02-104548 - . . , .
� ' . , ,
.�City of Tederal Way Building - Commercial Permit #:02 - 1o454s - oo - CO
Commu:+ity Development Services
33530 lst Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 II1SpCCt10I1 I'C(�UCSt Illle: Z�J3.g3rJ.3�5�
Project Name: FEDERAL WAY ORTHOPEDIC ASSOCIATION
Project Address: 34709 9TH S SUITEB500 Parcel Number: 926480 0015
Project Description: TI-Interior tenant improvement to expand of�ce into adjacent space,to create new offices. No
plumbing or mechanical.
Owner Applicant Contractor Lender
Steve Willard JOSEPH S SIMMONS CONST INC JOSEPH S SIMMONS CONST 1NC Steve Willard
2000 124TH AVE NE#B-100 PO BOX 27089 JOSEPSS153JD 4/1/03 2000 124TH AVE NE#B-100
BELLEVUE WA SEATTLE WA 98125 POBOX27089 BELLEWE WA
98005-2117 SEA1"I'LE WA 98125 98005-2117
Includes:
Census cate o 437-Comm #1 #2 l� #3 #4
g i7'� - -J�--- --- i
� Occupancy Group: _�� B � _ �
Construction T e: s Type V-N �� �
YP �i=�-._-
—=--�=---- __ — -
�ccupancy Load: � 4g �� __ � �
Floor Area(Sq.Ft.)- --—— 4717�� �� _ _� _�
lst Floor Proposed Sq.Feet.................................4717 Census Category.................................................437-Commercial aldadd
Fire Sprinklers................................................. Yes Mechanical................................................. No
Number of Stories................................................1 PPrmit for Building Shell Only............................No
Plumbing................................................. No Will Certificate of Occupancy be Issued?............Yes
Zoning Designation.............................................OP
CONDITIONS:
All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6))
PERMIT EXPIRES April 13,2003,IF NO WORK IS STARTED.
Permit issued on October 15,2002
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
Owner or age� ( ' � Date: ((�� ( � l 6 �--
, - � . � •
' City 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 bv Citv staff.
Tenant Name: FEDERAL WAY ORTHOPEDIC ASS Permit number: 02- 104548-00
Address: 34709 9TH S SUITEB500
#1 #2 #3 #4
i
Occupancy Group: B
Construction Type: Type V-N �
'LOccupancyLoad: 48 �
i Floor Area(Sq.Ft.): -- ---4717-- � �----------- �
Owner Steve Willard
Name: 2000 124TH AVE NE#B-100
Address: BELLEVUE WA
98005-2117
Building Official Date
The priority jon�s in the review and inspection made by the City prior to issuance of this Certrficate tivns on those matters which experience has shown most severely
affect the heallh and sajety of the general pub(ic. A[though the Crty has made as complete a review nnd rnspection as is reasonably possible(within budgetary time
and personne!limitadons),Ihe Crty neither guarantees nor wnrrnnts to the owner/occvpant or to nny other person thaf�hrs Certificate widences strict comp[iance
wrth encii nnd every ordinance or regulation ojthe City or the State ojWashington nJj"ecting the construction or use ofsnid structure or the land upon which it is
situnted. Such compliance is the respo��sibility of the owner and/or occupant of the premises.
' • i1�Tf'� • ,
' . '. . PO; HIS CARD ON THE FRONT OF BUILD , �
� _ BUILilING DIVISION .
— INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 02-10�548-00-CO
OWNER'S NAME: Steve Willard
SITE ADDRESS: 34709 9TH S SUITEB500
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
:;; ' (3 l`�T POIIR CONC'�RE E`�iJNTIL,THE�ABO�E;iS.�4PPROVED . � ����`��,'��F - �'
��.- �
� - �_.�____�_.__...�_ _...._.,�A�.�. ___.
