02-105369 03 - ��� � - ��
—i'iCy uf Fede.'al Way Building - Commercial Permit #:02 - 105369 = Gv - �'�
Comnwnity Develupnxnt Services _
33530 lst bVav S
Federal\V2y,�VA 98003-6210
Ph:2�3.661.4000 Fax:2�3.661.4129 Inspection request line: 253.g35.3�5�
Project Name: : NORTHWEST MEDICAL SPECIALTIES ONCOLOGY;
Project Address: 34509 9TH S Parcel Number: 750451 0010
Project Description: TI-TI for 4727 square foot outpatient oncology clinic on the first floor of the existing ST FRANCIS
MOB.NO MECHANICAL OR PLUMBING ON THIS PERMIT.
Owner Applicant Contractor Lender
ST FRANCIS MED CTR ASSOC NONE RUSHFORTH CONST CO INC ST FRANCIS MED CTR ASSOC
1717 S J ST RUSHFC*305R1 3/15/03 1717 S J ST
TACOMA WA 98405-4933 6021 12TH ST E SUITE 100 TACOMA WA 98405-4933
NONE TACOMA WA 98424
Includes:
Census category: 437-Comm #1 � #2 #3 #4
O ucc pancy Group: B
� Construction Type: Type II-FR
Occupancy Load: 48
Floo�(Sq.Ft.)_ 4727
�---
1 st Ff:,vr Pr��,nsed Sq.Feet.................................4727 Census Category.........................................,.......,437�,-Commercial alt/add
Fiie:iprinl<lers........................................:........ Yes Mechanical................................................. No
Number oFStorics................................................1 Permit for Building Shell Only............................Yes
Yermit for Founda[ion Only.................................No Plumbi��g................................................. No
Total Proposed Sy.l eet.... ..................................4727 Will Certificate of Occupancy be Issued'?............Yes
, .
�i�uinb Dcsignation..._........................................
CONDITIONS:
Ail new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6))
PERMIT EXPIRES July 26,2003,IF NO WORK IS STARTED.
Pernut issued on January 27,2003
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 Waslungton and
the City of Federal Way.
�: � / � ���
Owner or agent: � Date:
�ity �f�ederai 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 bv Ci , staff.
Tenant Name: NORTHWEST MEDICAL SPECIALT Pernut number: 02- 105369-00
Address: 34509 9TH S
#1 #2 #3 #4
Occupancy Group: B
Construction Type: Type II-FR
Occupancy I,oad: 48
Floor Area(Sq.Ft.): 4727
Owner ST FRANCIS MED CTR ASSOC
Name: 1717 S J ST
Address: TACOMA WA 98405-4933
htK• l'kw�.A�, Ct30 G� - 5'- O �L. �
Building Official Date
The priorlty focus in Ihe review nnd inspection made by the City prior to isstiance ojthis Certificate wns on[hose mn�ters whirh e.rperience has shown most severely
nJfect ihe henith nnd snjery of rhe generr.!public. Although the Cit}�has made as complele a review and inspection as is reasormb/y possible(wirhin budge�nry time
mrd personnel limitnfions),�he Crtv neilher gimrnritees nor warrnnts!o fhe owner/occupnnt or fo nny olher person thnt/his Cer�ifirnle evidences slrici complianre
with ench and every ordinance or regdalion of Nie City or the Stnte ojWnshington nffecting the construction or use ofsnid slruch�re or the(nnd upon which rt is
sihtaled. Such compliance is�he responsibility ojthe owner nnd/or occupant ojthe premises.
PO`-'THIS CARD ON THE�'RONT�OF�'Ut�.,; �
«i,�� G 18I.Jd�,�Il�l� �1��'iS�ON . ,
� '�l7��:AL .
uv HY INSPECTI01�1 �+'���
�- dl`IS�ECTION�REQUEST PHOF�F#: 2`53=835-3050
PERMIT #: 02-105369-00-CO
OWNER'S NAME: ST FRANCIS MED CTR ASSOC
SITE ADDRESS: 34509 9TH S
( ) FOOTINGS/SETBACKS ( ) FOUNDA'TION WALL _
�M,� _
.._ � -� �-��,�„ ,��
,����� . . �R' h' " DO NOT POUR CONCRETF TI�:ABOVE IS APPROVED "
.�Bpm . , . . ., , , �,.,,�.. �x . . . . �..� �.:''k.`�
( ) DRAINAGE: Line ( ) Connection
� .� < � �-.�� �� � �� ,�x ��.r-. � - � .w � �
�_;.: �a:j ���� DO NOT�POUR�,,i,..��������,....OVE`IS;APPROVED ! �;�."��,� ;���`�°. :�;��. ; v
c ) urrDE�LooR�`��' � �S'=o3s' � / —
O ROUGH PLLJMBING: DWV Water piping
O ROUGH MECHANICAL_ � " Z, — O 3 Lc_.�,1 _Gas piping_
( ) SHEATHl?�tG Roof _Flaor__
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) Fi����rsTOPs_ .S= Z � — v 3 cc.`
s . _,��,. �. . tl
� : . ���°��ALL:�THE ABOVE MUST BE APPROVED-��PRIOR T ,FRAMING INSPECTION `�`:� '`�`�<, � ����
( ) FRAMING/FIRESTOPPING �—, � � — O_
€�� �„�.., � w; "•THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEE'3'ROCKING '���`�
: x�a � �,.,..;.
