99-103511CITY OF FEDERAL WAY PERMIT NO: BLD99 -0570
33530 First Way South ;il")l LX+=.1.Vm rT,c:m,,vix-,r- ISSUED: 09/10/99
Federal Way, WA 98003 Building Inspection Requests 253-•661 -4140 BY: KLC
253- 561 -4000 EXPIRES: 03/08/00
ADDRESS :34004 9Tf•I AVE S Unit: A-5
NO.: 926480 -0110
PROJECT D E S C R I P T I 0 N :TI - INSTALLING NEW WALLS TO CEILING GRID HEIGHT - PLUMBING /MECHANICAL ON SEPARATE PERMIT
OWNER== _____________ ______
________
__ ____________
__ =
= = = =j= CONTRACTOR =_______ __= _= _______:__________________ = = = =z= LENDER
CITY OF FEDERAL WAY
0 ft
HOOD..........:
0
JC RICHARDS
0
I
i
34004 9TH AVE S, #5/1
DUCT WORK.....:
0
3 -15 TON....:
33761 9TH AVE S
HWT....:
4
0
FEDERAL WAY WA 98003
0
15-30 TON...:
0
C NV BURNER:
FEDERAL WAY WA
98003
0
30-50 TON...:
0
BBQ ....... ..
0
838 -6206
0
s
0
GAS DRYER..:
0
AIR HANDLING UNITS
JCRICCC042L6
FUEL TANKS ---------
CONTRACTORS,
PLEASE
USE LOCATION
CODE 1732 MEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY.
ABOVE GROUND:
0
GAS LOGS...:
0
BLD ?:X MEC ?: PLM ?:
FLR--
EXIST --
PROP ---
DWELLIN,. I.S:
- MP PLAN.........:?
�
TYPE OF WORK:TEN USE:COM
1ST.:
0:
3982:sf
STORIES........: O
REQUIRED PARKING-: 0
SPRINKLERS ?......:?
CENSUS CATEGORY ..... :437
2ND.:
0
O:sf
iEIGHT- ...: 0.00 ft
HAZARD CLASS...:?
OCCUPANCY GROUP------ - ---
3RD.:
0:
O :sf
VA'LUATION-- -- - - - ---
= REQUIRED SE. BACKS -- - - --
FIRE F1,& � A�
:B :? :? :?
OTHR::
O:s=
7
EXS ..$:
?0 ";T.........: 0.00 ft
TYPE OF CONSTRUCTION - - - --
PSMT:
O:
:..00 ft-
WATER VICE.. �? .
:5N :? :? :?
DECK:
5:
O:sf
REAR..........: 0.00 :'Tt
SEWER SERVICE..:?
OCCUPANT LOAD--- --- -- -- --
GAR.:
0:
O:sf
RE,EIVED.:09 /10/99
0: 0: 0: 0:
TOIL:
0:
3982:sf
IMPERV SURFACE: 0 sf
SENSITIVE AREAS ?.:?
FUEL TYPES.:?
?
FANS..........:
0
BOILERS /COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 TON.....:
0
N<100K..:
0
DUCT WORK.....:
0
3 -15 TON....:
0
HWT....:
4
0
WOOD STOVES...:
0
15-30 TON...:
0
C NV BURNER:
0
FURN>100K.....:
0
30-50 TON...:
0
BBQ ....... ..
0
MISC...........
0
50+ TON......
0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
0
<: 10,000 CFM:
0
ABOVE GROUND:
0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.:
0
WATER CLOSETS......:
0
URINALS........:
0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
SHOWERS .............
0
SUMPS...........
0
LAVATORIES.........:
0
VAC BREAKERS...:
0
SINKS ...............
0
DRAINS..........
