07-105509 —
Corn u City nity of pe Federal va: Way
opment Services
Bui•ng — Commercial Perm.: 07-105509-00-CO `
P.O.lox 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: NORTHWEST CHIROPRACTIC CENTER
Project Address: 34730 PACIFIC HWY S Parcel Number: 202104 9145
Project Description: ALT- Remove exterior non-structural mansard roof& replace existing wood siding the
stucco & some wood trim, architectural stone veneer. Replace windows on W,E, &N walls
using commercial Low-aluminum windows.No plumbing or mechanical.
Owner Applicant Contractor Lender
LORRI NICHOLS JIM THOMAS S&S GENERAL CONSTRUCTION BANK OF AMERICA
NW CHIROPRACTIC CENTER ARCHITECTURAL DESIGN &SERVICES PO BOX 650569
34730 PACIFIC HWY S ASSOCIATES SSGENC*022CO(3/04/09) DALLAS TX 75265-0569
FEDERAL WAY WA 98329 2221 EVERETT AVE SUITE 201 14904 121ST(KPN)ST
EVERETT WA 98201 GIG HARBOR WA 98329
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 3,690 0 0 0
Additional Permit Information f ?�
New/Additional Sq.Feet- 1st Floor 0 Building Pre-con.Meeting Required? No
Existing Sprinkler System in Building? No Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? No Special Inspection(s)Required? No
New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Professional
Services/Offices
Sensitive Areas?(Wetlands/Slopes,etc) No Zoning Designation CE
No Fixtures Associated With This Permit !I
PERMIT EXPIRES Friday, January 15, 2010
Permit Issued on Tuesday, January 15, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy andihe use will be in accordance with the laws, rules and regulations of the State of Washington
- d the Ci of Federal Way.
Owner or agent: .. " \N Date: — U
FINALED .
vi,
�u , Niv G o,(� a-
a DATE INSPECTOk AREA AND TYPE OF INSPECTION
f' 30-as 0 ,51a // 1.-11/rof 1;4 / P3
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THIS CARD IS TO RFMAIN ON-SITE
i , NI,
CITY OF Community Developme! Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-105509-00-CO
Owner: LORRI NICHOLS
Address: 34730 PACIFIC HWY S ,
•
FEDERAL WAY, WA 98003-6821
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
❑ Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
•
Ell Re-steel(4215) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
•
'❑ Floor Sheathing(4105) ❑ Shear Walls (4245) ❑ Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By e....- Li Date 2 -/c_r By Date
.
'❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 1083.4
By Date By Date
.
❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
1
By Date By Date By Date •
❑ Final-Fire Department(4060) ❑ Final-Planning(4070) ❑ Final- Public Works (4080) .
Approved Approved Approved
By Date By Date By Date
• • •
.❑ Final-Building(4050)
,� Approved
• B�! "S Date 7-A9--e€
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
•
Approved Approved
By Date By Date
19ks.0°14
Federal ay �0 U 4 7.09 WAV Q� - Jo 5 0'9
L PERMIT SF MF • E EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES F FE°� P, . (�•
339258^;AVENUE SOUTH PO EpkI�� WGD rip
253-835-2607*YTA 253-835-2609 H9F60: is\l PPLI CATI ON
Jl fVy7FAX L �R 4
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_ 3 4"73. ?pIz-1 L H-1-1‘r 5. SUITE/UNIT#-
ASSESSOR'S TAX/PARCEL# /r O 2 . 0 1' - et 1 4 5 LOT SIZE (s) 2 ell
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) �-r"t" lj
Auooh-ceparale paged',Iengmy lerg4(Iestt1PwN�
IN PROJECT INFORMATION
TYPE OF PERMIT [BUILDING D PLUMBING ❑ MECHANICAL
❑ EMOLITIONLECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
MXI:ST.kt4C1 Woo r7 Stt:•t(11,G1- t,4irta st1A.c.Le is 561.4.e. t~L°c TliaN6M it
"��"i_rC.- . ._y.- - —-.ate--�e�_a a'.iu�:i�.�ial•S 1wTu��a�:ru•.u_xtr•+m--sr.t �- .._.
