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18-100838f � � Building - Commercial City ofFederal Way Permit # 1'8 -100838 -00 -CO Community Development Dept. 33325 8th Ave S Federal Way, WA 98003LL Inspection Request Line:. (253) 835-3050 t Ph: (253) 8352607 Fax (253) 835-2609 Project Name: PACIFIC DENTAL Project Address: 164 SW CAMPUS DR Parcel Number: 415920 0715 Project Description: TI - Initial tenant improvement to include adding partition walls, (2) restrooms, (3) rooftop units, doors, lighting, suspended ceilings, floors, wall finishes and casework. Plumbing and Mechanical included. Owner Applicant Contractor Lender FEDERAL WAY COVENANT BRANDON WEBBPACIFIC POWELL CONSTRUCTION CO PACIFIC DENTAL SERVICES GROUP LLC DENTAL SERVICES 737 MARKET ST 17000 REDHILL AVE 17000 RED HILL AVE 2044 CALIFORNIA AVE KIRKLAND WA 98033 IRVINE CA 92614 IRVINE CA 92614 CORONA WA 92881 Plumbing Work Valuation?..................................... 31580 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V - B Occupancy Load: 30.00 Floor Area (sq. ft.) 2,858.00 0.00 0.00 0.00 Additional Permit Information New / Additional Sq. Feet - 1st Floor ..................... 0 New / Additional Sq. Feet - 2nd Floor.................... 0 New / Additional Sq. Feet - 3rd Floor ..................... 0 Occupancy #1- Area (Sq. Feet).............................. 2858 New / Additional Sq. Feet - Basement. ................... 0 Occupancy # 1 -Construction Type......................... Type V - B New / Additional Sq. Feet - Deck .......................... 0 New / Additional Sq. Feet - Garage........................ 0 Mechanical to be Included? ..................................... Yes Plumbing Work Valuation?..................................... 31580 Mechanical Work Valuation? .................................. 20434 Number of Stories................................................... I New / Additional Sq. Feet - Other ........................... 0 Is this an Online or O.T.C. application?.................. No Permit for Building Shell Only? .............................. No Plumbing to be Included?................... ..................... Yes New / Additional Sq. Feet - Total ........................... 0 Will Certificate of Occupancy be Issued?............... Yes Occupancy #1 -Use ................................................ Professional Comprehensive Plan Designation........................... Community Business Services/Offices Zoning Designation ................................................. BC Total Valuation: 185,770.00 CONDITIONS: 1. Separate Electrical Permit Required 2. Separate Fire Alarm Permit Required 3. Separate Fire Sprinkler Permit Required if moving/replacing or adding more than 10 heads V1, ✓lR.l � y' w PERMIT EXPIRES Wednesday, 20 February, 2019 Permit Issued on Friday, August 24, 2018 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. Owner or agent: Date: 1 S 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: PACIFIC DENTAL Permit # 18 -100838 -00 -CO Address: 164 SW CAMPUS DR Unit 101 Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V - B Occupancy Load: 30.00 0.00 0.00 0.00 Floor Area (sq. ft.) 2,858.00 0.00 0.00 0.00 Owner Name: FEDERAL WAY COVENANT GROUP Owner Address: 17000 RED HILL AVE IRVINE CA 92614 Building Official /-///// .1 ate 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 itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises. THIS CARD IS TO REMAIN ON-SITE cm & OF VConstruction Inspection Record Feckidi Vft INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 1810083800 Address: 164 SW CAMPUS DR Unit 101 Project: FEDERAL WAY COVENANT GROU FEDERAL WAY WA 98023 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, tap to bottom). Please schedule inspections as appropriate. Work must not be coveted 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. 