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95-100833 CITY OF FEDERAL WAY PERMTT NO: BLD95-0332 33530 First Way South BUILDING PERMIT ISSUED: 05/10/95 Federal Way, WA 98003 Building Inspection Requests mil-4140 BY: KLC 661-4000 EXPIRES: 11/06/95 ADDRESS:2154 S 314TH Si" NO. : 092104-9053 PROJECT DESCRIPTION:T1 to convert vacant space to Chriopractic center tDYNER CONTRACTOR** ONTRACTOR LENDER 'AN6IK OH * MINER IS CONTRACTOR u*NE 11TH PL SW FEDERAL WAY VA 91123 946 4641 139-2936 *** E } JLD?:X MEC?:X PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: / COMP PLAN .9 FEES: TYPE OF WORK:TEN USE:? 1ST.: 1510: 1511:sf STORIES • 1 REQUIRED PARKING..: 1 SPRINKLERS/ -0 PLAN CHECK FEE $ 163.11 CENSUS CATEGORY •431 2N11.: 0: /:sf HEIGHT • 1.11 ft HAZARD CLASS .9 'WILDING PERMIT....* $ 252.01 OCCUPANCY GROUP 3R1.: 1: D:sf VALUATION REQUIRED SETIACKS FIRE FLOW - 1 gps SDCC SURCHARGE * $ 4.50 :12 :? :? :? OTHR: 1: 0:sf EXIST..$: 1 FRONT • 1.11 ft NEC PRIT ISSUf CE... $ 20.01 TYPE OF CONSTRUCTION 1581: 1: 0:sf PROP...$: 25111 SIDE - 1.10 ft WATER SERVICE..:? NEC APPLIANCE FEES.* S 6.51 :5N :? :? :? DECK: 1: l:sf REAR • 1.11:ft SEWER SERVICE..:? PLM PRAT ISSUANCE.. $ 21.11 OCCUPANT LOAD GAR.: 1: /:sf RECEIVED.:15/11/95 PLUM1ING FIXT....93* $ 21.11 15: 1: 1: 0: TOIL: 1581: 1501:sf IIIPERY SURFACE: / sf SENSITIVE AREAS?.:? PLCK-FIR toaml only* S 12.61 UEL TYPES.:? ? FANS - 1 IOILERS/COMPRESSORS WATER CLOSETS • I URINALS • 1 TOTAL FEES $ 500.41 GAS PIPING.: 1 ft HOOD • 1 0-3 HP • 1 DATH TUDS • 1 DRINKING FOUNT.: 1 FURN(111K..: 0 DUCT YORK • 1 3 15 HP 1 SHOWERS • 1 SUMPS - 1 GAS HWT • 8 WOOD STOVES...: 0 15-30 HP • 1 LAVATORIES • 0 YAC IREAKERS...: / CONY DURNER: 1 FURN)111K 0 31-5/ HP • 0 SINKS • 1 DRAINS - 2 D1Q • 1 RISC • D 5+ HP 1 DISH WASHERS - 1 LAWN SPRINKLERS: 1 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC VTR HEATERS...: / OTHER FIXTURES.: 1 RANGE 1 a=10,111 CFM: 0 ADOVE GROUND: 0 LAUN YSHR OUTLTS-..: 1 GAS LOGS...: 1 ) 18,018 CFM: 0 UNDERGROUND.: 0 PERMITS EXPIRE 111 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 DY HE IS TRUE AND CORRECT TO THE VEST OF MY KNOWLEDGE AND THE APPLICAIL.E CITY OF FEDERAL WAY REQUIREIE`NTS DILL DE NET. Z'Z OWNER OR AGENT �� I , DATE V s -- FILE COPY f I CITY OF FEDERAL WAY PERMIT NO: B1095- 0332 33530 First Way South BUILDING PERMIT ISSUED: 05/10/95 Federal Way, WA 98003 Huttding Inspection Requests 61i1--4140 BY: KLC 6til-4000 EXPIRES: 11/06/95 ADDRESS:2154 S 314TH SF :NO. : 092104-9053 PROJECT DESCRIVIION:Il to convert vacant space to Chriopractic center -..--_.---7.7.— :---_ COM RAC COR --- ____;_--- If ROI CHONSI K OH *** OVAIR IS COMTRACEOR cm 11427 ITIP PL SA FFOEVAL WAY VA 418423 1*. – ---- ----".---- — -----..----— —---.- ,1 KEA nEC!:1 PIC! FL r ',,-,4-- ,..,' i-- I tflIW PON ,. rift OF ITOOSATO USW IS1 ' . 148:9f ST1',4FS...„... 4 INIMilift PATIR1WA..:'4.'", 4,.e. , ; , . !: ,..,: ;17 7, ,," PLAN C1IC1 FEL $ MAI_ CENSUS CATEGORY -431 , 40, l';'''' --0:4 Tr ' III -...: uAi fk t t...:',. ,ttfe.,: 74! IAILDING manni...., $ 157.11 OCCUPONCY 611011P------ *P t„ ii 4 V Al 1, ' 'V't %I'''' '' ' $ 4.5$ i u.' 1 : N""-' 'J :12 :? :? :? ---,, -, 11. ke V: 4 f I . t " ' "'1' • 4 38 ft NEC ' 1 ISSUANCE.... $ 21.11 -- TYPE OF CONSTRUCTION----- '' ‘ $f tit.,, P; 44.. t 210. Sili - 8.18 ft VOUS SUPICT..:? AFC APPLIANCE FEES.