99-100541 99 -/��s�i
. � � _
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' � '�; ;I._ ' , a��f�MIT N0: BLD99—OG89
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�'ec:leral Way, W{; ��-���3 }3uilc�iny Tn�pectic�n (�ec{ue��� 25:�--c�G1._•t�.4U BY: FC2
2��-�6�.-�000 �x��Rc�; o�/o�/��
�DDftESS: �47Q� �Tf�� t�V� S Unit: B-30U
N0. : 92«480-�001.5
PROJECT DE�C�IATIC�N:TI - INTERIOR DEMO AND RECONSTRUCTION Of WALLS
�= OWNER ==__=_=;�------===-=-===_=_=======_=_=__===__=_=__=-�= CONTRACTOR =�_�_:�����_=�.��K�=�==_=_=___=__==__=_==___=�= LENDER =_____=___-:_�����=_���-�=__==______=____======i
� PULMONARY CONSULTING � JOSEPN S SIMMONS CONST INC � �
34704 9TH AVE S, #B-300 � P.O. BOX 21089 h �
� FEDERAL WAY WA 98003 ! SEATTLE WA 98125 �
� � �° 206-362-7227
� # �OSE?SS153JD
o .
i�= CORTRRCT6nS, PLERSE USE LOCATIOM CODE 1732 �iNER REAORTIN6 SALES TRX fOR PROJECTS YITNIN iNE CITY OF FEDERRL MAY. TAX RATE = 8.6� �_�
--------------______________---__---------------------____�______--------------.___.._.._________----------------------------------_.________�=__=_��_=_==__==__=_==_==___=________=____
f---____..-------------------------_____- --------------__-___.- ____ .�_.--- -------------------------------------------------------
� °lD?:X MEC?: ALM?:X fLR--EXIST--PROP--- DWEtLING UNITS 0 � COMP PLAN.........:OfFP � FEES; �
� TYPE OF WORK:TEN USE:COM 1ST.: 15L'9:sf S?QRIES .... : Q � REQUIRED PRRKING,.: 0 SPR.NKLERS?....,.'Y . PLAN CNECK FEE $ 111.81 �
� CENSUS CATEGORY.....:431 2ND.: ,,: O:sf HEIGHT .,.; Q,OQ ft � HAZARu CLASS...:? a BUIIDING PERMIT....� $ 181.25
� QCCUPANCY GROUP---------- 3RD.; 0: O.sf VAIUATIDN---------- �'REOU:RED SF_TBRCKS------- F:RE FLQW.,. .: 0 gpm � FD PLflN CK-COMM ONLY $ 74.19 �
; :B :? :? :? : aTHR� G. O;sf EXIST ,$; 0 � FRO�'........ : C.00 't � MECH PERMIT FEE $ 23.50 �
� TYPE OF CONSTRUCTION----- BSMT: 0: O:sf - PRDP...$: 1Q�OQ' # SIDE......,,..• 0.^4 ft IIATER SERVICE,.:�AK � MECN PCAM CHECK fEE $ 5.88 �
� :5N :? :? :? : DECK: Q: O:sf � REAR..........: O.00:ft SEWER SERVICE..:LAK `° PLUMBING FIXT....93� $ 14.00 �
� OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:02f02/49 � PLUMBING PLAN CHECK $ 4.10 �
; 0: 0: 0: 0: TOTL: 0. 1504:sf IMPERV SURFACE; 0 sf SENSITIVE AREAS?.:N � SBCC SURCHARGE.....$ $ 4.50 �
l--=-==--==------=--------------------=-----=--=-===--=====-===------=-=----- ----------------------------------------------------- '
r-- - -------- ------- - F-----------------------------'-'----_--------- ---- �
� FUEL TYPES.:? ? FANS.........,: 0 BOILERS/COMPRES50RS ; WATER CLOSE?S......; 0 URINALS.......,: 0 TOTAL FEES $ 430.23 �
PIPIN6.: 0 ft HOOD....,..,..: 0 0-3 TON.....: 0 � BATN TUBS.....,....: 0 DRINKING FOUNT.: 0 � `
� . .... ... � ....,....... ..,...... � F
<100K..• 0 DUCT WORK.. • 1 3-15 TON.. • 0 � SNOWERS. • Q SUMPS.. • 0 9 �
� 6AS HWT....: 0 WOQD STOVES...: 0 15-30 TON...: 0 � LAUflTORIES.........: 0 VAC BREAKERS..,; 0 p �
� CONV BURNER: 0 FURN>100K.....: 0 30-50 TON...: 0 � SINKS..............: 2 DRAINS...,.....: 0 ( �
� BBQ........: 0 MISC.......,..: 0 50+ TON.....: 0 5 DISH WASNERS.......: 0 LAWN SPRINKLERS: 0 �
j GAS DRYER.,: 0 AIR NANDLING UNITS FUEL TANKS--------- ; ELEC WTft HEATERS...: 0 OTHER fIXTURES.: 0
� RANGf......: 0 <-10,000 CfM: 0 ABOVE GROUND: 0 � LAUN WSHR OUTLTS...: 0 �
� GAS LOGS...: 0 > 10,000 C�M: 0 UNDERGROUND.: 0 � �
�__.�_--______________________________�----..._�._-____--_-=--_---------__----_----__�=_=___-__---___--_-__--___�--_----=-=-_----------_-_-==��___-_-=__--__-___-________-------__--____
PERMITS EXPIRE 180 DA1'S AFTER I55U �ORK IS STARTED. RESIDERTIAL AND 6RRDIR6 PERMITS EXPIRE OME YEAR AFTER DATE OF I55UANCE.
