99-101405 * _• 44 99-Jol'to b
CITY OF FEDERAL WAY PERMIT NO: i._D99-0236
33530 First Way South . :; H,,,.,,11 .„h,,. IL:E.).11,:: N ,
'I,,;:r IP ;t.ft ill 1."1”: ,,,�,,, ISSUED: 04/12/99
Federal Way, WA 98003 Building Inspection Requests 253-661-4:L40 BY: FC2
253-661-4000 EXPIRES: 10/09/99
ADDRESS: 2881.5 PACIFIC HWY S Unit: 6A
NO. : 042104--9024
PROJECT DESCRIPTION:TI - Chiropractor business adding and removing wall.
OWNER _ _ _._:.:__ CONTRACTOR =_=- _ - _ LENDER __... -- --.--- •- --
REDONDO FAMILY CHIROPACTIC i OWNER IS CONTRACTOR
28815 PACIFIC HWY S. #6A I
FEDERAL WAY WA 98003
E � �
/838-43733
NIA
;ix CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 2.6% In*
BLD?:X MEC?: PLM?: FLR EXIST--PROP--- DWELLING UNITS 1 ' COMP PLAN 'CB FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 1519: 1519:sf STORIES 0 REQUIRED PARKING..: 5 SPRINKLERS? •/ PLAN CHECK FEE $ 63.21
CENSUS CATEGORY •437 2ND.: 0: 0:sf HEIGHT ' 0.00 ft ; HAZARD CLASS ''' BUILDING PERMIT....* $ 97.25
OCCUPANCY GROUP 3RD.: 3: 0:sf VALUATION----- REQUIRED SETBACKS FIRE FLOW • 0 gpm FD PLAN CK-COMM ONLY $ 14.59
:B :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 3800 SIDE • 0.00 ft WATER SERVICE..:LAK FD PLAN CK-COMM ONLY $ 47.00
:5-1HR:? :? :? DECK: 0: O:sf E REAR • 0.O0:ft SEWER SERVICE..:LAK
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:04/12/99
. 0: 0: 0: 0: TOIL: 1519: 1519:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0I
BOILERS/COMPRESSORS � WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 226.55
WWPIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
<100K..:00 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 TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 E g
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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 IE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS MILL BE NET.
OWNER OR ENT
... ---.._. . DATE ___`1)." 99
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1 SETBA.CIC•• &.•PDOTINGS 0
Date By
2
FOUND ' 'ldN 1tr.Ai.LS
Date By
Date By
4 SI.AS INSULA#ri,f4..::.::::::.
Date By
5 PR ::<:: ;VSQUTDAINS >
Date By
6 UNDERELODR:.ERAMING>
Date By
7 SHEAR W/f►11. :::>::::>::>°° :><
Date By
8 P UMBING.:ROUGHaN....:::::::>: :::::::::::,:::: :.:<.:::::::
Date By
...........................UI. .... G........................... :. ....:.....:..:............................
9 GAS:PN :::::».::::>>:> <<:>::: .. ........................................
Date By
. .. .................................................................................... ......
10 MECHANICAL• R6liiRH N„
Date By
Date ti—,_).-!! I 1 By
12 INSEifATION<:::>::»:>::::>:>::::::>:: >::>: >'; »>: »>:::>::>:::: >
Date By
13 GWt3 1ST LAY4t
Date 4'_7L_ -q'f By
14 GWB 2ND X.AY R
Date By
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15 St.lSP NI3i01).CE1l iNG
Date By
.................. ................... ..... ............................................
................ .......................... ........................ ....... ........ ..
16 'P. 'NN1N FI `: >;; >:«:>s' > ;> ;a:
�► NAS ::: :::::::.:
Date By
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17 PUI EIG_I 9fikc$:F11F1 L: : :;:::::>::>::::
Date By
18
Date By
19 BUILDING°:FINAL`:::
Date l,i-I)'-C l BY t1 4
20 QUER > ....
Date By
5 Z U jL Si. }S50
C- 000193(Rev 4/97)
2n P. Hs . X10
G ) moa5
�� ® BUILDING DIVISION
G •Pkc
. 33530 First Way South
F�EI" L Federal Way,WA 98003
uv F7Y
APRR 2 1999 (253)661-4000
Fax(253)661-4129
CITY t,F FEDERAL WAY
r- NC DEPT.