* $ 1.51 :41 :? :11:? : : ,Ii. jog , REAR • 1.111:f( SIUIP STRVICF..:? 11 It PILOT IMAM.. $ 74.111 OCCUPANI 1000 - --------- - 0 ',,, lit Hiiiim eiiikitl PLUMING FIX1 ...13k $ 71.10 : IS: It I: I: 101 ,, : INPLIVSORFACE: 1 sf SENSIIIVE AREAS?.:? PICI-FIV cosh/ only' S 1GMI TYPES.:? ? FANS • 1 lOOLUS/COAPRISSORS RATER CLOSIIS • 1 URINALS • I 1010E 111.4,, $ SOC.4G AS PIPING.: P ft 11004 - I I-1 RP - I 101H MIS - I 141WAINS IOW.: 1 FURN(1441..: 4 NCI PAW • I 3-15 hi - 1 SHOGUN - I sonn - 1 6AS 11064 %OYES--; 1 15-31 RP - 1 1114010RIES......,..: 1 VAC IRETIKERS...r. 0 CONY INNER: I FURA)1041 - I 30-SI lir - I SIMS - 1 °RAINS._.....: 2 111) • I NBC, - I SI Hr • I ItSH INISHIRS - I LAW SPRIA411.6: $ 6AS DOM..: 1 AIR HAA011116 OkliS iltit 1044S------- --- LUC AIR *PIERS • 1 OTHER FIYIUREc.: I kW' • 4 (44,814 CIA: 1 AIOVi WM: 1 iOUN US44 OUDIS...: I GAS LOGS--; I ) 18,111 CIA: 1 ANIT4610011.: I 4-----==...-z--.===.----::-.-- --------------- KRAUS EXPIRE III VATS AFTER ISRME If NO VCR IS SIARKI. RESINENIIAL AND GRAVING PIMP= EXPIRE OW TOR OFIER How OF ISSUANCE. I CERTIFY TOOT ill INFORAPI1ONJUNNISAID IT HE IS TRUE AND CORRUCI 10 litt 1LS1 01 AY KNOUTE164- Ak1 IRE APPIICAltt CitY Of talk* VAT REOOIREAFATS WILL 1E AFT. ree<:,--...--2.----7,00----1.-------e---- - ...mot- OWNU OR AGENT _ , • .. — 3 6(0 FIELD COPY -11 0 0 0 O 0 m 0 -n 0 m 0 -v 0 0 000002 o m 0 g 0 g 0 0 0 - 0 cn 0 C 0 0 m 0 c m —{ n> -i .CwC +mMI nr> 2o DaC S o) C r.9 `,4 ?Dr+ m vm °4 2) m+ m w Z d+ C mr 0 C m .+ m mCo r co R► co 0 co Z CD CD coCD pp Cu C CDZ co n CD CCD (nK LmE Z co ,m n Z DD -c, D� m077V ? ZmZ m S\ 'lD nZ D ZZ mN 0 �\ � --1 "\ 0 Z Z DG0 GNn � 0 Z n 1 n D k goZ 0Z0 ) D r- 0 I- 0 Z 03 � dD ' N r- 2iD 11 C O\ O� r m m 0 rn .33 V Z O N co < coW < W co W CO CO CO CO CO CO co co X 03 CO �r ...„..I . .1.. 1 , • L\ ?... .. ... . ,.....„1 c\ . „.;_, N. 13, , ,,_ , CTstCi r N ` 1 4 ,k, 1 qtNi4 n �, A h_ AJ t. O S 0 CO Ca • k‘\ ff1dftfrrr, �®®rooo �errr► �� 14o# AN \ toAliRl ` fooj/ilk \ l /A.4�\ r41,,AR,Ojkr10 / �\ rPAR\�\�g�I ��Rr• i `�\\`� �� / ML \\� 111 //�/.\\\ 111 //!\\\\114 / ! \\1111/ //! � 11 //4\ 01 /!-!� ��a ;_o_. 4101/,i .0_.�\‘‘11 0",e�,.. \\11,ii,/��.0_ 11,4,01/� .l_411k1► li,/, .0_ \‘‘11,4,/0, r0_�_� ‘,ko0�e li. O�\. /� �� �� : ... i/�I � �\�.....is/� ��ma /�I�`\� ,i/I���� ` ,i � �\�\ 1 ,�� -.....-............;%.. /ii . j % grip- w//,4fogwo CCit of Fi tera1 Wag ����11 LI/ ip 4` , tCirtificatc of (Occupaucg :_sem. ll 4/I This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City NA** -\�\��1j regulating building construction or use. For the following: 1,Oploi i`\��„\ OCCUPANT LOAD: 15 PERMIT NUMBER: BLD95-0332 �//���1 `ii,-- ���V_'�0 1KOrio// TENANT NAME. . : OH FAMILY CHIROPRACTIC \\\_� /��� ADDRESS • 2154 S 314TH ST \��;' .0.(0, P:° 46!4 GROUP: B2 ? ? ? SQFT: 3000 CONSTRUCTON TYPE: 5N ? ?,• -iii!inl Ne `�\�� OWNER NAME. . . : LEIBSOHN & COMPANY l'/%A1/'/' 1®� ADDRESS • 11100 NE 8TH, #800 ��.