03-100286City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
r 1
Building - Commercial Permit #:03 - 100286 - 00 - co
Inspection request line: 253.835.3050
Project Name: SPENCER CHIROPRACTIC 'IMPECT104.
Project Address: 327171ST S Unit5 Parcel Number: 182104 9047
Project Description: TI - Construction and demolition of interior walls to create new offices, no plumbing or mechanical.
Owner
Applicant
Contractor
Lender
Floor Covering Pf *Floor Covering Pf :
PRECISION BUILDERS INC
PRECISION BUILDERS INC
NONE
12886 INTERURBAN AVE S
PRECISION BUILDERS INC
PRECIBI151C2 1/19/04
Type V - N
SEATTLE WA
PO BOX 98609
PRECISION BUILDERS INC
Occupancy Load:
98168 -3318
DES MOINES WA 98198 -0609
PO BOX 98609
NONE
Includes:
Census category: 437 - Comm
#1
#2
#3
#4
Occupancy Group:
B
Fire Sprinklers .................. ...............................
No
Construction Type:
Type V - N
Number of Stories .....:... .........
....... ......... I
Permit for Building Shell Only ............................
Occupancy Load:
Plumbing .................................................
No
Will Certificate of Occupancy be Issued?... ........
Yes
Floor Area (Sq. Ft.):
1705
1 st Floor Proposed Sq. Feet .........
................ 1705
Census Category............... ..... ......,1...
4V,-,, Commercial alt/add
Fire Sprinklers .................. ...............................
No
Mechanical. .......................:....... ...............
No
Number of Stories .....:... .........
....... ......... I
Permit for Building Shell Only ............................
No
Plumbing .................................................
No
Will Certificate of Occupancy be Issued?... ........
Yes
Zoning Designation... .::. ..........
.......................... BN
CONDITIONS:
All new and refaced signs require a separate sign application and review. (FWCC, Sec. 22- 335(g)(6))
PERMIT EXPIRES July 21, 2003, IF NO WORK IS STARTED.
Permit issued on January 22, 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 Way.
Owner or agent: _ Dater
ly r-
-t V 'It
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: SPENCER CHIROPRACTIC
Address: 32717 1 ST S Unit5
Permit number: 03 - 100286 - 00
Owner Floor Covering Pf *Floor Covering Pf Resilient
Name: 12886 INTERURBAN AVE S
Address: SEATTLE WA
98168 -3318
MR. n4^.-ft;Vt , Cdo
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.
#1
#2
#3
#4
Occupancy Group:
B
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
1705
Owner Floor Covering Pf *Floor Covering Pf Resilient
Name: 12886 INTERURBAN AVE S
Address: SEATTLE WA
98168 -3318
MR. n4^.-ft;Vt , Cdo
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.
-� E�ErZFII_
VV AY
PERMIT #: 03- 100286 -00 -CO
PO ;'HIS CARD ON THE FRONT OF BUILDIDIG
BUIING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253 -835 -3050
OWNER'S NAME: Floor Covering Pf *Floor Covering Pf Resilient *
SITE ADDRESS: 32701 1ST S Space5
( ) FOOTINGS /SETBACKS
( ) DRAINAGE: Line
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
( ) FOUNDATION WALL.
( ) Connection
Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING.
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING 7-
117,.
Ditch Cover
Floor
() INSULATION: Floors Walls Attic
C III
d GSHEE .
() WALLBOARD NAILING — Zo -� �✓ .��() SUSPENDED CEILING
( ) ELECTRICAL FINAL "5 —
( ) PLANNING FINAL
Joww
` &ECENED CONSTRUC RON PERMIT APPLICATION
CITY OF C JAN 2 2 2Q0 _0 – ill
3 PPLICATION NUMBER: - W
Federal Way PPLICATION NUMBER:
CITY OF FEDERALWAY PPLICATION NUMBER:
t1ILD1NG DEPT, — —
* *The followi s required information - Please print (in ink) or type **
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
ASSESSOR'S TAX /PARCEL #: —10 Z ( V
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
TYPE OF PROJECT (This application): BUILDING o PLUMBING o MECHANICAL o DEMOLITION
❑ ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): tA.., Y24-.-.L "0 Lu
PROJECT NAME: S pig siLLrL G r;,> 24 'r/ G
PROPERTY OWNER:
CONTRACTOR:
) '77> -
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): —
33Q61 1 sr,L,/e-1 sv sL, 1y-c n �>
NAME:
i Gis�c 13�.,�n /ryz
DAYTIME PHONE:
)3Q6 1,
i MAILING ADDRESS (STREET ADDRESS; CITY, STAT17, ZIP):
I EVENING PHONE:
CITY OF FEDERAL WAY BUSINES LICENSE NUMBER:
1P £s - ova
i FAX NUMBER:
b_ K�- i (Wt- ) 9 ;9 o'G I
A-va, -4 g� _
_ _ _ 7
CONTRACTORS REGISTRATION NUMBER:
EXPIRATION DATE:
(copy of card required) P.Pr,-.
i0.2_. i l 1
APPLICANT' NAME: DAYTIME PHONE:'
i I
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
iRELATIONSHIP TO PROJECT: I FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER( DESCRIBE):- g:�'L_1(Lr "9 -
E -MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER o APPLICANT ❑ CONTRACTOR I
]FTOTLFn RUTLnTNG TNFnRMATTC
EXISTING USE: e}}1 Q D Zj?CTI L.- EXISTING BUILDING ASSESSED /APPRAISED VALUATION
PROPOSED USE: SAO -r 9-- PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES -ENO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: vv�- LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
* *NEW RESIDENTIAL CONSTRUCTION O0* is
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
■ PROJECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
MECHANI
L
FIRST
O�
GAS LOGS)
REFRIG. SYSTEMS)
SECOND
FANS
HOODS)
WOODSTOVE(S)
THIRD
FIREP CE INSERTS)
RANGE(S)
MISC. ( )
FOURTH
FURNA E(S)
OTHER FLOORS (DESCRIBE)
AS PI E OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC o GAS
DECK
PLUM NG
BATHTUBS)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
TOTAL:
1
1
❑ ELECTRIC o GAS
DRINKING FOUNTAIN(S)
jISCLAIMER /SIGNATURE BLC
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 (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
Federal 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 supplied to the city as a part of this application.
NAME /TITLE: DATE: I �tZlai
❑ PROPERTY OWN ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 - 9718 .253-661 -4000 • FAX: 253 -661 -4129
www.dtvoffederalway.cm
Indicate number of each
pe of fixture
MECHANI
L
AIR HANDLING UNITS)
EVA RATIVE COOLER(S
GAS LOGS)
REFRIG. SYSTEMS)
BBQ(S)
FANS
HOODS)
WOODSTOVE(S)
BOILER(S)
FIREP CE INSERTS)
RANGE(S)
MISC. ( )
COMPRESSORS)
FURNA E(S)
DUCTS)
AS PI E OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC o GAS
PLUM NG
BATHTUBS)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC o GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTORS)
SUMP(S)
jISCLAIMER /SIGNATURE BLC
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 (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
Federal 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 supplied to the city as a part of this application.
NAME /TITLE: DATE: I �tZlai
❑ PROPERTY OWN ❑ APPLICANT ❑ CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063 - 9718 .253-661 -4000 • FAX: 253 -661 -4129
www.dtvoffederalway.cm