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02-100161 1111f 1 City of Federal Way . S * +onununityDevelopmentServices Building - Commercial Permit #:02 - 100161 - 00 - CO 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: CHIROPRACTOR 32020 BUILDING Project Address: 32020 1ST S SUITE115 Parcel Number: Project Description: TI-Demo existing interior wall; construct new walls. Includes plumbing and mechanical. Owner Applicant Contractor Lender ABC PACIFIC CORP SUPERIOR BUILDERS INC SUPERIOR BUILDERS INC NONE 2112 CENTER ST SUPERBI112D2 3/4/02 TACOMA WA 98409 2112 CENTER ST TACOMA WA 98409 NONE Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy GrLoad:oup: B Construction Type: Type V-N 9 t " Floor Area(Sq.Ft.): 880 1st Floor Proposed Sq.Feet 880 Census Category V4 ,4C9Pmmercial alt/add Fire Sprinklers No Mechanical Yes Number of Stories 1 Permit for Building Shell Only • No ' Permit for Foundation Only No Plumbing Yes Total Proposed Sq.Feet 880 Will Certificate of Occupancy be Issued? Yes Zoning Designation OP Plumbing Fixtures miti °tope t on.: Quantity ' Descrlpttth I1' 'Q t antity ` DeAgi to ►,1'VAdI h 1i `' Sinks 1 Mechanical Fixtures .,'p llabDescription ' -006)0 rcvw,,N,T,„6jyiot;. 'Quantity r ?i `;hen `=Description Quantity Ducts 1 CONDITIONS: All new and refaced signs require a separate permit. P P' IT EXPIRES July 13,2002,IF NO WORK IS STARTED. i Permit issued on January 14,2002 i I hereby certify t at - abo i- inform;tion is .orrect and that the construction oni the above described property and the occupancy ant' •a ill be in cord.sl with the laws,rules and regulations of the St. e of Way ington and the City of Federa . . ' / ,�_ Owner or agent: l + �� Date: f(i Ci 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: CHIROPRACTOR 32020 BUILDING Permit number: 02- 100161 -00 Address: 32020 1ST S SUITE 115 #1 #2 #3 #4 Occupancy Group: B — Construction Type: Type V-N Occupancy Load: 9 Floor Area(Sq.Ft.): 880 Owner ABC PACIFIC CORP Name: Address: • `• C30 OP, • i -it man ( Z GeJ 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. POINHIS CARD ON THE FRONT OF BUILD. 'CrrYCW prie r n_ BUILDING DIVISION VV FTY INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 02-100161-00-CO OWNER'S NAME: ABC PACIFIC CORP SITE ADDRESS: 32020 1ST S SUITE115 () FOOTINGS/SETBACKS () FOUNDATION WALL DO NOL CONCRETEaUNTIL THE ABOVE IS APPROVED . . . .. a �..,„w„, e ( ) DRAINAGE: Line ( ) Connection DO NQT PO 1I SLaBPATIL i 1E:ABOVE IS AF1ROVED " ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV Water piping () ROUGH MECHANICAL I ` j/o i Gas piping () SHEATHING Roof Floor () SHEAR WALLS ( ) ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS ALL THE ABO 7 ST BE A' ROVED5PRIOR TO E G INSPECTION () FRAMING/FIRESTOPPING / .r Z 3 ABOVErMUOLBE APP OV D PklOR"TO INSULATING OR SHEETROCKING ( ) INSULATION: Floors Walls Attic THE7ABO T BE AP° 745Y-kD PRIOR TD ,,, PLYING`SHEETROC , ( ) WALLBOARD NAILING O ) SUSPENDED CEILING / Z570 Z 1/1. / ° c'*ittrABOVE MIrrST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING;TILE ( ) ELECTRICAL FINAL Z� / " -2_ ( ) PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL Q/ — 2! • © 2 /I/fif THE ABOVE MUST BE APPROVED PRI()R TO BUI LI)INC DEPARTMENT FINAL 41%, "a ( ) BUILDING FINAL '414413GNOT OCCUPY THIS BCJILDING UNTIL BUILDING FINAL IS'`APPROVED r c,.a G � , CONSTRU ION PERMIT APPLICATION EDEN— • - APPLICATION BER: O2-- - J ®O / / - CD uV FAY Jo �� * APPLICATION NUMBER: _ _ APPLICATION NUMBER: **The followin Sr Zation-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. 