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04-103063d It, 0 0 , %. City of un e Way Community ity Development Services Building - Commercial Permit #:04 - 103063 - 00 - CO 33530 1st Way S Federal Way, WA 98003 -6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 Project Name: NATURAL HEALTH BUILDING � � HELD MSPEC1100- Project Address: 900 S 336TH ST SUBJE Parcel Number: 926500 0010 Project Description: TI - Moving wall, adding walls and doors, installing new sink for lunch room, changing out some flourescent lighting to incandescent. No mechanical. Owner Applicant Contractor Lender DIDOMENICO ENTERPRISES L CENTER FOR HEALTH AWARENE ACCRETE CONSTRUCTION, LLC I CENTER FOR HEALTH AWARENE 2920 S 284TH ST 900 S 336TH ST ACCRECL993NP 8/21/05 900 S 336TH ST FEDERAL WAY WA FEDERAL WAY WA 98003 1407 WILLOW RD E FEDERAL WAY WA 98003 98003 -3316 TACOMA WA 98424 Includes: Census category: g t-y. 437 - Comm #2 #3 — 94 iOccupancy Group: _ _ B _ Construction Type: Type V - N Occupancy Load. Floor Area (Sq, Ft : 2100 IstFloor Proposed Sq. Feet.. .. ...........................2100 Census,Categ.�s�...,. 7 - Commercial alt/add Fire Sprinklers.. ,.. ...... ................ No Mechanical ........................ ' No Number of Stories .......... .............1 Permit for Building Shell Only ..... ♦ ... .......... -No Plumbing ................................................. Yes .0 Will Certificate of Occupancy be Issued? ...........Yes Zoning Designation .............. ............................... OP Mechanical Fixtures Description Quantity Description Quantity Description---7Quanti Ducts PERMIT EXPIRES January 30, 2005. Permit issued on August 3, 2004 I hereby certify thyP, a abov informa ' is c rrec at the construction on the above described property and the occupancy and a use 11 be in ccordan i e rules and regulations of the State of Washington and the City of Federal ay. Owner or agent: Date: i ImCode Revie OF I % 0 0 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: NATURAL HEALTH BUILDING Address: 900 S 336TH Permit number: 04 - 103063 - 00 #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V - N Occupancy Load: Floor Area (Sq. Ft.): 2100 Owner DIDOMENICO ENTERPRISES L Name: 2920 S 284TH ST Address: FEDERAL WAY WA 98003 -3316 lNl4• yk^4 1, Clio 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 ofsaid structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. �. THIS CARD IS TOWMAIN ON -SITE CITY OF �ommunit Development Inspection ection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 04- 103063 -00 -CO Owner: Address: 900 S 336TH ST FEDERAL WAY, WA 98003 -6311 This card is part of your required inspection documents. 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. ❑ Footings /Setback (4110) Approved to place concrete By Date ❑ Foundation Wall (4115) Approved to place concrete By Date ❑ Drainage/Downspout (4040) Approved to backfill By Date ❑ Re -steel (4215) ❑ Plumbing Groundwork (4190) ❑ Slab /Concrete Floor (4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Date By Date ❑ ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date ❑ Roof Sheathing (4220) ❑ Rough Plumbing (4230) ❑ Fire/Draft Stops (4095) Approved to install roofing Approved Approved By Date By G{,J DatejS By Date ❑ NOTE: Prior to scheduling a Framing (4120) ❑ Framing (4120) Insulation (4150) inspection; Electrical, Plumbing & Mechanical Approved to insulate Approved to install wallboard Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4/UBC 108.5.4 ✓f y�' By `� Date l�l By Date ❑ ❑ Gypsum Wallboard Nailing (4130) ❑ Suspended Ceiling Grid (4265) Final - Fire Department (4060) Approved to install mud & tape Approved to drop tile Approved By Date F- -Q By Date By �� Date 9- L-, _a Lf ❑ Final - Planning (4070) ❑ Final - Public Works (4080) ❑ Final - Plumbing (4075) Approved Approved Approved By Date By Date By Date ❑ Final - Building (4050) Approved By f/r— Date ��Q Q Federal Way PERMIT COMMUNITY DEVELOPMEM'SERVI(` Q 2004 33530 FIRST WAY SOU7N • p0 BOX U� , p L I C A' G� �T FEDERAL WAY, WA 98063 -97]8 253 - 6614 1 15• FAX 2536614129 �ED�,RCP www.dtvo ?edervlwau. onil�`( �� DLP�, BUILDING The following is required information - an incomplete application will not be akj i�- '/ -L0- SF MF O ME EL PL DE EN FP D Please SITE ADDRESS 200 To y "7w 3.767-4 IJrK r SUITE /UNIT # or ASSESSOR'S TAX /PARCEL # / -� / �+ LOT SIZE (,j) t'V 7 GFE% LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) ,� % 1.�° �i % �A'Ii{ p� 5 C, f cl Ce- /tP' A 1 ik- (Attach sepomte pagefor IeVhy legd d— ipaon) PROJECT • • TYPE OF PERMIT *BUILDING ;( PLUMBING ❑ MECHANICAL 13 DEMOLITION ELECTRICAL Cl ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) ! .�"Z.t,aiol PROJECT NAME (Name of Business or Owner Last Name) J" PVr0A A-L 1 PEOPLE I •- • PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER NAME PRIMARY PHONE i D0VKE� �@ S"S ( ) - MAILING ADDRESS ITY, STATE, ZIP 1 �1 �� <✓ r9�Q d /vat 4.1A `l 40��'2- 0 COMPANY NAAME� APPLICANT NAME OFFICE PHONE Yp ICJ CITY, STATE, ZIP A14 CELL PHONE � ) - MAILING ADDRESS /-07 W t 1- ('(q6j kb CITY, STATE, ZIP L o PK A al Z( CELL PHONE ) - CITY OF FEDERAL AY BUSINESS LICENSE NUMBER rEXPI T10N DATE (, -� ( ?