97-102610 9�,�a6�o
CITY 0�= f��D��'�?�;L l�E�l' PERMIT N0: BLD97-U425
���ao �i rs t way sa u t r, .;�"�N,.�N:„�� �,.:,�;��:;�� ���M;� �����;':if"�.M'��}:�� "�I,��. I 55U[�D: Q8/29/�37
�'ec�eral W�y, WA 980Q3 Buiiding Inspecti.�n Requests 25�-661-4140 BY. FC2
253-661-400q EXPIRE5; 02/2S/98
ACaDRESS:3G503 9TH AVE �
NO. : 75q451-OU�O
pROJECT DESCRIPTION:iI - CONSTRUCTION OF WALLS TO CREATE NEW OFFICE SPACE, SOME LIGHTING CHANGES.
SEE ALSO BLD41-0147
�= OWNER _________________________________»__====���___=�= CONTRACTOR =___==-______=;=-�s�=_-��___________=______-= LENDER ==______=�=-_r======__=_==___=__=__=____==___�
� DR. IEVY ; ALDRICH 8� A5SOCIATES INC. SEAFIASi BANK �
� 34503 9TH AVE S � 810 240TH ST SE �
( FEDERAL WAY WA 98003 � BOTHELL WA 98021 �
8-9000 � 206-483-1313 �
� � ALDRIA�202RU
�___________________________________________________________�-_---_-_--_-=_-___________-_---_-_-----_-______--_-_____-_______-________-==--__---_____--__-__-_____-__==_==__-=�
3*i COMTRAfTORS, PLERSE USE LOCATIOiI CODE 1132 NHEt! REPORTIN6 SRLES TAX FOR PROJECTS YITNIN TNE CITY OF FEDERAL NAIf. TAX RATE = 8.2� Y�
�cc_=�csoa�ecc�ca=x=�=n�a:^a.c_"===__�=_=c�=====:ac=�a_.--c====c_�aac_.,cxocc-Txscc_�cc___so:==_=_cc.;�:scc=n==c=�m==ao._ca_s===::::=.: c�ca=zr=='a�a=-c==_a,__=cc====s=_cc:_�__=c�
� BLD?:X MEC?: PLM?: fIR--EXIST--PROP--- DWELLING UNITS: 0 i COMP PLAN.........:OFFP � fEES: g
� TYPE OF WORK:TEN USE:COM 1ST.: 0: Q:sf STORIES..,,....: 0 RfOUIRED PARKING..: 0 SPRINKLERS?......:Y � PLAN CNECK fEE $ 386.43 '
� CENSUS CATEGORY.....;437 2ND.: 0: J:sf HEIGNT.....: 0.00 ft HAIARD CLASS...:LIT � FINAL PLAN CHECK...� $ 0.0� �
� OCCUPANCY GAOUP---------- 3RD.: D: 1480:sf VALUATION---------- RfQUIRED SETBACKS------- fIRE fLOW....: 270 gpm � PLCK-FIR co�ml only� $ 29.)3 i
, :B :? :? :? : OTHR: 0: O:sf EXIST..a: 0 FROhtT.........: 50.00 ft � BUILDING PERMIT....� $ 544.50 �
( TYPE OF CONSTRUCTION----- BSMT; 0: O:sf PROP...$: 89100 SIDE,.........: 20.00 ft WATER SERVICE..:FED � Mechanical Permit� $ 0.00 �
� :2-1HR;? :? :? : DECK: 0: O;sf REAR..........: 20.00:tt SEWER SERVICE..:FED � SBCC SURCNARGE.....� $ 4.50 �
� OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:07/17/97 � PLUMBING FIXT..,.43� � 0.00 �
� : 22: 0: D: 0: TOTL: 0: 1980:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y �
�==c-=c=�_c==-=�caa,cr_r¢zcaaaes�cec_c�aaeec=====�o=======�===�_=_ecx=o�=c_=�m =_=m=c��:c=_==_oa�___:e,_s___c__c__o =_ac_=ce.=s=a==o
� FUEL TYPES.:? ? fANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES $ 1015.16 �
PIPING.: 0 ft HOOD..........: � 0-3 TON..,,.: 0 BATH TUflS.........,: 0 DRINKIM6 FOUNT.: 0 �
, . _RN<100K... 0 DUCT WORK...,.. 0 3-15 TON..... 0 SHOWERS............. 0 SUMPS........... 0 �
� 6AS HWT....: 0 WOOD STOVES...: Q 15-30 TON...: 0 � LAVATORIES.........: 0 VAC BREAKERS...: 0 �
CONV BURNER: D FURN>100K.....: 0 30-50 TON...; 0 � SINKS..............: 0 DRAINS.........: 0 (
� BBQ........: 0 MISC..........: 0 50+ TON.....: 0 � DISH NASHERS.......: 0 LAYlN SPRINKLERS: 0
� GAS DRYER.,: 0 AIR NANDLING UNITS FUEL TANKS--------- ELEC WiR HEATERS...: 0 OTHER fIXTURES.: 0 � �
� AANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...; 0 � �
� GAS LOGS...: 0 > l0,OQ0 CFM; 0 UNDERGROUND.. 0
6��=�;________=���_��==___====�_=������=::�__=_______=_________________________ __ _______M________...._---------------------------------i-=�=�x===���=;�==w��===_=__=_��__�=_____-�;
PERMITS EXPIRE 180 Y FTER ISSUAMCE If NO YORK IS STA�TED. KESIDEMTIAL RRD 6RADIN6 PERMITS EXPIRE ONE YEAR AFTER DRTf OF ISSUANCE.
