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06-102649ik 1 q4 City afvelop entS Bu�ildOg - Commercial Permit 006 -102649 -00 -CO � Way Corramunity Development Services } P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax (253) 835-2609Inspection Request Line: (253) 835-3050 r—, Project Name: NW THERAPY ASSOCIATES Project Address: 1705 S 324TH PL Parcel Number: 250120 0100 Project Description: TI - Interior remodel to existing medical office to add exam space and create accessible restroom. Owner Applicant Contractor Lender NW THERAPY ASSOCIATES VICKI SOMPPI DAVIS SCHUELLER INC NW THERAPY ASSOCIATES 33919 9TH AVE S SUITE 101 CONNELI�BESIGN GROUP DAVISSI105PN 7/1/06 33919 9TH AVE S SUITE 101 FEDERAL WAY WA 98003 22002 64TH AVE W 20700 44TH ST W FEDERAL WAY WA 98003 MOUNTLAKE TERRACE WA 98021 LYNNWOOD WA 98037 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: B., ITT Construction Type: Type V - B Occupancy Load: Floor Areas . ft. 2,856 1 0 0 0 Additional Permit lrifnrmation Mechanical to be Included?...................................No Number of Stories ................................................. .1 Permit for Building Shell Only'?..... ....................... No Plumbing to be Included? ...................................... Yes Special Inspection(s) Required? ............................ No New / Additional Sq. Feet - Total.......................... 0 Occupancy #1 -Use ...............................................Clinic - Outpatient Zoning Designation ........................... .................... .BC Building Pre -con. Meetmg Required?...................No Existing Sprinkler System in Building? ................. No Plumbing Fixtures WaterClosets ................................. 1.00 Lavatories....................................... 1.00 Sinks.............................................. 3.00 PERMIT EXPIRES Friday, June 27, 2008 Permit Issued on Tuesday, June 27, 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 and the City of 7Feeral Way. Owner or agent: Date: 7/,'5-/-0 (p City of Federal Way Certificate of Occanc a y C This Certificate issued pursuant to the requirements-of,5ectibn 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: NW THERAPY ASSOCIATES Address: 1705 S 324TH PL Permit #: 06 -102649 -00 -CO Includes: #1 #2 #3 #4 Occupancy Class: B Construction T e: Type V - B Occupancy Load: Floor Area (sq. ft.) 2,856 0 0 0 Owner Name: NW THERAPY ASSOCIATES Owner Address: 33919 9TH AVE S SUITE 101 FEDERAL WAY WA 98003 haft, CAD Building Official to 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 severiy 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. CITY OF Federal Way THIS CARD IS TO 13UMAIN ON-SITE tommunity m Develo t Inspection Record p P ; IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -102649 -00 -CO Owner: NW THERAPY ASSOCIATES Address: 1705 S 324TH PL FEDERAL WAY, WA 98003-8504 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. Approved to install wallboard Approved to install mud & tape ❑ Footings/Setback (4110) Date ❑ Re -steel (4215) B Date '► �} ❑ Plumbing Groundwork (4190) Approved to place concrete ❑ Final - Fire Department (4060) Approved to place concrete or grout Approved to cover By Date Approved By Date Date © %.,-per, By Date Date By Date ❑ ❑ Floor Sheathing (4105) ❑ Slab/Concrete Floor (4255) Underfloor Framing (4285) Approved to place concrete By Date g .�j Approved to sheath floor Date co It) ' % Approved to install flooring By Date By Date By Date ❑ NOTE: Prior to scheduling a Framing (4120) , ❑ Rough Plumbing (4230) Fire/Draft Stops (4095) Approved Approved inspection; Electrical, Plumbing & Mechanical `7 Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 1093.4/UBC 108.5.4 By�,� Date 1 17. O By % Date �] Framing (4120) ❑ Insulation (4150) Gypsum Wallboard Nailing (4130) Approved to insulate Approved to install wallboard Approved to install mud & tape By Date By Date B Date '► �} ❑ Suspended Ceiling Grid (4265) ❑ Final - Fire Department (4060) ❑ Final - Planning (4070) Approved to drop tile Approved Approved B Date © %.,-per, By Date By Date ❑ Final - Plumbing (4075)M Final - Building (4050) Approved Approved By Date g .