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98-102478 � y ���ba 4�� CT7Y OF FEDERAL WAY N PERMIT NO: BLD98-0427 33530 Fi rst Way 5outh ,��� �..�,� ��� �����,�, �� TSSUED: 07/06/48 Federal Way, WA 98003 Building Tnspection Requests 25�-66�.-4140 BY: FC 25�-661-4q00 EXPIRES: O1/02�99 ADDRES5: 34509 97H AVE 5 NO. : 926480-On3U RROJECT DESCRIPTION:TI - ADD 1 EXAM ROOM AND 1 NURSE STATION. p= OWNER =__�_=_=====s==========a�=saaa=====�_________________ COHTRACTOA ----------------- --- --------- ----_ - LENDER --------------___==________=__�__=_==_____�___- ---------------------------------------------- -------------- - � DRS. ALABASTER,FOGEL,BERKONITI NORTHfiEST COMMERCIAL INC � 34509 9TH AVE S �300 11603 CANYON RD E � FEDERAL MAY NA PUYALLUP NA 98373 � 253-952-6657 � 253-445-5151 NORTHCI033C6 v=�=�axe=eee=aoo===�aaaa�e:am==ae��_esev=voso�xex=a==^sex:s�xaaexes:_==asaeeeex_x=s�s==ao�_s===e===eeosasaeacva=cxs� :xxsmaaana_==aax=c====cve�xe3ae=x_==c=cx=cc=�^x�osx�sm��� i=* CONTRACTORS, PLEASE USE L�ATIOM CODE 1732 NHEN REPORTIM6 SALES TAX FOR PROdECTS MITNIN TNE CITY OF FEDERAL IiAY. TAX RATE = 8.6� ##� ��a�==_=ac==ca=�eoaae,.x..__••_____.._�._________a��_-____••______________c_ _===e-�ne---w�__...��_�=ne=o==o=o�oe=_=as=ea=ao========__=��__-a=-_____..._�^�_"_�_..=�___••_c_c===�xec=cc .� �..������.�^���.�.__.����_ � ��� ����_��____������ ��� ���. � ������� �� � ��� �����_._��� ������ ������ _ BLD?:X MEC?:? PLM?:X FLR--EXIST--PROP--- DNELLING UNITS: 0 COMP DLAN...,.....:OP FEES: TYPE OF NORK:ALT USE:COM iST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLAH CHECK fEE $ 214.50 CENSUS fATEGORY.....:437 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAIARD CLASS...:? PLCK-FIR conNl only# $ 16.50 OCCUPAtICY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REpUIRED SETBACKS------- FIRE fIOM....: 0 gp, BUILDING PERMIT....� � 330.00 :? :? :? :? . OTNR: 0: O:sf EXIST..$: 0 FRONT.......... 0.00 ft SBCC SURCHARGE.....# 3 4.50 TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 3T000 SIDE..........: 0.00 ft MATER SERVICE..:? PLCK-fIR coa�l only� S 42.00 :? •' •' •� • DECK: 0: Q:sf REAR..........: O.00:ft SENfR SERVICE..:? PLUMBING FIXT....93� $ 7.00 OCCUPANT LOAD------------ 6AR.: 0: O:sf RECEIVED.:O7/Ob/98 PLM PRMT ISSUANCE.. S 4.55 . U: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? �aa�=a==a_xn=ss�s�=eaee==a==s_=x_=ssc_x=xaeonas�saaa�sa_aaac�om:c.aa�=saaacsx =aamceca��ov=exsasaaa�sasse¢m=sonca=sx«mxe=ssssexmaaa FUEL TYPES.:? ? FAHS..........: 0 BOILERS/COMPRESSORS MATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES � 619.05 6AS PIPING.: 0 ft HOOD..........: D 0-3 TON.....: 0 BATH TUBS..........: 0 DRINKING FOUHT.: 0 FURH<100K... 0 DUCT NORK...... 0 3-15 TON..... 0 SHOWERS............. 0 SUMPS.........., 0 � GAS NWT....: 0 NOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K.....: 0 30-50 TON...: 0 SINKS..............: 1 DRAINS......,..: 0 BBQ........: 0 MISC..........: 0 50+ TON.....: 0 DISN WASHERS.......: 0 LAYN SPRINKLERS: 0 � GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 � RANGE......; 0 <-10,000 CFM: 0 ABOVE GROUND: 0 LAUH NSHR OUTLTS.,.: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDER6ROUND.: 0 ---------====--c==c� __-_-_-_____-__..... __^_^ __-_______ �..__-____ ===�c�asse�aa==xmasa�x�axm==_a�a�¢__a==_=aeac�so=seee ase�:==ac=asaexsa_=a�e_...s:a-oxa-_--cosse== '�.�����.`� �� .'J�������.��������.���������.5'C6�.����.����.�'�TL�...�� �������.�C��� �� � PERMITS EXPIRE 180 DAYS AFTER ISSUAMCE IF MO iIORK IS STARTED. RESIDEMTIAL AND 6RADI1� PERMITS EXPIRE ONE YfAR AFTER DATE OF ISSUANCE. I CERTIFY TI�IT TNE INF� FURMISNED BY ME IS TRUE ANB CORRfCT TO TNE BEST OF MY KIIOi1LED6E AMD TNE AP�LICABLE CIiY Of FEDERAL NAY RfQUIREMEMTS YILL � MET. OMHER OR AGENT ______�_ Y_ - G'Vt t�!