09-104223 Building ,- Commercial
City of Federal Way (�
Community Development Services Permit #: 09-104223-00-CO
P.O. Box 9718 ,--.1r. ..
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)635-2609 Inspection Request tine: (2553) 8355-3050
il i ;,t;*„kuol1
Project Name: NW CHIROPRACTIC CENTER
Project Address: 34730 PACIFIC HWY S Parcel Number: 202104 9145
Project Description: TI-Relocate existing walls, new finishes,add to existing lighting.Plumbing included on
this permit.
1 _ , , i - C. •-,r • Lender
LORRINI• OLS - CREA t I.IGN if CleATIVEDESIGN LORRI NICHOLS
/► 43801 1ST WAYS#281
33801 1ST • CO ORS CO C0 'fRACI'ORS
FEDERAL 'AY WA 830 •TH ST E C' A I 920PM(10/14/ I) FEDERAL WAY WA
9800 6224 f•HA i WA 98338 :31 04T. E 98003-6224
G .• • 1 A 98338
e o : 4 ommerci+15ittr".nfversion
Inclu s: #2 #4
Occupancy Cla : B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 3,559 0 0 0
� ' .,/ . 1,,Additional Permit Information
M
Existing Sprinkler System in Building'? No Mechanical to be Included? No
Number of Stories. 1 Permit for Building Shell Only9 No
Plumbing to be Included'? Yes New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Professional Zoning Designation CE
Services/Offices
Plumbing Fixtures ,
Lavatories 2 Sinks 1 4 - los s.. .. 2
PERMIT EXPIRES Saturday, June =, 21 1 1
Permit Issued on Monday, December , 2009
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: Date: ),L - 1 - 09
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•
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DATE ' INSPECTOR AREA AND TYPE OF INSPECTION
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. THIS CARD IS TO REMAIN ON-SITE
CITY OF 11051 a Construction Inspection Record ' -
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 09-104223-00-CO Address: 34730 PACIFIC HWY S
Owner: LORRI NICHOLS FEDERAL WAY, WA 98003-6821
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 ate unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
❑ SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
❑ Re-steel(4215) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
Underfloor Framing(4285) ❑ Floor Sheathing(4105) Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By'�` Date 4_6,40
El Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved !' Electrical,Plumbing&Mechanical Rough-in and
/,� Fire/Draft Stop inspections must be signed-off and
By Date_G _ tV By Date
approved. IBC 109.3.4
O Framing(4120) ❑ Insulation (4150) - 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
El Final Erosion Control(4375) 0 Final-Plumbing(4075) Final-Building(4050)
Approved Approved Approved
By Date By Date By Date
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
41/4: Building Division
CITY OF 333 25 Eighth Avenue South
Federal Way P9 Box 9718
Federal Way,WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 3 ki rj(�� \4 �a c,�;�� PERMIT#: 4n,°) _<�A
l 1)f c3 .. cJ c2 Pe- YLGL. ee «1 O Cvwfi C4'n0
70. o a1 e;c ; . k1,3
Pc- pry ce-ki vY c l\ %
IF YOU HAVE ANY QUESTIONS CALL (253) 835- 1.1cA ).71
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
- t( 0- 1 \A v...
