98-103933 � 9$->�3 9�33
� �
CITY OF FEDERAL 4JWY' PERMIT NO: BLD98-0702
3 3 S 3 0 F'i rs t w a y s a u t r, :.�°;;���,,�,;�': �....:��:,�::��" �„���Mti�M�' ���°�;`d��I��;��:, ..,�,.,. x s s u�D: i o/x�/��
�eGeral Way, WA �38003 �3uilcfing Inspection Rec�uests 25�--651 -�4140 BY: �C2
253-661-40C1C� EXPIRES: 0�4/12/99
�DDRE�5: 34509 971-I AVE S Uriit: 2n4
N0. : 92648Q--0030
PR�;7ECT DESCRIPTION:TI - de�o ualls anG finish interior of Dr office
�- OWNER ___________________________________________________T= CONTRACTOR =_______=__________==__=__=__________=_=====i= LENDER =___________=___==________=__=_====__=_===___
DRS. ALABASTER,FOGEL,BERKOWITi ' NORTHWEST COMMERCIAL INC
� 34509 9TH AVE S #204 11603 CANYON RD E �
( ERAI WAY WA PUYALLUP WA 98373
i
' 253-452-6857 � 253-445-5151
_ E NORTHCI033Cb
_ '
-------x
--------------------------------- . _ _ _
#x; CORTRACTORS, PLEASE USE LOCATION CODE 1732 NHEN REPORTIM6 SALES TAX FOR PROJECTS YITRIM TNE CITY OF fEDERAI MAY. TAX RATE = 8.6� �x�
- ------------------- ----- - - - - - _ _
�_________________________________________________
_________________________________________________________»��=��__=__=_-_==_____-____=_===-______-=____-=_____==__-__-_____�
� BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 � COMP PLAN.........:OP FEES:
� TYPE OF WORK:TEN USE:COM 1ST.: 0: O:sf STORIES........: 0 � REQUIRED PARKING..: D SPRINKLERS?......:? PLAN CNECK fEE � 134.55 �
� CENSUS CATEGORY.....:434 2ND.: 0: O:sf HEIGNT.....: 0.00 ft NAZARD CLASS...:? SBCC SURCNAR6E.....$ $ 4.50
( OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- � REpUIRED SETBACKS------- FIRE fLOW,...: 0 gpm BUILDING PERMIT....� $ 207.00
� •� �� •� •� • OTHR: 0: O:sf EXIST..$: 0 � FRONT.........: 0.00 ft PLCK-FIR com�l only$ $ 10.35
� TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 19750 ; SIDE..........: 0.00 ft WATER SERVICE..:?
! :? :? :? :? . DECK: 0: O:sf � RERR........... O.00:ft SEVIER SERVICE..:?
� OCCUPANT LOAD------------ GAR,: 0: O:sf RECEIVED.:10/14�98
� : D: 0: 0: 0: TOTL: 0: D:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
�_ ________________________________________________________�_=;�==_=______==�__________________=___=_________________=__==_=____=_
L TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS � WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES $ 356.40
PIAING.: 0 ft NOOD..........: 0 0-3 TON.....: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
I rUKN<100K... 0 DUCT WORK...... 0 3-15 TON..... 0 � SHOIdERS............. 0 SUMPS........... 0
� GAS HWT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 � LAVATORIES.........: 0 VAC BAEAKERS...: 0
� CONV BURNER: 0 FURN>100K.....: 0 30-50 TON...: 0 � SINKS..............: 0 DRAINS.........: 0
� BBQ........: 0 MISC..........: 0 50+ TON.....: 0 � DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
� GAS DRYER..: 0 AIR NANDLING UNITS FUEL TANKS--------- ; ELEC WTR NEATERS...: 0 OTHER fIXTURES.: 0
� RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 � LAUN WSHR OUTLTS...: 0 !
GAS IOGS...: 0 > 1Q,000 CFM: 0 UNDERGROUND.: 0 a � �
�__________________________________�_��_===_____=_===_=___--�-_�__��_«�_====�1�����_____==____==_��-_�_�_�;_____.____-_____===______�_________=___=____==_=__====�;����_==___=_�
PERNITS EXPIRE 180 DAYS A ISSUARCE IF NO NORK IS STARTED. RESIDENTIRL AMD 6RADIM6 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSURIICE.
I CERTIFY THAT THE MATIOM URNISHED BY ME IS TRUE AND ORRECT TO THE BEST OF MY KNONLED6E AIID TNE APPLICABLE CITY OF FEDERAL MAY REQUIREMEMTS YILL Bf MET.
OWNER OR AGENT ------- -- - --w _!/l/l /'� _ f�G�` ------------- DATE __LO--`�'-Q�
------ ----fi-- -------------
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1 SETBACKS & FOOTINGS
Date By
2 FOUNDATI�PF Wi�LLS
Date By
3 PLUMBING GROUNDVY4RK
Date By
4 SLAB INSULATION
Date By
5 FQOTING/DO!WNSPOUT DRAINS
Date By
6 UNDERFLOOR FRAMING
Date By
7 SHEAR WpLLS '
Date By
8 PLUMBIMG ROUGH•iN '
Date By
9 CiA�5 PIP(NO
Date By
.0 MECHANICAL ROUGH-IN
Date 2_� _�� By
_ _ ___ __ _
_ _ __ __ _ _ __
�1 FRAMING'>;
