20-104228-Permit Application-T.I. 3410 SW 320th St. Suite A-10-30-2020-V1CITY OF
Federal Way
PERMIT NUMBER
PERMIT APPLICATION
PERMIT CENTER + 33325 811, Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter-acilyoffederal-wac.rom
-- TARGET DATE
SITE ADDRESS 3410 Southwest 320th Street
Federal Way, Washington
SUITE/UNIT #
Suite B
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ Z1 j, 000
BN
132103-9073
TYPE OF PERMIT
BUILDING DA PLUMBING ❑ MECHANICAL 14 DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Tenant Improvement for Chiropractic Wellness
PROJECT DESCRIPTION
Suite A for Chiropractic Wellness,demising I minor
interior improvements to include new doors for accessibility, new finishes
upgrade res room for accessibility. Par ing will a modified or accessibility
NAME
PRIMARY PHONE
Twin Lakes Plaza LLC
253-838-4100
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
33919 9th Avenue South Suite 201
CITY
STATE
ZIP
Federal Way
WA
I
98003
NAME
PHONE
Puget Sound Commercial Property Services
253-838-4100
CONTRACTOR
MAILING ADDRESS
33919 9th Avenue South Ste 201
E-MAIL
dstaley@pugetsoundcommercial.com
CITY
Federal Way
STATE
WA
2IP
98003
FAX
253-838-1100
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
PUGETSC917KS
OS 28 /21
602-846-885
NAME
PRIMARY PHONE
Puget Sound Commercial Property
253-838-4100
APPLICANT
MAILING ADDRESS
33919 9th Avenue South Suite 201
E-MAIL
dstaley@pugetsoundcommercial.com
CITY
Federal Way_WA
STATE I
ZIP
98003
FAX
253-838-1100
NAME
PRIMARY PHONE
PROJECT CONTACT
Michael E. Hovland, Architect
253-737-8775
MAII'ING ADDRESS
33919 9th Avenue South Suite 201
E-MAIL
meh.architect@hotmail.com
(The individual to receive and
respond to all correspondence
CITY
Federal Way
STATE
WA
ZIP
FAX
N/A
concerning this application)
PROJECT FINANCING
NAME
Owner
OWNER -FINANCED
When value is $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.005)
See Applicant
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 s claim), may be malply any person, including the undersigned, and filed against the city,
but only where such claim a s t of a rel nce of th ty, including its officers and employees, upon the accuracy of the
information supplied to the y as pa f this pplication.
SIGNATURE: DATE 10 • �- • 2 o'Z.O
PRINT NAME: Michael E. Hovland, Architect
Bulletin 9100 — February 19, 2020 Page; I o1•2 k:AHaod0uts\Pcrmit Application
MECHANICAL PERMIT
Indicate how many
AIR HANDLING UNITS
AIR CONDITIONER
13011,ERS
COMPRESSORS
DUCTING.
PLUMBING PERMIT
fridicate how man
y of each L -y L-)e 2Lfixture to be installed or relocated aspart o -g f this prQject. Do not include existingures to remain. ft
13NI'l-ITUBS (or Tub/Shower Combo) One LAWS (Hand Sinks) One, TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINAI,S OTHER (Describe)
DRAIN S SHOWERS VACUUM BREAKER
DRINKING FOUNTAINS SINKS (Kitci-wn/utiiiry) WATER HEATERS (r,.Iectric)
IJOSI�,' BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
N/A
Lakehaven
Lakehaven
$'
EXISTING/ PREVIOUS USE
LOT SIZE tIn Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
I Dental Office
I 79,359 S.F.
ci Yes X No
I
--j Yes X No
I I
RESIDENTIAL - NEW OR ADI)ITI'ON
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
..................................... ...... 1- .......... .......... ...................................... ......
.................................................. ------------------------------------ ........................ -----------
........... I ......... ............... ................. ........ .............................. .......................
.......... ................................................ .....................................................
.................. ------------------------ ........................................... I ............................
....................... ------------------------- ......................................................... ...... I .....
------------------ ............. ------------ --------------------------------------- 1-1 ...............................
FIRST FLOOR (or .Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE it CARPORT [A
OTHER (describe)
Area Totals
EMSTING
PROPOSED
TOTAL
"NEW HOMES (ONLY"
ESTIMATED SELLING PRICE $ -I#
OF BEDROOMS
COMMERCIAL — N'Ew/.ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
T
# of
Stories
Additional Information
NEw BUILDING
ADDITION
COMMERCIAL --- '.REM ODEi-j/TENANT.IMPROVEMENT S
AREA DESCRIPTION
Area in
sonare Fep-t
Occupancy Group(s)
Construction
Typ�
# of
Stories
Additional Information
TOTAt. BUILDING
be> cz,
%,/ 6
1
TENANT AREA ONLY
116 t
v
PROJECT AREA ONLY
l Q o
%-�
Bulletin. 4 100 — February 1. 9, 2020 Page 2 of 2 k:\Iiaiidotits\Perinit.Application