97-102056 -, - - - -�
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CITY OF �`�:I��fii�L U�dF�Y PERMIT N0= BLD97-034�9
��s�o �i r5 t way �o u t r, :,�;��'�,,�.�':: �,�...:�':r�.��� ������� ���'�:�'�� . , . ,,._. .
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FeGeral Way, WA 98003 Builclinc� Inspection REC{UE-?St5 661-414U BY: FC2
661-4000 EXPIRES: 12/17/97 �
AD�RESS: 3�919 9TH AVE S Unit: 101A
NO. : 926480•-01�5
PROJECI' DESCRIPTION:TI - ADDIN6 PLUMBING & NALI, REMOVE STUB MALL �#$#NO MECH ON THIS PERMIT
= ONNER _________________________________________=s���;==_-= CONTRACTOR ==_=__==========_=_====________=__=_==__=_-= LENDER =_____________======_=_=__�_�_��;_;:�_��=�==G�
PNYSICAL TNERAPY CENTER OWNER IS CONTRACTOR � ONNER IS LENDER
33919 9TN AVE SOUTN �101A (
� FEDERAL WAY WA 98003 I i
�
8-9487 �
....,.......
���_�_���______________________________________..____________ _..---_-----------
----_ ------------------------------------- ____--------------- --------------------------_______
--------------------------------===----------==—==---------------------------------===---=====-=-=�:���_ �
3is CONTRAfTORS, PLEASE USf LOCATION CODE 1732 IiNEN aEPORTIM6 SALES TAX FOR PROJECTS IIITNIN TNf CITY Of FEDERAL YAY. TAX RATE = 8.2� j=x
F=---====-===-===-==-=-����____________=_==_____=___====_=_=_====�=�_���===-=_=_=____=____=______=___=________=========___���=_��_-__���____===_=_==______==__========9
( BLD?:X MEC?: PLM?:X fLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN.........:OFFP fEES: (
� TYPE OF WORK:TEN USE:COM 1ST.: 0: 4610:sf STORIES........: Q REQUIRED PARKING..: 0 SPRINKIERS?......:? I PLAH CNECK FEE $ 52.65 �
CENSUS CATEGORY.....:437 2ND.: 0: O:sf NEIGHT.....: O.OQ ft HAIRRD CLAS3...:? � FINAL PLAN CHECK...# $ 0.00 I
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VAIUATION---------- REQUIRED SETBflCKS------- FIRE FLOW....: 0 gpm BUILDING PERMIT....� $ 81.00
:B :? :? :? : OTHR: 0: O:sf EXIST..$: 0 FRONT.........: 0.00 ft PLCK-FIR comnl only$ $ 4.05 �
TYPE OF CONSTRUCTIOH----- BSMT: 0: O:sf PROP...$: 6000 SIDE..........: 0.00 ft WATER SERVICE..:FED PLUMBTNG FIXT....93$ $ 21.00
:5N :? :? :? : DECK: 0: O:sf REAR..........: O.00:ft SEWER SERVICE..:FED SBCC SURCHARGE.....# Z 4.50
OCCUPANT LOAD------------ GRR.: Q: O:sf RECEIVED.:06/11/97 �
: 46: 0: 0: 0: TOTL: 0: 4b10:sf IMPfRV SURFACE: 0 sf SENSITIVE AREAS?.:?
--------------=-----------------====-----===--=-===-----------------=---= =-------------=------��_�=_=��_=====M�=-����________
.�.6� .������������ ���������..�� ������ ^�__` �..�����������
FUEL TYPES.:? � ? FAHS..........: 0 BOILERS�COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 " TOTAL FEES S 163.20 �
^"'' PIPING.: 0 ft NOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 1 DRINKING FOUNT.: 0 �
<100K... 0 DUCT WORK...... 0 3-15 HP...... 0 SHOWERS............. 0 SUMAS........... 0 (
GAS HWT....: 0 WOOD STOVES...: D 15-30 NP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 (
CONU BURNER: 0 FURN>lDOK...... 0 30-50 HP..... 0 SINKS............... 1 DRAINS.........: 0 � �
BBQ......... 0 MISC........... 0 5+ HP........ 0 DISH WASHERS........ 0 LAWN SPRINKLERS: 0 (
GAS DRYER..: 0 AIR NANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 1 OTHER FIXTURES.: D ! �
RANGE......: 0 <=10,000 CFM: 0 RBOVE GROUND: 0 LAUN NSHR OUTLTS...: 0 �
GAS LOGS...: 0 > 10,000 C �I: 0 UNDERGROUND.: 0 � �
E_____________��_��____--=-==_--__-_-_--- _______-____-____-___-____--_--__---_==__-__--_____�_�-��_____--____=_=__________=====1==-=-__--___-__=_-_______--_-____________�
PERMITS EXPIRE 18t1 DAYS A UANCE F Ii�tK S�ARTED. RESIDENTIAL AMD 6RADI116 PERMITS EXPIRE OME YEAR A�TER DATE OF ISSIMINCE.
I CERTIFY TNAT TNE IMFORM E E AMD CORRECT TO TNE BEST OF M1f KMONLED6E AMD TNE APPLICABLE tI Y OF FEDERAL MAY REQUIREMENTS YILL BE MET.