/�� �C T -------------- DATE �-�-�� -�-- — -- --�-- ---_---------- ------------------- wf�.E COPY � �...�� � AdOJ�^,'1''��4. � � 'l .. j . � (- 1. ..'> r� 1 1 , � -+�: , , . . � r � ' !-/.'' � . 1 •��� � rn�+ si��W�a�t�» �`#! 1�U.�81� �t1 dli? 3��f�r1� lHf �1W ��8)'lilE�N� AN � lSlB �i 0! 1�3Y�1►�'�i�f 3(l�! ;i 3ii t8 91liSiNiN11�iN��1tliU�`t�1l1 3N1 l�lli ; . "�7��fft�;�i � �lil0 �ilt�!+ �iliA i110 ��9I#�3 Sliiitl3� 9NIA�M9 �Mtf 1�dilqlAIS3Y "A:1;.�1� S1 Jt2�}f1 �! 1Y .�31f1�i1:5�`at N�llltl ��,tt0 I�BI ��ld�, �.'.'S.ti.':�.:.�..i..'..'.34g.>SCrt6/.'M":�':�.`...,...:.�.Fl�';1+�>....!I-'....�:: . ....�.. .. ...�....C.!11-.t._ !'.... �.rt..::�_9c..,. 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E E�(.�()',, -�r�"rr. ; . .).� =.�,fl C,i+;� a�..�`i'': � �,c' �, {"x.:•?i't�;ti:3r.l �J{>1 .}.Jc't��U ) L�lJ t.�-� i l.►1Fi i ()f"l:�:t'�� t1�*i �t-'�''i ` 1�- �- � °r�� ' 1 • � , x ,:; , „ } �, , , .. . ,. , �'��ii.�( ��.�J'�l�.f,� F�.0 ���.r�r � , . ' _ . ,1 N x�� .. . . . � ' � k f. :f �rl� "�Pr� ,�htE 1+1 -C.)N I IIJti 1 � ; �: � - t / . 1 SETBACKS & FO�TlNGS> Date By �Yy^ 2 FDUNDATION WAL�S . Date By 3 PLUMBING GROUNDWORK � Date By I � 4 SLAB INSULATION I Date By I 5 F�071NG/DQWNS'POUT DR�kIN9 � _ _ I Date By I 6 UNDERFLOOR FRAMING ' I Date By I 7 SHEAR WpLLS ��e � Date By � 8 PI.UMBING ROUGH•iN I � Date �� _ , ' By �j� I -3 GAS PIPINQ � Date By � '10 MECHANICAL ROUGH-INI' I � Date By I 11 FRAMING :: I _. _ _:. Date ._jj� � � By � y� II 12 I1�I�U LATION I Date By I _ __ __ 13 GWB - 1ST LAYER I __ Date '�_ . _ , , By > ` I 14 (3WB -2ND LAYER II Date By ___ _ _ . ___ __. 15 SUSPENDED CEILIIdG Date ~�—t%-- � By �j� 16 PLANNIN(3''FINAE'' I� Date By 17 PUBLIC WORKS F1NAL ' Date By 1 S FIRE FINAG.. Date �_(�-- r'� By 'c�� . J -- 19 BUILDING F1NAL Date �_ �?_ '� By `�L 2o G'�HEp .- � �- "': Date �.- By . ' C00183(Rev UB� BUII.DING DIVISION �� � 33530 First Way South --� EO�� �w:��p������,�� ` Federal Way,WA 98003 VV F7Y (253)661-4000 � Fax(253)661-4129 ,���� � 61��:<. APPLICATION� FOR BUILDING PERMIT PLEASE PR/NT APPLICATION # � \\.] l ^ - �:�:�'#': Address � 3 S ���::�:o�,�����<:<:::::::::::�::::;:::::::::::::::::':::::;:::::::::::::':::>:::::::::::':;::>::.: � � ,... . . , Tena (if know Lot# Assessor's Tax# D 5 � � d0 Buildin Owne 's Names � / �� A 3res� � �`�- s Cit State Zi � L' Phone Z�3 �''i) Z— -�7 7 Nature of Work _� � '�c'1�c� 1'l..`��:.��.. ����� ,� �, � ���i�����#�I r�.. :. Name (F, L) ' h Address �O/ � � DO Cit state Zi G�/ Contact P s n /5 C�/ � Day hone ' � / Other Phone� a� � _� `� �ri `f' �::;'.:.:::>T�,.:...'::::::�::::>::::::>:s>::::::>`:::<::::>::<>:<:;: <:::>::::>::>::::>::>::>::::::::>:>:::>::>�>:::>�;:.;:.;:.;:.;;; #T���:i31.N�:':�C�tVT�.�.:. .�............................ ...................................................... Company Name ' �'��J�Z i G(v...-(' : i �.�u.v��vie iI_C'/i3 G —�-/L�t' . Address l l(�%0 3 �'/+N �h.' lZr� �, � cit �c.1 /��-c-�-t state {,1.-r� zi 7� 3 ) 3 Contact Person `�E.� � ��..�l �J� 3'\ ?hone Fax L �� � � xi. IZ � (Z� �!`!i-S l�1 L�zS"`3 / � SISZ Contractor's #(card must be presented) ���Z r��=G 33 (�, _ Expiration Date Verified ❑ Yes ❑ No _. _ __ _..._ __ _. ...._. ;: ARCHITECT `:::."::. ; ` Name Address Ci State Zi Contact Person Phone Fax LEGAL DE RIP ION D Y � � �iJ L r o . 8 �2�/0 P/ease Coma/ete �averse Side ' ��`: Existin U S8 Pro osed Use .����>���:..����:`:�:'���:::`''::<:[::::'::?;:::_#>:���:::::���::::::>:::::<:::::::::::>::::::>::>::::::::;::;::`:::: 9 :.:;.:;:.;:.::�:.::.; :.....;...:.,.: :���.