98-102253 � �g��a �a53
GITY OF FEDERAL WAY PERMIT NO: BLD98-0386
33530 Fi rst Way 5outh ��� ��� �� ���;,.��`'"�,,�, � ISSUED: 07/06/98
Federal Way, WR 98003 Builcling Inspection Requests 253-661-G140 BY: FC
253-551-4000 EXPIRES: 01/02/49
ADDRE5S:�450� 9TH AVE S Unit: 300
NQ. : 926480--OU30
PROJECT DESCRIPTION:TI - NEW MEDICAL OFFICE WITH PLUMBIN6 AND MfCHANICAI
= OiiNER ===----=-===----====--==�_�=_=====____===__=__===-= CONTRACTOR =_____=_____================___===_=_==____=-- LEHDER =_=_=__===___=======_____=__=__===_====_=__
CARDIOVACULAR CONSULTANTS NORTHHEST COMMERCIAL INC � �
34509 9TH AVE S �300 11603 CANYON RD E � �
fEDERAI WRY NA PUYRLLUP NA 98373 � �
253-445-5151 ! �
_ � NORTHCI033C6 I
_===_=__=�---- ------- ----------------------- ------ ---- - -------------- --------------- ----- ------------- ---------- ---------------- -----------
----=----------------------------------=-----------=��----�=-_= -----------------_-----__-_-------------_----------_---------------===-----------
=n COMTRACTORS, PLEASE USE LOCATION COBE 1732 YHfM REPORTIN6 SALES TAX FOR PROJECTS YITNIN THf CITY OF FEDERAI MAY. TAX RATE = 8.6� ��#
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BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLIN6 UHITS: 0 COMP PLAN.........:OP FEES: �
TYPE OF WORK:TEN USE:COM 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKIN6..: 0 SPRINKLERS?......:? PLAN CHECK FEE E 351.18 �
CENSUS CATEGORY.....:431 2ND.: 0: O:sf HEIGHT.....: 0.00 ft NAZARD CLASS...:? BUILDING PERMIT....$ S 549.50 �
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REOUIRED SETBAtKS------- fIRE FLON....: 0 gpm SBCC SURCHARGE.....� Z 4.50
•? •? :? :? : OTNR: 0: O:sf EXIST..S: 0 FRONT.........: 0.00 ft I MEC PRMT ISSUANCE... E 0.00 �
TYPE OF COHSTRUCTIOH----- BSMT: 0: O:st PROP...$: 80000 SIDE..........: 0.00 ft MATER SERVICE..:IAK PLUMBIN6 FIXT....93x = 23.10 (
•' •' •' •' • DECK: 0: O:sf REAR..........: O.00:ft SEiiEA SERVICE..:LAK $ PLCK-FIR coa,l only� s 27.48 �
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:06J19/98 � Mechanical Per�it# a 27.50 �
: 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? � PLCK-FIR com�l only# S 42.00 �
L"�����������������������_����3�..��'�_�^.��`=6.=����52C������C��_����___�___��. ��_������3����5��������...��L�..S���T�S..���..����C`��`��
FUEL TYPES.:? ? FANS..........: 1 BOILERSJCOMPRESSORS NATER CIOSETS......: 1 URINAIS........: 0 ( TOTAL FEES = 1031.26 �
�- ----
GAS PIPIN6.: 0 ft HOOD..........: 0 0-3 TON.....: 0 BATN TUBS..........: 0 DRINKIN6 FOUNT.: 0 I
FURN<100K... 0 DUCT NORK...... 1 3-15 TOH...., 0 SNONERS............. 0 SUMPS........... 0
GAS HWT....: 0 NOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 1 VAC BREAKERS...: U i
CONV BURNER: 0 FURN>100K...... 0 30-50 TON.... 0 SINKS............... 0 DRAINS.......... 0 ( �
BBQ........: 0 MISC..........: 0 50+ TON.....: 0 DISN WASHERS.......: 0 LAWN SPRINKLERS: D � (
GAS DRYER..: 0 AIR HAHDLIN6 UNITS FUEL TANKS--------- ELEC NTR HEATERS...: 0 OTHER fIXTURES.: 0 � i
RANGE......: 0 <=10,000 CfM: 0 ABUVE 6ROUND: 0 LAUN WSHR OUTITS...: 0 I
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 {
------------------------------------------�___________==_____=====_=_==______-___==__=_=_-------- ------------__=========__=====_==-===---------_----------------=____�==��:T�
�ERMITS EXPIRE 1� DRYS AFTER ISSIMNCE IF I� i�RK IS STNtTED. RESIDEMTIAL AND 6RABIM6 �ERMITS EXPIRE ONE YEAR AfTER DATE Of ISSUANCE.
