94-102419 i
1
BUILDING
9 ti,t02.t19CITY 03353OFirsttEWay South QE ISSUED: 112/28/9408
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 06/26/95
ADDRESS:33516 9TH AVE S Unit: 3
NO. : 926925-0030
PROJECT DESCRI PT ION:TI - INTERIOR WORK (PARTITIONS)
(DENTAL OFFICE)
i= OWNER CONTRACTOR LENDER =
DR. TODD YOSHINO
33516 9TH AVE 50., 13
4111 FEDERAL WAY WA 98003
— _ I
BLD?:X NEC?: PLN?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •I/OP FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: 1444:sf STORIES - 1 REQUIRED PARKING..: 8 SPRINKLERS/ •N PLAN CHECK DEPOSIT.* $ 386.43
CENSUS CATEGORY -437 2ND.; 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS...:L1T FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS------- FIRF. FLOW - 110 op' PLCK-FIR coni only* $ 29.73
:82 :? :? ;? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 50.00 ft BUILDING PERMIT....* $ 594.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 90000 SIDE • 20.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
:5N :? :? :? DECK: 0: 0:sf REAR • 20.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:12120/94
14: 0: 0: 0: TOTL: 0: 1444:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.: FANS - 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 1015.16
GAS PIPING.: 0 ft HOOD - 0 0-3 HP • 0 BATH TUBS . 0 DRINKING FOUNT.: 0
FURN(IOOK..: 0 DUCT WORK - 0 3-15 HP - 0 SHOWERS - 0 SUMPS • 0
GAS HNT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP . 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE . 0 (:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFH: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK I STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY NE IS T E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CI Y OF FERFRAL AY REQUIREMENTS WILL BE MET.
t
0WNER�O 1 cx- 6`•••• ---- DATE 1 Z e---r) /
FILE COPY
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TT33530008 lk CITY 0FiF FEDtEWay WRAL Auth AY BUILDI1NG PERNIT PERMISUED: 1NO: 2/288/94
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661 -4000 EXPIRES: 06/26/95
ADDRESS:33516 9TH AVE S Unit: 3
NO. : 926925-0030
PROJECT DESCRI PT ION:TI - INTERIOP NORK IPARTITIONS)
(DENTAL OFFICE)
r' UWNER L _ -._. _. �_. - CONTRACTOR --=_ _.� s_.-.... _..,._ ____-: ___ . ,._ .-- LEADER ....�...a-__:�,_
DR. TODD YOSHINO
it.,_
33516 9TH AVE SO., 13
FEDERAL NAY NA 49003 ,
I
IBLD?:X MEC?: PLR?: I"LR--EXIST--PROP-_-' OMELLIitc usi-r : 0 "OMP PLAN.........:1/OP FEES:
TYPE OF WORK:TEN USE:CON (5T,: 0: 1444:Nf STO ES.: I � ''�IRE0 (moi " .,,,, -.-3.,; 5 �'� 1� PLAN CHECK DEPOSIT.* i 386.43
CENSUS CATEGORY 437 SNC►_. 0: O:Sf HFI T... 4-* ft = . , CL =`1 re FINAL PCN CHE K...z $ 0.00
A C
OCCUPANCY GROUP - 3RD..: 0, 0: f VAL1 X ------ .� ,:"' ETRE p 170 !S IR coal only* $ 24.73
:R2 :? :? :7 � TH1: 0: EX4j4.4; 0 FIWNT ...: Y.00 ft BUILDING PERRIT.,..$ $ 544.50
TYPE OF CONSTRICTION- ' I• O"1k 41 �� ' SIDE 20.00 ft NATER SERVICE :FED SBCC SURCHARGE t $ 4.50
:SN :? :? •:? OEC`"� : % P- 4" REAR..........: 20.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD FIVED.:') 20! 4
14: 0: 0: 0: TO 0. :sf 1MPERY SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.: FANS 0 BOILERS/CONPRESSGRS 1-1-4-1:e---C P I'lSETS......: 0 URINALS • 0 TOTAL_ FEES $ 1015.16
GAS PIPING.: 0 ft 0000 ' 0 0-3 HP 0 BATE TUBS 0 DRINKING FOUNT.: 0
FURN(100K..: 0 DUCT WORE • 0 3-15 HP • 0 SSOMRS • 0 SUMPS - 0
GAS IIWI • 0 WOOD STOVES...: 0 15-30 HP 0 LAVATORIES.........: 0 YAC BREAKERS...: 0
CONY BURNER: 0 FURN>[OOK.....: 0 30-50 HP • 0 SINKS 0 DRAINS • 0
RN - 0 RISC • 0 5+ hP • 0 DISH MASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL. !ARKS--- - ELEC VTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 (-10,000 CFM: 0 ABOVE GROUND: 0 IAUN WSHR OUTLTS...: 0
GAS 1.06S...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
. PERMITS EXPIRE 180 DAYS AFTER ISSUANCE 1F NO MORK IS STARTED. RESIDENTIAL AHD GRADING PERMITS EXPIRE ONE YEAR ALTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY NE IS 1.11 -1 AND CORRECT TO THE BEST OF NF KNONLEDGE AND INE APPLICABLE CITY OF FER RAL AY REQUIREMENTS Nltt. BF. NET.