�r.�................................................................... P Permit includes: uildin ❑ Plumbin ❑ Mechanical ❑ Other Type of Work: ❑ Residential O New �emodel ❑ Number of Units ❑ Deck Commercial � Addition ❑ Gara e ❑ Shed ❑ Other Enter 1st Floor 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 Weter Availabilit ❑ Sewer Availabili ❑ On-Site Se tic S stem Availabilit ❑ Pro'ect Valuation $ ��7.��p '� Zonin Lot Size Existin Bld Valuatio� $ �•�'.��.�:::i::�<:�::�::�;:E%<�:::•�%���:��:>::��:<�::���::�:$;�::�'s:�::;�:�??:�:i:i<��<i:�'si:::�:>•:�:�::�:�:?:�i:�?::�<:�i::::� :���a■���,, ..;4:::�i::i'••.�:A:::..;...,�..;;...:.;•\w:::::�•iii{.i:i::::.;•:::::n; W L�::{::::i:::::Gi:::::::::ti:::}i::i::::::i:i::vi`ti:v::i:i?'""i:ii::i:i:ii:::::i::::i:::i::v`"ii-i:i`v} ......................................:...........:....:............................:....... Name �_ � Address >���� r-] S G L.., ,l,� lZ cic scece z� ............ .............................................................. .......................................................................... ........................................................................... ......................................................... IYI��FfA�U IG��:��3�l'��tA+�'�'E3�':»>'::::<:::::::;<;<':_:>�: __ . _..... . ............ ....... .. . Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iratio� Date Verified ❑ Yes ❑ No ��J1«4l.t1!1.��1!4�71�i.°�Y...'�'�.i!I:i::F�"!.'.SJ4!:7:.�F.7�;_::::::::::::::?::�;i:;:;::;;;i.::::? . .. .. . ....... . ..... ... Contractor Name Address Cit State Zi � Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No ...................................................................................... ........................................................................................... ............................................................................................ ........................................................................................... .....t..Y..,.'.i.(.A...t.y..t.Y.(.}..`.�........�.G.X...+.t.y..�.�►..t.y......t....s.�..t.�.t.�.f.rt..�.(.!.t.!........................ :�t:iJiX�1:A:Sl:�k7:::��l4::R:4F�f#�:::[�ivR�f�.11�:f:��<:�::>:::;::<:;::;:<:::>::::>? ...................... ........................................................... Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains Totsl>Fixture:_CounY : ......................................................................................... ' ........................................................................................... >::>;:.�:;;�.;:::::;:::::::>::;;:.:>::::::::::>�::''::::>':?::>:::::::::::::::::::::::: ME HANICAL EVALUATION NLY ;:.>:.::;:.;:<:.:;;::.;:.;:.;:.;:.:.;:.;:.;:.;:. �l�k�A1Vl'CA'�::>�N..�'.�tIt�NT......................... C O S Fuel T e (electric/other) Gas Dr er Air Handlin < = 10,000 CFM 15-30 To s • Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas � Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hoajd Boilers Above Ground � Conv Burner Du t Work 0-3 Tons Under round BBQ's Wood Stoves 3-15 Tons Total:Unit Count DISCLAIM ER: I certify under penalty of pequry that the information fumished by me is true and correct to the best of my knowledgc,a:id further,that I am authorized by the owner of the above premises to perform the work for which pecmit 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 ofthe reliance ofthe city,including its officers and employees,upon the accuracy ofthe inforntation supplied to the city as a part ofthis application Owner/Agent: I/ ! Date: BunoiNCArr � . . REV6ED8/28/H7 � -