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01-104755 • • t .4. 410 . City of Federal Way Building - Commercial Permit #:01 - 104755 - 00 - CO Commwrity Fio:z'.^pmen�.Services 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: LADY OF AMERICA FITNESS Project Address: 1614 SW DASH POINT Parcel Number: 122013 9074 Project Description: TI-Interior alterafions for new health club use in existing space. Includes plumbing and mechanical work for(2)exhaust fans,hot water heater and gas piping only. Owner Applicant Contractor Lender AUDREY/SYDNEY IRMAS CHAI217 RANDAL INDUSTRIES NONE NONE 20206 72ND AVE S 12819 SE 38TH,PNB437 KENT WA 98032-2322 BELLEVUE WA 98006-1395 NONE Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 62 Floor Area(Sq.Ft.): 4500 1st Floor Proposed Sq.Feet 4500 Building Pre-con.Meeting Required No Census Category- • . 437-Commercial alt/add Fire Sprinklers ewj .. . Mechanical Yes 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 4500 Will Certificate of Occupancy be Issued? Yes Zoning Designation BN r\ Plumbing Fixtures " i 'l escriptioni v& ,uW o auto Quan#its! , Q_ Script a .lik A '.uanbt r Showers J 2 Lavatories 3 Sinks 1 Water Heaters 1 Water Closets 3 I Mechanical Fixtures . ..... k ' i? puarti4i r : ©escrpttan~ ,, nti . 're'scr`ipton .Quantity Fans 2 Gas Piping CONDITIONS: 1. All new and refaced signs require a separate permit. PERMIT EXPIRES August 6,2002,IF NO WORK IS STARTED. Permit issued on February 7,2002 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:' 4 �� Date: cz //0 • • • 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: LADY OF AMERICA FITNESS Permit number: 01 - 104755 -00 Address: 1614 SW DASH POINT #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 62 Floor Area(Sq.Ft.): 4500 Owner AUDREY/SYDNEY IRMAS CHARITABLE FOUNDATIO*AUDREY/SYDNEY IRMA: Name: 20206 72ND AVE S Address: KENT WA 9.803,2-2322 Mit Masi :a cdo 3 - Za- ep2c0 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. . i •, POWHIS CARD ON THE FRONT OF BUILD , A r BUIING DIVISION vAY m_,i— INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT#: 01-104755-00-CO OWNER'S NAME: AUDREY/SYDNEY IRMAS CHARITABLE FOUNDATIO *AUDI SITE ADDRESS: 1614 SW DASH POINT ( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL t ' NO U CONVIMMTHE ABOVE I PROVED 1''' 6 O DRAINAGE: Line () Connection 0 s� DO O 5: SNU _TIi ABOVIS A PPROYDit� �� .O UNDERFLOOR 2- , - o Z ( ) ROUGH PLUMBING: DWV $44f SS Water piping zfr Viz S5 ( ) ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor ( ) SHEAR WALLS () ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS . '.. _ AL �''ABOVEf- .MUS ,,, .1:W, 10 Q NSPECTION i--4 () FRAMING/FIRESTOPPING Z . Z d- 0 . 4� a .0_ ... < THE1706.__ . .1 S B .:_PR. ,I S O.' ..,,.,!, INSULATING QR-SHET I ��ETROCIKI . #. ( ) INSULATION: Floors Walls 2 . 2 / - 0 Z„rr jAttic 1114,t-,7 ,21,54';114 :.:4- 9: ' ®3-I RI O APPLYING- HEE O () WALLBOARD NAILING z_LS-- 02 C___ej () SUSPENDED CEILING 3 — //— O Z G C.J . .,.':-.4::'L, ,� .. - ... .x - 3; THE ABQVE 11�ST Bu PROVED PRIORSTO TAPING OR INSTALLING-'�E,iNI1:T1�Tx'IL O ELECTRICAL FINAL J—2Q -- O Z ( ) PLANNING FINAL () PUBLIC WORKS FINAL () FIRE FINAL � M(-6— 3 —/ E9 — O Z THE ABOVE MUST-BE AftikOiD"'PRIOR TO BUILDING DEPARTMENT FINAL O BUILDING FINAL 3 -• Z it..