99-102966 91-40 .964
CITY OF FEDERAL WAY N:.,,.. :ni x.y G PERMIT NO: BLD99-0482
33530 First Way South , `; M L,,w,� 1A'M M;:,;;C p If fl ill I T, ISSUED: 08/18/99
Federal Way , WA 98003 Building Inspection Requests 253-661-4140 BY: FC
253-661-4000 EXPIRES: 02/14/00
ADDRESS: 1035 S 320TH ST
NO. : 172104-9081.
PROJECT DESCRIPTION:TI - NEW WALLS FOR ORAL SURGEON'S OFFICE
MECHANICAL IS ALL EXISTING. PLUMBING TO BE ON SEPARATE PERMIT
r OWNER ----- ------------------ T CONTRACTOR = ----- ..._ -------- -a- LENDER ---- --_
DR EMILY SABBAGH, MD, DDS KIEL CONSTRUCTION
1035 S 320TH STREET ( PO BOX 174 iilli
DERAL WAY WA 98003 i SOUTH PRAIRIE WA 98385
I
360-897-2622 1
KIELCI*06ID5 1
i ____.______ ._.___.____._.._____...
*** CONTRACTORS, PLEASE USE LOCATION CODE 1722 OEK Rt"CRTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
BLD?:X MEC?: PLM?: FLR--EXIST -PROP DWELLING UNITS:' 0 COMP PLAN ., ' FEES:
TYPE OF WORK:ALT USE:COM 1ST.: 0: 1700:.f ETORI .....: 0 REQUIRED PARKING..: 0 SPRINKLERS' •9 PLAN CHECK FEE $ 422.99
CENSUS CATEGORY •437 2ND:: 0: 0:sf FI, .....: 0.00 ft HAZARD C{AES FD PLAN CK-COMM ONLY $ 97.61
OCCUPANCY GROUP ?RD,. ^• 0:sf VALUATION ; R § IRED SETBACKS FIRE FLOW:...: 0 Spm BUILDING PERMIT....$ $ 650.75
•? •? :? OTHR: 0: 0:sf EXIST..$: FRONT • 0.00 ft SBC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 51003 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:08/02/99
: 0: 0: 0: 0: TOTL: 0: 1700:sf Y IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
SIII(L TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS J WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 1175.85
PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 TON • 0 € SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 50+ TON • 0 ; DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL IANKS ! 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 '` t
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABBLEE CITYOFFEDERAL WAY REQUIREMENTS WILL BE MET.
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19 BUILDING FINAL
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Date By
CD0193(Rev 4/97)
BUILDINGDIVISION
G 33530 First Way South
Federal Way,WA 98003
\)'s
(253)661-4000
Fax(253)661-4129
RECEIVED
APPLICATION Fq&laWlitifOING PERMIT -
PLEASE PR/NT GI 1 Y OF FtDEi�AL WAY APPLICATION # �( S 11 " O LI e f---)
8 ILDING DEPT
I,,
z Address
. t ;I.oP�: IO�::::::::::::::::::::: ::::::::::::::.: .:::::::.. is g s S� - 3 20 S•t-,-e,4>r
Tenant(if known) Lot# Assessor's Tax#
17Q. E,,v,; I y ,e, 1.1,.) ci li 11111 hi)c I7 2, I q---96E l
V( Building Owner's Name Address
/\- WA- 17ytt0A,4ci+ ( f?gtie--- 9-20 9 r /430 N..E..
City Scc ,r-Ie I State Cr-)A . Zip 9 k Phone
Nature of Work /y4.,..,.., r'.r.ti i i ph,r,ln;Y� e./&t, 77.-uc..v% ..'4 pt ).ytn or ?` C73c`(
/l 1
::.:�.CANI°::::::::::::::::::.::::::::::::::::::::::::::::::::::::::..:.
Name(F,M,L)
0R. E,ori„: iy. Sc. 06q_54 , AID des
'Address
C5 9 2 ' S.17-..,.7- S , F.
• City 4 lAv/z N State C 41 , Zip ygoo 2
it'
Contact Person Day Phone Other Phone Fax
,►�:l f Sy c_113
6Q5 r^
.7--S--; - t-' 33 - 0G C, 2 s-3 -V - 5s 1,G
€< FEDERAL INE WAY BU LICENSE
BUSINESS
Company Name /s
K, L L- l ev...STlzuc1 ro,v ,- -nrf
Address
1 <--c ' 07. 2-31'4 ff.
City co) p .i... ,,- State ft. A Zip Cr S. 36 a
/
Contact Person Phone Fax
w;rl c k , ram (36.,C)) 'c7 24;22 5c+,^,
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
CCol -K/ L-C-r -- O6/ DS 03//y/z..v
':ARCD LT.._..._:..; > < imii ` ':> >?:» >< < »<'«
Name j p
X Address
6c' I Fee,v,oNr. es.Ls
c� N. `zoo
City Pct G'}-(F'' State j_. Zip Cie/6 3
Contact Person
honFax
1-2( {liar) C wo2�--c( i Ass-e, A I A- cc- h-3ii-360/ -c) 632-3.5's-Y
LEGAL DESCRIPTION
_. 410 Please Complete Reverse Side 0
w...... ..T f..:. ...:..:::.::.:..:.;:...:::> : Existing Use Proposed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New X Remodel ❑ Number of Units ❑ Deck
Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area i)<,‹ sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area ,;:Gc', sq ft
Water Availability Rl Sewer Availability X1 On-Site Septic System Availability ❑ •'' Project Valuation $ 5/,;`,A-r
Zoning 1 Lot Size •` Existing Bldg Valuation $ ) ?Si pcO
LE»:::::<;;::;
Name y Address
i (1yLirlvP V Cll / ` (34 /( I Z:..f /.1:1-7. (V)C.t_ • w
City '� y t }E_Lc.h State LA,,IE, Zip 5.&' j 1,
*:ill ::::: :<::::::::,:„::: :::>:;:::z:<>s:;.::<:>:::>::<::<s' »»>'><><?»
E. .HANIGAL.CONTI AG 'O t
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes L No
PLUMBING CONTRACTOR
Contractor Name 7 Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING Iii*TUFT :COUNT
Water Closets !, Sinks •7 Urinals Lawn Sprinklers
Bathtubs Dish Washers c Drinking Fountains (2 Other
Showers c: Electric Water Heaters C ?'1 Sumps C”
Lavatories f' Washing Machine ,. Drains I Total F/xtare'Count
CI-IANICAL.UNt'r:COUN'1 »: it;.t ', 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
BBQ's Wood Stoves 3-15 Tons Total'Unit 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 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 re • e of the ci •uding its officers and employees,upon the accuracy of the information supplied to the city as a p of this application.
.//, i4- F7
Owner/Agent: �I,�� , � � Date: � /
/ REVISED 8/26 •
Rev�seo 8/26/97