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01-104029 .! 1 . • • Comof mw ityederal Develop an ser"�es Buil g - _ 1 ala •rcial Permit #:01 - 104029 - 00 - CO 33530 1st Way S ,!:41. K: Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 I. Inspection request line: 253.835.3050 Project Name: DR WOHNS Project Address: 34503 9TH S Parcel Number: 750451 0050 Project Description: TI-Interior alterations for initial tenant improvement on portion of 2nd floor for clinical ofice. Inlcudes plumbing and mechanical. Owner Applicant Contractor Lender ST FRANCIS MEDICAL CTR AS SALMON BAY DESIGN GROUP ALDRICH&ASSOCIATES INC. KEY BANK OF WASHINGTON 1717 S J ST 4501 SHILSHOLE AVE NW ALDRIA*202RU(12/01/02) KEY BANK OF WASHINGTON TACOMA WA SEATTLE WA 98003 810 240TH ST SE 2104 S 320TH ST 98405-4933 BOTHELL WA 98021 FEDERAL WAY WA 98003 Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: Construction Type: I Type II-One-HR Occupancy Load: 29 -- Floor Area(Sq.Ft.): 2875 Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add Fire Sprinklers Yes Mechanicalt•;•; .=,.401...,4444 14 Number of Stories 2 Permit for Building Shell Only No Permit for Foundation Only No Plumbing Yes Special Inspection Required No Will Certificate of Occupancy be Issued') Yes Sensitive Areas? No Zoning Designation OP Plumbing Fixtures �u�.�. i 1 N. � as m „� a` ��. = i y,rz_ E} script on;r.> _ Quantity qr���, l ;scriptro"c ')ii�"JQuatittty ;Description; ,j'I Quarit,ty Lavatories I I I Sinks 1 Water Closets 2 Mechanical Fixtures d,r Desoi( tion ;; , ,Quantity AIL. E 'scrlptl i (pii Quattjtity 6g i/Q`escription olu_ Quantity Ducts 35 Fans 2 CONDITIONS: 1.All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6)). 2.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES April 29,2002,IF NO WORK IS STARTED. Pernrit issued on October 31,2001 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 Feder. Way. Owner or agent: ,, _ , & Date: (O ✓j-p ( y 0 • .9- ... City of Federal Way Certificate of Occupancy ,:,' : . This Certificate issued pursuant to the requirements of Sectio 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: DR WOHNS Permit number: 01 - 104029-00 Address: 34503 9TH S #1 #2 #3 #4 Occupancy Group: Construction Type: Type II-One-HR Occupancy Load: 1 29 1 Floor Area(Sq.Ft.): 2875 Owner ST FRANCIS MEDICAL CTR AS Name: 1717 S J ST Address: TACOMA WA 98405-4933 MK. notawievt1 C&D / 2 — /4/4. rn♦ Gc..t.J Building Official 7 Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate fJn those matters which experience has shown most severely affect the health and safety of the general public. Although the City has made as com a review and inspection as is reasonably possible(within budgetary time and personnel limitations),the City neither guarantees nor warrants to the own 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 Wash'gton 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 occupa t of the premises. i • INSPECTION LOG DATE INSPECTOR OK CORR/RE T AREA AND TYPE OF INSPECTION 1/ - `6_ 'rl 4/ spec /Z - / Z - c9 / L / p / Gd "4. a fL 7 POHIS CARD ON THE FRONT OF BUILD ""°f G BUIING DIVISION • VN) L INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 01-104029-00-CO OWNER'S NAME: ST FRANCIS MEDICAL CTR AS SITE ADDRESS: 34503 9TH S O FOOTINGS/SETBACKS () FOUNDATION WALL , LL DOf1YOT POUR CQ TCRET'E U II F .OVE SAPPROVED:° Adr At* ( ) DRAINAGE: Line ( ) Connection `` $ DONOT POTTIt sL UNy,'TIL .. OVE Is APROVEDw .. ( ) UNDERFLOOR FRAMING () ROUGH PLUMBING: DWV // /3-al 5...5 Water piping //""/3—"6/ ( ) ROUGH MECHANICAL //*'/3 W/ S S Gas piping ( ) SHEATHING Roof Floor ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH-IN Ditch Cover () FIRE/DRAFTSTOPS , .; BO iTSTBEAI'PR� D URT{} MIN Sri. �.. . � .m ( ) FRAMING/FIRESTOPPING //—,3-'ol5$ HES OVE YIUST„EES pROVED RI®b*PtAT G Qgrg ETI2OGKING ' ( ) INSULATION: Floors Walls Attic :44k # rq% ,,s DVEIu APPR© �0e0 p � 1vGETacxAM O WALLBOARD NAILING I I Z d D I G. j O SUSPENDED CEILING iz/ ... d: •,! .. . ® k ijtM RUU ok f l ® Il`_4glwO GEYL'ING' fQ () ELECTRICAL FINAL /`7—/41-0/ 61- ( ) PLANNING FINAL () PUBLIC WORKS FINAL / ( ) FIRE FINAL ( 2 ( C-(--O 1 & 4001BOVEmMUST,BE,APPROVEDsPRIORTOB.UILDINGDEPAR14ENTrFINAL O BUILDING FINAL f Z i' /dy•/— C7/ 1 OT OC CU TIlTSBUILDIWUN TILB *DING*INAL IS AP ROVEDD k,! • 0 RECERP"---• • ® _ ofd 18 r CONSTRUCTION PERMIT APPLICATION uV 1 Y OF r Crc 1 e AL V1 HY APPLICATION NUMBER: t L L Of Ql t -00--0 0--CO Cl APPLICATION NUMBER:. BUIL0ING DEPT. - __ — __ — — — APPLICATION NUMBER: - **The following is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • PROPERTY INFORMATION SITE ADDRESS: 34503-9"AvE S_) 22-+p FL. ASSESSOR'S TAX/PARCEL#: 2 5 Q 4 6'4. - b o .5 Q 03 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): 5E.g. ATTAC,1-f E ■ PROJECT INFORMATION TYPE OF PROJECT(This application): $BUILDING PLUMBING )(MECHANICAL 0 DEMOLITION o ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): „f)1.