I CERTIFY TNAT THE IiIFORMATIO RNiSHED S € A�lD CURRECT Tc iNE SESI OF P!Y KROYLED6E ARD THE APPLICA E C TY OF FEDERAL NAY REQUIREMEMTS UILL BE MET.
�r � Z��j �
OWNER OR AGE�„ ...__w._ _w
__..___ _...__ _..____.._____ ___._. ._ ..__,_. __._____. ..
�__ ._.. . ..._ _..__.__
FILE COPY
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fEt►ERAL NRY 4tA 98�J03 SEAITLE WA 481i5
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� 206-342-�'�'�
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� iITE �t �VF4.TG11 ��f,.4V17 f.J/.. }i�. ��.� '.51 � �.F'Efi#�t��...r,.,.. ��>�- ���,�i7'�.A� ��H��D�t8t1.�. � �.,`P�,lS�� r.��"'. ...�.� ti /�11H t.,R�l� ��C � �11.��
� CEN$�15 CfiiE6U�iY � 4�1 �N�.: �; ,�af �i��#�1;� .�,„; �k�� �� �, � <� ��n��+� ��.�_�� � � � �3l1ILD1MG i'ER�IT.,,.� � 1131.?5 �
�.CoCt;�R���Y 6�4�JP -_._._... �6��. � �}. U s� .� �'#����r�� � �EQI�!P+�D S�T �--� �l't! �tC� �U �;..� � fD PLAl� CI!-COMM QNLY S T4.1�
� :B ::^ :? :'' : �ff��, � @ st <<, E���� � � .�. � f?0!s'... ,����� .t�� 't � � MEtN PERNII FEE $ �23.50
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� TYPE Of �ONSTA!lCTI�N--� B�Mf. �. ��`.��"'��"'��I' ��' PI�'..:�` 1�i'J�°�...� �:.�RE�.:�.. ..� `��:�I ft'�'��A1Eit SEt2'a��?�,,;��.�t �'��1�N��C�HfCK FEE $ 5>�8
� � ;S� :' :? :' . DC�.�'� �. 0:^�f �� � �CAR........,.. O.qO;tf Sf.�WEt? SF��tICE..:tAK °� f�ltl�I�IN�.; FIXT....w3� �;: 14.U4
� (�rClfPA�T LOAD--- ,___�.... GAR.: � �};�� 4:sf RE��IV�D.:t�2/02/44 � PLUM$tklG Pl.NPI CtIECK $ �.10
1 : Q: 0: Q: � T(�li �: 1�05:s4 ���ERV �URFACE: Q�s�E �fi1SIlIVE AREAS?.:H SBCC "t�CNAGGE.....� � 4.5�1
� LJca9C�'MmCaxae.:'aaci��IImaumam:GN:�IIa.arrw�+u�a�a�:;._• ..„ _ ...•::2n:o;.��."a+xtaasa..z....r-�a:.:.,.... ,:�., .-.a�x... �.J.,.::�. .f �..:.: . .:..::::sp:.fr�:mYau�r.a'XRuwss.z^.maxasnc:.m .+:ti�:":sia:prs:•saCle/sd:mm.lr„
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" f'�y�l T'�nES.:? ? F�NS.,,......,: t� R4ILERJFC{:i}i'RCSL'ORv kAt�R CL45ECa......: Q 'JRI�ALC..., ...,: A TOTAL F�E� $ i�0.23
;�•. , �5 PIPIN6.: � ft kl�J�D..........: q �!•3 ION...... 0 EATH TUBS..........: il URIkKIMS �Ot1N1.; �
i'3P.N,lOQ�..: 0 1tUCi WORt'.....: 1 3-�� TtIN....: 0 5F{(lNEH.�'............: 0 StE�lFS..........: 0
� 6AS NiPT....; 0 NUUD SIaVCS...: U 1�-�0 t0#I...: 0 I.NYATORIES.........; 0 VAC BfiEAKER5...: L1
