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97-100773 9.-7- /o6-7 -72. CITY OF FEDERAL WAY PERMIT NO: BLD97-0138 33530 First Way South : :311.,..,N :.11 L..,..:N)::1: N Eii P E::ft ill.:N:. "11 ISSUED: 03/26/97 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 09/22/97 ADDRESS:33301 9TH AVE S Unit: 200 NO. : 926501-0130 PROJECT DESCRIPTION:TI - INTERIOR WORK: BUILD WALLS, T-BAR UPGRADE, ALSO MOVING INTO DOWNSTAIRS AREA. MEDICAL INSURANCE OFFICE F= OWNER - - T CONTRACTOR = •• LENDER = .- UNIFIED PHYSICIANS I SUPERIOR BUILDERS INC HARRIS TRUST & SAVINGS BANK 33301 9TH AVENUE S #200 4 34310 - 9TH AVE S #108 DERAL WAY WA 98003 I FEDERAL WAY WA 98003 TUKWILA WA 98188 1 248-7300 i 874-3647 ISUPERBI112D2 *** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.2% *** S==_.. _ -- S -- I BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •I/OP FEES: I TYPE OF WORK:TEN USE:COM 1ST.: 0: 2700:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' 0 PLAN CHECK FEE $ 122.85 CENSUS CATEGORY •437 2ND.: 0: 13000:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 189.00 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION I REQUIRED SETBACKS FIRE FLOW • 0 pm BUILDING PERMIT....* $ 189.00 •? •?• ? •? OTHR: 0: O:sf EXIST..$: 0 1 FRONT • 0.00 ft PLCK-FIR comml only* $ 9.45 TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 18000 SIDE • 0.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50 :? :? :? :? DECK: 0: 0:sf REAR • 0.O0:ft SEWER SERVICE..:FED PLUMBING FIXT....93* $ 1.00 OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:03/04/97 : 0: 0: 0: 0: TOIL: 0: 15700:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? !•.- ----- ____= L TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS 1 WATER CLOSETS • 0 URINALS • 0 1 TOTAL FEES $ 521.80 GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 1 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 I GAS HWT • 0 WOOD STOVES...: 0 15-30 HP 0 LAVATORIES • 0 VAC BREAKERS...: 0 I CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 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 I RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 I GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0I == -------- -- .. .. -. d PERMITS EXPIRE 00 DAYS AFTER I • IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT E FOR T1ON F D BY. -=°'RI AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICA E CITY F FEDERAL WAY REQUIREMENTS WILL BE MET. 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I `.. i 1, ) 047'141— T:91^,,, $'4 safll:irr' -1 L.If? 1 =1/(:1 sU I 1'11 1 1 11'611 I i i1 tl 1-1i-1 •",1-:1 i 1 )_'.l=31:1 '.•'1 "' ,�,, ,,,., ,.11 ,.I 111.,`', 1 11 111'. 1r1, , .1 l `:, 1 : i H ..•,Ii.' 1 + :;1`0 xE,(IIrl :()N I.'IWN3c3 04 t ... . : ".. :. + i 11 , %.'i {,i l ) it-. t i ).. d 1 • • BUILDING DIVISION ciivo G 33530 First Way South" � ErtHL_ Federal Way,WA 98003 C (206)661-4000 1- EGE1\/E© Fax(206)661-4129c ;BAR 0 41997 �vFEDERAL WPAPPLICATION FOR BUILDING PERMIT 6`1, BUILDING DEPT' PLEASE PRINT APPLICATION # ,.,007 � D I. 6 111 Address ' f Tenant(if known) / ,,,_ ,,, Lot# Assessor's Tax# Building Owner's Name Address �f+,,,_:�, Ti-�s i_/ 5.4� (1 ( t�: rt„, rc,c' City �k' c; State I L. Zid,;o7 jj 0 Phone 7 f ' 7,.s Y Nature of Work �•�.l(A v3.1-(( Sl ,7—k- vtD �.� i.eF Name (F,M,L) �� re��� ( . _ �� �^! C 1 t.�- p�P i r V Address n S 1 �rO `V „\ City (T �j l State Zip Contact Person Day Phone Other Phone Fax Company Name O ,� 1 cke c_ i t-C.r �S Address City F State fl 1 Zi;i 9 Contact Person �vb pt,t ��� t_k_z /t___ p�rl, _(c,Lt 7 Fa) 7 ( �j^ � 4^ � Contractor's #(card must be presented) 2�>lj81- ( --e___( :. ? Expi� o�n r� Verified t;4--Yes D No P]: :i,::*::i,:*:::,i,::iP:::::iliii:M:iiiiiii:ii:iiii:iii:i:lii:i]::Mil:Viiiiiiiii:i:liiiMiii:iileiiMiiiii Name Y-q.. -eg"`�VS �J p .\ Address V� City State Zip Contact Person /..... .c A Phontf/ .-7a` 70 Fax LEGAL DESCRIPTION f ,,��S� C4A....t 0 f-c- C_t P�,�/ 7t- C_O f fo i -k--L-cir—r— 6 c---- til ts-C C._0!: 4---ek(z,c4 ,,k) LamtLk p-,c /0 w �-C� _ , - - i 1 Please Complete Reverse Side • r- ' / ' c—____J SETBACKS & FOO •S Date By FOUNDATION WALLS Date By PLUMBING GROUNDWORK Date By UNDERFLOOR FRAMING Date - By . .. ....... ....... SHEAR WALLS Date By PLUMBIN ROUGH-IN ' ./ 6.frvue,64403) 5---9--7--10 bf-x,p 1 0----f-ifr Date` ✓f 7 By W GAS PIPING - Date By MECHANICAL ROUGH-IN ... . . ......... . Date By MECHANICAL (OTHER) Date By I I FRAMIN -k//ii- z/��/ -3-31,-(1-7 Date 4t--ii 11 By / T'i l INSULATION Date By GWB - 1ST LAYER /� Atvok a2-q , Date (//,-�/�- vliel GWB -I/2NDKLAYER Date By SUSPE ED CEILING /�7L RV V q- 11-4'7 /- ip Date _/ L �� 7 By (V..