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00-102573
, • CityofFederalWay • ' Building - Commercial Permit #:00 - 102573 - 00 - CO Conrnu iV Development Services 3e5e0 1st Way S Inspection request line: 253.661.4140 Federal Way,WA 98003-6210 P 9 Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections) Project Name: DR MOMAH Project Address: 1230 S 336TH SuiteA Parcel Number: 926503 0050 Project Description: TI-Non-structural interior alterations to existing office space for new office space(gynecologist office). Owner Applicant Contractor Lender HASSEN PROPERTIES INC DR MOMAH*Dr MOMAH* ALTIER ACQUISITION&DEVELO NONE 3727 S 194TH ST 1230 S 336TH ST SUITE A ALTIEAD032J3 3/15/01 SEATTLE WA FEDERAL WAY WA FEDERAL WAY WA 98188-5360 NONE Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 11 Floor Area(Sq.Ft.): 1070 1st Floor Proposed Sq.Feet 1070 Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add Fire Sprinklers No Mechanical No Number of Stories 1 Permit for Building Shell Only No Permit for Foundation Only No Plumbing Yes Special Inspection Required No Total Proposed Sq.Feet 1070 Will Certificate of Occupancy be issued? Yes Zoning Designation OP Plumbing Fixtures :1 !anti Lavatories 2 Water Closets 2 Mechanical Fixtures " •r, "',; ,' i;- J Y l t 'o R"'f^':. _r.. C _ ` -_"1;3fat 8X111 Lavatories 2 Water Closets 2 CONDITIONS: MI new and refaced signs require a separate sign application and review.(FWZC,Sec.22-335(g)(6)) PERMIT EXPIRES October 25,2000,IF NO WORK IS STARTED. Permit issued on April 28,2000 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. Owner or agent: Date: '41 r ` • • ' City of 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: DR MOMAH Permit number: 00- 102573-00 Address: 1230 S 336TH SuiteA #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 11 Floor Area(Sq.Ft.): 1070 Owner HASSEN PROPERTIES INC Name: 3727 S 194TH ST Address: SEATTLE WA 98188-5360 Building Official 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 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. � . POIS CARD ON THE FRONT OF BUILD.6+"\AF .-EI • BUILIDNG DIVISION AYE INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-661-4140 Request must be received by 3:30 PM for next day inspection PERMIT#: 00-102573-00-CO OWNER'S NAME: HASSEN PROPERTIES INC SITE ADDRESS: 1230 S 336TH SuiteA ( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line _() Connection DO NOT POUR SLAB UNTIL.THE ABOVE IS APPROVED ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV Water piping ( ) ROUGH MECHANICAL Gas piping () SHEATHING Roof Floor ( ) SHEAR WALLS () ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS ALL nu,ABOVE MUST BE APPROVED PRIOR TO-FRAMING INSPECTION ( ) FRAMING/FIRESTOPPING rj'"//y/, s. 5 THE ABOVE MUST BE APPROVED PRIOR TO INSUIATING-OR SHLETROCKING ( ) INSULATION: Floors Walls Attic THE ABOVE MUST SE APPROVED PRIOR:TO APP S ETROCK WALLBOARD NAILING C,OV elr'C(/C W G /KS 4()l' SU ENDED GING THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE () ELECTRICAL FINAL ( ) PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL • THE ABOVE MUST BE APPROVED PRIO TO BUILDING DEPAR FINAL /J/ ( ) BUILDING FINAL 6/15 J,�/ -0/ DO.NOT OCCUPY THIS BUILDING UNTIL BUILDING:FINAL IS APPROVED V • BUILDING DIVISION a^o • ,ems. 0 33530 First Way South EDEIZAL `-i oft ri Federal Way,WA 98003 VV FF lY (253)661-4000 d Fax(253)661-4129 Al �'7%6 t0 D L1 Y Lf.r . 