILDING
:.,
TENANT AREA ONLY
PROJECT AREA ONLY
6734 ft sq.
light hazard
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application