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01-104800
i City of Federal Way Conmiunity Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Building - Commercial Permit #:01-1048W- 00 = CO Project Name: VALLEY RADIOLOGIST Inspection request line: 253.835.3050 Project Address: 181 S 333RD ST Suite210 Parcel Number: 926500 0258 Project Description: TI - Upgrade existing corridor to 1-hour rating, extend hallway for Suite B. No plumbing or mechanical on this permit. Owner Applicant Contractor Lender Josef & Alhadeff Jerry Diamond CDG PLANNING AND DESIGN INC DAVIS SCHUELLER INC VALLEY RADIOLOGISTS INC PS 515 116TH AVE NE #170 22000 64TH AVE W SUITE 2F DAVISSII05PN 7/1/02 POB 26730 BELLEVUE WA MOUNTLAKE TERRACE WA 9804 P.O. BOX 237 FEDERAL WAY, WA 98004-5224 MOUNTLAKE TERRACE WA 9804 98093 Includes: Census category: 437 - Comm #1 #2 #3 #4 Occupancy Group: B Construction Type: Type III - N Occupancy Load: 11 Floor Area (Sq. Ft.): Building Pre -con. Meeting Required...................No Census Category ................................................. 437 - Commercial alt/add Fire Sprinklers ................................................. No Mechanical................................................. No Number of Stories................................................I Permit for Building Shell Only ............................ No Permit for Foundation Only.................................No Plumbing ............................................ No Special Inspection Required ................................ No Will Certificate of Occupancy be Issued? ............ No Zoning Designation....:.._....: a:w........................ OP PERMIT EXPIRES July 14, 2002, IF NO WORK IS STARTED. Permit issued on January 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 Way. Owner or agent: Date: V " l POS THIS CARD ON THE FRONT OF BUILD; 0 El7FJ�� PERMIT #: 01-104800-00-CO BUILDING DIVISION r INSPECTION RECORD INSPECTION REQUEST PHONE #: 253-835-3050 OWNER'S NAME: Josef & Alhadeff Jerry Diamond SITE ADDRESS: 181 S 333RD Suite210 ( ) FOOTINGS/SETBACKS () DRAINAGE: Line ( ) FOUNDATION WALE. DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) Connection DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV ( ) ROUGH MECHANICAL ( ) SHEATHING ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH -IN ( ) FIRE/DRAFTSTOPS Water piping Gas piping Roof Floor Ditch Cover ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION () FRAMING/FIRESTOPPING .3 - Z Z - Q -2 -_ ors-2 - THE ABOVE MUST SE APPROVED PRIOR TO INSULATING OR Sit ETROCKING ( ) INSULATION: Walls Attic THE ABOVE MUST BE APPROVED P1RIOR TO APPLYING SHEETROCK O WALLBOARD NAILING 3 — Z & - n- G 1 ( ) SUSPENDED CEILING THE ABOVE MUST BE.APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE () ELECTRICAL FINAL Z 91 - O 2 T - ( ) PLANNING FINAL O PUBLIC WORKS FINAL () FIRE FINAL (' — -� - 02' %/ T4- THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL () BUILDING FINAL- Li - - 0 Z e— DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED INSPECTION LOG DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION Z D TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family _ Service or feeder only........ ................. $44.25 - # of Thermostats (First-$33.50- add'n-$10.50ca) _ (First 1300 ft2-S67.00; Each add'n 500 ft2-$21-50) _ Service and feeder ............................... $72.25 -a of Low voltage fire or burglar alarms Square FccC First 2500 R2438.75; Each add'n 2500 ft2-$10.50 Each outbuilding or garage ........................... $28.00 MOBILE HOME/RV PARK Square Feet: _ (Inspected n•ilh service) - tl of service or feeders * Per WAC 296-46-910(5)(b)(i K ii) Each outbuildingor garage ........................... $44.25 (First service/feeder-$44.25; Add'n service/ -# orsigns (First sign-$33.50; add'n sign - (Inspected separately) (ceder-$28 each) $16.00 each) Progress inspection per hr...............