The URL can be used to link to this page

19-101683 111111.11111" AILLik fiLCE1VED PERMIT APPLICATION CITY OF O Federal ilUaPERMIT CENTER+33325 8m Avenue South +Federal Way,WA 98003-6325 APR 0 9 2019 253-835-2607+FAX 253-835-2609 +permiteenteOrcltvoffedetalway.corn DIY OF FEDERAL WAY COMMUNITY DEVELOPMENT PERMIT NUMBER _ °"s ' _ 0-r �_tL TARGET DATE SITE ADDRESS SUITE/UNIT# 2505 S 320th St 330 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 35,000.00 797820 _ 0535 CC-C — — — TYPE OF PERMIT DBUILDING IH PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT Puget Sound Perio PROJECT DESCRIPTION tenant improvement for a 714 sq.ft of partial remodel within an Detailed description of work to existing dental office, including interior partitions, cabinet, be included on this permit only finishes, el witsicai, and plumbing. no structural or exterior work NAME PRIMARY PHONE DW Venture FW center LLC PROPERTY OWNER MAILING ADDRESS E-MAIL 2505 S 320th St CITY STATE ZIP Federal way wit agn0'1 NAME PHONE t.b.d. MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME Dr. Thomas Kang Pi Y41 76800 APPLICANT MAILING ADDRESS E-MAIL 2505 S 320th St #330 CITY STATE ZIP FAX Federal Way W1 98003 NAME PRIMARY PHONE PROJECT CONTACT Yuko Kitsis / modernista, llc 206.679.1081 (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence 10421 40th Ave NE sty-liomOBernista n grnailC nm concerning this application) CITY STATE ZIP FAX Seattle WA 98125 NAME PROJECT FINANCING El OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19 27.095) 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(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 city as a part of this application. (4-1L SIGNATURE: DATE 4'/ 'b-ti PRINT NAME: Yu s% Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application Wir VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ Indicate how many of each type of future 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)Commerc(al) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES V UE OF PLUMBING WORK PLUMBING PERMIT Indicate how many of each type offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower Combo) LAVS)HandSmks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) 3 DRAINS SHOWERS VACUUM BREAKERS _ DRINKING FOUNTAINS SINKS)K,trhen/utility) WATER HEATERS(Elertno) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS 0G EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Pj,„ t) U. ve Yes ❑ No ❑Yes ❑ No • RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER(describe) Area Totals EXISTING PROPOSED TOTAL "NEW HOMES ONLY"* ESTIMATED SELLING PRICE$ # OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square FeetType Stories NEW BUILDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories TOTAL BUILDING 6 4r ' LLL t TENANT AREA ONLY 3 2.42,' /3-- c, &f I i ce PROJECT AREA ONLY 7 1 f 13-- "tic�c Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application RESUBMITTED DEPARTMENT OF Co 33325 8t'Avenu Sou h CITY OF JUN 1 1 2019 Federal Way,WA 98003-6325 Federal Way253-835-260T;Fax 253-835-2609 www.cityoffederalway.com �(OF FEDERAL WAY COMMUNITY DEVELOPMENT RESUBMITTAL INFORMATION This completed form MUST accompany all resubmittals. • Additional or revised plans or documents for an active project will not be accepted unless accompanied by this completed form. Changes to drawings must be clouded. Applicants will be required to affix the City's date stamp on each page of resubmitted plans and to collate loose plans into existing p/an sets. You are encouraged to contact the Permit Center prior to submitting if you are not sure about the number of copies required. Project Number: 19 - I n 16 g 3 - 0 d- G © f` Project Name: TT ?u yep- Sov,i 7ur bolor►4Zs Project Address: 2,5oS— 5 324. h SA ' 3,30 N Project Contact: Pb%.0, 1, Lo — Phone: 2-o&-Zs7- op34 E-mail c)for j 0 ..;fpii,"Pee Hr-Aesi cow RESUBMITTED ITEMS: #of Copies Detailed Description of Item 3 ? c,c4- door • Resubmittal Requested by: Letter Dated: / / (Staff Member) , r 4b OFFICE USE ONLY 1 RESUB#L I Distribution Date: 6fill'( q By: CI3 ..lb Dept/Div Name # Description C --Building C-► ft GI y f&iJ eI 3heels Planning PW CO V Fire ( +I tel Other Bulletin#129—September 24,2018 Page 1 of 2 k:Wandouts\Resubmittal Information