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ONNER OR AGENT _�_ DATE _,_ �i� �� �
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f SE7BACKS & F04TINGS
Date By
FOUNDATION WALLS
Date By
PWMBING GROUNDWORK
Date By
UNDERFL�OR FRAMtNG
Date By
SHEAR WALL5
Date By
PLUMBING ROUGH-IN
Date �
i- �- Y �� BY �) C�-
GAS''PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTNER)
Date By
�RAMING
Date _ �_ /� !9 � By � L,
INSULATION
Date By
GWB - 1ST LAYER
Date _1 I- a � BY i)L-
GWB - 2ND"'LAYER
Date By
SUSPENDED CEILING
Date By
PLANNWG FINAL
Date By
ENGINEERING FINAt
Date By
FIRE F1NAL
Date �_�, _� � By �'
BUILDING FINAL
Date 1-3 I- �i'� BY ��
OTHER Ec� � .� � ,�;:� E - O(n ^
Date '�. �.,°_ c�i BYd�f
OTHER'
Date By
CD0193
' , BUILDINGDIVLSION
`�`m°F �- ' � rTM ,�-3,3530 First Way South
- �� � __<.�t��,..:,;-.,.�r �� '�._�.F�eral Way,WA 98003
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�� (206)661-4000
� ,.�`�,j� '� � �fg;l;r' Fax(206)661-4129c
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APPLICATIOI\I FOR BUILDIN�� PERMIT -� �
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PLEASE PR/NT APPLICATION #
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Tenant (if known) � � �:.��,����� ��� � Lot# q � • � �
Buildi�g Owner's Name � ��,,i S � � l � K�� Address �C� '-2 �G�� (�� ��/
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Contact Person �,�� Day P ne �� O� Other Phone Fpx
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Contractor's #(card must be presented) �S, r � � �� G C C M Expiration Date Verified ❑ Yes ❑ No
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Name
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Address
Cit State Zi
Contact Person Phone Fax
LEGAL DESCRIPTION /�CC�.�f7(
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P/ease Com,o%te Reverse Side '. _ ,��
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Use
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Permit includes: Buildin lumbin ❑ Mechanical er ���'
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of U�its ❑ Deck
Commercial ❑ Additio� ❑ Gara e ❑ Shed ❑ Other
Enter 1 st Fioor �1 : sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement s ft Decks s ft Gara e s ft Pro osed Total Area s ft
Water Availabili Sewer Availabilit On-Site Se tic S stem Availabili O Pro"ect Valuation $ l� �
Zonin Lot Size Existin Bld Valuation S 3(O��
:: :::::::::.:: . _ N I,�
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Name Address
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Contractor Name Address
Cit State Zi
Contact Phone Fex
License # Ex iration Date Verified ❑ Yes ❑ No
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Contractor Name Address
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Contact � � Phone Fax
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License # Ex iration Date Verified ❑ Yes ❑ No
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:.:i.�#YI f7F1:��7�.���Ci�;V.��`X�.:........ .;:::::;r,.
Water Closets Sinks I Urinals Lawn S rinklers
Bathtubs Dish Washers Drinkin Fountains Other
Showers Electric Water Heaters Sum s
Lavatories Washin Machine Drains Total Fixture Gount
;��:;«<:::.:s::: �*� t�,#�yR=
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.... . . .:....:.��;����.:::.::.............;..:. MECHANICAL EVALUATION ONLY S
Fuel T e(electric/other) Gas D er Air Handlin < = 10,000 CFM 15-30 Tons
Len th of Gas Pi in Ran e Air Nandlin > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Lo Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Under round
B '
B Qs
W -
ood Stoves
3 15 Tons T:;_e< ::>:�:::; :::;:::
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at I UnGt�auiit. ° `
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D IS CLAIM ER:I certify under penalty of perjury that the�nformation fumished by me is tiue and comct to the best of my knowledge,and further,that I am authorized by the ownet of
the above premises to perfo work for 'ch pemut li oii is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expeiues,and
attomeys'fces incutred in inves�hg' aL end fense o � .h cl which may be made by any pecsoq including the undersigned,and filed against the City of Federal Way,but only
where such claim arises out of the t�eli , g its officers and employees,upon the accuracy of the information supplied to the city as a pazt of fhis application.
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Owner/Agent: Date:
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/�/�� This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certa an �����\��
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t�i� that at the time of issuance, this structure was in compliance with the vaYious ordinances o the Ci ����l
,��r� regulating building construction or use. For the following: f � ������
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��\��\� OCCUPANT LOAD: 46 PERMIT NUMBER: BLD97-0349 ���/��'�
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���i�i TENANT NAME. . : PHYSICAL THERAPY CENTER �'��
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�'���/�� ADDRESS. . . . . . : 33919 9TH AVE S Unit: 101A ��\�\\�;
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<'� GROUP: B ? ? ? ♦���`
-e�'�\ SQFT: 4 610 CONSTRUCTON TYPE: 5N ? ? `j�1�j
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�=�\,���� OWNER NAME. . . : HASHAGEN PROPERTIES �//�/j�
�'_ �'� ADDRESS. . . . . . : C/O HOLMAN REAL ESTATE SVCS /�''���
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��jij/i 11661 S 1ST ST, #203 ''�—� �
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���/� BELL E, WA 98004 \\\���\`�
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\��\\� BUILDING OFF CIAL ////�'/
__�;;� DATE //".'
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�s�'� The riori ocus in the review and ins ection made b the Ci
���"��' p �'f P y ty prior to issuance of this Certificate was on those matters which experience '`'��-��
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I�//,/ 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 \\\�\`�
I����' is reasonably possible (within budgetary time and personnel limitations), the City neithar guarantees nor warrants to the owner/occupant or `�\;���
���(►� to any other person that ihis Certiftcate 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 +�r/,
�_\\� the owner and/or occupant of the premises. �j�i'.
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