07-101336 Y Y .i
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CommunryDaveopmeCAderalMSer ces Bulking — Commercial Per #: 07-101336=00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 .
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: OH'S FAMILY CHIROPRACTIC CENTER,PS
Project Address: 1520 S DASH POINT RD Parcel Number: 052104 9158
Project Description: TI-Construct 3 treatment/examination ro ms& One office?,demolition of existing walls to
create an x-ray room and dar 'oom,bring restroom to WA state barrier free standards,
includes plumbing fixtures. 1 meclhiu$cal work on this permit,minor lighting changes.
Owner
ApplicantI' ,,�' ontractor Lender
OH'S PROPERTIES LLC OH'S PROPERTIES LLC O ROPERTIES LLC OH'S PROPERTIES LLC
2936 S 381ST WAY 2936 S 381ST WAY 2936 S 381ST WAY 2936 S 381ST WAY
AUBURN WA 98001 AUBURN WA 98001 AUBURN WA 98001 AUBURN WA 98001
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Ofoupancy Load:
lt _Area(sq.ft.) 1,600 0 0 0
: al pi. at-74 m
Existing Sprinkler System in Buildings Nv Mechanical to be Included Na
Number of Stories 2 Permit for Building Shell Only? No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Professional
Services/Offices
Plumbing Fixtures
Laundry Washer Outlets 1 Sinks 2 Water Closets 1
PERMIT EXPIRES Saturday, March 14, 2009
Permit Issued on Wednesday, March 14, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
3-,y-p 7-
4`z
FI D
VIP
City of Federal Way • •
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: OH'S FAMILY CHIROPRACTIC CENTER, PS Permit#: 07-101336-00-CO
Address: 1520 S DASH POINT RD
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 1,600 0 0 0
Owner Name: OH'S PROPERTIES LLC
Owner Address: 2936 S 381ST WAY
AUBURN WA 98001
Building fficial Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severty 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 nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance 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 situated. Such compliance is the responsibility of the owner and/or occupant of the premises. •
THIS CARD IS TO F.MAIN ON-SITE
CITY OF communi Develo m t Inspection Record
tY p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-101336-00-CO
Owner: OH'S PROPERTIES LLC
Address: 1520 S DASH POINT RD
FEDERAL WAY, WA 98003-3753
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
O Footings/Setback(4110) 0 Re-steel(4215) 0 Plumbing Groundwork(4190)
Approved to place concrete Approved to place concrete or grout Approved to cover
By Date By Date B Date C'-Z'v9
0 Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285) #❑ Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
.
By Date By Date By Date
0 Rough Plumbing(4230) 0 Fire/Draft Stops (4095) NOTE: Prior
ling a
to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
❑ Framing (4120) 0 Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
_. 4 l�j Date ,—__7,07 By Date By .....4......) Date..'. p 7
❑ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
O Final-Plumbing(4075) ,❑ Final-Building(4050)
Approved Approved
By Date Date (::l0-07
RECEIVE
iCOF4 /Oti_ _I 0 1 L i
Federal Way MAR 1 4 2007 PERMIT
SF M" CO E EL PL DE EN FP
COMMUNITY DEVELOPMENT SER
33325 8"AVENUE sOUrH•PO B t•y
FEDERAL WAY,WA 98063-9718 BUILDING PAPP LI CATI O NTD
253-835-2607•FAX 253-835-2609 / 0 /
u
u ,u;.cityo(Jederahccont
I
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY M4 INFORMATION
SITE ADDRESS /5%2'0 S. PAs A- PD 7A-it ped Fer'L ItJ.l� ' SUITE/UNIT# [�
ASSESSOR'S TAX/PARCEL# 0 C .2 / 0 S( - 9 / 5 8 LOT SIZE(sf) /3,5509 .!
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
IN PROJECT INFORMATION
TYPE OF PERMIT $f BUILDING Is(PLUMBING ❑ MECHANICAL
❑ DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
70 6uW -eA.remm- fr'ew n /exe...c.:. %a, ree -c 0..a o ie 0#7e32 ice -f/-4p_pg‘-pee seoo�iChi a�r,Rctc
Strii ces .a pcia c Ana/ 1t2 ,r.f,he - .r-oft .414.4-170.-170.- oAt &x:cI'� 1 �, ci-e.,24
X-fetLf r'oem s.A1 c/aA.ria,", :•- older 76 AM✓ae. JC Roi eX�f.i a!-T et. Gz.4.1 Ps-
II
.A►-:hq cu/yPD
bA i-orh [,p / Gocke. A> " c ;G.. .a . A D A .5-10R+e e.- -i accoN-00 a p�,c %
! N.
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRSTy�
I SSV
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY 0 :it OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS '•.'''sTIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commerctaq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Slobs) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS I WATER CLOSE lb(Touet)
ELECTRIC WATER HEATERS 2 SINKS / WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the iriformation 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 the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in the 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.
NAME/TITLE W OCC14,G41.1 DATE
(Signature) (Title)
RELATIONS • TO PROJECT ❑ Owner ❑ Agent ❑ Contractor 0 Architect ❑ Other
FOR OFA Ura cattx
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES 7 NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application