0 APPLICATION FIR 13UILDING PERMIT c ec,ZS-?3 -a o PLEASE PRINT APPLICATION# liataidatIM ::;;:;:::2:r:>:2::2::>22::>::>:: •:>r: Site address N il4" (4(2en) Tenant name1M©VAik`,� Lot I AT E6 --4JoosO BuildingOvXner's Name }1 Address ['(o k1\ IOSW m,2:1 S. \�4 ce.- City S a�pt'�% !State ‘-*3\t • Zip '3 \s Phone 7.Dl $2 - 4- 3t Description of Work 'CV\zv►b Npreveve.447G ii.j►; <v c 1%:•..W.'r S r::i:::c%}'S.:.c11:::::::}.t: Name(F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax It31 `CO11 TRAC ::`:€>:: : jvY::ij ii\<< Federal Way Business License # Company Name 1\-W c(A tk_9V1 - 4k be_sJ • Address ^ (-60( 5aketC �p Dij _UP'‘'( City } r'dl U A i State \j 'S Zip tC: 'C`C-.3 Contact PersonMA ` `e Phoaq�- 20 Fax Contractor's I(card must be presented) ��;\ `D Ex3�tion�D,ateo Verified 0 Yes 0 No ::rr::>'ow.2`tC'..c:•'.t•'..r::�. '•. ;ii.::.S:.:#3«:5:�:sjs<�3Y':` .:'::S �i�[�k �a�•r.:l::< :: •'•',?�f:::;'iSFG:r;•^:•:::ccicc:';;;•::.:;;::.x:2..:4::>3: Name Address ‘3, City lk i State Zip Contact Person Phone Fax LEGAL DESCRIPTION - 6 _4 Please Complete Reverse Side 1111 SThUC'U ._... ':. »>i<>_: ::;:.: ;:;. '_;: :.existing Use bfet--- •roposed Use Or ‘GC.- r � Permit includes: )(Building Plumbing 0 Mechanical 0 Other Type of Work: 0 Residential 0 New 0 Remodel 0 #of bedrooms 0 Deck Commercial 0 Addition 0 Repair 0 Garage 0 Shed Enter 1s Hoof, (OZOsq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area LZa sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft Water Availabili Sewer Availability On-Site Septic System Availability 0 Project Valuation $71:2/..Zoning ( 1I Lot Size Existing Bldg Valuation $ °>glNiii::>::<::>::::»f::i<»i*:iiiii::i?::<: Fo ew residential only - Proposed selling cost: $ Name Address City State Zip laismeketiogiameni Contractor Name Address City \J _ State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No COUNT > «`•>'' ::::;::.'•::i:::::i:;:<:: :::::: :it .......... Water Closets '`i Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Total Fixture Count ONLY $ EVALUATION MECHANICAL Fuel Type (gas/electric/other) Gas Dr er Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Cony Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves3-15 Tons Total Unit Cottnt DISCLAIMER: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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in 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 chi • out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of application. Owner/Agan . ..----.-1 Date: 4 z5 j.-----..6.----------------- N 6v.nva.Aur !WISED 5116199 p. _• fig. goo 4 g/ • ■ ■ ■ ■ In ■ ■ City O1 1r edera! -Way 00 Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certffring that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: OCCUPANT LOAD: 0 PERMIT NUMBER: BLD98-0109 TENANT NAME. . : DANCE COLLECTION, THE ADDRESS • 1500 S 336TH ST Unit: 5/6 GROUP: B ? ? ? SQFT: 2350 CONSTRUCTON TYPE: 5N ? ? ? OWNER NAME. . . : STEVE WILLARD ADDRESS • 2000 124TH AVE NE, #B-100 BELLEVUE WA 98005 Th fS. !o/5/58 BuildingOfficial Date The priorityfocus in the review and inspection made by the Ciry 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 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. POST IN A CONSPICUOUS PLACE • • Lui! ' ' .1 r + J