I CERTIFY TNAT TNE FOR IOM fURN ED B11 ME IS TRUE CORRfCT TO TNE BEST QF MY KMONLED6E AMD TNf APPLICABLE CITY OF FEDERAL MAY REWIREMfNTS NILL BE MET.
OW'Pr�R OR AGENT ---- -- --- -- _._._ ��Zq- q
--_�.__ _. _ _.__ . _. __.____._.___.__._...�._.___-.--------------._._ DATE .._____..______.__�.___..,�
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FIELD COPY
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1 SETBACKS & FOOTINGS''
Date By
2 FOUNDATICN WALLS
Date By
3 PLUMBING GROUNDWORK
Date By
4 SLAB INSULATIdN
Date By
5 FOOTIN�`i/DOWPJSPOU� DR111NS
Date By
6 UNDERFLOOR FRAMING
Date By
7 SHEqR WALLS
Date By
__ ___
_ __ __ _ _
8 PI.UMBING R�UGH•iT�I '?
Date Z `j"7 By ��
9 (3A5 PIPINQ `
Date By
10 MECHANIGAL ROUGH-IN'
Date By
11 - FRAMIN
Date// Z- By
_ _ __ __ _
12 INSU LATION
Date By
13 GWB - 13'f LAYEr't
Date By
14 6W6 -2ND LAYER
Date By
_ ___ __ _
_ _ _ _ .._._ _
15 SUSPENDED CEIUNG
Date �� -�— `i i BY � L�
16 PLANNIN(3'FINAL
Date By
17 PUBLIC YVORKS FINAL :
Date By
18 F1R� FINAt,
Date !—�.�'�' —c1� BY T` :s' s-r„.
19 BUILDING'FINAL
Date � _� �, By � �
20 07HEFi �#� -�c�.
Date (`2�, g By
CD0183(Rev 4/8n
BUII.DING DIVISIC
�'� `— P,� 33530 First Way Sout.
�- ��E�- Fedeml Way,WA 9800 s
�� �y J� �'` " (20�661-400G
r nq.
