13-100094 � t
• •Building - Co?rmerbal
City of Federal Way
Community&Econ.Dev.Services Permit #: 13-100094-001-CO
33325 8th Ave S
Federal Way,WA 98003 ec
Ins tion Request Line: (253) 835-3050
Ph:(253)',35-6.07 Fax (253)835-2609 p q
Project Name: MARC-ANTHONY CHIROPRACTIC CLINIC
Project Address: 32812 PACIFIC HWY S Parcel Number: 797880 0020
Project Description: TI-Interior remodel to create new walls. No lighting,mechanical,or plumbing on this
permit.
Owner Applicant Contractor Lender
MARC-ANTHONY RODDY NOLTEN OWNER IS CONTRACTOR OWNER IS LENDER
CHIROPRACTIC CLINIC R J N&ASSOCIATES
12811 8TH AVE W SUITE B103 1220 S 356TH ST SUITE A-3
EVERETT WA 98204 FEDERAL WAY WA 98003
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.) 1,990 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? No Mechanical to be Included? No
Number of Stories. 1 Permit for Building Shell Only? No
Plumbing to be Included9 No New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Professional Zoning Designation BC
Services/Offices
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Monday, August 5, 2013
Permit Issued on Wednesday, February 6, 2013
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.
I
Owner or agent: �-1/11iI0 J !"r�
\--)0 01'eUX Date: O` /3 6'72 d l
(0(41f3
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: MARC-ANTHONY CHIROPRACTIC CLINIC Permit#: 13-100094-00-CO
Address: 32812 PACIFIC HWY S
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: _
Floor Area(sq. ft.) 1,990 0 0 0
Owner Name: MARC-ANTHONY CHIROPRACTIC C
Owner Address: 12811 8TH AVE W SUITE B103
EVERETT WA 98204
Building OfficialDate
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 Beverly 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.
J
•
It + < ;;
� i
THIS CARD IS TO FMAIN ON-SITE `
CITY OF "' IIII Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-100094-00-CO Address: 32812 PACIFIC HWY S .
Project: MARC-ANTHONY CHIROPRACTIC FEDERAL WAY, WA 98003-6408
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.
❑ SWM Precon Site Mtg(4400) 0 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
El Re-steel(4215) 0 Slab/Concrete Floor(4255) `0 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) 0 Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370)
Approved to install flooring Approved Approved
By Date .By Q• - Date 0,-,, �,,.� By Date
Prior to scheduling a Framing inspection; Framing(4120)0.
•LI Insulation (4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 1 By e_ Date cl, _ ` i„. By Date
`(Gypsum Wallboard Nailing(4130) `0 Suspended Ceiling Grid (4265) ' e❑ Final-Fire Department(4060)
5� Approved to install mud&tape Approved to drop tile Approved
By "G(-- Date 4.-3.- g By Date By Date
' ,
El Final-Planning � ❑ Final Erosion Control(4375) Final-Building(4050)
Approved Approved Approved
By Date By Date By Date
• �% tea y -14.-t '1.
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
/ eci /
CITY OF S PERMIT 'r MF CO ME PL E EN FP
Federal a��CEIVE T f'� /'�
COMMUNITY DEVELOPMENT SEPPC !+P L I i -A T!0 N
253-835-2607•FAX 253-835-2609 iii iii iii ilii ilii////ilii V V
IlllA,'I__a(59JFefleralwRi�.('0'1_ .��N O 7 2013
L rs
SITE ADDRESS 'n(OF FEDERAL-WM )S SUITE/UNIT#
3 Z jos �.,w y �� �-€z`� �_r: V,, 4 J
PROJECT VALUATION Ac
NG ASSESSOR'S TAX/PARCEL#
$ IS7 —� o - U
TYPE OF PERMIT %BUILDING ( . (• ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) H A Ira L -%1 r�i f i�:..V C f'I II �:C✓. %l TIL C--L' -
v 7',Y-..�t.. �rt C�Lti..�fr, 1--'c..-_ ✓�L.-.L/ w Y�.C.tr.�,.)
PROJECT DESCRIPTION �. � � OP G � �`,
Detailed description of work to C-y /
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER f d.l C -A111/10/1 C h i t•r p ( J-1 C C t'I n(( j)
MAILING ADDRESS E-MAIL
122i PI4 e44 W # /3 - 1-'3
C TY STATE ZIP
v P-t( UiJA 9 Za/
\) NAME PHONE
� �
� ✓ MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME ---- PHONE
(4,c -/4711,0,9 ‘""Op tic Cl/Is C.
APPLICANT MAILING ADDRESS E-MAIL
(22 l( 2 to A w to
CITY STATE ZIP FAX
Eve / �j..._ L'GA `112 t^y
PROJECT CONTACT NAME PHONE 7
` � c ;a. J oc y `� 1 -'t ?T f` - Lz (3 ) - 1Q
3-23
(The individual to receive and ,
respond to all correspondence MAILING ADD SS E-MAIL
concerning this application) �2:Z L.) 3 c t 41 -3 /vest � i
CITY STATE ZIPFAX C w sy
���f.�i..-..,.." . �+c, d✓x,11 .. L3 4J�',=rc,�3 ai-a 14,
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
(RCW I9.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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.
1 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 arty person, including the undersigned, and filed against the city,
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.
SIGNATURE: / rl'l°O P � � DATE \( 7 ( ZO O
PRINT NAME:
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
s
'., 5r.,. .. . ' 1„..44,4444140°,1 `" x WE „ ai' .. ,
VALUE OF MECHANICAL W RK $ (a copy of bid or estimate must be provided)
e Ind{iai3e how many of each type 6f fixture to be installed or relocated as part of this project. Do not include existi • . res to remain.
'ay,_wzA.JAIR HAIIDLINCOUNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INS'RTS HOODS(comm
BOILERS FURNACES ( HO ' ER TANKS(Gas)
COMPRESSORS GAS LOG SET, •EFRIGERATION SYST
DUCTING , G•S • 'I WOODSTOVES
I
t° - ' - -- ' ' ' ' '- —'
Indicate how many of each ty.A. • •. be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo), r •VS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING •% NTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HO -- : BBS SUMPS WASHING MACHINES TOTAL FIXTII•-
, g , � - �. r : ( . r -
.* 4ny' � 8 Og e ® u ,-,AM, ✓if I:' y_
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR
SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Ni - ! ( ' ) l,U)
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
0-ic4.-�� 303 2 e i ,',
. d Yes No ❑Yes itf No
RFSiDFy'T 4LNEW OR;ADDri OT'r'
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
.- te, a
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
GARAGE 0 CARPORT 0
------------------
EXISTING PROPOSED TOTAL
Area Totals
,:":,,:„.47i,,,,,,., ,,:11:, :.: "NET HOMES ONLY** ; r. :
ESTIMATED S - G PRICE$ # OF BEDROOMS
`CO iERC"I : /b J i .. � F
AREA DESCRIPTION
in Square Area Feet Occupancy Group(s) Construction # of
Type Stories Additional Information
, r ..
ADDITIONTY
T3 {�
AREA DESCRIPTION Area Occupancy Groups) Construction # of Additional Information
in Square Feet Type Stories
,
• Ds t ( � �
TENANT AREA ONLY !i ,. -_
1.gas tr ,10,44.,„T„,"-.,;.1.o.
T .. . '.". s
.,. � 4 5t ,, R o ; "
2 --
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application