97-1040729 7 , /0 yO7-z�
CITY OF FEDERAL WAY PERMI NO: BLD97-0657
38530 First Way South . U LDI NG PERtl �. "T" ISS ED: 11/24/97
Federal Way, WA 98003 Building Inspection Requests 253-661--4140 BY: FC2
253-661-4000 EXP RES: 05/23/98
ADDRESS:33801 1ST WY S
NO.: 926504-0160
PROJECT DESCRIPTION:TI
nuurn .
1 DR RICHARD KOCH
33801 1ST AVE S
FEDERAL WAY WA 98003
Unit: 201
- CHANGE OFFICE SPACE INTO DENTAL OPERATORY AND OFFICE
---------------=----- - CONTRACTOR------------
W R HANSON INC
12510 130TH LN NE A1-4
KIRKLAND WA 98034
LENDER
I
25-453-1600 425-921-6747
WRHAN**251B1
us CONTRACTORS, PLEASE USE LOCATION CODE 1732 MEN REPORTING SALES TAX FOR PROJECTS NITHIR THE CITY OF FEDERAL NAY.
BLD?:X MEC?: PLM?:X
TYPE OF WORK:TEN USE:COM
CENSUS CATEGORY ..... :437
OCCUPANCY GROUP ----------
:B :? :? :?
TYPE OF CONSTRUCTION-----
:5-lHR:? :? :?
OCCUPANT LOAD ------------
: 20: 0: 0: 0:
FLR--EXIST--PROP---
1ST.: 0: O:Sf
2ND.: 1821: 444:sf
3RD.: 0: O:Sf
OTHR: 0: O:Sf
BSMT: 0: O:Sf
DECK: 0: O:Sf
GAR.: 0: O:sf
TOTL: 1821: 444:sf
TAX RATE = 8.0 #39
DWELLING
UNITS: 0
COMP PLAN...... .:OFFP
FEES:
STORIES........:
3
REQUIRED PARKING..:
0
SPRINKLERS? ...... :Y
PLAN CHEC9
FEE
$
163.80
HEIGHT.....:
30.00 ft
HAZARD CLASS...:?
BUILDING PERMIT....$
$
252.00
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....: 0 gpm
SBCC SURCHARGE
.....
4.50
EXIST..$:
0
FRONT.........:
0.00 ft
PLUMBING
IXT....93*
$
35.00
PROP... $:
25000
SIDE..........:
0.00 ft
WATER SERVICE..:FED
PLCK-FIR comal
only*
$
12.60
REAR..........;
0.00:ft
SEWER SERVICE..:FED
RECEIVED.:11/04/97
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
-
FUEL TYPES.:?
r?
�—FANS ........... 0 BOILERS/COMPRESSORS
WATER CLOSETS......:
0 URINALS........: 0
TOTAL FEES
S PIPING.:
0 ft
HOOD...........
0
0-3 TON...... 0
BATH TUBS.....
0 DRINKING FOUNT.: 0
-PURN<100K...
0
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 ..............:
2 DRAINS.........: 2
BBQ.........
0
MISC..........:
0
50+ TON.....: 0
DISH WASHERS.......:
0 LAWN SPRINKLERS: 0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
1 OTHER FIXTURES.: 0
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 I10 NORK
IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE
ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TMAT
T
NATION NI ED BY ME
IS
TRUE AND CORRECT TO THE BEST
OF MY KNONLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS NI
OWNER OR AGENT
_ Y
Y_ DATE
ff /w_Y/ 7
BE MET.
$ 467.90
FILE COPY
11/04/97 TUE 09:10 FAX 2066614129k CITY OF FEDERAL WAY
01r! & � RECEIVED
u`_
NOV 0 4 1.07
CITY OF FEDERAL WAY
BUILDING DEPT.
APPLICATION FOR BUILDING PERMIT
r
Address � 3 b p l 15 T w ►�*(, S z
Tenant of known? LOT IY
zoo,
HlJMWI1nv(;Dnvtan
33 530 First Way Swa&
Federal Way, WA 9&*3
(253) 661.4000
Fax (253) 661-4129
SV I"T'E ZO1
I] 2 01 c 1 +Azt) KC)GH M r' T +t
Building Owner'@ Nano S F 1s KEla pe-o Address
P �i`T 1 ES H S-b 114 A�q E 5' . E .
pty Iv r, L. E V0 r State W A lZinR 2-3cr—)ne q
Ph � "� S
Nature of Wark Q> FF I G E _:I G E I f J_ro
Name (F,M.L)
Address
Contact
Company Name
t:),4-kf I E L L E E
37 8 ( (o q Ci
*O burv\
A-tJ.D2lew S
E 50
N Day Phone Other Phone Fax
W.