$33.50 - Swimming pool. hot tub, spa.................67.00 Yard Pole meter loops...........................44-25 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n ,--, 0 to 200..... ......... :...... .......................... $ 72.25 Up to 200 amp ............... $ 72.25................. $ 21.50 Feeder _ 201 -600 ............. .,.169-00 201 - 400 amp .................. 89.75.................... 44.25 - 0 to 100.......................... $ 72.25........ $ 44.25 _ 601 - 1000 ............................................ 254.50 - 401 - 600 am 123.25.................... P •............... 61.50 101 - 200.......................... 89.75........... 56.25 -over 1000.......................................... ...282.75 - 601 - 800 ant 158.00.................... 84.25 _ 201 - 400..-.................. 169.00........... 67.00 - N of circuits ~_ Over 800 ant 225.25.................. 169.00 _ 401 -600 ........................ 197.00........... 78.75 (1-5 circuits-$56.25; Add'n circuits. $5 ea) ALTERED SINGLE/MULTI FAMILY _ 601 -800 ........................ 254.50......... 107.25 (When inspected separately from the services.) 801 - 1000...................... 310.75......... 129.75 Temporary Service Service or Feeder - Over 1000...................... 339.00......... 181-00 _ 0 to 60.-..- ............... ....... ................. $38.75 0 to 200 amp ................................................ $ 61.50 _ Over 600 volts surcharge ...................... 56.25 _ 61 - 100..................................................44.25 _ 201 - 600 amp ................................................ 89.75 _ Mast or meter repair.............................. 61.50 101 - 200................................................56.25 _ over 600 amp ................................................ 135.25 _ 201 - 400............._...._...._..._......_._..._......67.00 _ Mast or meter repair ....................................... 33.50 _ 401-600 ................. ............................. 99.75 ^_ # of circuits _ over 600................. ........... ._............... -.97.75 (14 circuits-$44.25; Add'n circuits $5 ea) 1I service is greater [mitt LtlU amp, a plan review is rcq o. rec is s-rn of permit ice +aao.Lz)- mwu t piaii 1-1- wi U11- �UUJ »bruin M ou l..,vllil. FIXTURE DESCRIPTION A FIXTURE FEE FROM TABLE B B NUMBER OF UNITS C TOTAL D TOTAL COLUMN D : Total Column (D) Estimated Permit Fee: (12] Estimated Permit Fee from line 12 Estimated Plan Review Fee: $56.25 + Estimated Permit Fee: (14 Bond Amount: (15) Estimated Permit Fee: (16) Bond Amount: (17) Mitigation Fee: (18) SBCC Surcharge: (19) (7-0) ■ DEMOLITION ■ OTHER FEES X .35 = (13) (23) Total (Pages one &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = i BY COMMUNITYu�JE bPMENTDEPARTMENT CONSTRUCTION PERMIT APPLICATION 41� � �rAPPLICATION NUMBER: :❑ - D Q 0 - p DEC 2001 APPLICATION NUMBER: - - APPLICATION NUMBER: - 01 **The following is required information - Please print (in ink) or type** �% 5 Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. q 2655-02-59-no I Z6�03 �00-_ SITE ADDRESS: S, SVi E zl0 ASSESSOR'S TAX/PARCEL #: �02 - LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): _ Q N S 1� EET -r- 1 PROJECT INFORMATION TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): Uf &R/�IVE_ EK 15T l Ne Core'(Z. DOJZ, TI o 1_1AOO fZ _RAT�N&. E�n-Tr-_ND ��W V*b.Y V'OZ Surd✓ PROJECT NAME: 1V/S�\LLE ) 1;�^]]I O LZG l 7 ` PROPERTY OWNER: CONTRACTOR: ■ PEOPLE INFORMATION NAME. " DAYTIME PHONE: C OLU I" I B (A -EST "P20Pi_Rrl E5 N75 ) 455 - 582S MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): 17-9 51 ML J�ED IUD-#156 -LEVuE NAME: _ �1a.V tiS ScHU 6 i-I. EIS 1 N C, DAYTIME PHONE: (425) .l 75 - 1100 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): 9 g 0 3 7 2- i Z.z_ - 164 1 iA S7 SW SO 7-E Z0o LYN N'i w 1 EVENING PHONE: ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: T (copy of card required) D A .