0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
LAUN WSHR OUTLTS ... :
0
TAX RATE = 8.6% ***
FEES:
PLAN CHECK FEE $ 0.00
TOTAL FEES $ 0.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INS RMATION FURNISHED BY HE IS T.UE AND CO ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT - -- t 'i-- S ------ _------------------ - - - - -- DATE�%%�,�
FILE COPY
71
C :I TY OF F f"DE.RAt. WAY PERMIT NO: BLD99 -0570
a3530 `>` i t-st Way South DU.I LVI NCI Mt:r"' M:I T ISSUED: 09/10/99
•Federal. Way, WA 98003 Building Inspection Requests 253-66.1°4:140 S'V. K.LC;
`x'53- 661 -4000 E XPIRES: 0:3/08/00
ADDRE s ,',S :341704 9'FII AVE S Unit: A...5
NO.: )26480 -0110
PROJECT DE'S C;RI P1 ION: TI - INSTALLING NEW MALLS TO CEILING GRID HEIGHT - PLUMBINGJNECHANICAL ON SEPARATE PERMIT
OWNER CONTRACTOR ifunY11
CITY OF FEDERAL MAY JC RI HARDS
34004 91H AVE 5, I5 /7 33761 ` +TH AVE S
FEDERAt NAY NA 48003 FEDERAL MAY WA 98003
'838-620x' ".
- KRICCCO4216
..t.- .`.x:'.mnaz:ra:.,a'1I�:Si:XxK w3:Yd'JUSUSm�nslGU:: a:Kux.. .....s.. 3sac :=:^ �,:nxa...bxs<sma¢ss:
:s: CUNTRACIORS, PLEASE USE LOCATION
B1D ?:X NEC ?: PIN ?:
fL*-IAXIST�-PR 4
IYPE Of WORK:TEN USE:COM
1ST.:
0
3902 Sf
S't% t
CENSUS CATEGORY ..... :437
2ND.:
O:
0 sf��:`
DUCT WORK.....:
OCCUPANCY GROUP---- - -- ---
39D.°
0:
A s
*UATIO # - - -- - -- --
:B :? :? :?
15 -30 TON...: 0
CONV BURNER:
k
TYPE OF CONSIRUCIION_ - -
�i'
P,
sf ,.
t ►P,..g;
:SN :? :? :?
aErg`
GAS WRYER..:
ID: ,I
AIR HANDLING UNITS
OCCUPANT LOAD ------------
tW.;
0-
O'st
E +.6I'v'1D.:09�zs `+
0: 0: 0: 0:
TOIL:
07
3qt?;: :Sf
0
FUEL TYPES. :?
?
( ANS..........
0
BOILERS /COMPRESSORS
GAS PIPING.:
0 ft
4001)...........
0
0.3 TOM...... 0
0N<1OOK..:
0
DUCT WORK.....:
0
3 -15 TOM....: 0
, NWT....:
0
WOOD STOVES..,:
0
15 -30 TON...: 0
CONV BURNER:
0
1`URN >1OOK.....:
0
30 -50 TON...: 0
CBQ ........ .
0
1"IIS(...........
0
50+ TON...... 0
GAS WRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
0
(=10,000 CfM:
0
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,000 (FM:
0
UNDERGROUND.: 0
SALES TAX FOR PmtCTS NITNIN Tip CITY OF FEDERAL NAY.
5aava:: e:+:s,::::.:.: w•,,. _. , ....,.,..rce:sm:a;s ¢ s:srs xa+�.,xsYi:t.". �✓;aa:maea;xacvs,�xla^ 1`
OMP PLAN..
IQUIRED PARKING... 0 SPRINKLERS ?......:?
IAX RATE : 8.6% Its
FEES:
PLAN CHECK FEE
HAZARD CLASS...:?
41�x�x
1d1wKS ------- FIRER -,. 0
t,0 i t MATER s "VI "
RE ?F........... SERVICE....
IMPO V SURFACE: 0 st SENSITIVE AREAS ?.:?
..... s.. �. �._., avca: r,- aura::.:ac.a:::_..a..s.-- s:.�s _xa:enx,mamms:fi::sq.¢a: n:cea•.a
WATER CLOSETS....... 0 URINALS......... O
BATH TUBS..........: 0 DRINKING FOUNT.: 0
SHOWERS ............. 0 SUMPS........... 0
LAVATORIES......... 0 VAC BREAKERS.... 0
SINKS....... 0 DRAINS.......... 0
DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
EtEC WTR HEATERS...: 0 OTHER FUTURES.: 0
LAUN NSNR OUTLTS...: 0
TOTAL FEES
PERMITS EXPIRE 1DO DAYS AFTER ISSUANCE IF N0 WORK IS STARTED. RESIDENTIAI An wits PERMITS EXPIRE RIVE YE::AR AFTER DATE OF ISSUANCE.