I CERTIFY THAT THE IMF Ft�tAISNED B1f ME IS TRUE ND CORRECT TO TNE BfST Of MY Ki�NLED6E AND TNE APPLICA�E CITY OF FEDERAL MAY REQUIREMENTS YILL � MET.
ONNER OR AGENT � 6� _�� �
-------- --- �---- -- -�--���---------------_--_ DATE --�—�—��-
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1 SETBAGKS & FOOTINGS
' Date By �
2 FaUNDATION WALLS
Date By
3 PLtlMBING GROUNDWURK
Date By
4 SLAB 1NSULATION
Date By
5 FOOTING/DOWNSPOU�..DRA1N�
Date By
6 UNDERFLOOR FRAMING' I
Date By i
7 SHEAR WAL�S I' I
�
Date By I
8 PI.UMBING ROUGH•iT�t > I
Date By �
9 C3A5 PIpINQ
Date By +
�
10 �MECHANICAL ROUGH-IN
Date ,Z_� ~ By �
11 FRAMING '
Date `� �3 O�I BY C'e— I
12 INSU LATION I
Date By I
13 GWB - 1ST LAYER I
Date �_(•Z .�� :By ��� �+
I
14 C3WB -2NC1 LAYER I
Date By I
15 SUSPENDED CEILING '> I
Date � — Z.y '� By � I
�
16 PLANNIN(3 FINAL I
Date By �
17 PUBLIC 1NORKS'.F1NAL:::: I
Date By I
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18 FlRE FINAL I
Date �,'_ '� - BY � ,v��� I
' — �_ � �
19 BUILDING FINAL' , c � G e ,
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e; Y �L-� �' �G C'�S
Date ���_��� r ,✓ B I
20 QTHEI� I
Date `�.__���� f�' By �s . �_ I
`� �fi �A'lL.i j y�1�i;'l C . ,- . CC_ . CD0193(Rev 4/B� I
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This Certificate issued pursuant to the requirements ofSection 109 of the Uniform Building
Code cert�ing 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: BLD98-0386
TENANT NAME. . : CARDIOVACULAR CONSULTANTS
ADDRESS. . . . . . : 34509 9TH AVE S Unit: 304
GROUP: B ? ? ? SQFT: 2590 CONSTRUCTON TYPE: 5N ? ? ?
OWNER NAME. . . : ST FRANCIS MED CTR ASSOC
ADDRESS. . . . . . : 1717 S "J" ST
TACOMA WA 98405
rn� � 9�z� /sa
Building fficial Date
The prioriry focus in the review and inspection made by the City prior 10 issuance ojthrs Certrficate was on those matters which
experience has shown most severely affect the heallh and sajety of the genera!public. Although the City has made as complete a
review and inspection as rs reasonably possible(within budgetary trme and personnel limitations), the Ciry neitherguarantees nor
warranls to the owner/occupant or to any other person that this Cer[rfrcate evidences s�ricl complrance with each and every ordinance
cr regulation oJthe City or the State of Washrngton aJfecling the construclion or use ojsard structure or the land upon which it is
situated. Such compliance is the responsibility of the owner ancUor occupant ojthe premises.
