10-1012520 • Building - Commercial
City of Way Permit #• 10-101 252 00 CO
Community Development Services � � �
P.O. Box 9718
Federal Way, WA 98063 -9718 FILE Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: ( 253
1 835 -3050
Project Name: HIGHLINE THERAPY SERVICES
Project Address: 1010 S 336TH ST Suite 112
Parcel Number: 926501 0010
Project Description: TI - Minor demolition, construction of new interior walls, doors and minor lighting
changes. Plumbing included/pool is not included on plumbing permit. Mechanical on
separate permit.
Owne
Apolicant
Contractor
Lender
OMNI PROPERTIES
VICKI SOMPPI
OMNI PROPERTIES INC
OMNI PROPERTIES
909 SW 336TH ST SUITE 103
CONNELL DESIGN GROUP
OMNIPI *995BW (8/27/10)
909 SW 336TH ST SUITE 103
FEDERAL WAY WA 98003
22002 64TH AVE W
909 S 336TH ST SUITE 103
FEDERAL WAY WA 98003
MOUNTLAKE TERRACE WA 9802
FEDERAL WAY, WA 98003 -6311
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1
#2
#3
#4
Occupancy Class:
B
Construction Type:
Type V - B
Occupancy Load:
Floor Areas . ft.
3,695
0
0
0
Existing Sprinkler System in Building ? ..............:..Yes
Number of Stories .................... ..............................2
Plumbing to be Included ? ........... ............................Yes
Occupancy # I - Use ................ ............................... Professional
Services/Offices
Permit for Building Shell Only? .............................No
New / Additional Sq. Feet - Total .......................... 0
Zoning Designation ................... .............................OP
s'
Dishwashers................................... 1 Drains ...................
.......................... 1 Laundry Washer Outlets................ 1
Lavatories........ ............................... 1 Showers........... ............................... 1 Sinks................ ............................... 2
Water Heaters .. ............................... 1
PERMIT EXPIRES Tuesday, October 5, 2010
Permit Issued on Thursday, April 8, 2010
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: kQTtio Date:
V71 kA"gj�li ;r130110
City of Federal Way 0 0
Certificate of Occupancy'
This Certificate issued pursuant to the requirements &Section 110.2 of the International 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: HIGHLINE THERAPY SERVICES
Address: 1010 S 336TH ST Suite112
Permit #: 10- 101252 -00 -CO
Includes:
#1
#2
#3
#4
Occupancy Class:
B
Construction Type:
Type V - B
Occupancy Load:
Floor Area (s q. ft.)
1 3,695
0
0
0
Owner Name: OMNI PROPERTIES
Owner Address: 909 SW 336TH ST SUITE 103
FEDERAL WAY WA 98003
00---
Building Official
00, //
A Av
to
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 severly 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 neitherguarantees 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 is situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
t �
DATE •' AREA AND TYPE OF ' •
�A K
F q I
Z '
ry 14/0
Q
CRY OF
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO AIN ON -SITE
Construction In ction Record
INSPECTION REQUE TS: (253) 835 -3050
10- 101252 -00 -CO Address: 1010 S 336TH ST Suite 112
OMNI PROPERTIES FEDERAL WAY, WA 98003
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as
possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your
inspector if you are unsure about any of the inspections or the inspection sequence. On -going inspections are logged on the back of this card.