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V— —
• RECEIVED
p„� i=. • City of Federal Way
APPLICATION FOR BUILDING PERMIT DEC 2 01994
CITYBUIOF FEDERAL WAY
LDING DEPT.
PLEASE PRINT APPLICATION #:( 1__. 61 Li - jy g
SITE LOCATION _ Address 3 3./� r:rr • i 4,
Tenant(if known) Lot # Assessor's Tax #
.I-) 12 - 70 '' J C-"u-S.r• -,c.-_, //"/. ,� (C-''Ync ) !'z6,-izs - 0030 -0
Building Owner Name Address
City / State Lti4 , Zip T''',,,, a Phone
Nature of Work o, ✓v c--„_ .12),L` 4 ` (,'J=Fr c E'er
APPLICANT
Name (F,M,L)
-DA r-veCc.__ 4 _ ,N-(«
Address
(C)('3 0 / A-, ,.Ne -S-72'. 191Z0
City hr-4,c--..rCic State GL%I Zip `17 2•6;,,-/
Contact Person Day Phone Other Phone Fax
-4•---,c� 464;Z 74/ 71 -- 1.C,Z - 7 74/
BUILDING CONTRACTOR
Company Name
T)47-- 7'C ''?e1
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name / _ 1
Address /
/6 &C/ ,N-7,-,,,, .5-7-, 74G0-/
City i---)
)CL C C v CCr-. State (mac ,4 Zip &I.),L
Contact Person PhpneFax
S—A .
'-."'C,---- -1-6-Z 7-r-74 Y-Z Z- 771{/
LEGAL DESCRIPTION
(.6P- ri 4''i/4-Coi
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE Exii Use Prsed Use 'Z t V'7.-/"t_ c„ '7 Cdr-
Permit includes: ❑ 3'uilding ElPlumbing ❑ Mechanical ❑l Other
Type of Work: ❑ Residential ❑ New 0 Remodel ❑ Number of Units Cl Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
'Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area -/c,, e/sq ft
t.
Water Availability q Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ Tot Oc
Zoning op Lot Size /ler."S %!.35;0?)(.. 0 Existing Bldg Valuation $ //•S,Glee/
cf
LENDER
Name Address
City State Zip
3C CHANICAL CONTRACTOR
........................................................................
................ .........................................................
Contractor Name Address
C T 7c_.
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING;CONTRACTOR
Contractor Name Address
o-Ce 7 To <3 .:,
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
I PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total;;Fixture.;Count. i:::; ;<:: : '
................................................................
1MECIIANICALi UNIT CO
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unft'Cotant
DISCLAIMER: 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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,
and attorneys'fees incurred in 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. _.
Owner/Agent:�� �`-r, v—E, /�, ( f Date: Z c( 1
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4504;k0 (City of jlebvrat Wag wk.
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lageolk,„ . (Certificate.....................„
f ®ccupancg
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w//// This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying ,\\�`a
4,r4A that at the time of issuance, this structure was in compliance with the various ordinances of the City it
:\�\��` regulating building construction or use. For the following: �•��,
., OCCUPANT LOAD: 14 PERMIT NUMBER: BLD94-1008 ///IA
carol TENANT NAME. . : DR. TODD YOSHINO
���=.ter
�� ADDRESS • 33516 9TH AVE S Unit: 3 \\\�\`;
II �� � GROUP: B2 SQFT: 1444 CONSTRUCTON TYPE: 5N ? ? elh,
�
•���\�\\ OWNER NAME. . . : DR. TODD YOSHINO /•1,,%iii
4 . ADDRESS • 33516 9TH AVE SO. , #3 ff at4
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�,�//j// FEDERAL WAY WA 98003 .z•-••• ....-40110
�WAG V.
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�_�116."41``\\�` , BUILDING OFFICIAL_ for Richard Mumma DATE ///��.I
o����, The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience ���
Irawde rAller //� 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 �\\\\'\`�
iirp44 r� is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or ��\`-�-
�..1/4 to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the state of digtii
\\`I Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of iWAWA
�_� the owner and/or occupant of the premises. //�.
��ij, POST IN A CONSPICUOUS PLACE ��'_'�_
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