- ? e-___c_j flAtD% O zO&ccU YffHIS`�BUI DING N IL BUILDIN( FINAL IS APPROVED �S G FEOE1V D CONSTRUc 3N PERMIT APPLICATJON APPLICATION NUMBER: 400"CO uV FlY DEC 1 4 7001 APPLICATION NUMBER: _ _ - _ _ _ ciiv�OFF FEDERAL WAY APPLICATION NUMBER: — — _ _ _ - — _ **The foll��vtFiglisG"requered information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. f((-JJ�� :: --- % III'`PROPERTY INFORMATION _ - SITE ADDRESS: 1T01-'\ +A b t" r ASSESSOR'S TAX/PARCEL#: L 2- 'Lk OS - 9_ 0724_ LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): '; r .: =_R.PROTECT INFORMATION _ _ - • _ TYPE OF PROJECT(This application): BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM ,, ltV q 1 PR'JECT DESCRIPTION(Provide detailed description): 'trO C� 1 c) ( .X 1 STI`v i 1c-F 0_, 2,1- 11Ttok. . C9 oc-) (p Z Iv ) 644 P.isr2ez, f•1 QHPrtVc . Gcs *Tz_.2c.7,'�.cxJ CP --w--JO UFS (oEs 4 -Ek- -C t -f31 left.llCroi-%- 1 PROJECT NAME: (...104 lc \..Q\C hLp. ,cc- 1 N" e . .i.. _, , ■ PEOPLE INFORMATION 'INr PROPERTY OWNER: Nrnt)ivsi GL � � �� � ,� / 1�` DAYTIME PHOsEE MAILING 7s 118TREET ` 1: l05 1 � :c r�t w►A 99306. . CONTRACTOR: NAME,Th DAYTIME PHONE: aa•a�tc— I N,ea%-r ens 1 . (425)373 -I-700 MAILING (STREETDRs3A P �rr 4 _ (EVENING PHONE: 6S CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - ( o l 5 14 - (425) 373 - 1000. CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE (copy of card required) Q P 0 is. A-1 -r 4) 1 1 4 3 &o / S ozz.. APPLICANT: NAME: DAYTIME PHONE: ai $ARe)E.+_ . ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: --NG1fA ilZ-- AS i ( ) 1 RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT 'OTHER(DESCRIBE): 1 ( ) - ,( E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT j(J CONTRACTOR ■ :DETAILED BUILDING INFORMATION EXISTING USE: Viler/ (/i EXISTING BUILDING ASSESSED/APPRAISED VALUATION PROPOSED USE- C11-1A51% CLi15, PROPOSED VALUATION FOR IMPROVEMENTS: $ ( l L/Vv COO OD fl•3 sW" I t SPRINKLERED BUILDING? 1i4 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO WATER SERVICE PROVIDER: �LAKEHAVEN Cl HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: (1KEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION*** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ . ■ PROJECT FLOOR AREAS • . FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT `rr�� FIRST L15( /(�s �i"' SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? /� TOTAL: 451jS612-1 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) DUCT(S) KO GAS PIPE '!' HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUBS) 3 LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRICAS DRINKING FOUNTAIN(S) "Y/ SHOWER(S) WASH MACHINE OUTLET SINKS) WATER CLOSET(S) MISC.( ) IERCEPTOR(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 i further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the informatio s pp' to the city as a part of this application. I NAME/TITLE: DATE: �--`.tq C.':)‘ ❑ PROPERTY OWNER ❑ APPLICANT aCONTRACTOR ' 1 "FOR OFFICE USE ONLY ❑ ALTERATION ❑;REPAIR' TENANT iMPROVEMENT _ '❑ NEW��,_�-...�ADDITION CENSUS CODE LOT SIZE ; 'ZONING,DESIGNATION ; - + BUILDING SHELL ONLY?" ❑ YES 'NO COMPPLANDESIGNATION BASIC PLAN? ❑YES ' NO" SECTION TOWNSHIP RANGE - NEW ADDRESS REQUIRED?:.;..,-;,,H: `.❑':YES NO PLATTED LOT? "" ❑;YES ❑ NO CHANGE OF.USE?" ". ❑YES �NO . COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 A ...441111( sOlP Ilk 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)$24.25 (2)$501.00 to$2,000.00 (2)$24.25 for the first$500.00 plus 13.27 for each additional 1100.00 or fraction thereof,to and induding$2,000.00 (3)$2,001.00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus;15.00 for each additional 51.000.00 or fraction thereof,to and Including $25,000.00 (4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus;10.82 far each additional;1.000.00°r fraction thereof,to