Address
cityl C_- KGL_N ,3 D
nteet Ferav Sta+
3 1
• I Ic '(-►H K• - ) ,aq� ca—v>acA F zS 87,1 67LI-7 a'hpc
Contractor's s loerd must be presented) `' ,
W Fxpiret" DeVerified O Yes O No
Name
DAW l E l._ LEE ArNRv_
Address
3� 81(0 'f c(q±1 &v C- 50
city Pau vxi r h
Cvntecc Person ►� 1
K Ar —� r;e Los — 'ZtvCc_Lj
1 T&C:T
f.Ph,
3 - 1- Fz53 66I ba6�
S S Cain'}wc�
PAL Dt:SC111artON
11/04/97 TUE
09:10 FAX 2066614129 CITY OF FEDERAL WAY
10003
71n-d
l:xietinQ Uss Ui=� 1 E �P4�,�
Proposed Use CDEt jT-A,L.. �FFf L
❑ Residential
Buddin Plumbin
❑New ',!i(
❑ Mevhsr►ica!
❑ Other
XK Commercial
Remodel
❑ Additi rt ❑ Garage
❑ Nutrtber of Units
❑ Deck
Enter 1st Floor �,
aq ft
2nd Floor aq ft 3rd Floor
❑ Shed
❑ other
Area $asonre,tt
o ft
aq h
Decks ft
ExietinQ poor Area l
1 e q h
Water Avttileikli
Sewer Avaifabili
s Gere a a ft
ld On -Site S 5 ■tern ArairsbiH
Pra serf Total Area
1]
rZor►in
❑
Project Valuation
s -zt �
—LL&
Size y "7'=�
Exist(n 81d V�lu on
Nerve
Contractor Ner►te
U tJ ktJ� W iJ
City
Contact
Llaenev #
Contractor Name
FJ is �C iUr]
Cft
Contact
S
S 100K
a 100 F
Urinals
Address
Address
State
Phone
Address
State
Phone
2
Other
Fax
Fax
r1Afe[:F4Ar4IGAL EVALUATION ONLY $
stir Hand IIn C = i DD0 .0CF&M, 15-30 Tana
Air Handlinga = 10 p0o CFM 30.50 Tons
Unit Heate► 50+ Tens
Flood
r,voa alLoverino --I Unit
Yea 0 No
0 Yea 13 No
CLAIM 9A-. I omt* under pmglfy orperjury that We irtft#tf Won rvnn s and by me is tMe and correct to !ire beat of my knowirdga, rid fw$ter, [tut [ am authorised by the v►+71rr of
hove pymf1sm' eu to perform the work for de ir3i pemdt- asu application N made, l furd" sp—w save hutnleaa the City of,Fedetal way as to „ny claim (including rests, expo aaM sad
Heys' fed incurred in invlstisalinc tnd dare>sac afautl, dainty, which may bo made b
c Burh claim Anew out of the f4vbw of the citYy �+y ►4 including the raldcrailpncd, and filed 59&4ut the City of FO&mt Way, but wily
, including it, rdiica,n u,d e'+spkvyee,, upon tlya awi►r"Y Ofthe i31r0nTWiDn uuprlied tv the city a, a part ofth;a appikatio,
ter/Agent: 31 JIMii '' pp
LAW uate: N 0� , 4 w^ / -1 1 -7
vrua?
City Of Federal Way
Certificate' of Occu
, panc-A
This Certificate issued pursuant to the requirements ofSection 109 of the Uniform Building
Code certifying that at the time of issuance, this structure was in compliance with the various
ordinances of the City regulating building construction or use: Fort e�gggQwing:
OCCUPANT LOAD: 20 PERMIT NUMBER: BLD9 6 7
TENANT NAME..: DR RICHARD KOCH
ADDRESS......: 33801 1ST WY S Unit: 201
GROUP: B ? ? ? SQFT: 2265 CONSTRUCTON TYPE: 5-1HR ?
OWNER NAME...: SPIEKER PROPERTIES
ADDRESS......: 1150 114TH AVE SE
BELLEVUE WA 98004
Building Old ial Date
The priorityfocus 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
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 otherperson that this Certificate evidences strict compliance with each and every ordinance
nr regulation of the City or the State ojWashington affecting the construction or use of said structure or the land upon which it is
'tuated. Such compliance is the responsibility of the owner and/or occupant of the premises.
POST IN A CONSPICUOUS PLACE
PERMIT No:
BLM7 0657
BUILDING PERMIT
ed I
ltJ;k"'
f3u.il di. ng I. ioi 1 41 0
F 1) E t F' i' I
If P i(RvD KOCH
33801 is[ AVE 5
BLD?:X N17 PLM?:'f
TYPE OF 0P'r':T1N VE:COM
CENSUS CATE"ORY ..... :43?
