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04-100477City of Federal Way Applicant Building Commercial Permit #:04 100477 00 - CO Community Development Services IGNATIUS MEDANI - - - 33530 1 st Way S IGNATIUS MEDANI 34716 1ST AVE S Federal Way, WA 98003 -6210 Ph: 253.661.4000 Fax: 253.661.4129 SUNSEBI140L5 1111105 Inspection request line: 253.835.3050 FEDERAL WAY WA 98003 PACIFIC WA 98047 1234 VALENTINE AVE FEDERAL WAY WA 98003 Project Name: SOUND INTERNAL MEDICINE Project Address: 34716 1ST AVE S Parcel Number: 202104 9013 Project Description: TI - Renovate existing bank into doctor's office, including mechanical and plumbing. Owner Applicant Contractor Lender IGNATIUS MEDANI SUNSET BUILDERS *FRANK KNOI SUNSET BUILDERS *FRANK KNOI IGNATIUS MEDANI 34716 1ST AVE S 1234 VALENTINE AVE SUNSEBI140L5 1111105 34716 1ST AVE S FEDERAL WAY WA 98003 PACIFIC WA 98047 1234 VALENTINE AVE FEDERAL WAY WA 98003 PACIFIC WA 98047 Includes Census category: 437 - Comine #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V - N Occupancy Load. Floor Area (Sq., ft): 34 Census Category ............................. 437 - Commercial alt/add Fire Sprinklers..... ................ ........ ,... lilks Mechanical.,,,, •• ................ Yes Number of Stories ....... ........ ......,.....I Permit for Building Shelf: Only, ...........................No Plumbing................................................. Yes Will Certificate of Occupancy be Issued? ......... ...Yes Zoning Designation ........:. ........ .. ..........BN Plumbing Fixtures `> kN Lavatories Sinks 6 Water Closets _ �� Water Heaters Mechanical Fixtures , lRA 6 Woft ©rl Ducts � Fans 3 CONDITIONS: This decision shall not waive compliance with future City of Federal Way codes, policies, or standards relating to the subject proposal. PERMIT EXPIRES September 25, 2004. Permit issued on March 29, 2004 I hereby certi the ab ve information is correct and that the construction on the above described property and the occupancy nd the u wi to accordance s, rules and regulations of the State of Washington and the City of Federal W �( 9 Owner or agent: Date: c-' ` Cityof 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: SOUND INTERNAL MEDICINE Address: 34716 1ST S Permit number: 04 - 100477 - 00 9 Owner IGNATIUS MEDANI Name: 34716 1ST AVE S Address: FEDERAL WAY WA 98003 rirK• rN ' c6L) Building Official s --) . a '/Lt -j 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. #1 #2 #3 94 Occupancy Group: B Construction Type: Type V - N Occupancy Load: Floor Area (Sq. Ft.): 3434 Owner IGNATIUS MEDANI Name: 34716 1ST AVE S Address: FEDERAL WAY WA 98003 rirK• rN ' c6L) Building Official s --) . a '/Lt -j 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. 0 • ... I " . INSPECTION LOG POST,WIS CARD ON THE FRONT OF BUILDIN - F. - CITY OF Fepderal Wa BUIL NG DIVISION INSPECTION RECORD PERMIT #: 04- 100477 -00 -CO OWNER'S NAME: IGNATIUS MEDANI SITE ADDRESS: 347161ST S ( ) FOOTINGS /SETBACKS. O DRAINAGE: Line INSPECTION REQUEST PHONE #: 253- 835 -3050 ( ) FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) Comiection DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED (1 U -r, _ERFLOO 4 h ��T /.r Q�7 � ( ': UGH FLUMBING: D RC {JGH MECFIANICAL TRICA-, ROUGH -IN R aof Floor Ditch Cover ... ! cAFTSTOPS - - -- -- - - - -- - -- ALL THEE ABOVE MUST BE AY DF .) 71__F-` P:RICe,'R ' FP:AA1ING "" 'EC; TON RAME' G/FIRESTOPPP4G y /7/0% THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SI. Ef "UROCA INC. ( ) INSULATICN: Floors Walls, Attic THE ABOVE MUST 'BE APPROVED PRIOR TO APPLYINC SHEEThOCK ( ) WALLBOARD NAILING ( ) SUSPENDED CEILRIG THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING' CEILING TI:_•E O ELECTRICAL FINAL s S:-� U4 . % G� ( ) PLANNING FINAL O PUBLIC WORKS FINAL _ n O FIRE FINAL '6*�- ? _ THE ABOVE MUST BE APPROVED PRIOR TO UILDING DEPARTMENT FINAL ()BUILDING FINAL "%�- Gi 7' ZL7 DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED f COMPANY nse- ) ) bl r�� hc. OFFICE PHONE: L253 ) cos COAf6I Y DEVELOPAfE T SERVICES 33530 FYRST WAY SOUTH PO BOX 9718 cmr of CITY, STATE, ZIP Pac i ' WA (coq -1 CELL PHONE: (XLO) 510 - g Lo 1 L4 FEDERAL WAY, WA 98 063 -9 718 Federal wayG �J Y PERMIT APPLICATION 253mow.d(w)ffP�nt.gu,m 129 FAX NUMBER: (.253)8Lo3 t CONTRACTORS