02-100342 City of Federal Way
Community Development Services Building - Commercial Permit #:02 - 100342 - 00 - Co
33530 1st Way S
Federal Way,WA-98001-69lo — - ----- -- — ———------Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: PUGET SOUND PLASTIC SURGERY
Project Address: 918 S 348TH ST Suite2 Parcel Number: 114040 0010
Project Description: Foundation Only-Foundation and ground plumbing work only. No occupancy under this permit
Owner Applicant Contractor Lender
MONA C/LAURENCE A LUX D P R CONSTRUCTION INC D P R CONSTRUCTION INC PUGET SOUND PLASTIC SURGER'
909 S 336TH ST 1450 VETERANS BLVD DPRCOI*0660B 2/1/02 34509 9TH AVE S#203B
KIRKLAND WA 98083 REDWOOD CITY CA 94065 1450 VETERANS BLVD FEDERAL WAY,WA
REDWOOD CITY CA 94065 98003
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 437-Commercial alt/add Fire Sprinklers No
Mechanical No Number of Stories 1
Permit for Building Shell Only No Permit for Foundation Only Yes
Plumbing Yes Special Inspection Required No
Will Certificate of Occupancy be Issued° No Zoning Designation OP
Plumbing Fixtures
''' De on
p . IQ
scrl t [anti , i Descr`ption " , IOuant y Description jQ iantityl
Drains I I
PERMIT EXPIRES July 24,2002,IF NO WORK IS STARTED.
Permit issued on January 25,2002
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 b- in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal W.k.
Owner or agent: Allf 11"� la! Date: t 2g DZ.
POS——HIS CARD ON THE FRONT OF BUILD'''
`�`°� BUIL,)ING DIVISION
FERAL_ INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 02-100342-00-CO
OWNER'S NAME: MONA C/LAURENCE ALUX
SITE ADDRESS: 918 S 348TH Suite2
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
( ) DRAINAGE: Line ( ) Connection
O UNDERFLOOR ' 'J -3 • C--
( ) ROUGH PLUMBING: DWV Water piping
O ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
O ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
6'.., :em a la) L !) 1 a tt,rt 1 ! .�:w ,®
( ) FRAMING/FIRESTOPPING
( ) INSULATION: Floors Walls Attic
t ,sylp yt y,K 1 r:'i lP ,t 1r a 1. 0
( ) WALLBOARD NAILING ( ) SUSPENDED CEILING
.y
( ) ELECTRICAL FINAL
() PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
w
:� ,1 � ` . U, . E. RU D3RI< �G T VIEN ,
( ) BUILDING FINAL 4--3 - 402,_
.., a r e a�� -r^ .��,.
` ; S .. G' 1y ® D NA ,IS PP
sLeEtVED CONSTRU ON PERMIT APPLICATION
E L APPLICATION NUMBER: 02 - 1 Q 0 3..I Z- C
APPLICATION NUMBER: _
dAN 2 5 - - -_- -
CITY OF FEDERAL WAY _._
.\q 2 1 **The follows fWIRIOAIRformation—Please print(in ink)or type** •
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
4 ■ 'PROPERTY INFORMATION
SITE ADDRESS: AS s• �f S r/ 57r.72— ASSESSOR'S TAX/PARCEL#: it Q *o. - a 0 L Q �.ea
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
SEE A` • T--1 co v�wu�,s 1/�4/cz.
1y �e. F.A.t.- .
:� • 1 PROJECT INFORMATION
d - l -notJ Wow,.
TYPEOF PROJECT(This application): 'P+ BUILDING PLUMBING 0 MECHANICAL 0 DEMOLITION
0 ELECTRICAL 0 ENGINEERINGI7 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): tkis'171,L1. laatzu3 txLl58 tA.s('*. 4
g niet h Uorr.t. 4 Pica. ApeitiwoutAxeLa33 c-y'Selfcam c
.01.. e,u udi 144 Iderlx,rez.WO.M aE -ro A Cratr/ &tsn t Tsk1Ax -s St. .
PROJECT NAME: °t 44,1E 111D f(i(,. SogArizI
I
- ■ PEOPLE INFORMATION
PROPERTY OWNE•: NAME: DAYTIME PHONE:
L44X- i ktOAMIA- �4 1.1.v,ze eNet. /- ( ) -
MAIUNG ADDRESS(STREET ADDRESS; STATE,ZIP):
i
I
CONTRACTOR: NAME: DAYTIME PHONE:
t C.cgsTitnct.1 lac. . czo) Zqz -ate _
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: C�',I,{,,,
Ewa. 6 57 `'E6tZ4z, Wm Z^v Ft. ., FT.e. 98tvt (w6 )374. - z-
QTY Of FEDERAL WAY BUSINESS LICENSE NU R: FAX NUMBER:
- - (70(.) Z92- -905o
CONTRACTOR'S REGISTRATION NUMBER: OPE
RATION PIRATION DATE
(ter a card reams Q 'L_ b G O 1 it 0 e2 (Q 6 5 / /
APPLICANT: NAME: DAYTIME PHONE:
I gRA� 1 �ciZAM. (?'3 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP)* EVENING P) L -4o
HONE:
415o9 13tor* S•, ..Zo)13, rs uaal,Wik-Vo s ( ) -
1 RELATIONSHIP TO PROJECT: FAX NUMBER: /,t
0 ARCHITECT ? l
TENANT 0 OTHER(DESCRIBE): (ZS3) 2. - dS"1
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT CONTRACTOR ..k t fte.t' 3..k.•Lo►'h
■ DETAILED BUILDING INFORMATION
EXISTING USE: • Achla1 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
C� $ tt sire. 4
PROPOSED USE: �� PROPOSED VALUATION FOR IMPROVEMENTS: 1� D yV��r��°—•rn
SPRINKLERED BUILDING? 0 YES ANO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES J,NO
WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION Ohm i*
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PRO3ECT FLOOR AREAS
•
• FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
• BASEMENT • •
FIRST Z541 •
Z1
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: Z.541 54 1 Z5.1,
. . • a FIXTURES
Indicate number of each type of fixture
• MECHANICAL • •
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOOOSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC 0 GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) I BLIMPS) FC01,0.' OA-sm.)
■ 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 whidi the permit application is made. I
further agree to hold harmless the City of Federal Way as to any daim(including 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,including its officers and employees,upon the accuracy
of the information,supplied t. the city as a part of this application.
NAME/TITLE: • 1 164!� \r O c 1 DATE: I Z' O7_.
❑ PROPERTY a ER 0 APPLICANT CONTRACTOR
•
FOR OFFICE USE ONLY
t3 EW... 0 ADDITION ❑ALTERATION 0 REPAIR' ': ENANT IMPROVEN ENT = "`
CENSUS CODE LOT SIZE'* ,,�
ONING,QESIGNO BUILDING SHELL ONLY?: x.❑YES .
GOMP I) N DESIGNATION . BASIC PLAN?
ECTION :A':7.TOWNI RANGE . NEW ADDRESS REQUIRED? YES
LATTEQ;LOT? _ -N SH:❑ NO CHANGE OF.USE? - ❑ YES ; 0
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129