09-101305 •
*uilding - Commercial
I City of Federal Way 09-101305-00-CO Permit #:
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: MEDICAL IMAGING ON FIRST
Project Address: 33915 1ST WAY S Suite 130 Parcel Number: 926504 0150
Project Description: TI-MRI and CT scan/imaging clinic.Includes structural slab for MRI unit,waiting area
MRI room and CT room,break room,restrooms,patient waiting and changing area.No
plumbing or mechanical.
Owner Applicant Contractor Lender
SOUND VENTURES HELIX DESIGN GROUP MOUNTAIN CONSTRUCTION TACOMA RADIOLOGY ASSOC
320 106TH AVE NE SUITE 100 6021 12TH ST E SUITE 201 MOUNTCI179N2(1/1/2011) PO BOX 1535
BELLEVUE WA 98004 TACOMA WA 98424 7457 S MADISON ST TACOMA WA 98401
TACOMA WA 98409
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II-B
Occupancy Load:
Floor Area(sq. ft.) 3,670 0 0 0
litt �
at
sem. ,. �
Existing Sprinkler System in Building? Yes Mechanical to be Included? No
Number of Stories 3 Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Professional Sensitive Areas?(Wetlands/Slopes,etc) No
Services/Offices
Zoning Designation OP
Fixtures Associated With This Permit!!
• CONDITIONS:
1. Separate permits required for any new or altered mechanical,plumbing,electrical or fire protection
systems.
PERMIT EXPIRES Monday, October 19, 2009
Permit Issued on Wednesday, April 22, 2009
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. p�
Owner or agent: 1,� , - Date: �/`' Z'ti /
rN Glea/(341
DATE INSPECTOR AREA AND TYPE OF INSPECTION
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Federal Wa Gt - ioiiQS
COMMUNITY DEVELOPMENT SERVICE
SAPR 0 7 2009 PERMIT SF MF ØME EL PL DE EN FP
3332FEDERA260AVENUE SOUFAX H25•PO BOX 9718 ///��� PR/WI CATI O N TD 2 1
FEDERAL WAY,WA 98063-9718 F ���� �L] / /
253-835-2607•FAX 25 0b Rn� 0
The following is required it ehion-an incomplete application will not be accepted. Please print legibly(in ink)or type.
/�,�/�/� ��/��• PROPERTY INFORMATION n
SITE ADDRESS !/ 2 p�I' VV n 7 . 21/11?1 �/V 11.P I�� SUITE/UNIT# 1 ()
ASSESSOR'S TAX/PARCEL# f Z ( S 0 4 - O / S " LOT SIZE(sf3
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMITUILDING ❑ PLUMBING •❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
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PROJECT NAME(Name of Business or Owner Last Name) /'/r/7( 141. I fly/�G7 ON FigAr
• PEOPLE INFORMATION
PROPERTY NAME / ,[ , PRIMARY PHONE
V
OWNER ,�J✓` e/" 1„'N `--S ( ) -
M!{IL�INQADoRESS®ob2,4_444._
A/ CI TE ZIPS -V' �� E-MAIL ADDRESS
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CONTRACTOR COf IlboANYYY NAME 44 '/v� APPLICANT NAME OFFICE PHONE
I DU 41 N Cot4slizv w ..1 I s1 OUQ (?63) 414 -;moi
7.46 45M)
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7AILI_NG ADD :M�a�� :STATE,ZIP f �y��n� TE CELL PHONE,k \) CITY OF O-OF✓,FFEEDERAL WAY BUSINESS LICENSE NUMBER 1' ��W�V^nJ INA DATE. le 401... NN'^U_MMBER
1®® ��^ ®coo ( � 474 7c,7
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CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT MPANY NAME APPLICANT NAME OFFICE PHONE
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RELATIONSHIP TO PROJECT FAX NUMBER
Architect ❑Tenant 0 Agent 0 Other ( .Z2 -0I
PROJECT PRIMARY PHONE DMAIL ADDRESS
CONTACT Al eyy �VP I`4loOt� 0;*)�HOONyZ7- Q31 beli
zfi isirirwp.
LENDER /�IE ' 'W leek Y Mae•1jnderinformationis
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
TO. tax IG7p5 Walk WA 18401 it )-7•91 -42,00
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $_261_012±...1
SPRINKLERED BUILDING? 'YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? %YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
. 4
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST NI10 */ 0 /(,1(/K
SECOND
THIRD
/ /
ADDITIONAL FLOORS(DESCRIBE) / /
DECK(❑COVERED OR ❑UNCOVERED?) '
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
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$ N., ,
(A COPY OF BID OR ESTIMATE MUST BE INCLUPED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIR CE INSERTS HOODS)commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) (Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS \ WATER CLOSMb
(Toilet)
ELECTRIC WATER HEATER SINKS v\ WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 information 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.
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, but only
where such laim 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 pa . this application.
•
SIGNATURE: ...or /, , , _ _Aft. DATE 41-7 I 0.01
41/ • operty Owne and/or Autho ' Agent
FOR OFFICE USE ONLY
❑NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES o NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application