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04-102482City 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 #: 04 - 102482 - 00 - CO Inspection request line: 253.835.3050 Project Name: CENTER FOR HEALTH AWARENESS Project Address: 900 S 336TH ST Project Description: New 17' wall in treatment room Parcel Number: 926500 0010 Owner Applicant Contractor Lender DIDOMENICO ENTERPRISES L ACCRETE CONSTRUCTION, LLC I_ ACCRETE CONSTRUCTION, LLC L NONE 2920 S 284TH ST 1407 WILLOW RD E ACCRECL993NP 8/21/05 FEDERAL WAY WA TACOMA WA 98424 1407 WILLOW RD E Floor Area (Sq. Ft.): 98003 -3316 TACOMA WA 98424 NONE Includes: Census category: 437 - Comm #1 #2 #3 #4 I Occupancy Group: Construction Type: L Occupancy Load: Floor Area (Sq. Ft.): l� -- . . . ........> .................. Number of Stories .......... ................. Plumbing ....... ........z ................ I hereby certify th `t the above the occupancy an a use will the City of Federal Owner or agent: .437- Commercial alt /add Mechanical ................................................. No 1 Permit for Building Shell Only ............................ No - No PERMIT EXPIRES December 20, 2004. Permit issued on June 23, 2004 tion is co t and tha a construction on the above described property and ;cord e wi th s, rules and regulations of the State of Washington and Date: 2- `v THIS CARD IS TO MAIN ON -SITE p p �IT;►�F fommunity D evelo t Ins ection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 04- 102482 -00 -CO Owner: ACCRETE CONSTRUCTION, LLC DBA E 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) ❑ Gypsum Wallboard Nailing (4130) ❑ Foundation Wall (4115) ❑ Drainage/Downspout (4040) Approved to install mud & tape Approved to place concrete By Date By Date Approved to place concrete Approved to backfill By Date By Date 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) ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120) Approved to install roofing Approved inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be By Date By Date signed -off and approved. IBC 109.3.4/UBC 108.5.4 50 Framing (4120) ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) Approved to insulate Approved to install wallboard Approved to install mud & tape By Date By Date By Date -2,8-05 Suspended Ceiling Grid (4265) Approved to drop tile By Date ❑ Final - Public Works (4080) Approved By Date ❑ Final - Fire Department (4060) Approved By Date ❑ Final - Building (4050) Approved By G tj Date ❑ Final - Planning (4070) Approved By Date Federal way PERMIT COMMUNITY DEVELOPMENT SERVICES 33530 53-t FIRST W I5 FAX 253-661-4129 r+� VAL$ P L I C AT I O N FEDERAL WAY, WA 98063 - 9718° www.dtw federdwau.mm _ j� q g z SF M CO E EL PL DE EN FP D / / ASSESSOR'S TAX /PARCEL # _ _ _ - _ _ LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) W65-1 CA, V*-V-)C.?S OPjZ'� -PA*0 4 t /" % (An-M separate page f- lengthy legd d —ipd —) PROJECT INFORBIATION TYPE OF PERMIT 4CBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION P1 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul D� j'7 / / �t/TS[� G O l� Gr/!a F.L. 7b C ✓w (0 j- �7'� 7`�C- �N'[EszJ7� /�C70 /►'1 AD PROJECT NAME (Name of Business or Owner Last Name) (Y- NTe-AZ -ci1N 466 L-f-A Awok ju&;s PS . PEOPLE I • ' • PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER TNAME D i Do1f'IgNic -o r PRIMARY PHONE C 15e---S MAILING ADDRESS CITY, STATE, ZIP 3 / S 3,4 A-c-K �Q !3 iz/avn •� w ,� X 3.2 COMPANY NAME /�cCcec— Cvr r(Qv� ►� APPLICANT NAME OFFICE PHONE (a -,3) 9a �2 33yy MAILING ADDRESS IY'O-2 4r1`LL0 CITY, STATE, ZIP r—/FF WA Zj CELL PHONE ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE i .Z 131 /Z FAX NUMBER K J ) 9 a2 ,2 5 � B L (;Z,'3 )C3 � -�� 2 „.6 CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE ACC -/ &0c 14 9-' 3)v P / COMPANY NAME (C- rt 6-2 Co a- -4 4A6 APPLICANT NAME 4-5Vo 6 /< r, Rtoe &iq OFFICE PHONE (253 2&(l MAILING ADDRESS qda s 31�7-h AvI�— CITY, STATE, ZIP Wi o -> eW_,;) L 4/,,4 f WIA CELL PHONE c ) - RELATIONSHIPTO PROJECT FAX NUMBER ❑ Architect )4 Tenant ❑ Agent ❑ Other (Describe) (;Z,'3 )C3 � -�� 2 „.6 NAME PRIMARY PHONE E -MAIL ADDRESS 'S A vN IG- Per RCW 19.27:095: Lender information is ' required if project value exceeds $5,000 NAME MAILING ADDRESS CITY, STATE, ZIP EXISTING USE (-�'[ y-j (C—A L rH aQ A 0 PROPOSED USE G A L_ EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ .J 49©0 SPRINKLER-ED BUILDING? ❑ YES 5a NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES 1 NO WATER SERVICE PROVIDER )I LAKEHAV/E_N ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER )ICLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT FIRST,�c%�n •�� 63 � BASIC PLAN ? o YES ❑ NO SECOND CHANGE OF USE? ❑ YES THIRD NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP /SEPA /SU? ❑ YES FOURTH PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED ?) GARAGE /CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTALPROPOSED TOTAL EMSTDIG AND PROPOSED * *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 PLETMEING BATHTUBS (or Tub/Sho— combo) DISHWASHERS GAS PIPE OUTLETS WASHING MACHINES LAVS (Bathroom Sinks) EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS SHOWERS SINKS SUMPS URINALS VACUUM BREAKERS GAS LOGS HOODS (commerei d) RANGES GAS WATER HEATERS WATER CLOSETS (Toilet) DRINKING FOUNTAINS RAINWATER SYST HOSE BIBBS ELECTRIC WATER HEATERS REFRIG. SYSTEMS WOODSTOVES MISC (Describe) MISC (Describe) 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 t any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which m" made b any p son, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the relt nee f the ty, inclu is officers and employees, upon the accuracy of the information supplied to the city as a part of this application. NAME /TITLE DATE /ff ( e) (Title( RELATIONSHMWO PROD T ❑ Owner ❑ A t ❑ Contractor ❑ Architect -0�bther FOR OFFICE USE ONLY ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN ? o YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP /SEPA /SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100-March 30, 2004 Page 2 of 4 k \Handouts - Revised \Permit Application Ei. XTRICAL PERMIT INFORMAL_ jN RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ Single Family Square Feet (First 1300 ft2- $87.00; Each add'n 500 ft2 - $28.00) ❑ Detached outbuilding or garage (Inspected with service) $ 36.50 ❑ Detached outbuilding or garage (Inspected separately) $ 58.00 NEW MULTI - FAMILY (three units or more) ALTERED SINGLE /MULTI FAMILY Service Feeder ❑ Up to 200 amp $ 94.50 $ 28.00 ❑ 201 - 400 amp 117.50 58.00 ❑ 401 - 600 amp 161.00 80.00 ❑ 601 - 800 amp 206.00 110.00 ❑ Over 800 amp 294.50 220.50 ALTERED SINGLE /MULTI FAMILY ❑ # of circuits to be added /altered (1 -4 circuits - $58.00; Add'n circuits $6.00 /ea) ❑ Mast or meter repair $ 43.50 SINGLE /MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $ 74.00 plus 35% of Permit Fee COMMERCIAL NEW COMMERCIAL /INDUSTRIAL SERVICE ❑ 0 to 100 amp ❑ 101 - 200 amp ❑ 201 - 400 amp ❑ 401 - 600 amp ❑ 601 - 800 amp ❑ 801 - 1000 amp ❑ Over 1000 amp Service or Feeder Service or Feeder ❑ 0 to 200 amp $ 72.50 ❑ 201 - 600 amp 117.50 ❑ over 600 amp 177.00 ❑ # of circuits to be added /altered (1 -4 circuits - $58.00; Add'n circuits $6.00 /ea) ❑ Mast or meter repair $ 43.50 SINGLE /MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $ 74.00 plus 35% of Permit Fee COMMERCIAL NEW COMMERCIAL /INDUSTRIAL SERVICE ❑ 0 to 100 amp ❑ 101 - 200 amp ❑ 201 - 400 amp ❑ 401 - 600 amp ❑ 601 - 800 amp ❑ 801 - 1000 amp ❑ Over 1000 amp Service or Feeder Each Add'n $ 94.50 $ 58.00 117.50 74.00 220.50 87.00 256.50 103.00 332.00 140.50 405.50 169.50 442.00 236.00 ❑ Over 600 volts surcharge $ 74.00 ❑ Mast or meter repair $ 80.00 ALTERED COMMERCIAL/ INDUSTRIAL Service or Feeders ❑ 0 to 200 amp $ 94.50 ❑ 201 - 600 amp 220.50 ❑ 601 - 1000 amp 332.00 ❑ over 1000 amp 369.50 P9 i # of circuits to be added /altered (1 -5 circuits - $74.00; Add'n circuits, $6.00 /ea) COMMERCIAL /INDUSTRIAL PLAN REVIEW $ 74.00 plus 35% of Permit Fee ❑ Service over 200 amps ❑ Medical /Educational /Institutional Facility 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 (First - $43.50; add'n-$13.50/ea) ❑ Low Voltage Square Feet to be served by system(s) ❑ Fire Alarm System ❑ Security Alarm System ❑ Voice Cabling ❑ Data Cabling (Per Systems) Pt 2500 ft2- $51.00; Each add'n 2500 ft2- 13.50) • Per WAC 296 -46 -9] 0(5)(6)(, & ii) ❑ # of Signs (First sign- $43.50; add'n sign $20.50 /ea) ❑ Swimming pool /hot tub ................ $87.00 (Includes additional circuit, if required) ❑ Yard Pole meter loops ..................... $58.00 ❑ Additional Plan Review $87.00 /hour (for modified submittals) Bulletin # 100 - March 30, 2004 Page 3 of 4 k \I landouts - Revised \Permit Application