�j By Date co It) ' % z__4r ` Federa� EIDE® COMMUN(TYDEVELOPMENrSERVIM 3332XETENmA m. °9i16E3-97 7 2oUj� 6 253-835-2607- FAX 253-435-2609 W'aw.an 'i " EDERAL WAY The _foltowiAV&W% M1m 0 1 igv-13 PERMIT APPLICATION - an will not be 4k�) 026_ SF MF CO E E PL E EN FP :epte - Please print legibly (in ink) or type. SITE ADDRESS I I A !k Ukh 32,9 `P^ P N SUITE/UNIT # ASSESSOR'S TAR/PARCEL (i -2 6- , `_ _L _-z—,0 - O _�_ _� _.O LOT SIZE (s, fl LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) O—. ->&� -T " 1 t (Attach sV--page fbr &-9ft AWd d -43b -q TYPE OF PERMIT t4DUILDING %0PUECTRICAL /UMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlvl d'► + r _ _ a r n Ai "I i PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER NAME �^ ,� i � � r � �{„�,t _ PRIMARY PHONE - MAILI�AD RESS CITY. '27311 4(4t A%,,c ` W [ b V L.8 -T O PU�t,1 t i`► COMPANY NAME r x) -i -S — Si'. uxk APPLICANT NAME OFFICE PHONE (qz3-) 775MAILING ADDRESS !N 0 ' I L' Y ` f�W *4® Cr1Y, STATE, ZIP W � �� I �W CJT� 'RJEXPIR/ 14WA_ ELL PHONE - ary OF FEDERAL WAY BUSINESS LICENSE NUMBER ADATE FAX NUMBER CELL PHONE RELATIONSHIP TO PROJECT Architect ❑ Tenant ❑Agent ❑ Other (Deson'be) FAX NUMBER (14 ?7 • -&ZI CONTRACTORS REGISTRATION NUMBER (copy of card required with each applicatiouU EXPIRATION DATE _PA Vt�.S11oSP.K__ 7/�, a COMPANY NAM"E� pp �� E7( APPLICANT NAME Lz" � OFFICE PHONE ( Li� & iU - & 7o (o � -'0 (R%V'1.(.& t7`C V ( CITY, STATE, ZIP MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT Architect ❑ Tenant ❑Agent ❑ Other (Deson'be) FAX NUMBER (14 ?7 • -&ZI NATJFP-RIVARY PHONE RESS VvF--I `� 6 `I J?=Yj & h� - 0 D MAIL S (' co n kik EXISTING USEQPr`� PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ �4 &&-t SPRINKLERED BUILDING? D YES O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES c3 NO WATER SERVICE PROVIDER13o VEN HIGHLINE TACOMA a PRIVATE (WELL) SEWER SERVICE PROVIDER Y4ABEHAVEN 0 ffiGBLINE ❑ PRIVATE (SEPTIC) MAILING ADDRESS CITY, STATE, ZIP EXISTING USEQPr`� PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ �4 &&-t SPRINKLERED BUILDING? D YES O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES c3 NO WATER SERVICE PROVIDER13o VEN HIGHLINE TACOMA a PRIVATE (WELL) SEWER SERVICE PROVIDER Y4ABEHAVEN 0 ffiGBLINE ❑ PRIVATE (SEPTIC) PROJECT FLOOR AREAS '. AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL S . FT. BASEMENT FANS HOODS (CommertiaQ WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) SECOND FURNACES GAS WATER HEATERS THIRD / FOURTH / ADDITIONAL FLOORS (DESCRIBE) / SHOWERS j e WATER CLOSETS ([oneq MISC (Describe) DECK(COVERED?) SINKSCJJ� DRINKING FOUNTAINS GARAGE ❑ CARPORT ❑ / RAINWATER SYST NUMBER OF FLOORS =M=1 I soros Toru rorscsxrsi6r6sr toreuraoroseaar ' rorwar **NEWHOMES ONLY"NUMBER OF BEDROOMS -` A A ESTIMATED SELLING PRICE $ Indicate number of each type of fccture to be installed or relocated as part of this project. Do not include existing furfures to remain. Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS (CommertiaQ WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS G BATHTUBS (or Tub/sho com" / SHOWERS j e WATER CLOSETS ([oneq MISC (Describe) DISHWASHERS SINKSCJJ� DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS T �t `©co RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS (Bath. SW* VACUUM BREAKERS ELECTRIC WATER HEATERS 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 officers and employees, upon the accuracy of the tgormation supplied to the city as a part of this application. NAME/TITLE �efi 1 DATE - (sigaatur ) / v V iritic) RELATIONSHIP TO PROJECT %% ❑ Owner t ❑ Contractor ❑ Architect ❑ Other Bulletin # 100 —January 7, 2005 Page 2 of 4 MandoutsWermit Application