�`` ' Fax(206)661-4129c
APPLIC/��It�N FOR BU�LDING PER�VIIT
PLEASE PR/NT � l- '��'' L '�" ��� ; � _ ��,f /
t� � ��' APPLICATION # ,r1,( 'I �t 2�
?'`3#: ddress
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_��,�: ,_ ,.,���.:....:....:.........................:.............. M��cAL �AvtUoN. i4 sT' �tUs NosPiTi�l,
Tenant (if known) �R L��� Lot# Assassor's Tax #
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Buildin Owfe�r'LName �A� s�Z� Ad ress
L C.� sERv c.�.s 6 b 1 N� l. �f� 5 c.e,.t T�' �
Cit J ER� State �►} � Zi �J�' Phone — b
Natura of Work �pj� -� � •
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AP�'�.�CAI�i'�` > ' '
Name (F,M,L)
� R��,� �s-r'� v t c�S
Address
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�� 5�'fT�t.� _ Steta t,� Z� 98 t
Contact Pe v n�S Q Day Phr,one 8 O Other Phone F
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Contact Person �
�� Phons a 3 —� F 25 — �
Contractor's # (card must be presented) Expiration Date Verified- ❑ Yes O No
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AR�Hf1"EC7. . :
Name �'�-Iu� ��R EI�
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'GAL DESCRIPTION
I 5�� C�V E� S++�e� fl O.o�
Please Com�#� Reverse. Side
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.........................................::::... 8 1�►��u �ot�STR.ucTlot.l. oposed Use �1c.AL ofi��
� Permit includes: Buildin ❑ Plumbin D Mechanical ❑ Other �
Type of Work: p Residential ❑ New � Remodel ❑ Number of Units ❑ Deck
Commercial ❑ Addition ❑ Gara e ❑ Shed O Other
� �''r ,���
,�`,� Enter lst Fioor � 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 Totai Area s ft
Water Availabili Sewer Availabilit On-Site Se tic S tem Availabili ❑ Pro'ect Valuation S q �Q �
Zonin i.,'�� Lot Size ��}i � j
' � 7 Existin Bld Valuation S Z" � �_
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� Name Address
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State Z�
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Contractor Name Address
C� Stata�� Z
Contact Phone Fax
License # Ex iration Date Verified ❑ Yes ❑ No
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Contractor Name I �'� � Address
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Steta Zi
Contact Phone Fax '
License # Ex iration Date Verified ❑ Yes ❑ No
f'E.�JiVif3.�1StC���'�'U�,CC�UTIIT
Water Closets Sink Urinals Lawn S rinklers
Bathtubs D' h Washers Drinkin Fountains Other
Showers Electric Water Heaters Sum s
Lavatories Washin Machine Drains 7otal FixYare:Count
��������`�"���������� MECHANICAL EVALUATION ONLY S �
Fuel T e (electric/other) Gas Dr er Air Handlin < = 10,000 C�M 15-30 Tons
l.en th of Ges Pi in ' Ran e � Air Handlin > = 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
BBQ�S Wood Stoves 3-15 Tans Total':;Urltt Cotint
.
DIS CLAIM ER:I ce�ii�f'y un2S�r penalty of perjury that the information fumished by me is true and cocrect to the best ofmy knowledge,and futther,that I am autherized by the owner of
the above premiscs to perforrr�the work for which ermit application is made.I further agree to save hamiless the City of Federal Way as to any claim(including costs,eapenses,and
atto�neys'fu�incurred in investigaiion and defens�of such claim),which may be made by any person,ine(uding the undecsigned,and filed against the City of Federal Way,but o�ily
where such claim arises out 6f the reliance,pf the ty,including its oflipers and employ ,upon the accuracy of the infortnation supplied to the city as a part of this application.
Owner/Agent: �� � � , �� t��=
� � �V/��_� �� �, Date: ��� � i �
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tw���tic.nPr {__� —
HEY6E0 12/11(88
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i This Certificate issued pursuant to the requirements of S`ection 109 of the Uniform Building
Code cert�ing that at the time of issuance, this structure was in complrance with the various '
ordinances of the City regulating building construction or use. For the following:
OCCUPANT LOAD: 22 PERMIT NUMBER: BLD97-0425
' TENANT NAME. . : DR. LEVY
ADDRESS. . . . . . : 34503 9TH AVE S
GROUP• B ? ? ? SQFT: 1980 CONSTRUCTON TYPE: 2-1HR ? ? �
OWNER NAME. . . : DR. LEVY
ADDRESS. . . . . . : 34503 9TH AVE S
FEDERAL WAY WA 98003
�'JK g/�z /y8
Building icial Date
The priority jocus in the review and inspection made by the City prior lo issuance ojthis Certificate was on those mallers which
experience has shown most severely aJject the health and sajety ojthe general public. Although the City has made as complete a
review and inspection as is reasonably possible(within 6udgetary time and personnel limitations), the Ciry neither guarantees nor
ivarrants to the owner/occupan!or!o any other person that lhis Cerlificate evidences slrict compliance with each and every ordinance
or regulation oJthe Ciry or the S'tate ojWashington affecti�g 1he construction or use oJsaid structure or the land upon which it is
situated. Such compliance rs the responsibility oJthe owner and/or occupant of the premises.
POST IN A CONSPICUOUS PLACE