<, � �. , .�>,.� ._ _ �
( ) INSULATION: Floors Walls Attic _
����'�" ��� �-'�`�-�` `��THE ABOVE MUST BE A.PPRO'�ED�P � OR TO APPLYInG SAEETROGK - �'������
�,F�.d. ���,�,�_ .a�. ._
O WALLBOARD NAILING " — O SUSPENDED CEILING G. - �--c� 3 G c�/
�� ��,�� -�;THE ABOVE MUST;BE,AP,PRO�D�RIOR���' APING OR INSTAi:LTNG'CEILTNG�CII.E '" `� K;
,�.m�. R=��.�.� _ _ . , .
( ) ELECTRICAL FINAL (y ' S-' O � ��
( ) PLANNING F1NAL
( ) PUBLIC WORKS FINAL
( ) FIItE FINAL Cp ` S' � 3 G�
� ���CHE ABOVE 11ZIJST BE APPRO�ED� Cl`,"�, '�qYItI�Il�iG DE���.�,.��,..�����;'���.9��...,��-�.- ...
( ) BUILDING FINAL �� � �—• p� c_��
� ��>..� ���
_. .. ,��,�., w_,..., ,,��:; _
���' O OT OCCUPY THIS BUILDING UNTIL�BUIL�ING FINAL IS APPROVED ��
�.����..m�.��,�.��.��.�._ mpu.F _ ..��..��.
' ' v �
INSPECTION LOG ' '
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
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f � � i �l �0 IOq l g � . i06 s�or 0��-
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�« � CONSTRUCTTON PERMIT APPLICATION
� ���— PPLICATION NUMBER: - ��;� � - �'l/
�F,����, PPLICATION NUMBER: _ _ - -
PPLICATION NUMBER: - -
**The foilowing is required information—Please print(in ink)or type*' l l� �`�
Please note: Electricai,Fire Prevention Systems and Engineering permits may require a separete application.
. � . � . �
SITE ADDRESS: �✓� �T// y/f�l/. �a'/• ASSESSOR'S TAX/PARCEL#: ��Q� cJ1 - Q� �D
LEGAL DESCRIPTION OF SUB7ECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): � �T/
• • • � •
TYPE OF PROJECT(This appiication): UILDING ❑ PLUMBING o MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PRO7ECT DESCRIPTIO (Provide deW iled description): �/��H
� �2 ti � D � .
O A'
PROJECT NAME: /1 O Y(/YJ/ ��T/��� ��+ �`'�_�'_/_v,( '�S D/1/�OL�DD��
• • . • •
PROPER7Y OWNER: NaME: / � DArrtwe PHo�� �S
`!'s� SCL'1!� YJ�z�
MAILI ADDRESS(STREET ADDRESS;CITY,STATE, IP):
S'dH �D �r !�/ 5
CONTRACTOR: NAME: �� �� � ^ ��.�� �AYTIME PHONE: _
1
/� MAIIING ADDRESS(STREET ADDRE55;CifY,STATE,ZIP): EVENING PHONE:
`„y' • CITY OF FEDERAL WAY BUSINE55 LICENSE NUMBER: �AX NUM�R:
V� - � ) -
CONTRACfOR'S REGISTRATiON NUMBER: EXPIRATION DATE:
� �
APPLICANT: NAME• DAYTIME GHONE:
/�Y H�s� LU ) -DZ
MAI G ADDRE55(SIREEi ADDRE55;C S7ATE,ZIP): EVENI G PHONE:
2/ . �/-¢/ 9/ s20 � Oz3
REL�A ONSHIP TO PRO7ECT: FNC MEER:
1YARCHITECT o TENANT ❑ OTHER(DESCRIBE): '� � - /
E-M 1L ADDRE55:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT ❑ CONTRACTOR f'YC� ,�f�
� . . � • •
EXISTING USE: �L����I��/ EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 7t��U�• (/�/�
PROPOSED USE: �� IG�/1� PROPOSED VALUATION FOR IMPROVEMENTS: $ D OD�•DD
SPRINKLERED BUIIDING? dYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:�YES ❑ NO
�
WATER SERVICE PROVIDER: B'LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: e'LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
**NEW RESIDENTiAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: �
� • • • •
FLOOR EXISTING . FT. PROPOSED S .FT. TOTAL
BASEMENT
FIRST � � L—
SECON D
THIRD
� FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: ��
Indicate number of each type of fixture
�j�'a �V�"`un MECHANICAL
AIR HANDLING UNIT(S) EVAPORATNE COOLER(S) GAS LOG(S) REFRIG.SY57EM(S)
BBQ(S) FAN(5) HOOD(S) WOODSTOVE(S)
BOILER(5) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLEf(S) HEAT SOURCE: o ELECTRIC ❑GAS
PLUMBING
BATHTUB(5) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
� •
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 p�emises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of
Federel Way,but only where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information su plied to the city as a part of this application.
NAME/TITLE: /��`�/ � DATE: // v � D�
❑ PROPERTY O NER �'APPLICANT ❑ CONTRACTOR