94-100168 cii ,to0/6,gx
•
CITY OF FEDERAL WAY PERMIT NO: BLD94-0049
33530 First Way South B U f LD ING PERM f T ISSUED: 02/08/94
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661-4000 EXPIRES: 08/07/94
ADDRESS: 33516 9TH AVE S Unit : #9
NO. : 926925-0090
PROJECT DESCRIPTION:TI - INTERIOR ALTERATIONS/IMPROVEMENTS FOR NEW SPACE (DENTAL LAB).
OWNER — CONTRACTOR — LENDER
'BRA DENTAL LAB, INC. JIMCO CONSTRUCTION THE MONEY STORE
516 9TH AVE S UNIT t9 35002 PACIFIC HWY S STEt7 PACIFIC FIRST PLAZA
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 155 - 108TH AVE NE STEt705
BELLEVUE WA 98004
8-6274 927-4601
JIMCOC*176PP
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •? FEES:
TYPE OF WORK:NEW USE:COM 1ST.: 0: 1500:sf STORIES ' 0 REQUIRED PARKING..: 0 SPRINKLERS? •? PLAN CHECK DEPOSIT.* $ 58.50
CENSUS CATEGORY •437 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS .? FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 90.00
:82 : : : OTHR: 0: 0:sf 'EXIST..$: 164000 FRONT • 0.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...#: 7000 SIDE ' 0.00 ft WATER SERVICE..:? MEC APPLIANCE FEES.* $ 18.50
:5N : : DECK: 0: O:sf REAR • 0.00:ft SEWER SERVICE..:? PLUMBING FIXT....93* $ 7.00
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:01/20/94
15: 0: 0: 0: TOTL: 0: 1500:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FTIEL TYPES.:GAS FANS • 2 BOILERS/COMPRESSORS WATER CLOSETS . 0 URINALS • 0 TOTAL FEES $ 178.50
FS PIPING.: 60 ft HOOD • 0 0-3 HP ' 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FUR,k<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWT . 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC . 1 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 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WO' IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION:1;W BY ME I. TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
dt / d/ DATE --V7-- //k//1941
FILE COPY
CITY OF FEDERAL WAY
MIT NO: BLD94
' 33530 First Way South BU I LD i NG PERM ' T PERIISSUED: 02/08/9449
' Federal Way , WA 98003 Building Inspection Requests 661 -4140 BY: FC
661-4000 EXPIRES: 08/07/94
ADDRESS:33516 9TH AVE S Unit : *9
NO. : 926925-0090
PROJECT DESCRIPTION:TI - INTERIOR ALTERATIONS/IMPROVEMENTS FOR NEW SPACE (DENTAL LAB'.
OWNER -_.. CONTRACTOR
I UIRA DENTAL LAB, INC. JIMCO CONSTRUCTION THE MONEY STORE
516 9TH AYES 13111 t9 35002 PACIFIC HWY S STEt7 PACIFIC FIRST PLAZA
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 155 - 108TH AVE NE STEt705
BELLEVUE WA 98004
8-6214 927-4601
JIMCOC'176PP
BLb?:X MEC?:X PLM?:X Flit—EXIST--PROP1 4 ,,,wins;,." 0 COMP PLAN :? FEES:
TYPE OF WORK:NEW USE:COW 1ST.: 0: 1500 stet #. REQUIRED PARKING0 SPRINKLERS? •? PLAN CHECK DEPOSIT.' $ 58.50
CENSUS CATEGORY •431 2ND.: 0: 0•sf ' `��, 40$:��° . amu "I
HAZARD CLASS 0 FINAL PLAN CHECK...' $ 0.00
OCCUPANCY GROUP------ - 3RD. 0: '::st YALUATI ..;--- --':-? ,,i;:4+,. " ,. . ; BUILDING PERMIT....' $ 90.06
• � SBCC SURCHARGE ' $ 4.50
:82 ' 0: 0:'!.f EXiaT , 4� � � FR�+N ;. , we...; �� � 1 _ • � a���; � ! ,
TYPE OF CONSTRUCTION T'i r 0: �:.F PRr. . 7,,,_,,,.._:...:...,,..,i, . ATER k�" •? " ANCE FEES.' $ 18.0'
:51 : � � 0- 0 s ,, REA'y 0.00: SEWER SERVI ..:? UM. " . FIXT....93' i 7.00
OCCUPANT LOAD z -„ 0: � v 'LF rO "14' "" 9 ;
15: 0: 0: 0: '' 1 ,,, a„; "ERY SURFACE: 0 sf SENSITIVE AREAS?,:?