0 Fire/Draft Stops (4095)
Approved
By Date
Framing (4120)
Approved to insulate
By e Date Z
Interim Erosion Control (4370)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By Date
Slab /Concrete Floor (4255)
Approved to place concrete
By Date
Rough Plumbing (4230)
Approved
By Date��
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By
E]
SWM Precon Site Mtg (4400)
E] Final - Fire Department (4060)
Initial Erosion Control (4365)
E]
Footings /Setback (4110)
Approved to place concrete or grout
Approved
Approved
To be done prior to breaking ground
By
Approved to place concrete
By
Date
By
Date
By
Date
0 Fire/Draft Stops (4095)
Approved
By Date
Framing (4120)
Approved to insulate
By e Date Z
Interim Erosion Control (4370)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By Date
Slab /Concrete Floor (4255)
Approved to place concrete
By Date
Rough Plumbing (4230)
Approved
By Date��
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By
E]
Re -steel (4215)
E] Final - Fire Department (4060)
Plumbing Groundwork (4190)
Approved to place concrete or grout
Approved
Approved to cover
By
Date
ate
By
Dates /2 0
By
Underfloor Framing (4285)
❑
Floor Sheathing (4105)
Final - Plumbing (4075)
Approved to sheath floor
Final - Bui ing (4050)
Approved to install flooring
By
Date
By
Date
0 Fire/Draft Stops (4095)
Approved
By Date
Framing (4120)
Approved to insulate
By e Date Z
Interim Erosion Control (4370)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By Date
Slab /Concrete Floor (4255)
Approved to place concrete
By Date
Rough Plumbing (4230)
Approved
By Date��
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By
E]
Suspended Ceiling Grid (4265)
E] Final - Fire Department (4060)
Final - Planning (4070)
Apprr ed to droR7_
Approved
Date
Approved
By
ate
By
Date
By
Date
Final Erosion Control (4r5)
E
Final - Plumbing (4075)
■
Final - Bui ing (4050)
Approved
Approved
Ap oved
By
Date
By
Date c�
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Ways
Approved
By
Date
By
Date
By
Date
OP V&
f=m ederal Way
COMMUMTY DEVELOPMENT SERVICES
253 - 835 -2607• FAX 253- 835 -2609
wwwxttuoff ralwau.com
HERMIT p�
APPLICATION
10/0 IC-00-h l 3501-
12r c +c -1X"l l Z. -
SUITE /UNIT M
I1q
ZONING ASSESSOR'S TAB /PARCEL X FEDERAL
OP -C -2D& ^4
NAME OF PROJECT
(Tenant or Homeowner Name)
ASUMDING PLUMBING ❑MECHANICAL
TYPE OF PERMIT
❑ DEMOLITIO ❑ELECTRICAL ❑ENGINEERING ❑FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME PRDNARY PHONE
C 16 OYonl Ro&di Z53) 66 l -
BUnMIG ADDRESS, CITY, STATE, ZIP
90 (off � '. �U
E•MAm
Omani Pw- 1;o4k -vtC+
CONTRACTOR APPLICANT 0 PROJECT CONTACT
OWNER IS ALSO:
NAME
�� a" k Cuss �!� - � -� iu, L
PRIMARY PHONE
MAILING ADDRESS. CITY, STATE, ZIP
FAX
CONTRACTOR
WA STATE CONTRA R'S SE N
'tit i ` `7 s3kt
EXPIRATION DATE
/4_7 / 1 G
FEDERAL WAY BUSINESS LICENSE N
APPLICANT
NAAR
V i C ki
PRIMARY PHONE
((475)(970- G 70(Q
BL41EMG ADDRESS, CITY, STATE, ZIP
U00Z 6YA- 8C— %1. /(%orrf Af "I �P,rf
FAX
(146) 77q - Z 1
PROJECT CONTACT
NAME
v 1 G k. t �jOVM pP� C, � ZO%- 316 - pm 3
PR mARY PHONE
025) 6 7.0 - 6 706
(The individual to receive and
respond to all correspondence
concerning this application)
MAumG ADDRESS. CITY. STATE. zip -(
ifti (p�' . 1'�d u is •re
x FAX
(qZs) 774/ - X 2 j
ALTERNATE CONTACT NAME:
Ci n c V I <a e
PRIMARY PHONE
(1425) 67 - 670
E-MAIL
v��(s o c«�l ►t .
PROJECT FINANCING
NAME
Wf
OWNER - FINANCED
Requiredfor projects with
MAILING ADDRESS. CITY, STATE, ZIP
PRIMARY PHONE
value of $5,000 or more
(RCW 19.27.095)
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 igformation 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.
Ifurther 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, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
igformation supplied to the city as a part of this application.
SIGNATURE: �� DATE G M1 7 C I C
PRINT NAME: v�
,
Bulletin #100 — 4/21/2009 Page 1 of 4 k:\Handouts\Perrnit Application
at"
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED]
Indicate number of each type of fixture txture to be installed or relocated as part of this project. Do not include existing fartures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commemtal)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate number of each type of xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS for Tub /shower Combo) LAVS (Hand sml.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS mchen /Uwiry) WATER HEATERS (Electric)
HOSE BIBBS SUMPS WASHING MACHINES
Bulletin #100 - 4/21/2009 Page 2 of 4 k:\Handouts\Pennit Application