(-) / PLANNING FINAL Date By ENGINEERING FINAL Date By FIRE FIAL Date Z1�9)-1/7 By SP BUILDINFINAL Date 34/1 By 1 ./tp OTHER Date By OTHER Date By CD01 93 •� r I �\1\�1lih_///i ���N\1'i..�,,i%%��� ti�lllll�w%����\�Ue....f�i%%�1���\�11�!..... �'N,. 1/ve%%����U11111��i%�����.1.0m��4or A� 11 � �� .404 Ar Ai; (Ci .orf i �e eran \‘\Zilki 40 Dilil, 411.01. (Certificate of Occupancy ?,, Ar- „A-4. ,.,.........., =��/%moi ,,,........... ..,........„....„: .__........... \,, ��� er��/�/� This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying `��\S;= •. e0 i that at the time of issuance, this structure was in compliance with the various ordinances of the City `� �1 -\k\la regulating building construction or use. For the following: •,�j�. 1_=`��\ OCCUPANT LOAD: 157 PERMIT NUMBER: BLD97-0138 �r'./„//��+� s. r./. � TENANT NAME. . : UNIFIED PHYSICIANS *VANr ill4. ADDRESS 33301 9TH AVE S Unit: 200 ��\�r� filW GROUP: B ? ? ? SQFT: 15700 CONSTRUCTON TYPE: 3-1HR ? ? i1'p�e `��\\\ OWNER NAME. . . : �'%iA�I 1_.m.,.,;,, KIDDER,MATHEW & SEGNER ,,��+�.) ��3�� ADDRESS • 12886 INTERURBAN AVE SO. :.��_� Iiier,j% SEATTLE WA 98168 ������� iall Will 4ri e 41 fA_l tot A...,, ii,,,k 4 0AO 134 BUILDING ❑ ICIAL DATE 0I1N//° �A” �� ���,� The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience re:40%W. � rAsSo,/ 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 V��= e,..0� is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or ����*�� aigl4.. to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the state of ,4,0 ,\\`) Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of 1,�/'- 0_\N the owner and/or occupant of the premises. .��- POST IN A CONSPICUOUS PLACE t=��! • �''�%'//lli�`\`�- ��j%i....ii;`\�`���i i,i'r�.; ����;._.;"W\ //;.....'\ ii....,\\ _ j'7.....:�R\ �����jl� `l \,\'�_ �/ 1// 11k �4 ,�� \� ���/mil `\\ , 'lig IHS \ / 11 \ �, •i �� I � ��-�:i i� �� \ _ /� 111�\\`����/�/�11111\� �����/�/�1111\�\�\����/�/�� X111\\\\ .�"1' //i 11111;�\�'v� /� ���`- �/to 11 \t�1 /� \\r igrli 1\ \\IERR AOpi 1011��:40410411� �4.;10 %111�1��4.14 14It1f���1441,%��"1\\, Is J 1 � ► � X111 . , . ♦�� � • • • ' �'r :...:::.::.: :::;;:<.;:''> Existing Use 04( (- C Proposed Use C5`4-k." F Permit includes: ❑ Building ,Itt,Plumbin. ❑ Mechanical 0 Other Type of Work: ❑ Residential ❑ New 0 Remodel ❑ Number of Units_ 0 Deck Commercial ❑ Addition El Garage El Shed 0 Other Enter 1st Floor ' sq 0� 2nd Floori3' • sq ft 3rd FloorrC�i�-- 1t Existing Floor Area sq ft 1 Area Basement sq ft Decks sq ft Garage" sq ft Proposed Total Area 0.-70 c•-:' sq ft Water Availa��)( Sewer Availability i7 On-Site Septic System Availability00 / �7 Project Valuation $ /���= Zoning I Lot Size /3 f f / Ci Existing Bldg Valuation $ , Name 1 ` / F�ve� c 5 gess City (�ItIt/( / State Zip ii'?? :>ir2:iie^isiF'iji<z :??:?;2Y;:�;^;:;:;ii<::::=;yin::;?:'?ii;<►'[y2ii[i '=i'. a`? Contractor Name ND •_ f •.. Address /Z L C Ct*T /c`�vL City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No MAN Contractor Name lX (v A� Address City K 41 State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes 0 No .PLUM BI G IXITI .;Cf UGIT:.:.;;:::.:.;;;;::.:.:.:.:.:.. Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories WashingMachine ne Drains 7otelFixture llllllln..Y.;;;:,;::. ::::::;:;.;:;: MECHA....: 1gCAL: iI ' t U '!'..,.. : <:::: ;:::<::: MECHANICAL EVALUATION ONLY $ 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 BBC's Wood Stoves 3-15 Tons otel� ntY 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-I am authorized by the owner of the above pr• ' .to perfo o 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' r n-ed in in 'gation 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 ca. kiv1\ out E e relian f th•city, 'hs officers and employees,upon the accuracy of the information supplied to the city as a part of this application. Owner/Agent: 1111 �� Date: 1._--57. /97 ii(VCSEO 12/11/88