01-100268 t ti IP ` '
'III
ommunityDof e el Way Building - Commercial Permit #:01 - 100268 - 00 - CO
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210 Inspection request line: 253.661.4140
Ph 253.661.4000 Fax 253 661 4129
(3:30pm cut-off for next day inspections)
Project Name: BAGDASAROV DENTAL OFFICE
Project Address: 33600 6TH S Suite102 Parcel Number: 926480 0205
Project Description: TI-Construct tenant improvements for d�eptal office including plumbing and mechanical.
Owner Applicant lh� Contractor Lender
NONE INTERIOR RENOVATIONS INTERIOR RENOVATIONS YURIY BAGDASAROV
2418 CEDAR ST INTERR*005P0(10/01/01) 12550 GREENWOOD AVE N 301
EVERETT WA 2418 CEDAR ST SEATTLE WA
NONE EVERETT WA
Includes:
Census category: 437-Comm #1 .1. #3 #4
Occupancy Group B
Construction Type: Type V-N
Occupancy Load: 21
Floor Area(Sq.Ft.): 2013 N
Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add
Fire Sprinklers No Mechanical Yes
Number of Stories ..1 Permit for Building Shell Only No
Permit for Foundation Only No Plumbing Yes
Special Inspection Required No Will Certificate of Occupancy be Issued? Yes
Sensitive Areas? No Zoning Designation OP
Plumbing Fixtures
Description Quanti Description gQuantityl Description Quantity
Lavatories 7
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Compressors 2
CONDITIONS:
All new and refaced signs require a separate sign application and review.(FWZC,Sec.22-335(g)(6))
PERMIT EXPIRES August 28,2001,IF NO WORK IS STARTED.
Permit issued on March 1,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wil be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W.
Owner or agen• _ Date: 0 )
• •
t City of Federal Way •
Certificate of Occupancy
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: BAGDASAROV DENTAL OFFICE Permit number: 01 - 100268 -00
Address: 33600 6TH S Suite102
#1 #2 #3 #4
Occupancy Group: B
Construction Type: Type V-N
Occupancy Load. 21
Floor Area(Sq.Ft.): 2013
Owner NONE
Name:
Address:
NONE
7• (. �+-- - 64110. _ C�263 -co
Building Official Date
The priority foc:hs 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 ti,se
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 Stale 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
r' I
PO THIS CART)ON THE FRONT OF RUII. I I VC.
fE�1 BUILDING DIVISION ` " ' '
� i INSi .0 TION RECORD
INSPECTION REQUEST PHONE#: 253-661-4140
Request must be received by 3:30 PM for next day inspection
PERMIT#: 01-100268-00-CO
OWNER'S NAME: NONE
SITE ADDRESS: 33600 6TH S Suite102
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
( ) DRAINAGE: Line ( ) Connection
'-+°`r e V3- ,;.. --4:?''
'_ _�_.. .60"'116 ." { I 44';' �¢S '':?, --, "_ -
() UNDERFLO 3- 2.1- d / . SS
( ) ROUGH PLUMBING: DWV' Water pipin
( ) ROUGH MECHANICAL Gas piping
() SHEATHING Roof Floor •
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover __ • :A
i" A
( ) FIRE/DRAFTSTOPS
+, } . .Wr ABE3 " 14 A 'BI YOTRt ,t abg A►1 N :IIStE011(5N., t `> - ',' .
() FRAMING/FIRESTOPPING 9 / ?— O / G r�
'SNF ABOVk-14USTf BVAttitktit401,04,41SSULATING10 SAES RROCIfNG:'. 7:
( ) INSULATION: Floors Walls Attic
: ,. :111E ABOVE*UST,t OP080: '1101€TO APPI VINO$014W ROCK•:'- ,:;-
() WALLBOARD NAILING S'2 - DI G 44,1/4_1 () SUSPENDED CEILING
. ` I lic-ABOVE:Mi ST=BP Arrig ?ED ORiOR TO TAVENG Oit NS JUNG ;CEILING TIRE
() ELECTRICAL FINAL (p - Z Cap - p 4, Zed
( ) PLANNING FINAL
() PUBLIC WORKS FINAL �,�
( ) FIRE FINAL GP ' A S- o t 1 GT/Z
THE ABOVE 14Wrift APPItOYED'-Plt1 'TO B.1 DING DEP TMENT' AT; - ," `—:'`
( ) BUILDING FINAL Cop - Z. a- O i C..
