05-106442City of Federal
lopmentS fuiiiiing;,- Comiiie�rcial Permit #: 05- 106442 -00 -CO
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: VALLEY RADIOLOGY, INC.
Project Address: 533 S 336TH ST Suite C
Inspection Request Line: (253) 835 -3050
Parcel Number: 926480 0260
Project Description: TI - Substantial demolition of interior office walls, new office partitions, keep most of the
existing handicap restrooms, ceiling grid to remain. Lighting changes. No mechanical or
plumbing on this permit.
Owner
Applicant
Contractor
Lender
CURRAN PROPERTIES
VICKI SOMPPI
DAVIS SCHUELLER INC
1601 5TH AVE #1703
CONNELL DESIGN GROUP
DAVISSI105PN 7/1/06
SEATTLE WA
22002 64TH AVE W
20700 44TH ST W
98101 -1657
MOUNTLAKE TERRACE WA 98021
LYNNWOOD WA 98037
Census Category: 437 - Commercial alt / add / conversion --
Existing Sprinkler System in BuildingZ ................No
Number of Stories .................... ..............................1
Plumbing to be Included? ......... .............................No
Zoning Designation ................... .............................OP
Mechanical to be Included? ...... .............................No
Permit for Building Shell Only ? ............................ No
Occupancy #I -Use ........................ ...................Professional
Services /Offices
No Fixtures Associated With This Permit 11
PERMIT EXPIRES Saturday, April 26, 2008
Permit Issued on Wednesday, April 26, 2006
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
th ity of Federal Way.
Owner or agent: Date:
t
City of Federal Way 49
Certificate of Occupancy` r'
This Certificate issued pursuant to the requirements of 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: VALLEY RADIOLOGY, INC.
Address: 533 S 336TH ST SuiteC
Permit #: 05- 106442 -00 -CO
Includes:
# 1
#2
93
#4
Occupancy Class:
B
Construction Type:
Type V - B
Occupancy Load:
Floor Area (sq. ft.)
6,861
1 0
0
1 0
Owner Name:
Owner Address: 1601 5TH AVE 41703
JEATTLE WA
coo
101 -1657
z/z
Building Utticial yhj,� �,�t � /� / Date
The priority focus in the review and inspection made by tf hJe City priior'to iss aance 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 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 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.
1
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THIS CARD IS TOIRMAIN ON -SITE
CITY OF tommuniq'Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 05- 106442 -00 -CO
Owner:
Address: 533 S 336TH ST Suite C
FEDERAL WAY, WA 98003
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)
❑
Re -steel (4215)
❑
Slab /Concrete Floor (4255)
Approved to place concrete
Approved to place concrete or grout
Approved to place concrete
By Date
By
Date
By
Date
❑
❑ Underfloor Framing (4285)
❑
Floor Sheathing (4105)
Fire/Draft Stops (4095)
Approved to sheath floor
Approved to install flooring
Approved
By Date
By
Date
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
By
W Date S'. 2, . v
By
Date
❑ Gypsum Wallboard Nailing (4130) ❑ Suspended Ceiling Grid (4265) ❑ Final - Fire Department (4060)
Approved to install mud & tape Approved to drop file Approved �J l
By 4.L CZ Date !!!7. 2 , pfp By Date �p 22 �G By AW41 Date / UL
% ❑ Final - Planning (4070) ❑ Final - Building (4050)
Approved Approved
By Date By e2L Date '%
.,., A RECEI&D
Federal Way
COMMUN y DEVELOPMEWT SERVICES
Dc 2 o Zoos PERMIT
3332 AVENUE SAom . Po BOX 9718
FEDERAL WA Y 3 253- 835 -2607• X 2583 APPLICATION
Y OF FEDERAL WAY
,ww.al ��wo .gym BUILDING DEPT,
The following is required information - an incomplete application will not be
C
191121
0 4;k
SF MF CO = E EL PL D =EN FP
or
SITE ADDRESS 223 5 -j-24, !-t 5-J-
SUITE /UNIT R G
ASSESSOR'S TAX /PARCEL # Z T $ D - O Z G q LOT SIZE (sj) S4 y S�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) �XC� S
(Attad, separate page far I-Wft >g+d-- ptlaa)
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
PROJECT NAME (Name of Business or Owner Last Name) v a I
PEOPLE i •- •
PROPERTY
OWNER
NAME
APPLICANT NAME s
OFFICE PHONE
PRIMARY PHONE
MAILING ADDRESS
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
CITY, STATE, ZIP
APPLICANT
CONTACT
n)--;F
COMPANY NAME
APPLICANT NAME s
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
NUMBER
ZS-) 77(f
f
— — — — — — r — — — B L
CONTRACTOR'S REGIS! ,rATI NUMBER 4copy of card required with each application) EXPIRATION DATE
COMPANY NAME
Go "VA ice,C
APPLICANT NAME ,
\i;e-� 5o wL (
OFFICE PHONE
(`hay-) (0-?o - tD 70 (o .
MAILING ADDRESS
CITY, STATE ZIP -
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant Agent ❑ Other (Describe
FAX
(
NUMBER
ZS-) 77(f
f
NAME PRl RY PHONE E-MAIL ADDRESS
'� U Co 4 n ,
a u N[}AAMMMEEy
-,.M ` ,n0 gar s Cd�ff+
MAILING ADDRESS CITY, STATE, ZIP
EXISTING USE \SQ,CQ/IM D4tt, PROPOSED USE &41'--C�
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ I ?S OC)
SPRINKLERED BUILDING? ❑ YESD[O FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? �Q] YES ❑ NO
WATER SERVICE PROVIDER AKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub /shower combo)
DISHWASHERS
GAS PIPE OUTLETS
WASHING MACHINES
LAVS M th.- Sinks)
EVAPORATIVE COOLERS GAS LOGS
FANS
HOODS (coop mial)
FIREPLACE INSERTS
RANGES
FURNACES
GAS WATER Hp S
GAS PIPE OUTLETS
l / h
t i n V
SHOWERS _" LL l ` ANG CLOSETS (Pori q
SINKS gam` r / ► iv FOUNTAINS
SUMPS
URINALS
S)STE
WOODSTOVES
VIL-�— MISC (Describe)
VACUUM BREAKERS ELECTRIC WATER HEATERS
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 perStit 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 /1 . J DATE
(Signature) Y — %- v
Ow
RELATIONSHIP TO PROJECT ner ❑ Agent ❑ Contractor
(Title)
❑ Architect ❑ Other
Bulletin # 100 — January 7, 2005 Page 2 of 4 k\Handouts\Permit Application