20-103597-Building Permit Application-09-28-2020-V1A�*k
-
CITY OF - `x-1
Federal Way
PERMIT NUMBER 20 - 103597 -
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenterr�cityoffederalway.com
TARGET DATE 09-15-20
SITE ADDRESS
SUITE/UNIT #
31653 PACIFIC HWY S. FEDERAL WAY, WA 98003
SUITE B
PROJECT VALUATION
ZONING ASSESSOR'S TAX/PARCEL #
$ 192,500
CC-F 0 8 2 1 0 4 -- 9 1 9 6
® BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
TYPE OF PERMIT
NAME OF PROJECT
OLYMPIC SPORTS AND SPINE FEDERAL WAY
TENANT IMPROVEMENT FOR PHYSICAL THERAPY OFFICE IN EXISTING SHELL. INTERIOR WORK INCLUDES MOVING
PROJECT DESCRIPTION
WALLS, CONSTRUCTING A NEW WORKSTATION IN RECEPTION AREA, NEW LAUNDRY, RESTROOMS, TREATMENT
Detailed description of work to
be included on this permit only
ROOMS, STAFF ROOM, MANAGERS OFFICE, AND STORAGE. NEW FLOORING TO BE INSTALLED. NO SITE WORK IS
PROPOSED. SPACE PREVIOUSLY USED FOR RETAIL.
NAME
PRIMARY PHONE
CLAUDE CIANCIO
(253( 581-5200
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
6050 TACOMA MALL BLVD, SUITE 300
CCIANCIOCOSSTHERAPY. COM
CITY STATE
ZIP
TACOMA WA
98409
NAME
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
USI #
NAME
PRIMARY PHONE
JAMES GUERRERO
(253) 581-6000
APPLICANT
MAILING ADDRESS
E-MAIL
7520 BRIDGEPORT WAY WEST
JAMESCJGARCH.NET
CITY STATE ZIP
FAX
LAKEWOOD WA 98499
NAME
PRIMARY PHONE
PROJECT CONTACT
JAMES GUERRERO
(253) 581-6000
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
7520 BRIDGEPORT WAY WEST
JAMESCJGARCH_NET
CITY
STATE
ZIP
FAX
concerning this application)
LAKEWOOD
WA
98499
PROJECT FINANCING
NAME
® OWNER -FINANCED
When value is $5, 000 or more
(RCW 19.27095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 old harmless tl a City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in
the investigation an ejense of suc-1 taim), which may be made by any person, including the undersigned, and filed against the city,
but only where suc aim arises ou of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplfe t the city as a rt of this application.
SIGNATURE: DATE 09-15-20
PRINT NAME: Jrnes GLui: er
Bulletin # 100 —February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 3,000
Indicate how maM of each tupe of LxWre to be installed or relocated as part 9L this 2roject. Do not include existin Lrtures 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
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$ 10,000
Indicate how many of each type offixt4re
to be installed or relocated as
part of this project. Do not include existing. fixtures to remain.
BATHTUBS (or Tub/ehowerCombo)
2 LAVS (Hand Sinks)
1 TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
2 SINKS (Kitchen/Unity)
; WATER HEATERS (Emotric)
HOSE BIBBS
SUMPS
1 WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
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
"law HO
W OzqLIr**
ESTIMATED SELLING PRICE
1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEw BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
3,849 SF
B
Y-N
1
PROJECT AREA ONLY
Bulletin # 100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application