:,: :.:1.V,NOT OCCC 'Y T S l : 1G %BU tt', FINAL: A F V "`
• •
. a .
INSPECTION LOG 'P
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•
CEIVEED
","F CONSTRUCTION PERMIT APPLICATION
uVtel— JAN 2 3 2001 APPLICATION NUMBER: DJ - 1.0_0 I- c Q
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT. APPLICATION NUMBER: - -
**The following is required information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.-
■�JPROPERTY INFORMATION
17
SITE ADDRESS: 3360 1 i4 & 5102 ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
SEE A«/ /9/
• • • ■ PROJECT INFORMATION - - •
TYPE OF PROJECT(This application): Al BUILDING El PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING CI FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 1 '/''7,OVe/il tt flitfl&Adq i +, ', t
oc /11-43 vie)" gi r-/rbetu 012,..)z.) !t &(GL$, 1 U r t A,„ J ?k,-4,-1,,,, i !Jot,
LUI44 2X1S4ktit 1 -#-Qrt rr !,0 a)tS .1.,E "(3 _ I 2-
N o V1&e a i c�( Ci as .
PROJECT NAME: i"m1&+ t roVVtate(,t tr;
llot- , tI'Ogl y -6a.71 Gt
ctsrvv
` ■ PEOPLE INFORMATION
PROPERTY OWNER: NAME- DAYTIME PHONE:
ALA ?roptr4/ es Mee ( ) -
MAILING ADDRESS(STREET ADDRESS CITY,STATE,ZIP)• r. _
8 8ds l V8#S. `, v c , 6 -k-,::,ip/I /c/ ( cid' 7f-; ) 1._
CONTRACTOR: NAME: DA ME PHONE
`:vv-Qre cr C c t.tiv_ ( A 3 ( ..s )57:2 -,7,--.4' ,
MAILING ADDRESS(STREET ADDRESS,CITY,STATE,ZIP)• EVENING PHONE:
2 C G...dar sl _ .vcrz* WA. 5f3Aa/ (� .) )5<W -/469
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) -i: it r E J ..J .51 P V l l
APPLICANT: NAME: DAYTIME PHONE:
DR yOr►c g4,zs . roV ( ) -
MAILING ADDRESS(STREET ADD SS;CITY,ST E,ZIP): /3 1) EVENING PHONE:
12 Ssd &tree ti wo-bi) Ave Al.36) `:F..,c fit. (Rob )579 - 'S'/ 2-
RELATIONSHIP TO PROJECT: FAX NUMBER
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT *CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: 0 Tf I Ci[QQ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ .$ .S
.� ti
PROPOSED USE: j r• V T CQ. PROPOSED VALUATION FOR IMPROVEMENTS: $ �f 6 e 3
SPRINKLERED BUILDING? ❑ YES Al NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES gl NO
WATER SERVICE PROVIDER: LAKEHAVEN El HIGHLINE El TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: LAKEHAVEN El HIGHLINE El PRIVATE(SEPTIC)
• •
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• . . ■ PROJECT FLOOR AREAS -
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST 2y -0/3 sI F 2)0/3 s, F 42„01 3 5,1c
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• - ■ FIXTURES
Vat .a_ G6 14L1-,-/- 0 - Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) f misc.( vctt,fJlLt?•)
1 COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE:,ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) 7 LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) El ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) 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 city,including its officers and employees,upon the accuracy
of the information supp' .1 o the city as a part of thi pplication.
NAME/TITLE: .DATE: / 3/&/
CIPROPERTY OWNER ElAPPLICANT ,CONTRACTOR
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FOR OFFICE USE ONLY:
❑ NEW El ADDITION CI ALTERATION CI REPAIR IMPROVEMENT
CENSUS CODE: LOT SIZE:
P
ZONING DESIGNATION: 0 I" BUILDING SHELL ONLY? ❑ ES .NO -
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YESIO
PLATTED LOT? ❑ YES Cl NO CHANGE OF USE? El YES ❑ NO
COMM LAITY r)FVFI OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129