98-101558 2,?-101 5-53
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CITY OF FEDERAL WAY u�L uu pp pp pp 1".
11.". PERMIT NO: BLD98-0253
33530 First Way South ,II,;;;;��N�,..,� .,1I„. II ..L,h..J,,. N�,.;;1! P E:'..: 1F;;!' ash 1". .f,h••, ISSUED: 08/11/98
Federal Way, WA 98003 Building Inspection Requests 253--661-4140 BY: KLC
253-661--4000 EXPIRES: 02/07/99
ADDRESS:32030 23RD AVE S
NO. : 162104-9028
PROJECT DESCRIPTION:TI- NEW PARTITION WALLS, REVISING LIGHTING, NEW FINISHES. NO ADDITIONAL SQ FT. *******MECHANICAL NOT INCLUDED******
j= OWNER _- CONTRACTOR --_.-__-_- __-_.___.-.__„-. - LENDER I
APPLE PHYSICAL THERAPY I SUNSET BUILDERS INC
32030 23RD AVE S 3108 "C” STREET SE
FEDERAL WAY WA 98023 i AUBURN WA 98002
w
5-455-5045 ! 939-8474 1
I SUNSEBI140L5 1
*_s CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.6% ***
BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 T COMP PLAN •CCCO 1 FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: 2426:sf STORIES • 0 I REQUIRED PARKING..: 0 SPRINKLERS' •Y I PLAN CHECK FEE $ 227.18
CENSUS CATEGORY •437 2ND.: 0: 0:sf HEIGHT • 000 ft HAZARD CLASS •' PLCK-FIR comml only* $ 17.48
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm i BUILDING PERMIT....* $ 349.50
:B :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft I PLUMBING FIXT....93 $ 28.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 40000 SIDE • 0.00 ft WATER SERVICE..:LAK ! PLM PRMT ISSUANCE.. $ 18.20
:5N :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:LAK I SBCC SURCHARGE * $ 4.50
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:05/01(98 i FINAL PLAN CHECK...* $ 0.00
: 24: 0: 0: 0: TOTL: 0: 2426:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N g PLCK-FIR comml only* $ 42.00
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS t WATER CLOSETS • 0 URINALS • 0 1 TOTAL FEES $ 686.86
LAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 I
rURN<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 • 2 DRAINS • 0
BBQ • 0 MISC • 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 1
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS + ELEC WTR HEATERS...: 1 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1 I
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I
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 [RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _161(2 —i DATE VI I1 C LEq
_Se
FILE COPY
• Fic4 .
I‘, CITY 01 FFJ)LI' AL WAY PERMI1 NO: 13LDA3-0253
• 33530 First. Way South DUI L. DI NG P E RM I 1- v,sut. D, 08/1-1/9i
t I erderal Way. WA 9800,1 Building Inspection Requests '.,. 1_3 ......,.L .,i I .,t) f3Y: Kt C
/2 3 661-4000 EXPIRES: 02/07/99
kDDRESS:32030 2:3RD AVE S
..
NO. : 162104-9028
1214,0•TECT DESCR IP TION:TI- NLW PARTITION WALLS, REVISING LIGHTING, NEW FINISHES. NO ADDITIONAL SQ FT. *******MECHANRAL NOT IFKLUDED******
APPLE PHYSICAL THERAPY SWISH BUILDERS INC
32030 23RD AVE S 3108 "C" STREET SE
EDERAL WAY WA 98023
ALIBUPT4 WA 98002
M 5-455-5045
939-8474
SW45E8114015 ..
*** CONTRAC1ORS, PIO%USE E0E14101,100E4#418U4k_,1 „ SALES TAX FOP PROJECTS NITNIN INt (IIT Of FEDERAL NAY. TAX RATE ! 8.6% *8*
.,a.. -.....*_4...,iiii... •..„-....:,.......
