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98-100201 � ,_., g�iv��7 �'T''Y 0�. ��U�R�''i_ ;�I�Y ..�,,.,,, .,,,. y ,ll . 11 p P�RMiT N0: BLD98-0027 ����o �'i rs t w a �a��t h ���,,v,N ..,.... .,.,;� � ,d,,..i; ��" ,.,.,.'W„ ,,, ,,, ... ,. ..�~ Y � .,fl�;;� „�.. 9 �111,, .�. ��!' 'I '��.�"� ��'� � p I55UCD: 03/09/98 �ecleral Way, l�J� 9�00? Builc�;ing Ir�pecti�n Rec{uea�s 253-6G1-4140 .�Y: �C 25�-6b�.-4000 EXPIRES: 09/05/98 ADDRESS. 345t14 9TH t�VE S Unit: 220 N�J. : 750�51...005(� F�RpJE�rT DESC�IPTIUN:T: - ADDING WALLS FOA NEW TENANT '= OWNER =_==-______________________________________________�= CONTRACTOR ;=:::s�:_=______________=______=__=___=====r= LENDER ==_�_,�,==_____==-=_____=________=_-_=__�-,��_� a PEDIA?RICS NORIHWEST ! ALDRICN & ASSOCIATES INC. � PEDIATR;CS NORTHWEST � � 34503 9TN AVE S, #220 ' 810 240TH ST SE ` � � FEDERRL WAY WA 980�3 3 BOTHELL WA 98021 � KIRKLAND WA 98033 � ' ' 206-483-�313 � � � � ALDR�A�2�2RU y E , t -_________________�_�_=______=�=�-�=:_=.-�.�::.:�:.:-._:-::«:�__���___::__��-�_�:�_,�_:�����__-___=���___�_--�--______________......----------- --_...------------_.__._______._______--______________-_._______� �=i COIITRACTORS, Pl.EASE USE IOCATION CODE 1732 NREM REPORTIN6 SALES TAX FOR PRO�ECTS YITNIN TkE tIT1' OF FEDERAL YAY. TAX RATE = 8.6� �#_ - -- ----------- --------- - -------_______ _ - - --- - _--------------- ------------------------------------------ �.caa�=c_c=_o^c_,�_-ccco=-rcc_cc=c=:a==__�.-c=xrs.._^.._�. �.�._.......__.______.._`__c_ovcYnccoc�_r'c--.--•�--____..__._�.�._�_=..=_..,..=_= .-_____.__...____._...�__._____ ___ ____.._._____.._..._ ...,..^____.�_._-__ i BLD?:X MEC?: PLM?; �LR--EXISI--PROP--- DWEIIING UNITS: D � COMP PLAN.........:OFFP � FEES:R � � TYPE OF �ORK:TEN USE:COM 1ST.; 0; O:s' STOR?ES........: 0 � REQUIRED PARK:NG..: 0 SPRINKLERS?......:? PLAN CNECK, FEE $ 472.55 � � CENSUS CATEGORY.....:431 2ND.; 0: 4445:sf HEIGHI....,: 0.00 ft � NAiRRD CLASS...:? BUILDING PERMIT.,..� $ 727.00 � � OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- � REQUIRED SETBACKS------- FIRE fLOW.,,.: 0 gpm SBCC SURCHARGE.....* $ 4.50 � :B :? :? :? : OTNR: 0� O:sf EXIST..$: 0 � �RONT,......,.: 0.00 ft PLCK-FIR com�l only$ $ 36.35 � ; iYPE OF CONSTRUCTION----- BS11T: 0: �:sf PROP.,.$: :250'JD 5 SIDE..........: O.DO ft WATER SERUICE..:? � � :5N :? ;? :? : DECK: 0: O:sf ; REAR..........: O.00:ft SEWER SERVICE..:? ' � OCCUPANT LOAD------------ GAR.: Q: O:st REC�IVED.:O1/21/98 � . : 70: 0: D: 0: TOTL: 0: 4445:sf � IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? � r____i___--- -------------�--_.__..__.__..__--------------------------t---------------------______._.�___==__==_==___=____=_=_ ____________________________--_______.______-------------------------___---�-,---------___--___--___---------- � � fUEL ?Y?ES.:? ? FANS.......,..: 0 BCILERS/COMPRESSOKS � WATER CLOSETS......: 0 URINALS........; 0 TOTAL FEES $ 1240.40 PIAING.: 0 ft HOOD..........: Q 0-3 TON.....: 0 � BATN TUBS..........: 0 DRINKING FOUNT.: 0 � � I<1DOK..: 0 DUCT WORK,...,: 0 3-15 TON....: 0 � SHOWERS........... : 0 SUMPS..........: D � , GAS HWT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 ; LAVATO�IES.....'