0,'(UPANd GROUP------ - -- -
:R :?
fyPI of
?
ilf(UPAHT LOAD- ----
: 20: 0: 0: 0:
FUEL DPES.:'
PIPItc.. 0 Tt
., 100 X 0
GAs HWT. 0
c9mv BI)RHIP, 0
P13Q..— ..: 0
GA5 DRY[P. . : 9
0
0
PERNITS LIPIRE 180 DAYS AFTER
I (follry 1(U!1 w—iA&mlj0
!)WHIP OR AGENT
tj'l, C". 1.111" L- '2 0 1
iN :9 - CHANGE Off]"[ SPACE INTO PINTAL OPERAfORY AND OFFICE
(ON TRACTOR
W R HANSON [W-'
12510 1301H 1.0 NE AI-4
KIRKIAND WA ')8094
4 215 - 1121 - 67,17
IORS, PLEASE ral LOCATION CW 1732 WHEN REMINIIING W-k-S TAX FOR NUECTS V11111 JUL CITY Of FEDERAL NAY. TAX RAIIE = 8.6%
DWELLING to"ITS: 0
0:0
STORIES......... 3
1821:
444:0
HEIGHT...... 30.00 ft
ORD.:
0:
O:sf
VALUATION------ ---
OfNR-
0,
0:0
EXISTA: 0
BSMT:
0:
Q:sf
PROP ... 25(m
K(r:
0.
0:Sf
0R.:
0:
O.sf
RECEIVED.:11/04191
TOTt:
1821:
444:sf
(110 PLAN ...... :OFFP
REQUIRED PARKING-.: 0
REQUIRED SETIACKS---- ---
FRONI ......... : 0.00 It
SIDE ........... 0.00 ft
HEAR........... 0.00:ft.
SPRINKLERS,: ...... �' y PLAN X,'�� FEE
NA
IUD CLASS...:: BUILDING PERMIT .... I
FIRE FLOW—.: 0 ggpm SqcC SfIRC9APr;L ..... f
PLUGING FIXT .... 93T
WATER CjIRVICF..:Ff-D
Pt(K-FIR coon] onlyt
SEWER SERVICE—:0
INPERV SURFACE: 0 s' SINSIIIVE AREAS?.:?
FANS....,,....:
BOILERS/COMPRESSORS
WAFER CLOSETS......:
0
URINALS.....-...:
0
TOIAI. FEES
HOOD.. ...
0
0-3 TO".....:
0
BAIN TUBS.......,,..
0
DRIOING FOUNT.:
DUCT WORY .....
0
.3-15 TOM—.:
0
00101[pc— ....... ..
0
WOOD15-30
ION—:
0
I.AVA1411:7 , .......
U
VAC yp[Ar[Rr'..:
0
FURN'look ......
0
30-50 TON....
0
SINKS•.
Df. ' AIK ......... :
2
MIS(..........:
11)
50+ TON.....:
0
DISH WASHIPS, .... ..:
0
LAW"
0
AIR HANDLING, UNITS
F1111. TANKS---------
(L[(' WIR Rr4IFR',—:
I
OTIIER FIXTURES.:
U
—10,000 Crm:
0
ABOVE 0OUNP:
0
[All 4SHR
0
1- 10,04 cl`m:
0
umikp%;?OUHP.:
0
IS2WE If NO W9 I!; STARTED- RESIDENTIAL AND GRADING PtRNIIS OPIRL ONE YEAR AfTIR DATE Of lssvwl.
1_7/Nlrl'.t.5BY NE IS IRK AND CORRECT TO TIE REST Of NY KX'PjfKE AND Iff 4PPLICARE CITY Of IFLIK01. NAY REQUIREMENTS WILL 91 IffT.
DATE
$ 'it 7 . 4f)
FIELD COPY
1
SETBACKS=-4 06 Nos
Date By
2
.... --- -
o A o WAf::i�S;
....
Date By
3
PLUMBING GROUNDWORK
Date By
4
SLAB! INSULATION .-
Date By
5
FOOTtNPIDOWNSPQUT DRAINS
Date By
6
UNDERFLOOR FRAMING:: .
...
Date By
7
SHEAR .:WALLS :...:.::........
Date By
8
PLUMBING :ROUGH414
- ---- ------
Date _2—� _� By
9
6AS- PRNGI
Date By
710
MECHANICAL;:Rf�t3H►1H:`.:-::.;
Date By
11
KRAMIN . ...
.
Date By
12
INSU,LAT-ION--:;:::--
Date By
13
OWS . IST ",YE"
Date /Z By,
�P
14
t�WB � �l`!ID #AYIrF�.
Date By
7SUSPENDED-
CEILING;
Date l By
-69
16
7
KANN ING-: FINAL
Date By
7coOuBLI
WR- -KS'.FM.. .. .L:
..... .
Date By
18
FIRE FINAE ,,_ :::
...
Date I q —cif By
g
19
BUILIJiNq :F€IVAL .-..
Date B
ID 2_
20
'OTF mF
Date j_ By��-
000193 (Flev "7)