itL TYPES .GAS FANS. BOILERS/COMPRESSORS WATER CLOSETS • L URINALS • 0 TOTAL FEES
GAS PIPING.: 60 ft
$ 1]8.50
MOOD.111111
':.-----lsr
0-3 HP. 0 BATH TUBS 0 DRINKING FOUNT.: 0
N<100K..: 0
DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
HIT • 0
CONY BURNER: 0
B8O • 0
WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES 0 VAC BREAKERS...: 0
TURN>100K....,: 0 30-50 NP • 0 SINKS • 1 DRAINS • 0
MISC • 1 5+ HP • 0 DISH WASHERS 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0
AIR HANDLING UNITS FUEL TANKS ELEC WIN HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM:- 0
ABOVE GROUND: 0 LAUN WSHH OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 4 UNDERGROUND.: 0
___ _ r ... —._�.. . . _ w �__n_. .�u_....._._......- ._._...w-._._...�...�.. .._._._r.�_...€..�.._.�- _...._�.�_.v�.�.._.,__ _.._.,.-._.�_.>..__r. _ ...... ......
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF 10 WOIK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISH BY ME Ie TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER ('P ;GEC !'lc I .,.._ -/
A*c :,---- , (24/.
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FIELD COPY
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� •ity of Federal Way • 0
-- ECEIVE
N}N) Pi N P APPLICATION FOR BUILDING PERMIT
JAN 2 01994 or4
CITY OF FEDERAL WAY eLbel ?7LD
CjPLEASE PRINT -QG(,er APPL/CAT/ON Jt: 9(4 v O�
LE:LOCATION Address 3 511` , �A,G'C 5_ + 'ae,„..C/ t.• 44.447, 9")3
Tenant(if known) Lot # - �ssessor's Tax#
Le!'
f ,4 7)E417;(41- C-ne I � ' . 7 iZ6 Yid- d90- 9
Building Owner' Nam' e 2 Address j /,
City gttglieiiir 'State /� J4 Zip 9,SACY J i Phone .-‘2...,7z/Nature of Work dIW&//j ? 44gTh bef-Ai- 0 eArat y 8-3 ---/ 36 7
IAPPLICANT ,.I
Name (F,M,U ,6p14
M1 CP-a2-
Address
3'5-2-57 •3 / .t z
City €4,? 1 ' 1. State aim zip g I
Contact Person Day Phone Other Phone Fax
r 833 - 62751 g -73677
B ILDING CONTRACTOR
Company Name -
--- I M C c <N
Address /�
3_5-6;'0 2, I etre~ i e vim-' % g....,
City fi Ee tz i ( ty State &A)4 Zip -era 00
Contact Person --�- HO b d_ Ph7/7 f6O ( Fax 78_ei005
Contractor's #(c-J--1-144
rd must bepresented) Ex (ratio Date Verified tG-Yes ❑ No
WC OG / �l �v f/3 p f
LkRCHITECT I
Name ni zei'7fetez. e r 1!'z-4A/�
Address
...2��2 o -tk .?-t'E S
City &)/ / State /J/q- Zip ??003 " 6'711
Contact Person' ( Phone Fax
5;6/106— 4001*- �� x'94-9273
LEGAL DESCRIPTION
C ' v ./u'c ceps ) 7 -9
7)1(nvoAJ s eceeonm Al t'oL,. 063 - 04013. P6 /4 / /5 '/Ad4 i
__,. 144- - cant. .11,/,1/ek,. 4€1044.6
Suite tit? 2oe027 0�,' VOC .79 e '4 �i i/ W „j to
ASS' &til ‘.3 .x,/06 c et? v 7y;
Please Complete Reverse Side
CD0492(Rev 4/93
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This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying ��\\��
A* that at the time of issuance, this structure was in compliance with the various ordinances of the City ' \i•\�
®,�\�� regulating building construction or use. For theJhllowing: �!%i/o ;
�,��_ OCCUPP.NT LOAD: 15 PERMIT NUMBER: BLD94-0049ok
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• //j-V, r ���;��,�7