Date By
12 INSU LATION
Date By
13 GW B - f S7 LAYER
Date By
14 (�1�NB -2NQ U1YEq
Date By
15 SUSPENDED CEILING ':
Date I2.—/—�� BY.17�
16 PLANNING FINAL
Date By
17 PtJBUG WORIfS F1NAL;.
Date By
18 FlRE FINAL �j�� -' y
Date Z.—/ 2� BY 1'�
19 BUILDING FINAL:
Date _ _S BY L
20 OTHEA ;� � :; � :
Date 2_ •g By
CD0193(Rev 4/8�
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This Certifrcate issued pursuant to the requiremenfs of Se�tion 109 of the �Jniform Building
C�de certifying that at the time of issuance, this structure was in cc�mpliance with the vaYious
ordinances of the City regulating building construction or use. Fo� the following:
OCCUPANT LOAD: 0 PERMIT NUMBER: BLD98-0702
TENANT NAME. . : DRS. ALABASTER,FOGEL,BERKOWITZ
ADDRESS. . . . . . : 34509 9TH AVE S Unit: 204
GROUP: B SQFT: 0 CONSTRUCTION TYPE:
OWNER NAME. . . : ST FRANCIS MED CTR ASSOC
ADDRESS. . . . . . : 1717 S "J" ST
TACOMA WA 98405
1 ^ _
�r� ti�� 5 � �`� ti� � ;��1 �r���'�� ���y/���
uilding Official - Date
The priority focus in the review and inspection made by!he Ciry prior to issuance of this Certrficate was on those matters which
experience has shown most severely afject the health and safety of the general public. Although the Ciry 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 wrth each and every ordinance
or regulation of the City or the State ojWashington aJfecting the conslruction 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 Ihe premises.
POST IN A CONSPICUOUS PLACE
t
BUILDING DIVISION
""'OF G 33530 Fust Way South
-�� �E..r�L Federal Way,WA 98003
(253)661-4000
Fax(253)661-4129 �
APPLIC�►T�ON FOR BUILDING PERMIT
PLEASEPR/NT APPLICATION # (� ^lJ��p�
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Tenant(if known) Lot# Assessor's Tax#
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Building Owner's Name Address
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Cit State Zi Phone
Nature of Work
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Name 1F,M,L) A I Y
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Address
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Contact Person Day P one c�her Phone Fax
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Company Name �
i,ddress
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Cit State Zi
ContactPerson Phone Fax
Contractor's #(card must be presented). ExpiraXion D te Verified Yes ❑ No
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LEGAL DESCRIPTION
P/ease Comp/ete Reverse Side
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Ex st n Use G C�-
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Pro ose
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' w� ...�7..G..�1Fi�.:::..:.:.:::::::...........::::::..::::::::.::..:::::::::. g P
Permit includes: Buildin ❑ Plumbin echanical ❑ Other
Type of Work: Residential ❑ New Remodel ❑ Number of Units ❑ Deck
Commercial ❑ Addition ❑ Gara e ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement s ft Decks s ft Gara e s ft Pro osed Total Area s ft
Water Availabilit ❑ Sewer Availabilit ❑ On-Site Se tic S stem Availabilit ❑ Pro'ect Valuation S ` 7��
Zonin Lot Size Existin Bid Valuation $
;:
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Name Address
Cit State Zi
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_......_..................._.........................................
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Contractor Name Address
Cit i State Zi
" Contact Phone Fax
License # Ex iratio�Date Verified ❑ Yes ❑ No
_....._ _ _ __......................
___ _....._...................
_............ _.....
_............... . .... __................._......
_ _ _ .. _........_................
p1„UMBtNC.CQ�V7HACTt�R;:;
Contractor Name Address
Cit State Zi
Contact Phone Fax
License # Ex iration Date Verified ❑ Yes U No
a .................._........_................ .........................................
#��.0.:'BtNG � : . �i�;: ::>:;:::>:;:;.>:>.>::::::::::>:::::'>:':::<:':::::>::>:::::::
.. . .M 1�'�'�.lt _Ct7►E.1�(T.......................
_ _
Water Closets Sinks Urinals Lawn S rinklers
Bathtubs Dish Wash �s Drinkin Fountains Other
Showers Electric W ter ater Sum s
Lavatories Washin Machine Drains Total.�ixt�re.>Count '..
�Ili��1-EA�II�A�.:1,.�I�1T Ct3t1#�I'1' MECHANICAL EVALUATION ONLY 5
Fuel T e (electric/other) Gas Dr er Air Handlin < = 10,000 CFM 15-30 Tons •
Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Lo Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
a Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work O-3 Tons Under round
BBQ's Wood Stoves 3-15 Tons Tata1 Untt Caunt
DISCLAIMER:I certify under penalty of perjury that the information fumished by me is true and cotrect to the best of my knowledge,and further,thai I am authorized by the owner of
the above premises to perfo[m the work for which perntit application is made.I further agree to save hazmless the City of Federal Way as to any claim(including cosLs,expe�ues,and
attomeys'fees incuired in investigation and defense of such claim),which may be made by any pe�on,including the undersigned,and filed against the City of Federal Way,but only
where such claim atises o e iance of the city,including its officers and employees,upon the accuracy of the infortnation supplied to the city as a part of this applicatioa
Ow�er/Agent: �� � Date: ��'"� ��` -/ 0
�„o,�.A� 'l�i�r�rwe s r� Co�u►vt�r2CiA�, �C�
Revseo 8/28/97