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06-103084 • l f.< 11% a 'a frit c,mmCityof a eralWpmentserv;ces Buiang - Commercial Permi : 06-103084400-CO P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: APPLE PHYSICAL THERAPY Project Address: 32030 23RD AVE S Parcel Number. 162104 902E Project Description: TI-Demo existing interior demising wall and interior partition walls to accommodate new floor plan.Construct new walls.Project includes lighting changes and ceiling grid tile changes. No plumbing or mechanical work. Owner Applicant Contractor Lender FW TOWNE SQUARE LLC APPLE PHYSICAL THERAPY SUNSET BUILDERS INC APPLE PHYSICAL THERAPY PO BOX 98922 32030 23RD AVE S SUNSEBI140L5 (1/13/07) 32030 23RD AVE S TACOMA WA 98498-0922 \ 3108 C ST SE FEDERAL WAY WA 98023 AUBURN WA 98002 FEDERAL WAY WA 98023 Census Category: 437- Commercial alt/add/conversion .,,, Includes: #1 #2 nagilOccupancy Class:Class: B Co nstt uction Type: Type V-B Occupancy Load: 46 r., Floor Alia(sq. ft-) 3,8,7 4. 0 0 0 Addrtr " l PermitInformation Existing Sprinkler System in Buildings No Mechanical to be Included? No Number of Stories 1 Permit for Building Shell Only? No Plumbing to be Included? No Occupancy#1 -Use Professional Services/Offices Zoning Designation CC-C No Fixtures Associated With This Permit ii PERMIT EXPIRES Saturday, June 21, 2008 Permit Issued on Wednesday, June 21, 2006 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 d the City of Federal Way. Owner or agent: 4,t.L....f Date: Zp /A// l 17•-67 r 1 — r _,.. 4- 77-r--r- INI‘.. City of Federal Way • • y Certificate of Occupancy . 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: APPLE PHYSICAL THERAPY Permit#: 06-103084-00-CO Address: 32030 23RD AVE S Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: 46 Floor Area(sq.ft.) 3,823 0 0 0 Owner Name: FW TOWNE SQUARE LLC Owner Address: P BOX 98922 . TACOMA WA 98498-0922 • • � Cee) � �. Building Official Da 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 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. .. } .v'" fit ,.. .e. ,t • • a . r t DATE INSPECTOR AREA AND TYPE OF INSPECTION I ‘a,Yy„, Le---c-___, 't-LAA-\&.. CA-- te...a_t _ \e3(.. — \\, , 7 z1//t' Ag'fr & /viiiri, Melees- /eo-/1/ Irv/: -0' ia7Maa- .. 2,-3-0C _ 7 e-e I r u au ..fv5- u0Q old- Ijorit, 1,444 4' . 0 . It 0� 1446 ° , 1/�2. Ar3v<G.O/wC "/2 ,t4W77/Tz ONLY. s ' " , THIS CARD IS TOOMAIN ON—SITE , CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-103084-00-CO Owner: FW TOWNE SQUARE LLC Address: 32030 23RD AVE S 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. 0 Footings/Setback(4110) ❑ Re-steel(4215) 0 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) ElFloor Sheathing(4105) .El 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) El 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/ BBC 108.5.4 t`,.\\ By r e V i Date ig By Date .0 Gypsum Wallboard Nailing(4130) �❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved (S �r By`�, Date D ISia\tle, By Date By (.5), Date 71 Final-Planning (4070) ❑ Final-Building (4050) Approved Approved By 'RIF Date ' / By Date 111 CITY OF RECEIVED 000 - c o Q24 Federal Way PERMIT COMMUNITY DEVELOPMENTSERVICESUN 2. ZQQ6 SF MF ii ME EL PL DE EN FP 33325 DERE WAY,WA 9•63 BOX 97 P LI CATI O N FEDERAL WAY,WA 98063-97]8 TD 253-835-2607•FAX 253-835-2t609 www.cituoffederalway.cottV'ITY OF FEDERA A .3UIl,DING DEPT. The ollowin! is re•utred information-an incom•lete a••lication will not be