I CERTIFY TNAT TIN: INLIARNAtION 11URNISK1 By NE IS Of AND C ECT f0 THE DES'T OF MYINOIM.EW AND THE APPLICABLE CIIY 01 FIDERAt MAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT DAR
ti
E
s
0.00
0.00
FIELD COPY
CDO193 (Rev 4197)
BUELDMG DIVISION
CrFY OF G • • 33530 First Way South
-�- Federal Way, WA 98003
(253) 661 -4000
Fax (253) 661 -4129
,SFP 1 n 1999
CITY OF FEDERAL —
BUILDING DErRAPPLICATION FOR BUILDING PERMIT
PLEASE PR /NT APPLICATION # '" ► `'
.............. Xik
Site address
C
Tenanthame Ire 1 Lot # Assessor's Tax #
Address
S
Phone
.... ............................... ...... ............................... . .. .
N e//(F�, M
•a(F . ,L) 1
Address
AdZss ( �7 4G «
••W
Cit ,
State 1
z
o ac t Perso
•c.. S
Da Phone
4 2be.
th r one
��I t
Fax
434_0 °rr
........................... `I. t)NTR T�R`<` » > > > %«
............................................................. .........................:.:...
in Federal Wav Business License # 'D c
C;qw4nny Name L
S!n�, A e-, 1
Address
City
State
Zip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
_........._ .____._......._ .. ...................._..........
............................................................ ...............................
............................................................. ...............................
............................................................ ...............................
............................................................. ...............................
AAR�H[TECT >> >« i> > ' ' < » >>
.................................................. ............................... I.......
Nam
YA-
Address
City
State
Zip
Contact Person
Phone
Fax
Please Complete Reverse Side
r-Alk
-I
7fCILIFiE ;'.
Address
existing Use
State
roposed Use
Permit includes
Phone
J116 Building
❑ Plumbing
❑ Mechanical ❑ Other
Type of Work:
❑ Residential
W; Commercial
❑ New
❑ Addition
❑ Remodel
❑ Repair
❑ # of bedrooms ❑ Deck
❑ Garage ❑ Shed
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
q
Existing Floor Area / sq ft
Proposed Total Area sq ft
Water Availability
❑ Sewer Availabilit
❑ On -Site Septic System Availability ❑
Project Valuation
$
Zoning
Conv Burner
Lot Size
0 -3 Tons
Existing Bldg Valuation
$
R::::::::::..:
For new residential only - Pronosed selling cost: $
Name
Address
City
State
Zip
M -M A€ . AITRA woFt ..:.........
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Ex iration Date -
Verified ❑ Yes ❑ No
M BFNG.. FIXTURE :G0 NT............. . :.....::.:::::. :.
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinki_g Fountains
Other
Showers
Electric Water Heaters
Sumps
Furn <100K BTUs
Lavatories
Washing Machine
Drains
7ots1<Ftxtu[ei:Count
# ...NIT .Gi�i�v ........................
MECHANICAL EVALUATION ONLY $
DISCLAIMER: I certify under penalty of perjury that the information famished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of
the above premises to perform the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and
attomeys' 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 of the reliance of the city, including ity�officers and eoyees, upon the accuracy of the information supplied to the city as a part ofthis application.
1 / _ 1--)p
Owner /Ag
BUILD -Ar
BE-o 5/18/99
Date: �j'^'�D ( j
Fuel Type (gas/electric/other)
Gas Dryer
Air Handling < = 10,000 CFM
15 -30 Tons
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
30 -50 Tons
Furn <100K BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0 -3 Tons
Underground
BBQ's
Wood Stoves
3 -15 Tons
Total. Unit Count
DISCLAIMER: I certify under penalty of perjury that the information famished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of
the above premises to perform the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and
attomeys' 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 of the reliance of the city, including ity�officers and eoyees, upon the accuracy of the information supplied to the city as a part ofthis application.
1 / _ 1--)p
Owner /Ag
BUILD -Ar
BE-o 5/18/99
Date: �j'^'�D ( j