-(9T ,T' T'Et N-cr It,•Vrtoeesle.,ri'S IE) lMWA-I etrtE SUITF_ OF At-i Ex1STih-1C-► t'%E) ICAL- CFC C.E 15%-)11--121P--(6.1 A-5 A c...L.tt-tte_ qL_ nFFlco- PROJECT NAME: ( LJM)(AL &FFIC.E rOTZ Fbo R. 1}-I`tSIC .''t--1 61Z1 (,)F7) Viz• y 1 of c ■ PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: t EPI AL Rem_ EerPTE. vtt ,L .C_. (425) WI -170179 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I OS GE-triz w"cy t surrE. zo3/kt¢.t044-tD,wf►► 9C b33 CONTRACTOR: NAME: DAYTIME PHONE: P ..:PleACH e1- /IPVIC.IkrrL”j (42,5'') 443 - i3i3 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: S to - 7.40i'" -SS/ Dor►iEL,L...,wA clgOz4 (42 ) 485 -1313 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: 0H�I t t 1Remsu•tc.. ;�` Q� - FAX NUMBER: -j 5U (426") 4186 - 101% CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: Z23-atAL_-PR..—lA'ft 1-02'?-L3Z / / Q 1 APPLICANT: NAME: DAYTIME PHONE: 5AL."1o'-t L't,rt 'F. 16N 6¢ou'Ch-m-t: J ir" 612APIbrN) (Zcx,) 7%3 -85$2. MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 4-501 .SK%L. KOLe Av6 1-1 w1SE11Ttz..E,‘i-eft. 9gJe7 _ ('206) 783 -9582. RELA ONSHIP TO PROJECT: FAX NUMBER: RCHITECT o TENANT 0 OTHER(DESCRIBE): (2O6) -?g3 -6695- E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNEReA ' LLICANT o CONTRACTOR y)l m4 rI1 .; I. LOVA-60j - • DETAILED BUILDING INFORMATION EXISTING USE: 1'"tsbICA(- AFcICE EXISTING BUILDING ASSESSED/APPRAISED VALUATION $351 4:_% 5 c PROPOSED USE: Ine.T71Ge c_ Oic.6 PROPOSED VALUATION FOR IMPROVEMENTS: $ I'3t1426.3 SPRINKLERED BUILDING? gefi 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:k1 0 NO 1 r WATER SERVICE PROVIDER: gLAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: ILAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND Z,$?s 2..5-75- THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: • FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) Z.. FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) '55 DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE:KELECTRIC o GAS PLUMBING BATHTUB(S) I I LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) l SINK(S) Z. WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) • 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(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 clai. aris- .f the reliance of the city,including its officers and employees,upon the accuracy of the information su•plied to / -of this application. .41 NAME/TITLE. Ar..-, �` DATE: I 11'OI o PROPER)OWNER OWNER 'NT o CONTRACTOR • FOR OFFICEUSE ONLY: o NEW o ADDITION `CALTERATION ❑ REPAIR ,TENANT"IMPROVEMENT, CENSUS CODE: LOT SIZE: ZONING DESIGNATION: /J, BUILDING SHELL ONLY? o'YES ALNO COMP PLAN DESIGNATION OP BASIC PLAN? 0 YES NO SECTION SE2o TOWNSHIP Z( RANGE O t/ NEW ADDRESS REQUIRED? o YES yar.NO PLATTED LOT? YES' o NO CHANGE OF USE? 0 YES &1'10 COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 Construction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building, mechanical,and fire prevention system fees are based on the following schedule. TABLE A TOTAL VALUATION FEE FACTOR (1)$1.00 to$500.00 (1)$23.50 (2)$501.00 to$2,000.00 (2)$23.50 for the first$500.00 plus$3.05 for each additional 8100.00 or fraction thereof,to and including$2,000.00 (3)$2,001.00 to$25,000.00 (3)$69.25 for the first$2,000.00 plus$14.00 for each additional 81.000.00 or fraction thereof,to and Including $25,000.00 (4)$25,001.00 to$50,000.00 (4)$391.25 for the first$25,000.00 plus$10.10 for each additional$1.000.00 or fraction thereof,to and including $50,000.00. (5)$50,001.00 to$100,000.00 (5)$643.75 for the first$50,000.00 plus$7.00 for each additional$1,00000 or fraction thereof,to and including $100,000.00. (6)$100,001.00 to$500,000.00 (6);993.75 for the first$100,000.00 plus$5.60 for each additional$1,000.00 or fraction thereof,to and Including $500,000.00 (7)$500,001.00 to$1,000,000.00 (7);3,233.75 for the fist$500,000.00 plus$4.75 for each additional 81.000.00 or fraction thereof,to and including $1,000,000.00. (8)$1,000,001.00 and up (8)$5,608.75 for the first$1,000,000.00 plus$3.65 for each additional$1,000.00 or fraction thereof. Bold number is the base fee for the specified increment Italicized,underlined number is the lee uer additional specified increment PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only. Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. **Electrical,plumbing,and mechanical fees are calculated separately** ■ BUILDING PROPOSED VALUATION: 6152196, FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated RN Fire Department Surcharge: (3) (COMMERCIAL ONLY) • MECHANICAL PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) • FIRE PREVENTION SYSTEM