...: 0 VAC BREAKERS...: 0 ; � � CONV BURNER: 0 FURN>200K,.,..: 0 30-50 TON..,: 0 � SINKS.......... ...: 0 DRRINS.........: 0 } � � BBQ....,...: 0 MISC..........: 0 50+ TON.....: 0 � DISH WASHERS.......: 0 LAWN SPRINKLERS: 0 � � 3 GAS DRYER..: 0 AIR HANDLING �'NI?S FUEL IANKS--------- ELEC WTA NEATERS...: 0 OTHER �IXTURES.: 0 4 � RANGE......: 0 <-10,J�0 CfM: 0 ABOVE GROUND: 0 � LAUN WSHR OU?LTS...: 0 � � � GAS LDGS...: 0 > :0,000 CFM: Q UNDERGROUND.: 0 i i-----------------.._______-------_...----____----------------------___.�___________�._..�._.-------------------------------------------------��----------------------------------___-----# PERMITS EXPIRE 180 �11'S RfTER ISStlANCE IF MO kORC IS STARTED. RESIDfMTIAL AMD 6RADIN6 PERMITS EXPIRE ONE YEAR AfTER 1�1TE OF ISSURNCE. I CERTIFY THAT TNE MATIQl1 FURiIISNED BY ME IS TRUE AND CORRECT TO TNE BEST OF MY KAOilLED6E AAD TRE APPLICABLE fITY OF FEDERAL NAY QEQUIREMEMTS YILL BE MET. , 0lJNER OR AGENT � :. ..________...- --- - ..--_�- �_____.__ _ DATE ----3-��`�C�__ --_� __�itla°r��G�t��ac FlLE COPY ,�� AdO�a131d " \V � , . 5 �r' _ _ _ . . ,, -� Q /� . ..—.. ._ ; r , � r•. .. �i r%.' % �`•. u „ � �it? 3�i�lilddtl lNt �tl 35Q319�7! Aii ��D �iS3N �tl O! 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't�,�i �.i�ti ;���_��i � 1�_�:_ �. °��i ' ,�.��i,Y �, � �� �i: k�1�1 x�.ii l� �`, .T. �� �� �' ��`s� I� � �� �,G��, � � � N .� P �,..�''..�' 'i , ! , � 'i �E � � � 1 � ( ,,�1��.: :..(r ir{ !%F• i i.��_7Cf '�4' � . , ,. ;`',. . , . � . . r . . • 'CG—"—__'—� . * "�A► '".r°. . 1 SETBACKS & FOOTINGS Date By �W� . _ _ _ _ __ _ __ _ ___ . _ _ _ _. . ... .... . ___ ___ 2 FOUNDATION WALLS Date By 3 PLUMBING GROUNDWORtf Date By 4 S�AB INSULATION Date By 5 F�OTING/DQWNSPOIJ�DRA1hFS Date By 6 UNDERFLOOR FRAMINGI. Date By 7 SHEqR WALLS Date By 8 PI.UMBING R�UGH�IN ' Date By 9 6A5 PIPINQ Date By 'i0 MECHANIC�IL ROUGH-IN Date By _ _ _ ___.. ___ _ 11 ��{AMING : Date _�._�_ � By � _._ _ _ _ _ _ 12 IN�U LATION Date By __ _. __ __ _ __ 13 GWB - 1ST LAYER � � ��2 _ Date _Zr�,� By L 14 (�WB -2ND LAYER Date By __ _ __.._ __ _ _ _ __ _ _ _ _ _.__ _ _ _ _ _ _ _ __ ...... _ _ 15 SUSPENDED CEIL,ING ::::! Date —��— By 16 PLANNIN(3 FINAL'. Date By 17 PUBLIG 1NORIfS FiNAL Date By 18 FtRE FINAL, Date "�.� i��:; :'4='f gy 1 ; 19 BUILDING FINQL'' Date _ ^� g By 20 Q'TH��1 Date By �/�-- C{S > � �v�C CD0193(Rev M67) �i Lo t P�ci�,< �;t j �t'S� i a C,�v►n.� �v R �(�4 b Z � _ . City of rederal Way -'s �,�_ �w�'�.:� ' � �' APPLICATION FOR BUILDING PERMIT n�,� ���� � `s. '��j,;� �/ � -ucH/iL WAIf PLEASE PR/NT '" � ;�;��I�,i�sN��E�T^ APPL/CAT/ON #: ��,�i�� ����Z�— srr�? [,OCATION Address 34503 — 9th Avenue South Suite 220 Tenanl (iF known) Lot # Assessor"s Tax 11 Pediatrics Northwest 750-451-0050-03 Ruildinq Owner Name Address Medical Real Estate Services, LLC 105 Central bJay Suite 7_03 �'�tv Kirkland st��� Wq 7+� 98033 rno�,� (425) 889-9099 N,<<�r��r w�,�k Tenant Improvement— �,� •y��;�,�',(;y p�.��e�,��, �� s:���� ������ � ANPLICAN7' Narne (F,M,I) Zenczak R� Partners — Architects Address 2115 South 56th Street Suite 405 ccy Tacoma sc�ce WA z�P 98409 Contact Person Day Phone Other Phone Fax B.Z. Zenczak (253) 475-0380 (253) 475-3553 13UILDING CONTRAC'I'OR Company Name Aldrich � Associates, TIIC. add�ess g10 — 240th St. S.E. city Bothell state WA ziP 98021 Contact Person Phone Fax Jonathan Fast (425) 483-1313 (425) 486-1018 Contractor's k (card must be presented) Expiration Date Verified ❑ Yes f 1 No AL—DR-1 A �202R11 nkci�rrrc�r � N`""`� Zenczak � Partners — Architects Ad`'„'SS 2115 South 56th Street Suite 405 c�cY Tacoma State WA z�P 98409 Contact Person B�Z. Zenczak Ph`�53) 475-0380 Fa" (253) 475-3553 LEGAL DESCRIPTION See attached �, Please Complete Reverse Side �!