-Lt70;;;' -'144"E('"?:-"'4-PL;;;"X'"'"-FER-IXISi-p0p..... rOMP PLAN •crco FEES: I
TYPE OF WORK:TEN USE:COM 1ST.: At•A"2426:sfilo S .''''. ..-..... • --- ••IRED PARKING..: 0 SPRINKLERS/ •Y PLAN CHECK FEE $ 221.18 1
,• 1,.,. A4 ,,,,_
CENSUS CATEGORY •431 2ND.: .1 r= 0:sfl; HEIGHT.. Al%,, ,, :-Tr,'0, k,4.---44 ,-4-37-- _ . , , PLCK-FIR coital only* $ 11.48
OCCUPANCY GROUP- ------ 3R0-:1- ''•00:•- •,-14•1004‘. 4 F.; VOAT : 1T1S.71 F:',REQUIRE 1 v., . ". -,i• .-',.1; IR .... --- ...arr. 'N. ,. BUILDING PERMIT....* $ 349.50
_
., ,,A, ,] 'f.... , 14 t,„ n, . ,,-,_ -'
:8 :2 :? :? : UT : tor: . 14 st;,$0 Last. .;, ,1„,„„ivlagw„,„, , _ 1. ,y, „ . 1 eil pr,,N, , -,,,, , ----:,... F ,. in.,..qp $ 28.00 I
-1M......°.P --'FF''F .,7,'-. '
TYRE OF CONSTRUCTION ,,„ B6 4; ,,, 6.- . t ,,,,, *P... : 40000 ' 1 ' • 1.11 ', *ATER SERV ..':LAK i '' SSUANCi.. $ 18.20
. ,,•,, ,, „‘-- • 0 . - 0 r
:5N :'' :1 :? • , ,,,. '1, ,,,,,,, N,, . --,- :Amor -z- wP • 0.00:ft SEWER SERVICE..:LAK SBCC SURCHARGE * $ 4.50
OCCUPANT LOAD- ,, • 0, '.,, 'N , '1, . •, 'k 1 :'', t-'-""- FINAL PLAN CHECK * $ 0.00 1
* ' '
: 24: 0: 0: 0: TO -• --- •- ,. ,,' IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N I PLCK-FIR conal only* $ 42.00 1
EL TYPES.:? 2 FANS....4:....: 6,4' BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 686.86
S PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FUPC100K..: 0 DUCT WORK • 0 3-15 TON • U SHOWERS • 0 SUMPS • 0
GAS NWT • 0 WOOD STOVES. • 0 15-30 TON. • 0 i LAVATORIES 0 VAC BREAKERS...: 0
CONY BURNER: 0
BBQ •1 FURH>100K • 0 0
GAS DRYER..: 0 AIR HANDLING UNITS
RANGE • 0
NISI • 0
( 30-50 TON. • 0 SINKS • 2 DRAINS • 0
50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 1
FUEL TANKS----- --- ELEC WTR HEATERS...: 1 OTHER FIXTURES.: 0
:10,000 (FM: 0 1
ABOVE GROUND: 0 LAUN WSOR OUTLIS...: 1 I
.
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ptITITS EXPIRE 180 BAYS AFTER ISSUANCE II NO WORE IF STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR ALIER DATE Of ISSUANCE.
i•CERTLIY MAT ENE INFORNAIION IIIRNESNED BY NE IS ME AND CORRECT TO TUE BEST 01 rN KNOBLIKE AND THE APR ILMILE OH OF FEDERAL WAY RIOUIREMENIS NM a Nil.
\ 4.. T ilk - (,'
*- 0,1INER OR AGENT ', - n -.._ i ' DAIL
. . . , ___ _. _ ........ ......
, -
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FIELD COPY
• Jr
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date yam(j_ s b By j1.,
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date ?'--q _ By '")1_,
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
................. . .. .
................
................
. ...............
MECHANICAL (OTHER)
Date By
FRAMING i/ ,� tic-US
Date � �1?� By �L � -J- SCre� 6�
INSULATION
Date By
11=771.-' LAYER
Date F -Zj- By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING � S�z ��c 9� 11/-6 -i'�c.,I cy���Je� �1_ 3 - � D/—
Date 7_7_i g By '
7 PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date �'-) (_�%`� BYA- a
Agile
BUILDING FINAL
Date 5_ 23—'73 By )--
Ammi
T0THER ��eC
Date 7_17-4 ? By 44.4-e._
OTHER
Date By
2-(61 l*_y ,.,"(9'j CD0193
I qo4 Ai& ` H
Re/f1 Ital.- kM 110-4
0446,
(, OCity of Federal Wa RECEIVy
APPLICATION FOR BUILDING PERMIT MAY 0 1 199$
CITY OF FEDERAL WAY
BUILDING DEPT.