0 Initial Erosion Control (4365) 0 Footings/Setback (4110) Approved to place concrete Q Re -steel (4215) By Date To be done PRIOR to ground Approved Approved to place concrete Approved By Approved to place concrete or grout By Date By Date By Date ® Plumbing Groundwork (4190) ® Slab/Concrete Floor (4255) © Underfloor Framing (4285) Approved to cover II Approved to place concrete Approved to sheath floor ByDate _ By Date By Date 7❑ Floor Sheathing (4105) ® Rough Plumbing (4230) Q Mechanical Rougb-in (4165) PfQ 1By Approved to install floorieg By Approved IBY Approved By Date By Date By Date 10 Gas Piping (4125) 0 Fire/Draft Stops (4095) Final Electrical Interim Erosion Control (4370) 1By Approved to release test By Approved Approved By Date By Date By Date E r to sebed.i� a Frao ft hgwtim; 0 Framing (4120) e Insulation (4150) ieal, Plambiag do Meebm" Rmo4a Approved to ksulate Approved to install wallboard wDnit Stop iaspectloas mast be signed - off md approved. IBC 109.3.4 By Date By Date 0 Gypsum Wallboard Nailing (4130)® Suspended Ceiling Grid(4265) Final Electrical Final - S K F & R (4060) 1By Approved to install mud & tape By Approved to drop We Approved By Date By Date By Date t Final - Planning Final Erosion Control (4375) Final Electrical Final - Mechanical (4065) 1By Approved By Approved Approved By Date By Date By Date 0 Final - Plumbing (4075) Final - Building (4050) Final Electrical Approved 1By Approved By Date 311jig Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date 4 t4 Im.L' ►-kA P 3 i Ari - � O y 31 r¢ rJ �„� - 1 dor, •e Ari /owe- MlR dl�, PERMIT NUMBER 19 RECEIVED PERMIT APPLICATION PERMIT CENTER t 33325 Bch Avenue South i Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 t pennitcenter«citvotfedcralwap.com FEB 2 2 2018 GI OF DE WAY N1 t�ibu _C 0 P _ TARGET DATE SITE ADDRESS SUITE/UNIT N 164 SW Campus Drive 101 PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL M $ 185,770.00 VL— j— S / '7— _ O ! % s TYPE OF PERMIT ® BUILDING ® PLUMBING I9 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT Dental Office PROJECT DESCRIPTION Dental office, non structural partitions, lights, outlets, switches, sinks, acoustic ceilings, Detailed description of work to two restrooms, mechanical distribution be included on this permit only NAME PRIMARY PHONE Federal Way Covenant Group 714-845-8645 PROPERTY OWNER MAILING ADDRESS E-MAIL 17000 Redhill Ave aguonc@pacden.com CITY BTATE=92614 Irvine Cq NAME PovJ E t� CbPkT2LIGT)HONE 0 PNZb ' a2 CONTRACTOR MAIL 2 ZJ No 21 kMP W Ay via u Cor') , CO►+''I °rgc-l.Lc�E wig Z>p-)F001 FAX WA STATE CONTRACTOR'S LICENSE Y EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M NAME Brandon Webb (PRIMARY YONE758 9�58 MAILING ADDRESS 2044 California Ave EMAIL webbB@pacden.com APPLICANT CITY STATE ZIP Corona CA 92881 FAX 714-388-3951 PROJECT CONTACT NAME Brandon Webb PRIMARY PHONE (951)582-5758 MAILING ADDRESS 2044 California Ave E -MAD webbB@pacden.com (The individual to receive and respond to all correspondence CITY STATE ZIP Corona CA 92881 FAX 714-388-3951 concerning this application) PROJECT FINANCING NAME Pacific Dental Services ❑ OWNER -FINANCED When value is $5,000 or more (RCW 19.27.095) MAILING ADDRESS, CITY, STATE, ZIP 17000 Redhill Ave Irvine CA 92614 PHONE 714-845-8645 I cert{ fy under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the best of my knowledge, the igformation submitted in support of this permit application is true and correct. I cert{fy that I will comply with all applicable City of Federal Way regulations pertaining to the work authorised 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 ity as a part of t is application. SIGNATURE: DATE 2-6-18 PRINT NAME: Brandon Webb Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application PLUMBING PERMIT CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF MECHANICAL WORK CHANICAL PERMIT 0 31,580 Indicate how many of each type qffixWre 20 434.00 Indicate how man o each e o rxture to be installed or relocated as art o this project. Do not include existbi Ixtures to remain. AIR HANDLING UNITS 4 FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial) SHOWERS BOILERS FURNACES HOT WATER TANKS (Gas) 1 SINKS )Ritchen/utility) COMPRESSORS GAS LOG SETS REFRIGERATION SYST SUMPS X DUCTING GAS PIPING WOODSTOVES PLUMBING PERMIT CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS 0 31,580 Indicate how many of each type qffixWre to be installed or relocated as part of this project. Do not include existirkq fmitures to remain. BATHTUBS )or7Vb/Shower Combo) 5 LAVS )Hand Sinks) 2 TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS 1 SINKS )Ritchen/utility) 1 WATER HEATERS (Electric) HOSE BIBBS SUMPS 1 WASHING MACHINES 10 TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS 0 EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes ❑ No Bulletin #100 — January 29, 2016 Page 2 of 2 k:UHandouts\Permit Application