and including $50,000.00. (5)$50,001.00 to$100,000.00 (5)$664.35 for the first$50,000.00 plus$Z50 for each additional SL000 00 or fraction thereof,to and kiduding $100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus;600 for each additional$L000.00or fraction thereof,to and inducting $500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$3,337.23 for the fist$500,000.00 plus 15.09 breach additional$1.000.000r fraction thereof,to and kiduding $1,000,000.00. (8)$1,000,001.00 and up (8)$5,788.23 for the first$1,000,000.00 plus 13.91 fix each additional 11.00000 or fraction thereof. Bold number is the base fee for the specified increment jtardred underlined number Is the fee per additional specified inurement 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: 100(000 FEE FACTOR FROM TABLE A:Number: cc" (a)Base Fee: 10 ZS..55-• (b)Additional Increment Fee: Estimated Permit Fee: (1) (el zS• SS • Estimated Plan Review Fee: (2) (c.:(1....(.0 Estimated FW Fire Department Surcharge: (3) IS3. , (COMMERCIAL ONLY) 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 PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) . . ,, .: ■ PLUMBING Base Fee Number of Fixtures $21.00+{ X$7.00/fixture}= (8)Estimated Permit Fee Estimated Permit Fee X .65= (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) Sub Total (Pageone): Line(s).(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11) TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $48.00 _#of Thermostats(First-$36.00;add'n-S l 1.00ca) (First 1300 ft2-$72.00;Each add'n 500 ft2-$23.00) _Service and feeder $78.00 #of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-$42.00;Each add'n 2500112-$11.00 _Each outbuilding or garage $30.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $48.00 (First service/feeder-$48.00;Add'n service/ _#of Signs(First sign-$36.00;add'n sign (Inspected separately) feeder-$31 each) $17.00 each) _Swimming pool,hot tub,spa 72.00 _Yard Pole meter loops 48.00 1 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 $ 78.00 _Up to 200 amp $ 78.00 $ 23.00 Feeder _201-600 182.00 _201-400 amp 97.00 48.00 _0 to 100 $ 78.00 $ 48.00 _601-1000 274.00 401-600 amp 133.00 66.00 _ _ 101-200 97.00 61.00 _over 1000 305.00 _ (1 601-800 amp 170.00 91.00 _201-400 182.00 72.00 _#of circuits _Ova 800 amp 243.00 182.00 _401-600 212.00 85.00 -5 circuits-$61.00;Add'n circuits,$5 ea) ALTERED SINGLE/MULTI FAMILY _601-800 274.00 116.00 (When inspected separately from the services.) _801-1000 335.00 140.00 TEMPORARY SERVICE Service or Feeder _Over 1000 365.00 195.00 Residential/Multi-Family/Commercial/Industiral 0 to 200 amp $66.00 _Over 600 volts surcharge 61.00 _0-100 48.00 _201-600 amp 97.00 Mast or meter repair 66.00 _101-200 61.00 _over 600 amp 146.00 _201-400 72.00 _ _Mast or meter repair 36.00 _401-600. 97.00 _#of circuits _over 600 105.00 (1-4 circuits-$48.00;Add'n circuits$5 ea) If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$61.00.Add'I plan review for other submissions is$72.00/hr. IXTUREMESCRIRTION TAM ifIXTURETEETROM TABLE:B:(B)- �i. NUMBER=OF-1UNITS(C) `' ', _.:*TOTA t.XD) `' a '<;`` 12- T*TOTALB:COLUMN'(D) Total Column(0) Estimated Permit Fee: (12) Estimated Permit Fee from Foe 12 Estimated Plan Review Fee: $56.25+ X.35=(13) ■ DEMOLITION Estimated Permit Fee: (14) Bond Amount:(15) , :, _- .....,._.. :-: ■ ENGINEERING . . : -- Estimated Permit Fee:(16) Bond Amount: (17) _:.■ OTHER FEES . Mitigation Fee:(18) (20) (22) SBCC Surcharge:(19) (21) (23) Total(Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) Bulletin#100-August 20,2001