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
CITY OF Building Division
33325 Eighth Avenue South
•„' ..„, Federal Way P9 Box 9718
Federal Way,WA 98063-9718
Phone 253-835-2607
Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: 34730 Pi /i, S - PERMIT#: O q--/D yzZ3 -orb - c-t,
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7c) Et-t'-c4rlLt enL 'r ■iit/ '.e//#Y.4Z__
IF YOU HAVE ANY QUESTIONS CALL kr/10,111 (253) 835- C
2p 1
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
1 ( 10
4
DAT INSPECTOR
DO NOT REMOVE THIS NOTICE
Page t of I
kECEIV V _ l04zz3
`"Federal Way 29 2 9 209 PERMIT SF MF C6C-D ME EL PL DE EN FP
co MMUNIY DEVELOPMENT SERVICES qppf,,I CATI O N // / / z- / 0 q
253-835-2607.FAX 253-835-2609
' °OF FEDEtAL
- ,n cDS PROPERTY
SITE ADDRESS
G ' `. A��/ F f /� �
SUITE/UNIT; \ l0 k-1 -\` V- V'Y Y V 1 Z7 ` F V`�\ASSESSOR'S TA- L4J 1' ` A 8(JD
NAME OF PROJECT
(Tenant or Homeowner Name) t4 W G H • ' (2- T'C. C t.4r-
sXBUILDING PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
TEi-I N�i \1∎1∎VT-o E WI Er-IT i u 7-E,1,0c..4: �1`E, E2ctc T
PROJECT DESCRIPTION
Detailed description of work to I 1b',i'/t'� r4S ) -,∎'Ak.c--ES ' kp -v �x1ST L(Ut-i-N-1(
be inch'fled on this permit only PW niN G ` /V t' � 1
PEOPLE
NAML ��P//RIIMARY PHONE 1
PROPERTY OWNER Lo��-\ \Clint, (X5,3)/lR- i' /
MAILING ADDRESS,CITY,STATE.ZIP 9 u 9 I g.MAD,
,vG C 471-GT 2, LA\
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OWNER IS ALSO: ❑ CONTRACTOR 0 APPLICANT J _ 0 PROJECT CONTACT
*ONTRACTOR
.v'P. �1 ?S �n rr c?�rs- 45-3) s-%5;q
MAI I NG ADDRESS.CITY,STATE. FAX
(9 3105 ,3O 1114 S E a✓aharvt L 9/933e4 [360)693-5s ?
W TATE CO R'S LICENSE I EXPIRATION DATE FEDERAL WAY B LICENSE I
'cal U 9 PO Per/ /a /9' �41 a� u�
m f�!
PRIMARY PHONE
APPLICANT etzi7cy • `anb` e 3)a5� -/658
MAILING ADDRESS,CITY.STATE,ZIP FAX
2// Iobet4s sl Ail 047
0% 7t rtJ Oa 91,3a) a )E93 -b s
a
PROJECT CONTACT PRIMARY PH ONE
(The individual to receive and Jr n C# fidCn)Y-c- - 6153)az -/ $
I
respond to all correspondence MAIJLING�/�gippDRESS.CITY.STATE.//zip �/� 1 yt �,/� `� FAX �1
concerning this application) a// kief J5 •cr We 4fA V W& /8366 [, c) -aS5Qt
ALTERNATE CONTACT NAME: PRIMARY PHONE ,nYIC
Lora /Vichiri [ 3 )3�6�5 93'/7 �/y1G��="� Y , 1L
PROJECT FINANCING NAME . [d OWNER-FINANCED
Required for projects with Loco c 14 IS de
value of$5,000 or more MAIILINGyADDRF{�FA CITY,jS�/T,A,T)E,ZIP //�/M / / �// l)t }/iJ///������ (I-43 �PRRIMAARY PHONE //�
(RCW 19.27.0951 397- 0 1 N L I"y $ fI / it 41 9�+"� )�((J�1 - /3 t J
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
/further agree to hold harmless the City of Federal Wag as to any cl aim(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, but only where such claim arises out of the fiance of the city, including its officers and em PIONees, upon the
information supplied to the city° part this lication. M accuracy of the
SIGNATURE: ' �6/ DATE ld '.0 a,— 4,9
PRINT NAME: rot ed c 166
Bulletin#100—4/21/2009 Page 1 of 4 k:\Handouts\Permit Application
• •
MECHANICAL FIXTURES
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type offixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLE
OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(comaaersas
BOILERS FURNACES HOT WATER TANKS(cam
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
Indicate number of each type offvcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS for Tub/Shower Combo) LAVS(Hand Sinks) L. TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS
OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS I SINKS csscseamuutp WATER HEATERS(Electrld
HOSE HIBBS SUMPS WASHING MACHINES I TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ &V/ 000 Lul> L
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
C D YesX No o Yes X No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE El CARPORT' El
OTHER(describe)
LEISIING PROPOSED TOM
Area Totals
NEW HOMES ONLY
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL -NEW/ADDITION
AREA DESCRIPTION Area in Square Feet Construction Sto#of
ries
Occupancy Group(s) Additional Information
TYPe
•
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
ToTAL Mamma -22 Ser,c1 - ‘22
TENANT AREA ONLY I
PROJECT AREA ONLY
Bulletin#100-4/21/2009 Page 2 of 4 k:\Handouts\Pennit Application