=B -�`'— FAX NUMBER - - Lam- CONTRACTORS REGISTRATION NUMBER (copy of card required with each application( EXPIRATION DATE , C sr g E r 4t g q ti P 8/ Z/ / �s COMPANY NAME APPLICANT NAME _06 40 OFFICE PHONE MAILING ADDRESS a0 s 3 3� �T4�-- CITY, STATE, ZIP A14 CELL PHONE � ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect X Tenant ❑ Agent ❑ Other (Describe) ( - NAME • 1 G �3� PRIMARY P E © E -MAIL ADDRESS Per RCW r information is NAME requirexceeds $5,000 CITY, STATE, ZIP C� W�� EXISTING USE 141, A . Ce f I- PROPOSED USE /?Z EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $t� O SPRINKLERED BUILDING? ❑ YES 0i0 FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES �VNO WATER SERVICE PROVIDER ,><LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ) AAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT ❑ ALTERATION ❑ REPAIR NANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES NO FIRST BASIC PLAN? o YES ❑ ZONING DESIGNATION SECOND CHANGE OF USE? ❑ YES o N THIRD YES NO UP /SEPA /SU? FOURTH PLATTED LOT? ❑ YES (f —NO_ DEMO PERMIT REQUIRED? ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED ?) GARAGE /CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND gROP0.SED 7L * *NEW HOMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS (or Tub /Shower Combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS (Bathroom Sinks) EVAPORATIV LE RS( FANS FIREPLACE FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS HOODS (co=eroiai) RANGES GAS WATER HEATERS WATER CLOSETS (Toilet) DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS REFRIG' SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) DISCLAIMR/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 claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which made by any son, eluding the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the eliance o the by , Imam loyees, upon the accuracy of the information supplied to the city as a part of this applicati n. NAME /TITL DATE e tur (Title( RELATIONSH TO PROJEC ❑ Owner t Wigent ❑Con tract ❑ Architect ❑ Other FOR OFFICE USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR NANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES NO BASIC PLAN? o YES ❑ ZONING DESIGNATION CHANGE OF USE? ❑ YES o N NEW ADDRESS REQUIRED? o YES NO UP /SEPA /SU? ❑ YES PLATTED LOT? ❑ YES (f —NO_ DEMO PERMIT REQUIRED? o YES ❑ NO Bulletin #100 — March 30, 2004 Page 2 of 4 k \I landouts — Revised \Permit Application RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/ INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n S (First 1300 ft2- $87.00; Each add'n 500 ft2 - $28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage ❑ 101 - 200 amp 117.50 74.00 (Inspected with service) $ 36.50 ❑ 201 - 400 amp 220.50 87.00 ❑ Detached outbuilding or garage ❑ 401 - 600 amp 256.50 103.00 (Inspected separately) $ 58.00 ❑ 601 - 800 amp 332.00 140.50 NEW MULTI - FAMILY (three units or more) ❑ 801 - 1000 amp 405.50 169.50 Service Feeder ❑ Over 1000 amp 442.00 236.00 ❑ Up to 200 amp $ 94.50 $ 28.00 L1 201 - 400 amp 117.50 58.00 L1 Over 600 volts surcharge $ 74.00 ❑ 401 - 600 amp 161.00 80.00 ❑ Mast or meter repair $ 80.00 ❑ 601 - 800 amp 206.00 110.00 ALTERED COMMERCIAL /INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders 0 to 200 amp $ 94.50 ALTERED SINGLE /MULTI FAMILY ❑ 201 - 600 amp 220.50 Service or Feeder ❑ 601 - 1000 amp 332.00 ❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50 ❑ 201 - 600 amp 117.50 ❑ over 600 amp 177.00 L�� _tt "7_# of circuits to be added/ altered (1 -5 circuits - $74.00; Add'n circuits, $6.00 /ea) ❑ # of circuits to be added /altered COMMERCIAL /INDUSTRIAL PLAN REVIEW (1 -4 circuits - $58.00; Add'n circuits $6.00 /ea) $ 74.00 plus 35% of Permit Fee ❑ Mast or meter repair $ 43.50 ❑ Service over 200 amps ❑ Medical /Educational /Institutional Facility SINGLE /MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $ 74.00 plus 35% of Permit Fee MOBILE HOMES ❑ Service or feeder only $ 58.00 TEMPORARY SERVICE ❑ Service and feeder $ 94.50 Commercial Residential MOBILE HOME /RV PARK ❑ 0 - 100 $ 58.00 $ 51.00 ❑ # of service or feeders ❑ 101 - 200 74.00 51.00 (First service /feeder - $58.00; each add'n - $37.50) ❑ 201 - 400 87.00 n/a ❑ 401 -600 117.50 n/a ❑ over 600 127.00 n/a MISCELLANEOUS SERVICE/ EQUIPMENT ❑ # of Thermostats ❑ # of Signs (First - $43.50; add'n - $13.50 /ea) (First sign - $43.50; add'n sign $20.50 /ea) ❑ Low Voltage ❑ Swimming pool /hot tub ................ $87.00 Square Feet to be served by system(s) (Includes additional circuit, if required) ❑ Fire Alarm System ❑ Yard Pole meter loops ..................... $58.00 ❑ Security Alarm System ❑ Additional Plan Review $87.00 /hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling El (Per System(s) 1st 2500 ft2- $51.00; Each add'n 2500 ft2- 13.50) • Per wne 290- 46- 910(5)(N)(i & 1i) Bulletin 4100 -March 30, 2004 Page 3 of 4 k\I landouts - Revised \Permit Application