REGISTRATION NUMBER: \ (copy of cud required with each application) J u } L , 0 5 EXPIRATION DATE: 0\ j / \\ / C6 Foc oti;« uae(B•ly ,E ,, FtVl1 -F31e %Fti2i2t3ef: The followinq is required information -an incomplete application will not be accepted. Please print legibly (in inkj or tune SITE ADDRESS: jy1 `l q , [1) e- 3, SUITE /APT # ASSESSOR'S TAX /PARCEL #:J ©`� A- Q - L SQUARE FOOTAGE OF LOT: 7 i , 3 2 LEGAL DESCRIPTION (e.g.: Acme Estates, Lot Ilu � SW IIq C)C iJLJ 1)L1 0-C S(. $4 I103S (Attach separate page for lengthy legal description) S-r S TYPE OF PERMIT (This application): JTsj`BUILDING PLUMBING PL-MECHANICAL )[ DEMOLITION kELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PR(1.TFI:T t1F_SG`RTPTT0N /Prnnirip Aptnilpd Ile, r -4n6nn nrriinrlr inrhiAoA nn Chic nprmit nnlvh PROJECT NAME (Name of Business /Owner Last Name): yY�i y�(� It 1L#'Y nu) 1' ('NO'U (,I Y) f I. I PEOPLE I •- • PROPERTY OWNER: CONTRACTOR: LENDER: (I[ Proposed Value > $5,000[ APPLICANT: NAME: PRIMARY PHONE: ' Ck na-b 0 - MAILING ARPRESS (STREET ADDRESS;): CITY, STATE, Zip UQ c (� NAME - e c ,r\ COMPANY nse- ) ) bl r�� hc. OFFICE PHONE: L253 ) cos - 3Y LOP MAILING ADDRESS (STREET ADDRESS;): l W A-ve, CITY, STATE, ZIP Pac i ' WA (coq -1 CELL PHONE: (XLO) 510 - g Lo 1 L4 3 n CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - - -- - -- - - - - -_ EXPIRATION DATE: / FAX NUMBER: (.253)8Lo3 -392 CONTRACTORS REGISTRATION NUMBER: \ (copy of cud required with each application) J u } L , 0 5 EXPIRATION DATE: 0\ j / \\ / C6 NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS;): CITY, STATE, ZIP CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Contractor ❑ Applicant E -MAIL ADDRESS: DETAILED I • I • - • EXISTING USE: ' ' `� ya I 1 \ `� �hr� PROPOSED USE: QA 1 r EXISTING ASSESSED /APPRAISED VALUE $ $�� `1bl , M) VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? ❑ YES XNO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED ?: ❑ YES X NO WATER SERVICE PROVIDER: A LAKEHAVEN ❑ HIGHLINE O TACOMA O PRIVATE (WELL) SEWER SERVICE PROVIDER: XLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) COMPANY OFFICE H�U[✓ MAIL MG ADDRES (STREET ADDRESS): TY, STATE, ZIP EVENING PHONE: — ( ) RELATIONSHIP TO PROJECT: ❑ Architect ❑ Tenant Other (Describgt FAX NUMBER: (� CONTACT PERSON FOR THIS PROJECT: ❑ Property Owner Contractor ❑ Applicant E -MAIL ADDRESS: DETAILED I • I • - • EXISTING USE: ' ' `� ya I 1 \ `� �hr� PROPOSED USE: QA 1 r EXISTING ASSESSED /APPRAISED VALUE $ $�� `1bl , M) VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? ❑ YES XNO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED ?: ❑ YES X NO WATER SERVICE PROVIDER: A LAKEHAVEN ❑ HIGHLINE O TACOMA O PRIVATE (WELL) SEWER SERVICE PROVIDER: XLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) ■ PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL BASEMENT -- FIRST SECOND THIRD a — FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED ?) _ GARAGE /CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED 1**IVEWHOMES ONLY ** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain. JWCHANlCAL L DO ©. 00 Value of Mechanical Work $ AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS PLUMBING EVAPORATIVE COOLERS FANS FIREPLACE INSERTS FURNACES GAS PIPE OUTLETS GAS LOGS REFRIG. SYSTEMS HOODS (commercial) -- WOODSTOVES RANGES — MISC (Describe) GAS WATER HEATERS BATHTUBS (- Tub /Sh —C—bo) SHOWERS / WATER CLOSETS Roa<q MISC (Describe) DISHWASHERS �_ SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS — SUMPS SUMPS RAINWATER SYS WASHING MACHINES URINALS — HOSE BIBBS LAVS (Bathroom sink VACUUM BREAKERS Z ELECTRIC WATER HEATERS r)TSCT.ATMFR /SIGNATURE BLC 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 office ).and employees, u o he accuracy of the information supplied to the city as apart of this application. NAME /TITLE 7—Lil DATE: / O IV (Signature) (Title) RELATIONSHIP TO PROJECT: ❑ Property Owner 04licant X Contractor ❑ Architect ❑ ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR NANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES _ O BASIC PLAN? ❑ YES ZONING DESIGNATION: CHANGE OF USE? ❑ YES a NO NEW ADDRESS REQUIRED? ❑ O UP /SEPA /SU? ❑ YES O PLATTED LOT? ❑ NO DEMO PERMIT REQUIRED? ❑ YES O Page 2 flu-fl '.1 ( - t -: :its; t!T i i . ,..;..( P