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03-100077 • • City of Federal Way Building - Commercial Permit #:03 - 100077 - 00 - CO Community Development Services 31S30 1st Way S Federal Way,WA 98003-6210 Ph:253 661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: DASH POINT CHIROPRACTIC Project Address: 1612 SW DASH POINT Parcel Number: 122103 9074 Project Description: TI-Interior wall demo and rebuild,including plumbing and mechanical Owner Applicant Contractor Lender AUDREY/SYDNEY IRMAS CHARD DASH POINT CHIROPRACTIC*STI DASH POINT CHIROPRACTIC*STI DASH POINT CHIROPRACTIC*STI 20206 72ND AVE S 1612 SW DASH POINT RD 1612 SW DASH POINT RD KENT WA 98032-2322 FEDERAL WAY WA 98023 1612 SW DASH POINT RD FEDERAL WAY WA 98023 FEDERAL WAY WA 98023 Includes: Census category: 437 Comm- Occupancy Group: JqB JL Construction Type: I - Type V-N Lii Occupancy Load: p Y Ir� J — l —J [-Floor Area(Sq.Ft.) E 1686 1r - - IL- 1 1st Floor Proposed Sq:Feet 1686 Census Category 437-Commercial alt/add Fire Sprinklers Yes Mechanical Yes Number of Stories I Permit for Building Shell d ' nly ".r,,'-.."4`.4..t rat'4 Plumbing Yes Will Certificate of Occupancy be Issued? Yes Zoning Designation BN Plumbing Fixtures 1 ,z1" 6:013 66 dile .. De rtpti6 .'77...._ Quant escrlpttoci 7- Quantity, Showers 1 Lavatories 1 Sinks = = 1 — fl — 1 Water Heaters 1 I Water Closets 1 Mechanical Fixtures f ,P script On ..� Q ldnttt : 7.:.:''::'- . .Descript>on ., ... -irci� nfr , 1 <3 l escri tic n I Quay tity rFans ---- - -r 2 j CONDITIONS: All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6)) PERMIT EXPIRES July 6,2003,IF NO WORK IS STARTED. Permit issued on January 7,2003 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 Washington and the City of Federal a . M+ /71(1- Owner or agent: ,, Date: • 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 by City staff. Tenant Name: DASH POINT CHIROPRACTIC Permit number: 03 - 100077-00 Address: 1612 SW DASH POINT #1 #2 #3 #4 I I_ Occupancy Group: B — �— — i — - Construction Type: Type V-N I� Occupancyoad: � _ --�� — Floor Area(Sq.Ft.): 1686 • Owner AUDREY/SYDNEY IRMAS CHARITABLE FOUNDATIO Name: 20206 72ND AVE S Address: KENT WA 98032-2322 NA. )14400144,, cao 3 -2.....y-03 c_c_h...) Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and safety of the general public. Although the City 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 with each and every ordinance or regulation of the City or the State of Washington affecting the construction 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 the premises. INSPECTION LOG DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION " - a ©ir 7' wei/ to 14 s,�% oCwellAr y PO. '4'THIS CARD ON THE FRONT OF BUILI • FF c EDEIZFIL BUILDING DIVISION VV. AY INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT#: 03-100077-00-CO OWNER'S NAME: AUDREY/SYDNEY IRMAS CHARITABLE FOUNDATIO SITE ADDRESS: 1612 SW DASH POINT ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL 4a °..-_. t hefolx I ABOV I .'PROW. E ( ) DRAINAGE: Line ( ) Connection• pg f B�p .: ® 'co I z: i 0B B � -, ',+y P\ j y�.` . °. .aw,a �� uur ( ) UNDERFLOO .d ° / — l 7— G ' () ROUGH PLUMBING: DWV Water piping () ROUGH MECHANICAL Gas piping () SHEATHING Roof Floor _ ( ) SHEAR WALLS () ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS "� wALC: _ �� .,..� � 00.'411 ' 5',14 () FRAMING/FIRESTOPPING [^ 3 ( — 0 3e- ,e e•S,�: _ _.. 41 -:. ta '�iex..a«- ( ) INSULATION: Floors Walls Attic • W`� �a e a :. +....... ,y®.ro. .....n... �.t :.mwa i.. 4. ©�`�L n' ., i.c i�I � ', y () WALL}.BOARD NAILING Z ()— 1 C7� l.� SUSPENDED CEILING Z.--f 6 c g. !tow C ( ) ELECTRICAL FINAL 3 —/Z^ d A ( ) PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL 3 — f . ^ U 3 �— fii7w• ® R ... 