�� ®'S�.1%”' BELLEVUE WA 98004 \‘`\�= -04 iblifel- - ,,,,,,;,, - odA, ,, ...,,_,,--- 4,, .,.,,, A IP. __t____ ♦\\��\` BUILDING OFFICIAL for Richard R. Mumma DATE ,,�i�. • 0��!ot The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience \� ==� mite-ari � 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 \\\\\_M 'fp441� is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or !��;;��- r�l4) to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the state of f�r \\`1 Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of r�j/� :_`�`�t the owner and/or occupant of the premises. //��� ._��� POST IN A CONSPICUOUS PLACE i� 4v.1�%/ ViqeV:s� �4_�t/ N�ter�/ i ��••'c'V �\t���.4y�/ ii.,��\\`._.�. 1ii.1,\`�.��../ . 11 / _ - /// �‘ � \ �0 / I1N \� /j�/ N \�1► j� tNt1f �/,11 \ t:// 1 '//� Nqkii g►t�0 \lb*�l ,\�i/��/If �\ i/��� 1 \ . /it1 \ ri//�� 11 �\* /�� `� � � �, wli 41, City of Federal Way �'' RECEIVEb 1 701/ APPLICATI ' Z�7f ON FOR BUILDING PERMIT IAY 011995 ,r" 1'- CITY OF FEDERAL WAY 2 BUJI-DiNG OE PLEASE PR/NAPPLICATION #:Bc 9S—69 • 2- SITE LOCATION Address A iso►S', jou Ht. sit f r� e,,,._4; ic,.,, /,), 9fivG%=j Tenant (if known) Lot# Assessor's Tax # pi " F�I}M/L( ChiTi�2D� ri C CEJT� 0?-2/0 e -- 9o.—) Building Owner Name frit .1S/ele. ,61.-2c;.kS-car_,iAft2,4 Address � /t. Li ,G/, ,,bei 6-,,r3,-1' /t!<.-nc car Ivrl�i` _ ///e,0 r l� .l}"l%- S.t 54�i ri2OC:' City P , Ve iJ,ak... State 4.✓!} Zip v�CII &/ Phone 4.$ L I S":3 Nature of Work '.. ic,h 1t' .1„1,,--„,,,,,-,p,.....-1-. APPLICANT Name (F,M,L) HA�C7/t Og Address C '9/izz7 /f-,kk ,of Sri) -tea City r.,., die...(‘j t,J«y State • Zip --?-1:,..:'—-3 Contact Person Day Phone Other Phone Fax 6i/A'k'i a< o11 W6 '- `fid' R> d-9,.---IV.3 4;44 --s4i 4(f BUILDING CONTRACTOR'' Company Name t Address • City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes -L7 No ARCHITECT Name X///4- Address Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION / Iv. fJ L k P/ease Complete Reverse Side CD0492(Rev 4/93) STRUCTURE \I Existing Use 0+; / C-e- S c&i , •ProPosed Use 1::;( Permit includes: b Plumbing Q Mechanical ElOther Type of Work: El Residential ❑ New ❑ Remodel CI Number of Units ❑ Deck Commercial ElAddition ❑ Garage ❑ Shed ❑ Other / L Enter 1st Floor /S-Cv sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area / r"--C sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area /..5-C'';' sq ft Water Availability © Sewer Availability 0 On-Site Septic System Availability ❑ Project Valuation $ ,25006'12-C Zoning Lot Size Existing Bldg Valuation $ LENDER Name Address City State Zip MECHANICAL CONTRACTOR Contractor Name, Address (1;%, %.)/7&ISG" ?)--1-2 in d i,i. - Or. City /La 4,, ,� State j,,1/(j ' Zip 6,3-f'i Contact f ' Phone / s Fax ��` � w f Jr‘4,�u� s "/'�'��'�L� .r 2 —cf 6 i _ License It G, /}Ai S 11-1 0 ,i'-' f3 ei Expiration Date Verified ❑ Yes Cl No PLUMBING CONTRACTOR - Contractor Name , Address -/ 41'1 11/11- City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING FIXTiIRR COUNT Water Closets Sinks / Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Total Fixtfire Count MECHANICAL UNIT COUNT 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 i' 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Total Unit Count 3 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:_ Date: / C