PROJECT NAME(Name of Business or Owner Last Name) -Nbg.-Ini
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER t.-bia. SI 1,4 kC.l4OLS (Z,'i5 4/.8- 4Viel
MAILING ADDRESS CITY.STATE,ZIP E-MAIL ADDRESS
lento ( aol.t.or1
CONTRACTOR COMPANY NAME APPLICANT NAME ja I 1 ,I OFFICE PHONE
545 Get-� d_ La.1T. s _J-�tCt.t� t (ff 3)q21 3922
MAILING ADDRE.S (� STATE.ZIP CELL PHONE
kit 64 121 ST. (s' PN x8329 (2515) all - 3{22
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBE [RATION DATE FAX NUMBER
1053)$$4 -'1L#
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRE-AN
SS t.t,G oF D22GV 3/4/09 9$"117I h1 e,,j ac,oo.tot.-
APPLICANT COMPANY NAM . t.11;R IIIL CANT NAME OFFICE PHONE
• W.A.• A(-1.0 11.4... I' A -1 MA S - (- 2. ' -o I,
MAIL G ADD• ' CITY.STATE.ZIP CELL PHONE
2221 ile/ 'rr • . E • lot lesJ 'C' _ 'Stet '.l ) Lott 'LTV
RELATIONSHIP TO PROJECT FAX NUMBER
XArchitect ❑Tenant ❑Agent U Other ?C )25j 2 lei t t
PROJECT • E-MAIL 10 ADDRESS
CONTACT Nt 11401.1"5 i " 1 z.6.1 - 6( o( , hook
"6i ert .net
LENDER NAME Per RCW 19.27.095: ,Lf,
156%14,'1 CYP #4IF .QLl4 Lender information is required if project value exceeds$5,000
MAILING ADDRESS CPR,STATE,ZIP PHONE
tb. PC). CeE,4,Yt4 l :ALI •S t'TX 1671-010 ( )
' - - • DETAILED BUILDING INFORMATION
EXISTING USE C N TP� TIL 05,e�1VL.V.,,Imo,`.T PROPOSED USE 9s: e' ,,�,-I
EXISTING ASSESSED/APPRAISED VALUE$ 1M4 3m VALUE OF PROPOSED WORK $ f O I O
SPRINKLERED BUILDING? U YES X,X0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? U YES ANO
WATER SERVICE PROVIDER )(LAKEHAVEN r_ HIGHLINE U TACOMA PRIVATE(WELL)
SEWER SERVICE PROVIDER KLAKEHAVEN _ ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
• .
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ.FT. SQ.FT. SQ.FT.
FIRST
.U4232• ' 49-- ?t�.3 Z
SECOND
THIRD
ADDITIONAL F e•RS(DESCRIBE)
DECK(O COVERED •R ❑UNCOVERED?)
GARAGE El CARPORT •
PROPOSED TOTAL . O4L PROPOSED SF NUMBER OF FLOORS \ ua1 ro °272... .O Tor
( 3 2.
"NEW HOMES ONLY NUMBE IF BEDROOMS P •TED SELLING PRICE $
■ FIX".CRES
Indicate number of each type of fixture to be ins.. led or elocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Vnhle of Mechanical Work$ (A CO'. OF: 1 OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS• y'APORATIVE COO . 'S GAS PIPE OUTLEIJ WOODSTOVES
BBQS FANS• GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Comme aeM
COMPRESSORS FURNACES RANGES
DUCIb • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower,omhol ? IAVS(Bathroom SWISS• NALS MISC(Describe)
DISHWASHERS RAINWATER SYST VAC it M BREAKERS
DRINKING FOUNT t NS SHOWERS ' WATER. • ETS crow)
ELECTRIC WA R HEATERS SINKS• WASHING , :CHINES
HOSE BIBB SUMPS
SIGNATURE
I " • " under penalty of perjury that I am the property owner or authorized agent of the property owner.I c _ that to the best of my
knowl-■ge, the information submitted in support of this permit application is true and correct.I certify that I will comp y with all applicable
City of Federal Way regulations pertai• • to the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's respo . ity,.r compliance with local,state,or federal laws regulating construction or environmental laws.
I further agree to hold harml:: t City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of suc clai• , which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of e - Lance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this applic ••. .
SIGNATURE: / / — 7 -DS -
A, DATE
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
a NEW ❑ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? n YES ❑NO
BASIC PLAN? a YES n NO
ZONING DESIGNATION CHANGE OF USE? o YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100-August 16,2007 Page 2 of 4 k\Handouts\Permit Application
} 4 • •
NORTHWEST CHIROPRACTIC CENTER
34730 PACIFIC HWY S.
FEDERAL WAY, WASHINGTON 98003
ASSESSOR LEGAL DESCRIPTION RECORDS:
POR OF SW 1/4 OF NE 1/4 OF SE 1/4 BEG ON ELY MGN ST RD #1 AT PT
175 NLY OF N MGN S 348TH ST AS MEAS ALG SD ELY MGN TH SWLY
ALG SD MGN 175 FT TO SD NLY MGN TH ELY 175 FT TH N PLT E LN OF
SUBD TAP DUE E OF BEG TH W TO BEG LESS POR FOR RDPER
REC#9506200786