6� °3 . -., .... ��_....... e Y , 0.. � *TOT) Pte:: °. ( ) BUILDING FINAL 3 —2_4 tECEVED • ;°, .... CONSTRUCT i .ON PERMIT APPLICATION _ uV F3Y EFKFIL_ JAN 0 7 2003 APPLICATION NUMBER: 0_5. - L 0 Q D I:a-- 0_ OF FEDERAL APPLICATION NUMBER: 8UlLDING DEPTWAY APPLICATION NUMBER: _ _ - **The G1TY following is required.information-Please print(in ink)or type** IC ST Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. . _ ■ PROPERTY INFORMATION ii SITE ADDRESS: ( 12-SW %A Poo/h/ goo) ASSESSOR'S TAX/PARCEL#: ( 2 2- 1 03 - 9 0 1 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): :2--..,..,...A.:.......--,',..-..-:!-,.7- - :.:• `PROJECT INFORMATION .. TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): TQyjd144 )1/11 prodemwds I r cArrofra C ( g.. PROJECT NAME: LS Pt- h(4:2pk Cfi c . ■ PEOPLE INFORMATION T PROPERTY OWNER: NAME t / ii �✓ / / DAYTIME PHONE: 7lu Aud► a�+ol��Sarr�R ;s► l/,STATE,IIA�P16:�i/7 Jj I�OUYI(�/ fl�r Qi'+ (425 ) �3 - 2504 clo 14nncc4l-W;IstIn Proper cs � Lill., i-75-(16Th AJe S5 SIo5, .0 60)(5460r CONTRACTOR: NAME: DA iVen\f'� ( ) - bkn V+ MAILING ADD (STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ,�/y�� r/Ar `3e.. ( ) ." CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: ( ) EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: si. �� DAYTIME PHONE: t'1 v' 7' o ( 206 ) 412 -OW MAILING ADDRESS(STREET ADDRESS;CITY, ATE,ZIP• EVENING PHONE: 1612 sd 0641 Poiert �.ed C ,t ,vaa , ' C23 ( ) - RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT KTENANT ❑ OTHER(DESCRIBE): 0.63 )!3c . -teyets E-MAIL ADDRESS: L it CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER KAPPLICANT ❑ CONTRACTOR yip fse & a tb . Cowl ■ DETAILED BUILDING INFORMATION EXISTING USE: a ACQ h EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ li 000 r SPRINKLERED BUILDING? IYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES K.NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHUNE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHUNE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIALCONSTRUCTIOWLY** NUMBER OF BEDROOMS: 1111. ESTIMATED SELLING PIP: $ ■ PRO]ECT FLOOR AREAS • FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL B4SEMENT FIRS 1 666 i,6i6 SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: *�/� ...........1.........,...:..--.4...4--...,-,.• n ,..... Yt 6 -4.4 M`AY:1/ 's:FIXTURES,A644,..i;{. i..v......!.4.,;..; Pi1,l^!,,,,,,, iS`!Ha:cgM1,6N,...µ4..?...-.1.,. ...II... Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) 2/ FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERT(S) - RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) I LAVATORY(S) URINAL(S) I WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ,i ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) ____1__ SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) P f SINK(S) I WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) • ■'DISCLAIMER%SIGNATURE BLOCK _ 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 premises 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(induding costs,expenses,and attorneys'fees incurred in the Investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE: 5\-AI prl, DATE: i17 ®3 ❑ PROPERTY OWNER 'APPLICANT ❑ CONTRACTOR lFOR OFFICE USE ONLY l -aliSNE* ❑ 1►D o •NOS , ®ALTERATION ,,REPAIR ENANT IMPROVEMENT -'CENSUSCODE: I ` .:IILOTt-SIZE i; Ate- -, h 4. . ONING DESIGNA e N., s, � 1 5-4---t.,.....:-....f.-ING SHELL ONLY? ❑ # FF NO. a ,�z g . COMP LAN DESIGNATION :,,,,,,,,;,,,A,4:-- -,., 'BASIC PLAN? C fES 7..NO , t,, -' s r p :SECTION `E '��` TOVYNSHIPf��RANGE ''`` �"�� £�� NEW ADDRESS�REQUIRED? ,� . .�? � t�0 .. g;PLATTED LOT?'; ❑Ve.,_ -NO Y CHANGE OF USE? R, _.:.. t: YES i _.NO..V __.�,:f; COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.dtvoffederalway.com