18-102546 ir f • r
. - f Building - c9mmercial
City of Federal Way Permit #:18-102546-00-CO
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609
Project Name: UNIVERSAL DENTAL CARE
Project Address: 34616 11TH PL S Parcel Number:215470 0070
Project Description: TI-Interior tenant improvement work to include demolition of partition walls and
construction of new walls to create storage,office space. Plumbing and mechanical included.
Owner Applicant Contractor Lender
JOLUSO COMMERCIAL LLC SERGIO IBARRA WEND'S CONSTRUCTION LLC OWNER IS LENDER
PO BOX 58881 714 N WARNER ST 1622 S MILDRED STREET
RENTON WA 98058 TACOMA WA 98406 TACOMA WA 98406
USA USA
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 820.00
Additional Permit Information
Occupancy#1-Area(Sq.Feet) 820 Occupancy#1-Construction Type Type V-B
Mechanical to be Included? Yes Plumbing Work Valuation? 500
Mechanical Work Valuation? 300 Number of Stories 1
Is this an Online or O.T.C.application? No Permit for Building Shell Only? No
Plumbing to be Included? Yes Will Certificate of Occupancy be Issued? Yes
Occupancy#1-Use Professional Comprehensive Plan Designation Office Park
Services/Offices
Zoning Designation OP
Total Valuation:6,600.00
Ducting 1
Sinks 5
CONDITIONS:
Separate Electrical Permit
PERMIT EXPIRES Wednesday,6 February,2019
Permit Issued on Friday,August 10,2018
I hereby certify that the :1 've information is • -, and that the construction on the above described property
and the occupancy : • the use will b- ' accor.ance with the laws, rules and regulations of the State of
Was ngton an. the City of Federal Way.
Owner or agen `�� !� Date: /6 /
Ci of Federal Way
y
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R1 ' of the International Residential Code is certifying that at the time of issuance,this structure was in
comp'ance with the various ordinances of the City regulating building construction or use.This certificate is valid
ONLY •en endorsed by City staff.
Tenant Nam-• UNIVERSAL DENTAL CARE Permit# 18-102546-00-CO
Address: ' 61611TH PL.S-Unit 7
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: ype V-B
Occupancy Load:
Floor Area(sq.R.) 82) 10
Owner Name: I LUSO COMMERCIAL LLC
Owner Address: PO iX 58881
RENTO WA 98058
Building Official Date
The priority focus in the review and inspection made by the City prior to i ance of this Certificate was on those matters which
experience has shown most severely affect the health and safety of the gen= •I public. Although the City has made as complete
a review and inspection as is reasonably possible(within budgetary time and.-rsonnel limitations),the City neither guarantees
nor warrants to the owner/occupant or to any other person that this Certificate e dences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the constru on or use of said structure or the land upon
` which it is situated. Such compliance is the responsibility of the owner and/or occu•- t of the premises. �J
r
w
THIS CARD IS TO REMAIN ON-SITE
cur �I/M -. -
Construction Inspection Record
i- osrau Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 102546 00 Address: 34616 11TH PL S Unit 7
Project: JOLUSO COMMERCIAL LLC FEDERAL WAY WA 98003
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,top to bottom). Please schedule inspections as appropriate. Work must not be covered 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) 0 Re-steel(4215)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date By • Date
CI Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255) El Underfloor Framing(4285)
Approved to cover Approved to place concrete Approved to sheath floor
By Date By Date By Date
7❑ Floor Sheathing(4105) ® Rough Plumbing(4230) 9❑ Mechanical Rough-in(4165)
Approved to install flooring Approved Approved
By Date By CAL, Date 0, By Date
® Gas Piping(4125) El Fire/Draft Stops(4095) E Interim Erosion Control(4370)
Approved to release test Approved Approved
By Date By a Date 2_2.00,-.)-, By Date
