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02-100412 • • • ! • $ t.` City of Federal Way Community DeNelopmcnt Services Building - Commercial Permit #:02 - 100412 -00 - CO 33530 1st Way S Federal roa: *809"2tt)_ —_ _ -- 3050 -- - P 3 .4Coo Fitx:253.661.4129 Inspection request line: •253.835. Project Name: PUGET SOUND PLASTIC SURGERY Project Address: 918 S 348TH Suite2 Parcel Number: 114040 0010 Project Description: TI-Tenant improvement to provide new office suite for outpatient plastic surgery. 2 windows&door to be cut into exerior walls. Plumbing and mechanical on separate permits. Owner Applicant Contractor Lender MONA C/LAURENCE A LUX P K J B ARCHITECTURAL GROUP D P R CONSTRUCTION NC COMERICA BANK 909 S 336TH ST 603 STEWART ST SUITE 707 DPRCOI.0660B 2/1/03 9920 S LA CIENEGA BLVD FLOOR KIRKLAND WA 98083 SEATTLE WA 98101 1450 VETERANS BLVD INGLEWOOD CA 90301 REDWOOD CITY CA 94065 Includes: Census category: 437-Comm #1 #2 #3 #4 ' Occupancy Group: B Construction Type: Type V-N _ Occupancy Load: 26 Floor Area(Sq.Ft.): 2542. 1st Floor Proposed Sq.Feet 2542 Census Category 437-Commercial alt/add Fire Sprinklers No Mechanical No Number of Stories I Permit for Building Shell Only No Plumbing No Total Proposed Sq.Feet 2542 Will Certificate of Occupancy be Issued? Yes 7.oning Designation OP CONDITIONS: 1.All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6)). 2.A separate business license must be applied for prior to occupancy. 3.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES September 11,2002,IF NO WORK IS STARTED. Permit issued on March 15,2002 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Wa . Owner or agent: '�_ �`�•P Date: r Z• f • I • . • 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: PUGET SOUND PLASTIC SURGERI Permit number: 02- 100412-00 Address: 918 S 348TH Suite2 #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 26 • Floor Area(Sq.Ft.): 2542 Owner MONA C/LAURENCE A LUX Name: 909 S 336TH ST Address: KIRKLAND WA 98083 Building Official Date The priority focus 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 time 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 State of Washington affecting the construction or use of said structure or the land upon which it it situated. Such compliance is the responsibility of the owner and/or occupant of the premises. + PO —HIS CARD ON THE FRONT OF BUILD---, i`�� � _ BUIL,IING DIVISION al AY INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT#: 02-100412-00-CO OWNER'S NAME: MONA C/LAURENCE A LUX SITE ADDRESS: 918 S 348TH Suite2 ( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL ( ) DRAINAGE: Line ( ) Connection r C(e)4t r �L k s : 9 a s s ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV Water piping O ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor ( ) SHEAR WALLS () ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS ' � r910 01 (R :4 ` ( ) FRAMING/FIRESTOPPING � LEI - 0 L G () INSULATION: Floors Walls .�� Z —0 Z '4J Attic 2 — (Di C J ( ) WALLBOARD NAILING ‘S ^• 9—c Z. G ( ) SUSPENDED CEILING . Z.I .rv. () ELECTRICAL FINAL ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL ri z �, D AY' O UIL"D i'DEURWCIVROX- ( BUILDING FINAL /1 O rot' ( ay.rvr. ,mae : z.,w tL`DNG T ra P.«rRe.:o P. q r• INSPECTION LOG DATE INSPECTOR ; OK CORRIR.EJ AREA AND TYPE OF INSPECTION r, 74 a i Hi Ja A— ct/1 �_x�• £J41 s aw/4. S 4 r- ry 6*4 . Q 'G -7 O �✓ G. <I alb�< u-, ✓dim c�/� �i � /'/ / £*-f if Walt irTh1 - 94 0>f,et 1° �d� G_ CONSTRUC )N PERMIT APPLICATION VV EN 4' APPLICATION NUMBER: O APPI sd'rTcaL APPLICATION:NUMBER _ 1,.; h_;r _ _ **The following is required information—Please print(in ink)or type** ..r U Lri �;j Please note: Electrical,Firei re'4 i rn Systems and Engineering permits may require a separate application. - - - - ` ■ PROPERTY INFORMATION SITE ADDRESS: 1(b `- ; k(J Ii1l St. ASSESSOR'S TAX/PARCEL#: ( I Q-b ! O LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ' 1•PROJECT INFORMATION TYPE OF PROJECT(This application): ' 1 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION •YSTEM AA PROJECT DESCRI eta N(Provide il description) L W 1 4 P Wi lle&AM • •1 v�iJam`' `OA, i, flip. kS . - y = 2 new t s d© wrr :r s w ®r PROJECT NAME: IF)O �V'`4, �tk ccJ( • PEOPLE INFORMATION - PROPERTY OWNER: NAME: DAYTIME PHONE: ( ) - MAILING ADDRESS(STREET ADDRESS;QTY,STATE,ZIP): CONTRACTOR: MAILINNT SR.ESS( u ,STA P): zoo p� Set. !t (Oy. ENING PHONE: -CITY Of {EE,�//FEDERAL WAAYLNESS LICENSE NUMBER: (/N FAX NUMBERJ` - - ( ) - (CONTRACTORS REGISTRATION NUMBER: P n t /�o r* 06 6013 13 EXPIRATION DATE' / APPLICANT: N 1/� /q�'p/�IL} rV,11Jr `J�G„ p € ( Mj•c �, ✓zV l tr5G ADDRESS g ADDRESS;CITY,STATE �OJECT: EVENING PHONE: cre Aci27 OfIP TO PR � 7� O I FAX NUMBER:)( - IRCHITECT 0 TENANT 0 OTHER(DESCRIBE): ('f j(�ti -3 L ,'3 $iiapoRESSv: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER >APPLICANT 0 CONTRACTOR @ so C b.con ■ DETAILED BUILDING INFORMATION EXISTING USE: Olin EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 4 r' b&o PROPOSED USE: C� PROPOSED VALUATION FOR IMPROVEMENTS: $ IOli SPRINKLERED BUILDING? 0 YES X NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION Y** . NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL• BASEMENT . FIRST Lftiaa zyZsP f• ; . Ltz SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? (� _ TOTAL: 4 Lt 25 i +1 . • ■ FIXTURES . Indicate number of each type of fixture MECHANICAL AIR HANDLING UNITS) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTORS) 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 daim(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy of the information supplied to the dty as a part f this application. NAME/TITLE: �yiii1/4/4 MArCZ 44i4liktDATE: CA• tG Z. ❑ PROPERTY OWNER ykAPPLICANT 0 CONTRACTOR Vra fir . I `FOR OFFICE USE•ONLY r NEW ; a ADDITION 0 ALTERATION ❑;REPAIR • ' .TENANT IMPROVEMENT CENSUS CODE .._... ... ... -:. `LOTSIZE ry ,-.: - .ZONIING )ESIGNATION BUILDING SHEl ONLY?40 YES -❑ NO COMRAC N DESIGNATION BASIC PLAN? ' ❑'SEES'°- ❑ NO" . $ECTION. ........;YOWNSHIP RANGE NEW ADDRESS REQUIRED? _ ---,❑ YES `0 NO, PLATTED`LOT? ❑,YES, 0 NO CHANGE OF USE?. ❑'YES ❑ NO._ :;. _ • COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 9806 3-9 7 18•253-661-4000•FAX:253-661-4129