3 ..11 • PROPERTY INFORMATION - . SITE ADDRESS: Z 2V oR O ,st r'1 v e-, S. IL l i b ASSESSOR'S TAX/PARCEL #: 1 1 2, L Q - 9 o se LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): P T+ G I e C/l rt - - - . • • PROJECT INFORMATION TYPE OF PROJECT(This application): *BUILDING it PLUMBING 'MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERfRIING❑ FIRE PREVENTION SYSTEM t PROJECT DESCRIPTI (Provide detailed description): be_r"vo ` t t F l,3 44 f t)6c ( V ©°'t..+ 4-w0 n ("Lc. PROJECT NAME: C-L t-c rt-Pt--C >r ." eC ® r-4.-( 1 ct i�' • - ' . • • PEOPLE INFORMATION • PROPERTY OWNER: NAME: DAYTIME PHONE: ` f} FCi PC - - (p/S3)9 7 - /9o2_ I-TAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ISI5' S . 3So-tr. F. w - 1.vA 90003 CONTRACTOR: NAME: DAYTIME PHONE: -. IA p e t`i o f g:-, 1 cte- —S - Y,.3_._ (25-3) s-73- i 6'79 MAILING ,DDRESS(STREET ADDRESS;CITY,STATE,ZIP): ` EVENING PHONE: 1116e,ti -ec 5t. Titc-1,m , L.3 A4 943 `IOc1 (206) ;Imo- 7 1 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: D v - 1 0 13 Lf 4 - S L. (as- ) 5-7 - )797 1 CONTRACTOR'S REGISTRATION NUMBER: Cc' 1� �7 EXPIRATION DATE: (copy of card rcqurrcd) P E I\ 6 1 1 I /� 07\ 3 I I .S IQE10;* APPLICANT: NAME: DAYTIME PHONE: 13 -I Ae.c-S , Lr�c , (253) S"73 - 16`78 St,ptrr�o <-- Lk.; MAIUNG*DRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: aZ r 1 g £-eiJ--e— 's Si-, I Yigcowl4. VL f} et 0 '-(Oc (a'�) ,;Z40 - 961 I RELATIONSHIP TO PROJECT: -i ,f FAX NUMBER: ❑ ARCHITECT ll TENANT OTHER( DESCRIBE): & Z7t Aa-C.. l' (253 ) S7 3-X7 9 7. I E-MAIL ADDRESS: `4 1�R Jr CONTACT PERSON FOR THIS PROJECT: El PROPERTY OWNER El APPLICANT t4 CONTRACTOR .tr'z�•Ot cope I - •■ DETAILED BUILDING INFORMATION • - - . , . EXISTING USE: 0 1 LCA EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ i + Deo/ o0 PROPOSED USE: ( '"C 1-Le PROPOSED VALUATION FOR IMPROVEMENTS: $ /00 O SPRINKLERED BUILDING? LI YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES 'I NO WATER SERVICE PROVIDER: KEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: KEt1AVEN 0 IIIGHLINE LI PRIVATE (SEPTIC) r ••NEW RESIDENTIAL CONSTRUCTIO LY•• • NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ -PROJECT FLOOR AREAS - FLOOR EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST 6F)0 Ss 0 C�UU(� a SECOND • THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? ______, -- TOTAL: . . - . .. . .■ '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) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) Z MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ELECTRIC ❑ GAS PLUMBING r BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) ( SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTOR(S) SUMP(S) -. . 1111 •DISCLAIMER/SIGNATURE BLOCK -. . . . . • - I certify under penalty .f perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized b the owner of the above premises to perform the work for which the permit application is made. I further agre \to hold harmless he City of Federal Way as to any claim (including costs, expenses,and attorneys'fees incurred in the investigation end . Tense of s ch claim)" which may be made by any person, including the undersigned, and filed against the City of Federal Way, .` ( y whe i s ch claimiarises out of the reliance of the city, including its officers and employe s, upon the accuracy of the informat . is.lied ' t e cis . o t -s ape tion. ...„.„\.4. / ��` _ 4 _'� ` t\/;7 DATE: L. 1 NAME/TITLE: ii ..4.... ----5.- 0 —S ❑ PROPERTY O� ER ❑ APPLICANT CONTRACTOR FOR OFFICE USE ONLY: El NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT CENSUS CODE: 1 LOT SIZE: ZONING DESIGNATION : I BUILDING SHELL ONLY? ❑ YES ❑ NO COMP PLAN DESIGNATION __I BASIC PLAN? _❑ YES ElNO SECTION TOWNSHIP RANGE_ 1 NEW ADDRESS REQUIRED? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO 1 CHANGE OF USE? El YES ❑ NO __ r,,,.......tv l,I.,Ilell•r..I.:i ',I I:•.'1(1',. 11',1'l 11:2' 1 \:'•'-v•./, it il. t•il iw.I <171,4 .I I',t f....I V.70 \':.1 '`.11..1'1!1.4 . ',111.14,1.1'1.I:.i s..I .,,t ..t ,,l