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00-102997
• • . City of Federal Way Building - Commercial Permit #:00 - 102997 - 00 - CO Community Development Services 33530 1st Way S Federal Way,WA 98003-6210 P Inspection request line: 253.661.4140 Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections) Project Name: DR THOMAS A DORMAN Project Address: 2505 S 320TH * 1 OA Parcel Number: 797820 0535 Project Description: TI-interior remodel of existing office to Doctor's office.Includes plumbing Owner Applicant Contractor Lender PRIMESTAR INVESTMENT CORP PRIMESTAR INVESTMENT CORP PRIMESTAR INVESTMENT CORP PRIMESTAR INVESTMENT CORP 8549 HUNTS POINT LN 8549 HUNTS POINT LN 8549 HUNTS POINT LN BELLEVUE WA BELLEVUE WA 8549 HUNTS POINT LN BELLEVUE WA 98004-1102 98004-1102 BELLEVUE WA 98004-1102 Includes: Census category: 437-Comm 1 #1 H #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 11 Floor Area(Sq.Ft.): 2215 I i 1st Floor Proposed Sq.Feet 2215 Census Category 437-commercial alt/add Mechanical No Number of Stories 1 `' ' Permit for Building Shell Only No Permit for Foundation Only No Plumbing Yes Total Proposed Sq.Feet 2215 Will Certificate of Occupancy be Issued', Yes Zoning Designation CC-C Plumbing Fixtures [ Description Quantity Description 11Quantity Description Quantity F Lavatories 2 Water Closets 2 L—_ CONDITIONS: 1. All new or refaced signs require a seperate permit. PERMIT EXPIRES November 19,2000,IF NO WORK IS STARTED. Permit issued on May 31,2000 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: 4.1 ,-' Date: gi 2 V0 0 (I'sr.. 1 Citiy 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 THOMAS A DORMAN Permit number: 00- 102997-00 Address: 2505 S 320TH #1 #2 #3 #4 Occupancy Group: + B Construction Type: Type V-N Occupancy Load: 11 Floor Area(Sq.Ft.): 2215 Owner PRIMESTAR INVESTMENT CORP Name: 8549 HUNTS POINT LN Address: BELLEVUE WA 98004-1102 rM. 01. ge-,ago.>r 7-3/- oo c.c...) 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 cf 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. P.THIS CARD ON THE FRONT OF BUII.G BUILIDNG DIVISION ECIERFIL NW FEY INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-661-4140 Request must be received by 3:30 PM for next day inspection PERMIT #: 00-102997-00-CO OWNER'S NAME: PRIMESTAR INVESTMENT CORP 1, v . b s,,w1/4 SITE ADDRESS: 2505 S 320TH *#" le-940 () FOOTINGS/SETBACKS () FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection zz DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED O UNDERFLOORq ' Ca - 9" D c., ( ) ROUGH PLUMBING: DWV — Z 3 - O Water piping es, D ( ) ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor ( ) SHEAR WALLS () ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION () FRAMING/FIRESTOPPING to — Z 3- QC) CtA) THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ( ) INSULATION: Floors Walls Attic THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK () WALLBOARD NAILING C- Z L. op C O SUSPENDED CEILING 7 — l v — O C= THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE () ELECTRICAL FINAL 7— ( ) PLANNING FINAL () PUBLIC WORKS FINAL () FIRE FINAL 7 IS - od T11(Z THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL ( ) BUILDING FINAL 7 - 3 I - Uc.) DO NOT OCCUPY THIS BUILDING'UNTIL BUILDING FINAL IS APPROVED • BUILDING DIVISION «rroF G 33530 Fast Way South RECEIVED Federal Way,WA 98003 N)N) (253)661-4000 MAY 2 3 2090Fax(253)661-4129 tJ FLui_RAL WAY APPLICATION FOR atliti5MG PERMIT ss,;+e too 00— PLEASE PRINT APPLICATION # I 0 Z ( � «<� Site address 2 S - S 3 T Z � < t� �Q >'> > < > > `<>> < `<» > :.:::.: UVJ Tenant name D R T� S A' r_ 4 AJ Lot#' Assessor's Tax# "G7Q 7 23-0535 -03 Building Owner's Name s r v r yrr af_P Address 2So5- S. 32-0` S i.) S4-1 City FEJ F Jk( I state VIA • Zip 4®,,v? I Phone 2,53. .q 6v' Description of Work 7E-K/ ( t 2+u S 5& 'FT-- ......................................................................................... Name (F,M,L) pet miEST Mj iNvErriAltzwT C&! Address z5VA- • g•J 2v S I( City F&ram_ wvitli State A- Zip [),23 Contact Person Day Phone Other Ph ne L—: Fax IZ�P� -S Y i Z.SZ • SZq- 601� 2Bla �t�4 C[,c32�Z �s'3 S? •�Sq4 f\IOY Ky V Federal Way Licensee # Company Name Address City State Zip Contact Person Phone Fax • Contractor's #(card must be presented) Expiration Date Verified ❑ Yes 0 No ............................................................................................ Name 1"4" JlVtK ACR.Kcyl/ pc-et( rf, Address (34 di2 virtil1 tNA carf City 13 EL LEYLE State kJ ' . Zip gzvs Contact Person flAiZ S P , 3 z.77;7 Fires 4��• 630 yzS . 4OI. 6 02 0 LEGAL DESCRIPTION LT- #/ ®f" ieiA/4,_ maiikry �4"�IO�I' Pt-4fi1._# /5)49743;, ..r— GGr✓J E, ti 1tVa- J. e�/Z 1473?5i kg-62/ .bi 9F L'ou Z[1 i'v 41.)4 7N P?it/). 174 05 B /1-tFc©iP-4 trc, iVO, 7 //z 4 7o t i/ v 66' L146(j1-(/1*--FD E Y ri•bf}/V(r 1-1^/- Fe- t1F /''(7. Dp0172f44cCS-g/ Al 4- t,(43 Q! l' cam'/ c A eater-e0A/ S7( Sc&. IES %2 /ft/, / 1/, E., fin t /Gra ea, /76 m .1 AGt(2 in/4- 7 T`TfF /J1 � of EEC.. VEL. F QLI ,f 'lease Complete Reverse Side D, A, 1- 1V O, i 0 k '. r STRUCTUREExisting Use CDS/1,M. Proposed Use (1t)M,,,(4 . Permit includes: 0 Building _Et,Plumbing El Mechanical IA Other Type of Work: ❑ Residential El New ' Remodel ❑ # of bedrooms (jJ i I, El De,k El Commercial El Addition ❑` Repair El Garage 0 SIR d - '„ Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area 2i 2 /5 sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area_21.2 c sq ftVO Cil 4t Water Availability 1I Sewer Availabilit EL 044-Site Septic System Availability 12', Project Valuation $ I 2/0V)=' - Zoning v' C.,/, L1 'Lot Size /J, i', Existing Bldg Valuation $ /V/I- ........................................................................................... .................„„:,:,.................................................................... ............................................................................................ ........................................................................................... ........................................................................................... ........................................................................................... tENDER> > s> »> > >> > > «> >>» > ><> ><> For new residential only - Proposed sellingcost: $ - Name IV J A , Address • City v State Zip N i ...:.......: .......... . 11lIlAN IC A L.. OSI..Rpt. ... ....................... Contractor Name Address City State Zip Contact Phone Fax Licen;e # Expiration Date Verified ❑ Yes El No � i ,n� r J R.LUME3�N�i CONTR;f�CTQR:>:?:<> >:::::>:;'>°:°:.> ............................................................................................ Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified El Yes 0 No ......................................................................................... ........................................................................................... ......................................................................................... ......................................................................................... PLUM ilt G EIXTURCC UNT. >>_> i Water Closets 2 Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Z Washing Machine Drains ,Total Fixture Count f� MECHANICAL>UNIT::COUNT:>>:':>:>: >:':>f'»_ /��j I, MECHANICAL EVALUATION ONLY $ Fuel Type (gas/electric/other) Gas Dryer 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 1 BBQ's Wood Stoves 3-15 Tons Total Unit Count 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 claim arises out of the re iance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. Date: i 3v1 Owner/Agent: (a(AiiiA,\,. BUapvic.APP REVISED 5118/99