• ' o,I:019, 'IE. . : LIBRA DENTAL LAB, :LNC. '�\`�\3
--w - iii%f / • • 3?516 9TH AVE S Unit: #9 . 1\\\\`°
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SQFT: 15 0 0 , . RUCTON TYPE: 5N 1 1
•
��Li.\\\�` OWNER NAME. . . : GERALD
Of'#)(1"Arie
/0/ 'o
+�� _: M CRUZ • /-'�y'��
:..►� ADDRESS • 35251 - 34TH AVE' S _���4
•orjirtiqjam% • FEDERAL WAY A 98003 c•�����r
.®erl . / `9 II
/ ' , ___4//2., 7 (._.r���=\�\� / #41e111
� BUILDING OFFICIAL - AT - *J.
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-�
'moi-:: / • ��
:... �j��, The priority focus in the review and inspection made by the City prior to issuunce of this Certificate was on those matters which experience �;\.�'_�
////y has shown most serenely affect the health an f safety of the general public.Although the City has made as complete a review and inspection as ;\\\�►7.
i���p' is reasonably pe 'e (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the.owner/occupant or �1\�\��
�t14w • to any other per su.i that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the state of 1 j�li�ip �
-�\\`1 Washington fr c - the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of
1♦_���` the owner an . c; upant of the premises. •
//���,�
fiiip.-4111ftr� . POST IN t NSPICUCUS PLa
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efr 1,1111,\ , \���,.;re%/i l l i ���,.;v 14416 l �\nil f' l� w i5; � \ ;, ai l� *.-s , i/li t i 0 \�\
�`/����►: �vi `/ ` 0 �1ee .-.�tf,i0 , € ,; ° � s0 ;§4► 440 414► Ai
('Tex.!f'v. z_ift ��is• C. r
STRUCTURE • I 'sting Use E/_'.41i 0 l(s oposed Use 7jeAtillic, 41:44125
Per$7iit includes: Building XI Plumbing Mechanical ntncr�
Type of Work: ❑ Residential El New WRemodel El Number of Units_ CIDeck
')4 Commercial,_t
El Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor 1'i ! 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 sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability SProjectValuation S0 .
Zoning 4-i/Lit r. ;�/ Lot Size Existing Bldg Valuation $ . ,
s-'''70 , , 7Co6-
LND 2 ar4 :vP1c k'S i PG4-2--f?
Name l ' %/'✓l&VT"' Address _
City '73 EZ___LE-'AX State 4 Zip 9IJ OJ'�_
MECHANICAL;CONTRACTOR I /44/A
Contractor Name Address
•
City State Zip
Contact Phone Fax
[License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR :) /V7/4--
Contractor
I7/ -Contractor Name Address
City State Zip
Contact Phone Fax
License # _ Expiration Date Verified ❑ Yes 111
PLUMBING FIXTURE COUNT
Water Closets Sinks / Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
lcve!ori,cs Washing Mac`u r Drai .3 l Total Fixtureiactn
[MECHANICAL UNIT COUNT
Fuel Type (electric/other) 4/(7 Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping //FPr C ' 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
i
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBO's Wood Stoves 3-15 Tons Total;UJntt Count
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 lam 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 at es out of the relia e of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. 7,-"
/
Owner/Agent: \�-% al4(7' V/ X )( o C,k /)..4ir rV9 , Date: /
�u, 9'/
1'3u