� CONV 811RNER; Q FURN.`1CtOK...... D "30-50 1QN.... 0 �If�K5.. ,". Di?AINS.........: f1
BBQ......,.. � MI�C..,........ 0 50+ 14N....., it DiSN ##1iHER5..,..... 0 IRM� SPNIkKt.ER�: 0
GAS DRYE�..; � AIR HANDLIN6 UNTT5 Fl�l`l 1ANKS__.-.�... FlE� 4�TR NEATER�...: 0 OTNEft F1�1URE�.: 0
RANGE......: a :-IU,�100 C�M: Q ABOt'E 6R�tiND: � L+�UM M�sHR QUil.TS...: 0 �
UAS L06S...: p ` 1Q,000 CfM: 0 UtfDERGRttUND.. 0
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s ; ; ��'; 1+ • e;iE Ii�Ol�11 �t��:� S 1�tD Ct1R1tCC� i8 T� BfS� OF Mlf KlIOMl.EUtii �t�A Ti�: AP�'LlCA E C lY A( fE(I�RRi. IIAY FE�.fI�[:�f:qi5 Nllt � I�l:1.
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FIELD COPY
� .
1 SETBACKS &'FOOTINGS
�
Date • ' By ' "
2 FOUNDATION WALLS '
Date By
3 PI:�IMBING ORQUNDW�RK — ro�+��k � exEsi�M� wEt l Plv„�lA�
Date By
4 SLAB INSULATION
Date By
5 FQOTING/DOWNSPOUT DRAINS
Date By
6 UNDERFLOUR FRAMING
Date By
7 SHEAp WALLS
Date By
8 PLUMBING ROUGH-iN '
Date,.!w l� 5 j : By X �"�
s +�As P�P��ta
Date By
� 10 MECHANICAL ROUGtfi-IN '- ' �;���, , ,r,
Date �__ � _�' � By `� •
� 11 FRAMING �Qo c,�c �,�I �(,S
Date _ Z. / BY � -- c_ 3— —�S'
_ __ _ _ _ _ __ _
12 INSULATION
Date By
__ __ __ __ __
_ __ _ _
__
is cws - �s� u►�r�R �� � �.�.lr - (�� 3 -- - � D �
Date By
14 GWB -2ND LAYER
Date�- � �'�' By
15 SU3PE�1D D CEILING
Date �j ' j� l �/ _ BY (7 L
16 PLANNIN(3'FINAL
Date By
17 PUBLIC WORKS FiNAC
Date By
18 �II#� FINAt
; ,::.
_.
Date �..- _ y ` �
19 BUILDING FINAL
_ _ ,
Date _ � By _
20 OtHER '
Date By
��p�,�p `,,} CD0193(Rev4/87)
71.N l_, W
2aDo l?� AvC tS��S-�G 7� �-�b�
�,l�l �Bco�S
BUII.DING DIVIS1yN
«r.oF G 33530 First Way South
�-1- E0�_ Federal Way,WA 98003
VV �/ (253)661-4600
Fax(253)661-4129
C��,' �� '
, �)Y'��,
!��'PLICATION FOR BUILDiNG PEI�MIT
PLEASE PR/NT � APPLICATION # "l�.J
?;?�': ddress "
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TenaM(if known) ����\m� C � �y�� �� Lot# As���'s Tax �f C ..b
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` / 8ui(djaa Ow r's Name '� Address
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Ci ,, ��t!'�_ State Zi 1 � Phone
Nature of Work � �.'Y1 iYY� �' C?�
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..... .......... ......