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # 13LIt Onl'iiiil �o
. . .6:: :: : : :: : : : ;: :>> Address
Qg61'S . S . S z "79:!>n3
Tenant(if known) Lot# Assessor's Tax #
•nr-t--V.1-."2CA-LIP-CD PaZa.0 LC mak- . 7.y- oak I oL( tri• 1 oN- g o 24-00
Building Owner's Name Address
288'`—' Si. ASSoC., CRoe,F_c1- •S.' ico. ;w ,.SD. . 9Vex,3
City t, W State u.)t, , Zip 9'00 Phone X53-9`!!-fo( O
Nature of Work b ZLC Te rn.o ii)k-
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MMENNEMMEN
Name (F,M,L)
Address 'aNS P. +C S .±±-tbA
City ", State Zip lgOo
Contact Person Day Phone Other Phone Fax
-SAm oZ 3 - gy l-(o(ocCS
a53-564-5 .1� x153-941-(0-71�•�
kititaigtakfabiogionligin
FEDERAL WAY BUSINESS
LICENSE
#
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
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Name '/
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION r
off-/. 005 oY -77—E . ,b a. 4 tit/ 2,2
c C=7o , \ 14 J 5 e.c 1 / Twp >J ePlease Complete Reverse Side
XI /y� •Proposed (`
sten Use
igiiiirE'i . ._.........:.:::::: ::::::::: :::..::::.:::::::: .:. g � Use p-!`�"SC.C_.
Permit includes: LrBuilding ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: 0 Residential LI New (IF-Remodel ❑ Number of Units I ❑ Deck
0--Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor 15t8 sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area I'51 q sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area t 511 sq ft
Water Availability lP Sewer Availability Ca.-- On-Site Septic System Availability ❑ Project Valuation $ 3gd0 .Ob
Zoning 7e. I Lot Size --c En-c:>- -3-I ,97 Existing Bldg Valuation $ 11a93a5 c
•LENDER:`..12':'-' ......>::::>:::'.::.;:::>::>':::> .>::.:;:.:.::.:::>::>:..;.:
Name ,,(// Address
City State Zip
Contractor Name
/if'/
// Address
City State Zip
Contact Phone Fax
License # - Expiration Date Verified ❑ Yes ❑ No
PLUM Ot.1,,a.CONTRACTOR:MaiNiinim
Contractor Name � // Address
./t,/
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
:.:4.010.00110:.IMVA ..Cj.f}ONT....::.: miiii.:::.
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs
/5/./i
j Dish Washers Drinking Fountains Other
Showers / ' Electric Water Heaters Sumps
............................................
..... . . ....................... .. .......
... ...... ....................... . . .......... .. . .
Lavatories Washing Machine Drains Total<Fixtute:eount
IICA<<;l:V:NIT<C:;_:UN > > ><< > <
IVI HAiVIC .♦... "t',COUi 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 /'( .4' 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 reliance of the city,includin t'..okers and employees,upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent: .;;A.-- Date:
BUILD ING.APP
REVSEO 8/28/97
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..::"'"''' '''''''.'s CertiLicate of
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Occupancy :,,,,!„::
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This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building
11
Code certifying that at the time of issuance, this structure was in compliance with the various 1.:::::.1•...,!..!•••.!1;..
ordinances of the City regulating building construction or use. For the following:
it
.. OCCUPANT LOAD: 0 PERMIT NUMBER: BLD99-0236
- TENANT NAME. . : REDONDO FAMILY CHIROPACTIC
ADDRESS • 28815 PACIFIC HWY S Unit: 6A
>' GROUP: B SQFT: 3038 CONSTRUCTION TYPE: 5-1HR
OWNER NAME. . . : S 288TH ST ASSOC
ADDRESS • 28815 PACIFIC HWY S #10A
FEDERAL WAY WA 98003
YYlKe/.-1 /55'Building fficial Date
iiii 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 severely affect the health and safety of the general public. Although the City has made as complete a
xti 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 :<f�>:.>•
situated. Such compliance is the responsibility of the owner and/or occupant of the premises. '`
4'{• t POST IN A CONSPICUOUS PLACE `rr }"
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