POST IN A CONSPICUOUS PLACE
BUII.DING DIVISION
�'"fOF G y 33530 First Way South
-�-Y EDEI�ZFR_ . ,. , Federal Way,WA 98003
VV � � ��- ���-� � �� '�� (253)661-4000
F�(253)661-4129
.Y�.�� 1 � 19��
APPLICATION FOR BUtLDING PERMIT
PLEASE PR/NT APPUCATION # L.`�� �
�?`�::: Address �
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Tenant (if known) � �`� I ���� Lot# ���^v� As es or's Tax#
i�u✓ci:✓�J�.c�✓��dY �Gf�1�,� �.�
Building Owner's Name Address
Ci State Zi Phone
Nature of Work �
_.._.........._............_...._........ ..____ ..... ........._......
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Name (F,M,L)
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Address r
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Contact Person � • Day Phone OtherPhone Fa
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R�1�:DI.�:`:�t�tt1TRACT(�R'<':>;::;:<::::«':;;<':<;:>;>:�::>:<::::<:<:<:
Company Name v�
Address �I �O
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Contact Pers n ; " ���� Phone � �x
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Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No
_..._..............._...._..................._.......................................
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' CHI'TECT <:. _
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Name ' ?t��.
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Address -�
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cic scace z tj
Co�tact Person � /' _�,�'I '��� Phone / �/ Fax �
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LEGAL DESCRIPTION �'
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P/ease Comvlete Reverse Side
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�.......�G�...�.:::::::.::::::::::::::::.::•::::::::::::::::::::::::.:::. 9 Proposed Use
Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
_ ❑ Commercial ❑ Addition ❑ Gara e O 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 $ O� �O�
Zonin Lot Size Existin Bld Valuation $
�����::�i:::::::::�:�:::�>i::::;?:i:::::::::i:::::i<':<:;3::<'::`:::::::::::''::::::�::::i::<::�::::':<:?:::>�::::<::i::::i
..................�'.�:.�:::.::•:::::::::.�.:�:::::::::::.::::•:;.:�:::::::.:�:::::::;:>:.>:�::�:
Name < n ,� _ ' Address
r�41'�.�\ Iv ,�.. �Ci4� �SSpC.�
c�t stece z�
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i���t�a�vt�ai�catv�r�ac�rv� -
Contractor Name Address
Cit = � State Zi
Contact %`� Phone Fax
License # �f� Ex iration Date Verified ❑ Yes ❑ No
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Contractor Name Address
Cit State Zi
Contact Phone Fax
License # � Ex iration Date Verified ❑ Yes ❑ No
:.:..�:�»::>:;::::::>�:>::::>:::::<:�::::<:<._:::�:<:::::>::::>:::::'�:::�.��������::>::::::>::::;.:::::::;:::::�.;;;;::;::
,�? �.���Ci`.�1��'�'�I��;.�'.f��l��....:..:::::. :.:..:
Water Closets f Sinks Urinals Lawn S rinklers
Bathtubs Dish Washers Drinkin Fountains Other
Showers Electric Water Heaters Sum s
Lavatories Washin Machine Drains Total>:�ixture::GounY::;;;:>::::::;:,;:>;:.;::>:::
��>::;:..:?:;.:::;::::;:;:;�:;<:;��'����:��. ����::::'��`'`<„"����`:���:>::>.::::::::;>:#<;::%::::::::::::::
�1�:��11CAI:.:�111��`:�L�l.�N'.1'...:::::.:.::::::.::: MECHANICAL EVALUATION ONLY 5 ' C7
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
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Under round
BBQ's Wood Stoves 3-15 Tons Total:Unit Coiint
DISCLAIMER:I certify under penalty of perjury that the infonnation fumished 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 perfortn the work for which pemut application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attomeys'fees incu�red in investigation and defense of such claim),which may be made by any person,including the undersi�ed,and filed against the City of Federal Way,but only
where such claim arises out ofthe reliance ofthe city,including its officecs and employeex,upon the accuracy ofthe infonnation supplied to the city as a par[ofthis application
/ l �Owner/Agent• Date-
&mD�r�G.Aw
� REVLSEUBI28/97