Name (F,M,L)
Address
Cit State Zi
Contact Person Day Phone Other Phone Fax
'
LICENS
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::>:::: FE
DERAL WAY
BUSI
NESS �
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Company Name � � � - �� ���
Address �y� � , � � ���l
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\/ Cit c State � � Zi � �
� Contact Person ' �, P�yo�� .�` .� 7� F,� ,3�� ��'Sy
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Contractor's d must be resented) Expi a'on ��te Verified ❑ Yes ❑ No
�� `��53 � `�
Afi�Hl7`ECT�>:<:<:::::�''�:>;;:::':':.:::::s:::>�::::;:::'::':::>;':::::;;;::<:<::s:>::»::»:::::::;:::::
Name
Address
Cit State Zi
Contact Pe�son Phone Fax
LEGAL DESCRIPTION
t
P/ease Com /a ete RPverse Side
,
stin Us
e o osed Use
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P 1 C�
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:�......u��................................................................. 1 C� , '�--'( _
' Permit inciudes: Buildin Plumbin ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New �emodel ❑ Number of Units_ ❑ Deck
� Commercial ❑ Addition ❑ 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 ft Decks s ft Gara e s ft Pro sed Total Area s ft
Water Availabili Sewer Availabilit On-Site Se tic S stem Availabilit ❑ Pro'ect Valuation S �0��
Zonin Lot Size Existin Bld Valuation $
�����:::::::>:::::>:::::;;:::`::>;::::::::::>::::>:::::::::<:::::>::>::>::::::»::::::::::'::::::::::>::>::>:::::::::i::::
........
Name Address
Cit State Zi
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:.;:.;:.;:.;:<.;;;;;;;;:;»:.;:::.;;;;:.;:.;:.:;.;:.;:.;;:.;:.;:
;::::::.;::;:;:.>�::::,:::::::::::.:.:..:..::....:
:���s��:����:��Y'..�.���1.......:....... ......
Contractor Name Address
Cit State Zi
Contact Phone Fax
License # Ex iration Date Verified ❑ Yes ❑ No
�s1�� i�y rkY �w.�.�ic, ty.1��� :?;?;::;s'.?:;�'':;'<':''">::::;::::;:::::f:::;:z3'`;
�i:"�#�;[�l.sY.1��k1�.��7.i;�17ti�F�.1�'r��.........._.......:......:::.::
. ................... . ...................................................
Contractor Name Address
Cit State Zi
Contact Phone Fax
License # Ex iration Date Verified ❑ Yes ❑ No
__ _
_.... ___.. ___::
_............_....._ ..... .__ _ ____
.................................................................... __ ___ ; ,
........................._......._.........._.......................__-_..__ ;
�C�U�:�CIvG �t�`f`U��CC}�1uT'
Water Closets Sinks Urinals Lawn S rinklers
�/ Bathtubs Dish Washers Drinkin Fountains Other
I\, Showers Electric Water Heaters Sum s
Lavatories Washin Machine Drains 7ota1:fixture-GounY .::
I1�k����##11i��1E:�JI�!'�`,�QUNT MECHANICAL EVALUATION ONLY S
_._... _:... _ _ __
Fuel T e (electric/other) Gas Dr er Air Handlin < = 10,000 CFM 15-30 Tons •
Len th of Gas 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 `` O-3 Tons Under round
BBQ's Wood Stoves 3-15 Tons Totel Un(t Count
DISCLAIMER:I certify undec penalty of perjury that the infoRnation fumished by me is tiue and correct to the best of my knowledge,and further,thaL I am authorized by the owner of
the above premises to perfoan the work for which pemut applicaYion is made.I further agree to save hamiless the City of Federal Way as to any claim(including costs,expe��ses,and
attomeys'fees incucred 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 relian e city,� cludi its off and employees,upon the accuracy of the infonnation supplied to the city as a part ofthis applicaiion.
�/ r-------- ��L ,
7� Ow��er/Agent: Date:
! �
Bunowc.Ary
REYisfJ e/28/97
� -! �
. 1
�Il1� �� ����li°�.� U'U' �.�
��Li�l �����Cu�.lt��i
�� ���� Ct.11..1111
� ��
This Certifrcate issued pursuant to the requir�ements of Section 109 of the Uniform Building
Code cert�ing that at the time of issuance, this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following:
OCCUPANT LOAD: 0 PERMIT NUMBER: BLD99-0089
TENANT NAME. . : PULMONARY CONSULTING
ADDRESS. . . . . . : 34709 9TH AVE S Unit: B-300
GROUP: B SQFT: 1509 CONSTRUCTION TYPE: 5N
OWNER NAME. . . : STEVE WILLARD
ADDRESS. . . . . . : 2000 124TH AVE NE, SUITE B-100
BELLEVLTE WA 98005
�'1'1 l-C �
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Building 0 cial � Date
The prlority jocus in the review and inspection made by the City pi•ior to issuance ojthis Cerlifrcate was on those matlers which
experience has shown most severely afject 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 limrtations), the Ciry neitherguarantees nor
warrants to the owner/occupant or to any other person that lhis Certifrcale evidences slrict compliance wrlh each and every ordinance
or regulation of the City or the Stale of Washington ajjecting the construction or use ojsaid structure or the land upon which it is '
situated. Such compliance is the responsibility ojthe owner and/or occupant ojthe premises.
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