��,���.,.�.__. . e....�._.___._�..x_���.�-_�_.���,�,,� _.,,. ��.�
( ) DRAINAGE: Line ( ) Connection
' �.� "�� :, :.� OT��,�SL�B'C7���.;,�TTT�'�.��Q���IS�APpROVED '�����������: ��,�N:� s `�
. . �.�,�.m�:.__.�. _ „ .�_� _,. ._
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
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�. � ��� �O'�` ��0�TO RA� �S���` '4 u. `������
�� � , ,, ,�� a a :
_ ---� - �.P_.� .� .�..��.�w.�_.. .._.. �.....��� ~ ��� �,���,_...� :.a
( � FRAMING/FIRESTOPPING
��`,� � ����'�'T�IE�ABOn, -,�,�:.�5� v,„„�,P�LU,��`ED�,P�tIOR"�I'�O T�iS[1LATING,,R,�,,�IEET�G�CTIVG . ., �.� . �.��-,��
( ) INSULATION: Floors Walls Attic
"' °"� � �����`�"� � A�(�YE MITT�T BE AP,PwRO��D�PRTOR_TO APPLYING SHEETR�CK; _.___...:, .... � .E ��...
�� � � � � _
��.` �,.,. .:�,.��-;ry�� _ �b„w�.�r,�,�. �� �.. �.� _ . o .� ,.
( ) WALLBOARD NAILTNG ( ) SUSPENDED CEILING
�� �"k� _��THE,ABO�VE�MU�T,BE A,,1'PRO�EU��R7C?R TO TAPING OR INSTALLING CE�L�NG T�LE _
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
�T„ ,°��a���_ �,����HE�B,04?E 1VTLlS�E APPRO�D,pRYOR TO „ ILDIlVG DE�' �'M,EN FI�t,�iL;�, =o,. �`,�., .
( ) BUILDING FINAL � ��
_ F
�� �bO�NOT O�CCITPY THIS BUILDING ITNTIL BVILDING FINAL IS APPROYED
::�r ap�...�,�,_��.��:....._. , _s����,.,.� _ .__ ..��_�._.,_._� �....v:..�.�._ �.. ,�,,..,......,���..�... �.._�_.� �.�� �,_. � _ __..� .__��..4 a
,� �__..._.� . ���
� INSPECTION LOG
DATE INSPECTOR : OK CORR/RET AREA AND TYPE QF INSPECTION `
.
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rr� o � � W�u 6�� ,�, �..�� � ��� �-����- oF��e�g
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`"'" G CONSTRUCTION PERMIT AP LICATION
�v ����I\/ED _
PPLICATION NUMBER:
PPLICATION NUMBER: - _
OCT 1 5 2002 � - - - - - - - -
- -
RRLICATION NUM.BER: _ _ _ -
' �`T���T���p�r�jls`,i�equired information-please print(in inkj or type** � ����
Please note: El�,��i e'P"re ention Systems and Engineering permits may require a separate appliption.
� . • . • . .