PLEASE PRINT APPLICATION #: (2)\V c4IC6 "o:),S-1,
SITE LOCATION Address 32030 23rd South
Tenant(if known) Lot # Assessor's Tax #
Apple Physical Therapy 162104-9028-02
Building Owner Name Address
Richard Kloppenburg - c/o Steinburg & Assoc. P.O. Box 3832
city Bellevue State WAzi98009
p Phone (425) 455-5045
Nature of Work Tenant Improvement - New partition walls, revising lighting, new finishes
APPLICANT
Name (F,M,L)
Sunset Builders, Inc.
Address
P.O. Box 2537
City Auburn, state WA Zip 98071-2537
Contact Person Day Phone Other Phone Fax
Franklin R. Knott (253) 939-8474 (206)510-8618 (253) 939-7317
•
BUILDING CONTRACTOR
Company Name
Sunset Builders, Inc.
Address
P.O. Box 2537
City Auburn State WA zip 98071-2537 r
Contact Person Phone Fax
Franklin R. Knott (253) 939-8474 (253) 939-7317
Contractor's #(card must be presented) Expiration Date Verified 0 Yes _rO No
SUNSEBI140L5 6/15/98
ARCHITECT
Name Connell Design Group
Address 22000 64th Ave. W.
City Mountlake Terrace State WA Zip 98043
Contact Person Phone Fax
Vicki Somppi (425)670-6706 (425)774-8219
LEGAL DESCRIPTION
See Cover Sheet T-1
RECEIVED
MAY 0 1 1999
Ct 1 Y OF FEDERAL WAY
BUILDING DEPT.
Please Complete Reverse Side
CD0492(Rev 4/93)
•
STRUCTURE xisting Use ,'" j / , Proposed Use p r fere.
j
Permit includes: sA Building 13 Plumbing ❑ Mechanical Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
7 Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor ,)11.1([ 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 U On-Site Septic System Availability ❑ Project Valuation $40.0s9.00 O
Zoning C_e. Lot Size )/- Existing Bldg Valuation $1, �g1 oz)
LENDER'
Name Address
City State Zip
•
MECHANICAL CONTRACTOR
Contractor Name Address
TBD
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
Williams Mechanical 3903 Smith Ave.
City Everett State WA Zip 98201
Contact Phone Fax
Brad Williams
(425)303-0828 (425) 339-9244
License II WILLIMI088PA Expiration Date 10/1/9 Verified ❑ Yes ❑ No
r
(PLUMBING FIXTURE COUNT
Water Closets Sinks 2 Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters 1 Sumps
Lavatories Washing Machine 1 Drains Total Fixture Count 4
'MECHANICAL UNIT COUNT.
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 1 5-30 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
BBO's Wood Stoves 3-15 Tons Vital 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 reliance of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
::i::ntJ :
/Date: i /1r
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}}:i n.+, Cerificae ofOccupancy v::
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This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building ;
Code certifying that at the time of issuance, this structure was in compliance with the various .::::1•:::!....;•::.11::..4
ordinances of the City regulating building construction or use. For the following:
OCCUPANT LOAD: 24 PERMIT NUMBER: BLD98-0253 ""
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TENANT NAME. . : APPLE PHYSICAL THERAPY ti>
ADDRESS • 32030 23RD AVE S ......!1::::...
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GROUP: B ? ? ? SQFT: 2426 CONSTRUCTON TYPE: 5N ? ? ? <''
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; :; OWNER NAME. . . : RICHARD & LYNN KLOPPENBURG
• 15404 NE 6TH PL `'`'
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BELLEVUE WA 98007gt fly/7'f 4---,y6-2' / oz.,z7,6 ;
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Building 4�ficial Date
Vii:
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
it'.
11'+ experience 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 is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees norVi ;
„� warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance °`''
z`' or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is
i; ' :.. situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
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