- / �L S S I i d 5 APPLICANT: NAME: DAYTIME PHONE: V I,C.K1 So"W 1 C6NN6L.L DES)C,v4 6�_'00 N2_5),670 -6706 MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ! RELATIONSHIP TO PROJECT. FAX NUMBER: c� I ElARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): (42-5) i 7 - p Z 11 E-MAILA_DDRREESS:Gt7� CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER ❑ APPLICANT El CONTRACTOR v(CkT�c EXISTING USE: QFl�iC'-f �'- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $• �� o©� SPRINKLERED BUILDING? ❑ YES L1 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) ❑ NO Bulletin #100 -January 3, 2001 0 "NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ FLOORPROIECT FLOOR EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT FIRST SECOND 3 2-1 35 6 SF THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) _ . WOODSTOVE(S) BOILERS) FIREPLACE INSERTS) RANGE(S) MISC. ( } COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S) DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTOR(S) SUMP(S) S;SCtATMFRISTGIVATHRE 13LC 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 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 of Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information s pplied to the city as a part of this application. NAME/TITLE: DATE: ❑ PROPERTY'WD&R ❑ APPLICANT VnD nGFTr`G t tcF nett V- ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO Construction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building, mechanical, and fire prevention system fees are based on the following schedule. TABLE A TOTAL VALUATION I FEE FACTOR (1) $1.00 to $500.00 (1) $24.25 (2) $501.00 to $2,000.00 (2) $24.25 for the first $500-00 plus f9.?7lora-icharklMonat 5109, or fraction thereof, to and including $2,000.00 (3) $2,001.00 to $25,000.00 (3) $71.46 for the first $2,000.00 plus 3.15.01� for Cash �atlrYip 1 •jl,0 OD or fraction thereof, to and including $25,000.00 (4) $25,001.00 to $50,000.00 (4) $403.61 for the first $25,000.00 plus 310.82lcr cych "tkodf ILWO,pO or fraction thereof, to and including $50,000.00. (5) $50,001.00 to $100,000.00 (5) $664.35 for the first $50,000.00 plus f7.50 for each 2M-&2!W 57.0W..Gb or fraction thereof, to and including $100,000.00. (6) $100,001.00 to $500,000.00 (6) $1,025.55 for the first $100,000.00 plus S6.00 Inr earb arkh'tiorr<Tr SI_(h/0.01J or fraction thereof, to and including $500,000.00 (7) $500,001.00 to $1,000,000.00 (7) $3,337.23 for the fist $500,000.00 plus SS 09 for each LVgb''Mg-f 51,(>a70.L10 or fraction thereof, to and including $1,000,000.00. (8) $1,000,001.00 and up (8) $5,788.23 for the first $1,000,000.00 plus 0.91 for each &Ihh ;dW 51_000-00 or fraction thereof. Bold number is the base fee for the specified increment -to!iLim—d underlined nu r hc th,-Ice per addlliortal s r lacmmen PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District #39 surcharge, commercial only. Add $4.50 for WA State Building Code Council, plus $2.00 per unit for duplex & above. ** Electrical, plumbing, and mechanical fees are calculated separately ** PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: ( Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) - ■ BUILDING' (a) Base Fee: (b) Additional Increment Fee: ■• MECHANICAL 1 PROPOSED VALUATION. FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (b) Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (SI PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: Estimated Plan Review Fee: - - - ■ FIRE PREVENTION SYSTEM I (a) Base Fee: (b) Additional Increment Fee: r Base Fee Number of Fixtures $21.00 + { X $7.00/fixture) _ _ (8) Estimated Permit Fee Estimated Permit Fee FAW7.m (9) Estimated Plan Review Fee COP1Ml INrrY DFVFI OPMENT SERVICES • 33530 FIRST WAY SOUTH . P_O. BOX 9718 . FEDERAL WAY, WA 98063-9718 . 2S3-661-4000 . FAX: 2S3-661-4129 Miscellaneous Fixture Charge: (10) ';tjb Total (Pane o—): IInP(S)(1)+(7)+(-I)+(4)+(S)+(6)+(7)+(8)+(9)+(10) = (11)