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01-102821City of Federal Way Community DevEapment b vices 33530 Ist Way S Federal Way, WA 98003-6210 P11 :253.661.4000 Fax:253.661.4129 Building - Commercial Permit #:01-102821- 00 - CO Project Name: VALLEY RADIOLOGIST Project Address: 181 S 333RD Suite210 Inspection request line: 253.835.3050 Parcel Number: 926500 0258 Project Description: TI - Interior alterations to existing office on 2nd floor for the extension of a rated corridor to upgrade exiting, move break room, add (1) office, move work room and add (2) plumbing fixtures. Mechanical under separate 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 DAVISSI105PN 7/l/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.): `Census Categary:'...::....:...::.............,................... 437 - Commercial alt/add Fire Sprinklers ....... -- ............... . a.....,............ o Mechanical ............................................ ,.,. No Number of Stories................................................2 Permit for Building Shell Only ............................No Plumbing................................................. Yes Will Certificate of Occupancy be Issued? ............ Yes Zoning Designation ............................................. OP Plumbing Fixtures Description QUantitI Description QV;pn I Description Quantit Dishwashers 1 Sinks 1 CONDITIONS: 1. This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the subject proposal. PERMIT EXPIRES April 15, 2002, IF NO WORK IS STARTED. Permit issued on October 17, 2001 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 Wlv'v� Owner or agent: Dater-%�/� 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: VALLEY RADIOLOGIST Address: 181 S 333RD Suite210 Permit number: 01 - 102821 - 00 #1 #2 #3 #4 Occupancy Group: B Construction Type: Type III - N Occupancy Load: 11 Floor Area (Sq. Ft.): Owner Josef & Alhadeff Jerry Diamond Name: 515 116TH AVE NE #170 Address: BELLEVUE WA 98004-5224 Building Official / 2. - 3 t — Date The priorityfocus 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 ofthe 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 ofthe City or the State of Washington affecting the construction or use ofsaid structure or the land upon which it is situated. Such compliance is the responsibility ofthe owner and/or occupant ofthe premises. PO` —THIS CARD ON THE FRONT OF BUILDy— 'G BUILDING DIVISION ) Fry INSPECTION RECORD INSPECTION REQUEST PHONE #: 253-835-3050 PERMIT #: 01-102821-00-CO OWNER'S NAME: Josef & Alhadeff Jerry Diamond SITE ADDRESS: 181 S 333RD Suite210 - () FOOTINGS/SETBACKS () FOUNDATION WALL _ DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED O DRAINAGE: Line O Connection DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED () UNDERFLOOR FRAMING / () ROUGH PLUMBING: DWV G. G.i Water piping //— Q -- v / L U.-I/ () ROUGH MECHANICAL _ Gas piping () SHEATHING Roof Floor () SHEAR WALLS () ELECTRICAL ROUGH -IN Ditch Cover () FIRE/DRAFTSTOPS ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION () FRAMING/FIRESTOPPING A 1,%A` 0 i•s. —loop THE ABOVE MUST BE APPROV9 PRIOR TO INSULATING OR SHEETROCKINGq () INSULATION: Floors Walls Attic _ THE ABOVE MUST BE APPROVED RIOR TO APPLYING SHEETROCK WALLBOARD NAILING Z — — O G ( ) SUSPENDED CEILING THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE () ELECTRICAL FINAL ,. V — ©�� r ( ) PLANNING FINAL. ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL r�� THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL ( ) BUILDING FINAL__/Z — 6 /— DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED INSPECTION LOG DATE I INSPECTOR I OK I CORR/REJ I AREA AND TYPE OF INSPECTION 0 3 `( crrr of �- uV FTY CONSTRU\- "`ION PERMIT APPLICATION PPLICATION NUMBER: 2'9 ! - D Zg Z1 APPLICATION NUMBER: - - APPLICATION NUMBER: - - **The following is required informption - Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PROPERTY INFORMATION SITE ADDRESS: S ( 5 . 33-3 5r- S 77C I' 2-"ASSESSOR'S TAX/PARCEL #: c�2 �0 5 0 6 LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): aw T PROIECT INFORMATION TYPE OF PROJECT (This application): ''BUILDING IJ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): 'e—�X r 011,47Nd4lY TO M u4PIWIle e-Y PROJECT NAME- `.64rb PROPERTY OWNER: NAME: �� p - ► i�!}' MAILING ADDRESS (STREETJel 0.F� TE•Y� CONTRACTOR: APPLICANT: In s DAYTIME PHONE: ( gzs-) � Y 58Z5 NAME: DAYTIME PHONE: /� 7b� MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: — — — EXPIRATION DATE: (copy of card required) NAME: MAILING ADDRESS (STREET ADDRESS; Vicki E. ZIP): U) i WA RELATIONSHIP TO PROJECT: - Y�-ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE): CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER �16PLICANT ❑ CONTRACTOR PHONE: ) 670 -670 (o jz S-) 77 V -497-l7 FAX NUMBER: E-MAIL ADDRESS: VrG,vso 69XN84 EXISTING USE: 19EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ � zz��� PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: S_ 12 l! SPRINKLERED BUILDING? ❑ YES 10-NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES 40 WATER SERVICE PROVIDER: nKEHAVEN KEHAVEN ElHIGHLINE ElTACOMA ElPRIVATE (WELL) SEWER SERVICE PROVIDER: ❑ HIGHLINE ❑ PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ FLOOR EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT i /A - FIRST IVA SECOND DO o0 THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? �� TOTAL: I FI=EZE$ _ 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) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PL-UM BI BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) _ .- RAIN WATER SYS. _ VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) _ SHOWER(S) _ WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC. C. } INTERCEPTOR(S) SUMPS) 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 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 supplied to the city as a part of this application. NAME/TITLE: l'iit�1�]�] L DATE: ❑ PROPERTY OWNER 0-APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR eTENANT IMPROVEMENT CENSUS CODE: -5 LOT SIZE: ZONING DESIGNATION: op 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 COMMI wrrY nFVFI OPMENT SERVICES - 33530 FIRST WAY SOUTH - P.O. BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661--1000 - FAX: 7S3-661-4129