� � 1 `� coonsz ir�r.�4/931 . � :;�I'RUC`I�UI2L ;isting Use Offi ce bui 1 di ng �o��se� use Tenant Improvement . Permit includes: [� Building ❑ Plumbing ❑ Mechanical ❑ Other - Type of Work: ❑ Resideniial D New �] Remodel ❑ Number of Units � Deck [� Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1 st Floor sq ft 2nd Floor � sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft Water Availability 6� Sewer Availability On-Site Septic System Availability ❑ Project Valuation s 125,0�� Zoning Lot Size Existing Bidg Valuation 5 LCNpER N/A Name (� ; Address f"�C G�,,(_i�(.� �( `> � �'U City State Zip M�CIiANICAL CONIRAC'COIZ N/A Contractor Name Address City State Zip Contact Phone Fax License ff Expiration Date Verified ❑ Yes ❑ No PLUMI�ING CONTRACTOR N/A Contractor Name Address City State Zip Contact Phone Fax License # Expiration Dat� Verified ❑ Yes ❑ No PLIIMBING FIXTLZRE COUN1' N/A Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Totai Fixture Count MECHANICAI, UrTIT COUN`I' N/A Fuel Type (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 Neater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuei Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duci Work 0-3 Tons Underground 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[he owner of the above p mises to perform the work for which permit application is mado.I further agree to save harmlass the City of Federal Way as to any claim(including costs,exp�nses, and attorneys' ees incurred in i estigation and defense of such claiml,which may be made by any person,including the undersigned,and filed against the City of Federal Way, but only wher clai ris s ut of the r c of the City,inclu 'ng its officers and employees,upon the accuracy of the inFormation suppliad to the City as a part of tliis application. Owner/Agent: Date: - �21{_1�-�-�_---- � �Il� �� ���c�7C°�,ll ��.� ��� o 0 ���nc��,� � �� �� ����,��� This Certificate issued pursuant to the requirements ofSection 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. For the following: OCCUPANT LOAD: 70 PERMIT NUMBER: BLD98-0027 TENANT NAME. . : PEDIATRICS NORTHWEST ADDRESS. . . . . . : 34503 9TH AVE S Unit: 220 GROUP: B ? ? ? SQFT: 4445 CONSTRUCTON TYPE: 5N ? ? ? OWNER NAME. . . : ST FRANCIS MED CTR ASSOC ADDRESS. . . . . . : 1201 PACIFIC AVE, #1800 TACOMA WA 98402 �Il-� s/ ZZIs� Building O cial Date The priority jocus in the review and inspection made by the City prior to issuance oJthis Certifrcate was on those matlers which experience has shown most severely afject the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonsrbly p�ssible(within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupanl or to any other person that this Certifrcate evidences slricl compliance with each and every ordinance or regulation ojthe City or the State ojWashington aJjecting the construction or use ojsaid struclure or the land upon which it is situated. Such compCiance is the responsibiliry ojthe owner and/or occupant of the premises. POST IN A CONSPICi�OUS PLACE