Prior to scheduling a Framing inspection; M Framing(4120) 23 Insulation(4150)
Electrical,Ph®biag do Meehasiad Rough-is Approved to insulate Approved to install wallboard
and Fire/Draft Stop hupeetie=and be dgaed-
off and approved. IBC 109.3.4 By . v. _, Date 42_.-241_ - By Date
El Gypsum Wallboard Nailing(4130) nn Suspended Ceiling Grid(4265) 21 Final-SKF&R(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
a Final-Planning al Final Erosion Control(4375) T./ Final-Mechanical(4065)
Approved Approved Approved
By Date By Date By Date
gi Final-Plumbing(4075) Ei Final-Building(4050)
Approved (''� / Approved
By Date Q. x- �7
By 0-1C_.. Date /0- • I
•
0 Rough Electrical 0 Final Electrical - Q Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
JUN 11 2018
CITY OF FEDERAL WAYPERMIT APPLICATION4ITYOF1I
Federal Wa PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
Y COMMUNITY
F DEVELOPMENT 253-835-2607 + FAX 253-835-2609 +pennitcenter@cityoffederalway.com
PERMIT NUMBER I g_ { v Z 5 4 �(/ _ a //(t . /�
TARGET DATE
SITE ADDRESS SUITE/UNIT#
31/6/6' // .7‘.*
/4)Z 5' . s' / Fss1,c rxi/a/A-I
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ �, ��0 z I SLI- O _ O O -O
TYPE OF PERMIT [BUILDING VECLUMBING ,YJ MECHANICAL 2-DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
-0--eAiv
NAME OF PROJECT kJ n ` ve ir I A Yoe-6
PROJECT DESCRIPTION p�i�--(-e, 6i i Ge_ - -5 r A A 0 D - -
Detailed description of work to 3 -1* / • C9 Ire t-j'` -
be included on this permit only
4
NAME PRIMARY PHONE
CjOLU 6 C-CrIvififl.e (_,C a ( L(C
PROPERTY OWNER MAILING ADDRESSE-MAIL
CITY 5e4,4- STATE/ ZIP `
N VVL.e4A j � ft-,.)1\ ( YX _253-- 212 ePleZ
MAILING, ADDRESS /) 1 1 /� E-MAIL r
CONTRACTOR I Y'2 z- 5 (- `i c1/ O ,�` w SGS"S K`�c�!"'' l tc�J /f
CITY STATE ZIP FAX CA.
�/ WAV/06 ,z53=1°40-/� /
WA STATE CONTRA OR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
W'e.✓ld-5G ' o' JA- / / 11
NAME PRIMARY PHONE
St/E0 60 . 1. 11 {- °) 253 :=7..2- 01g2_
APPLICANT MAILING ADDRESi3 E-MAIL •
CITY STATE ZI FAX
�LACcmt�- WP IW 1(lv
NAME PRIMARY PHONE
PROJECT CONTACT 'S+-e-Ydj !D I ,. t"/ S 26-3 --2-92-81 i
(The individual to receive and MAILING ADDRES§ / / E-MAIL /�
respond to all correspondence .3y(p/k //"' /�L . 5' 5i.; 4e? w +15.I1oy,14-rvc-600 LLC®9H9/°l/
concerning this application) CITY STATE ZI FAX
f� Iv 43,
rderPr ( K X14- ,, yco 3
NAME
PROJECT FINANCING 0 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 Iocal, 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 defe such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such clai es out of the - • • of the city, including its officers and employees, upon the accuracy of the
information suppli • to t as a part o is app cation.
SIGNATURE: . _AIM -7— DATE Z:74�
PRINT NAME: `��lEi✓5" /�
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Bulletin
/Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
k* MECHANICAL PERMIT $ eD
Indicate how many of each type offacture 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
L( DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 5,o.
Indicate how many 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(sand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS PI 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 I ROVEMENTS
NO Lz,eheoll Llec...1,121,1 $
EXISTING/PREVIOUS USE LOT SIZE
Square Feet) EXISTING FIRE SPRINN R SYSTEM? PROPOSED FIRE SUPPRESSSII N SYSTEM?
rhaVitZely
.if SI ) `/'I`t ❑ Yes t6 No ❑Yes t5 No
RESIDENTIIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL • ' OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR (rC
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑ '
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMAT D SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
,.COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING C'. • iDa "
r
TENANT AREA ONLY 1
J2O l
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application