SITE ADDRESS: ��'I'7�� � A'►�E �� Su 1 i� �^��SSESSOR'S TAX/PARCEL#: � �l0 Z�D- ��,5_Q$
�
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): S C:�" �L-F� ,
�
�
, • • . • •
� TYPE OF PROJECT(This application): � BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
i
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
i
' PROJECT DESCRIPTION (Provide detailed description): ..�v j�L�f/� T�-,�, n� v ���r-
�'�'�� � M i C-
-rD E�P�� oF�(=-� ��- DD G�-s -
k
;
i ^�
; PROJECT NAME: _ T C�C.�'� � � D2 j� p pe�;� ��C�
i
, . , . �
PROPERTY OWNER: NAME: DArnME PnoNE:
S%�l� ���x.,/�.-�D �B�1 "17�-��n4�� � (�'� ) 43 4- - a D t�
MAILING ADDRESS(STREET ADO ;QTY,STA1E,IIP):
( �71� /�.�(� �-u�;2�- �-2.�D gtL.� t,��} �f��laZ S,—
CONTRACTOR: NAME: DAYRME PHONE:
�����t � - �:.-.�..,�c.,�S � S,�C..�a ti1 ("2.b6 ).�6 L - �7 2 Z 7
M CNG ADD�S�STR� DD�R�UfY,STATE�IP�l�k_ � � 0 � �l �Z.G"ES �ONE� -�I! �
3 7 `< <,
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
I�ru � r� ����z— — — - — — — — - czo6)�6Z - o � t�'
CONTRACTORS REGIS7RATION UMB R: IXPIRA710N DATE:
��„���d�,,;�> � � s � � � L s � � .� `f i 1 i r� 3
APPLICANT: nar�E:
DAYTIME PHONE:
�C - lr`^^�-��.�5 (ZD� ��6 2, -�7�2-7
MAILING ADDRESS(SfREET ADDRESS;QTY,$TATE,IlP): EVENING PHONE:
��'-o ' g c`�` Z 7 O� �1 5 � � (��) 5�fs - $'l I �
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT � OTHER(DESCRIBE): �� • C�NT✓�2C� "LQ6 � 3�'Z - Cj( ��
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER �(APPLICANT �CONTRACTOR
. . : . • • •
EXISTING USE: O�� EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSE�USE T)�=1� PROPOSED VALUATION FOR IMPROVEMENTS: � �� �� �i�� �
SPRINKLERED BUILDING? �YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED�❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRNATE(SEPTIC)
� -
**NEW RESIDENTIALCONSTRUCTION�"LY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PR : $
• . • • •
FLOOR EXISTING S .F7. PROPOSED S .FT. TOTAL
BASEMENT
� �� -� 5 � (n j ( Zi � .
SECOND
THIRO ,
FOURTH � �
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: '
,
.
i
Indicate number of each type of fixture ;
��1 S'7'�,l/C.,� S�S /-'�Y�� MECHANICAL "
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.Sl(STEM(S) I
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) !
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.{ )
COMPRESSOR(S) FURNACE(S) ,
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINFQNG 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
furtf�er,tfiat I am authorized by the owner of the above premises to perform tl�e woric for which the permit application is made. I
further agree to hold harmless the Gty of Federal Way as to any daim(induding costs,expe�ses,and attorneys'fees incs�rred in tf�e
investigation and defense of such daim),which may be made by any person,incfuding the undersigned,and filed against the City of
Federal Way,but only where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy
of tfie information supplied to the aty as a part of this application.
NAME/TITLE: -��e �I M yh�S ��I�y�� DATE• `�' I�, I�2
❑ PROPERTY OWNER ❑ APPLICANT �I CONTRACTOR
FOR UFFICE USE"ONLY ::: �U L = '�' ��C� S "� Z(�P ZG�
��NE1N�-�x f�' ❑- OfVI#, „ ' ALTERATION:__:�� REPAIR -��-�.-� iTENAfYT IMPROVEMENT�=a�-�•.;.
�, _ .: _ •. - -
SCENSl1S'CODE n -. �.,a_:=~-�,�_,._� �.�_�:r.-�_� =LOT.SIZE ��; '� �:_�_��,.��, �, �-���`� �z
�Ot�I�1G�,��SIGNATxUN` 3�,��:. - � :�BUILDTNG SHEL1 UNLIf? �O'Y .:x.. NO=;� ���.=
�
�C.OMP�'�LANxDESIGNdTION� - � � � � �BAS1C QIA��"�'-;uD�Y�S'�� � �(VO��'�,�`�'�,�;:�, �Y���s
' ���..�::� .� . ��,_;
�ECLIUN�'���' TOWNSFIIP=_£ RANGE ; _. . '_NEW�ADDRESS,REQUIRED?-,..:,_<,.�,''YES�� O;;�`,;
�PIATTED'LOT? ❑,YES.'<;0=N0 '==CHANGE OF'USE? � Q,;YES `= NO .; --
COMMUNiTY DEVELOPMENT$ERVICE$•33530 FIRST WAY SOUT}1•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661�000•FAX:253-661-4129
www.dNot�edera Iway.com