acce.ted. Please •rint le•ibl_ (in ink)or _ . � • PROPERTY INFORMATION SITE ADDRESS RCrr����) rc I io( Ave. ��, SUITE/UNIT# ASSESSOR'S TAX/PARCEL# I `Q I V q 9 LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) NIA-) SLL, 11 Q --1-1.0-S)(1 1 2r)/ , 1-1 (Attach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT ,BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM T DESCRIPTION(Provide detailed description of work included on this 7Si, permit only)EC l/! ' /©Y'1/� i i�'✓C al / I Mt1d 11/a44- , - /�=� � , / . � // / !_J% if1 / 1 1j 1 il\ PROJECT NAME(Name of Business or Owner Last Name) ( P ht.'s)( a.Qa jj L/ PEOPLE INFORMATION I QTY NAM PRIMARY PHONE eivriER L^_�� eh t� TLYY�AaD I�3)2j0 -1. n MAILING DRESS STATE,ZIP 1iak3 121Ue- E aiL, � )yctlltp, 613--23 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE Sur_ (3v; FranL 61611 V,3) 93 -24174 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 3105 tetS .,SE l%&vrn 1L)1 7& Q (6 ,o - BLS`. CITY OF FEDERAL WAY BUSINESS LICENSE/ 6 NUMBERr/,^ I (PIRATION DATE FAX NUMBER V-_0 Y L 0 I 05-B L / / 3)7335 530o CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE SUW3EE(� r / L APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE CSur BU})4?-1-3 Inc. ( 3) vc3?- By�y MAILING ADDRESSCITY,STATE,ZIP CELL PHONE d/0 a SE 8z)bprn, '72ood (,16615/ - BLP 13 RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect ❑ Tenant 0 Agent ,Other(Describe) (`01-)1-7-A..11-4)1,---- ( 3)735 - CONTACT NAME PRIMARY PHONE f -MAIL ADDRESS 61,43) 3� - 84'7 V h Sv/zsdJ ri/oLe�a c,, LENDER Per Ray 19 29 495 sender i NAME eggs Vtakary CUI/YI MAILING ADDRESS CITY,STATE,ZIP P 0 • ) • DETAILED BUILDING INFORMATION EXISTING USE yt (Cel P (• ( / L: PROPOSED USE I/�. ai A L /,i j EXISTING ASSESSED/APPRAISED VALUE $ — VALUE OF PROPOSED WORK $ 6,,(0:50 SPRINKLERED BUILDING? )(YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES )(NO WATER SERVICE PROVIDER r� HAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER �✓I.AKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) 141” 0 i PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND p�4 c ► y c.9, 2 93 ,3, 8693 THIRD FOURTH 0° ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT 0 NUMBER OF FLOORS salarrnc PROPOSao TOT tom, gtTitt bg ��or xori sr t ti **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 Vohu'of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS Icommerclall WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(orThb/Shower Combo) SHOWERS ic70 S WATER CLOSETS(Toilet) MISC(Describe) DISHWASHERS I SINKS V10......./. DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LA^(Bathroom mks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/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(inciu•'ng costs, expenses, and attorneys'fees incurred in the investigation and defense of such claim),which m'_ • ma by y person,inc did;the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the ye lance of i including i o ployees,upon the accuracy of the information supplied to the city as a part of this application. / �/� ,r NAME/TITLE / ► . - G�DATE 1.0//e5://)-(0 P (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner ❑Agent XContractor ❑Architect o Other ci NJ$W a AUII'ITION Ia ALTEERATIC+C N ca R *A ImoO�El BOILDIN*ALL€1 tl.f? t� i5 © G BASIC PPW? a' 11"''' ZONING , GE�F Ulm - N ADDS �7IIi D� 0 7t $ Cl 11A I'/SEA/ ` HAMA)LOT? o NfJ 04.04 No Bulletin#100-January 1,2006 Page 2 of 4 k\Handouts\Permit Application