01-104282 f
'..i.. 7 0 0-
City of Federal Way Building - Commercial Permit #:01 - 104282 - 00 - CO
Community Development Services
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: AMERICAN HOME LOANS
Project Address: 32020 1ST AVE S Suitel13 Parcel Number: 172104 9058
Project Description: PLB/MEC-In conjunction with TI permit,relocate lay and water closet,and some ductwork.
Owner Applicant Contractor Lender
ABC PACIFIC CORP SUPERIOR BUILDERS INC SUPERIOR BUILDERS INC NONE
2112 CENTER ST SUPERBI112D2 3/4/02
TACOMA WA 98409 2112 CENTER ST
TACOMA WA 98409 NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group:
Construction Ty
Occupaonstncy Load:
Floor Area(Sq.Ft.pe:):
Census Category 437-Commercial alt/add Mechanical Yes
Number of Stories I Permit for Building Shell Only No
Plumbing Yes
Plumbing Fixtut•es
,;Qescription q4 1i ,!p , kJDescription; ,. ,114 °TiAantity ' '..?Description *Quantity
Lavatories 1 Water Closets 1
Mechanical Fixtures
y,gescript on,_ - _ 4'; t ;'" ,a Description QUerjfi(i 001010Description Quantity
Ducts 1
PE ' IT EXPIRES May 5,2002,IF NO WORK IS STARTED.
Permit issued on November 6,2001
di
I hereby certify tha t e ateve info 4in' is Corrict an. •.t th- onstruction on the above describ-d propel and
the occupancy an• us: wi b- 'i rda9ce itl}the .w izil d regulations of the State o' Washing on and
the City of Federa /ay. / //.
SigakilliV, (,
Owner or agent: r� �lir`' Date.
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CA4 0' !- CONSTRUCTION PERMIT APPLICATION
ED IE=.lZRL
\>\) FTY • ')E APPLICATION NUMBER: L - �s _ c(
APPLICATION NUMBER: - _
' ,' ._vvk,y APPLICATION NUMBER: -
BUILDING JL:PT. -
**The following is required information-Please print(in ink)or type** CPI vi Alec
Please note: Electrical, )
PleaFire Prevention Systems and Engineering permits may require a separate applicat• n.
■ PROPERTY INFORMATION - -
SITE ADDRESS: J 1Z O A O I St
,-N.
�1/43 e-. S, 4 ASSESSOR'S TAX/PARCEL #: 1 1 2. L 10 Y - 4 D S e
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): A -•1-i _c. e c/l
r. - . • ■ PROTECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING /PLUMBINGMECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
t
rte
' PROJECT DESCRIPTION (Provide detailed description)- .V �-( �+ 4� `1 I IC NG'
5 I a • .-
L 4, - 4- e r' [ C.:� - . - , Al C�O e (;)O C' 03 th0-, i 1.1
i-L-). C r-, I t ' goni&E ,AnS-C e
PROJECT NAME: 1 C--C" C. 4 ! l O 1 j'1- .,
s
. ■ PEOPLE INFORMATION -
PROPERTY OWNER: NAME: DAYTIME PHONE:
H. �L PA S; �F (,,Z5 )9c2 7 - /`702.
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,21P):
1S- 16'- S. 3so-tt, F. w - 1v A 9e)O03
CONTRACTOR: NAME: DAYTIME PHONE:
(AP e t—C.C--- g;-x-, l d&.c-s E i (.2s-s) s---73- 16`)9
MAIUNG4.DDRESS(STREET ADDRESS;CRY,STATE,ZIP): ~ EVENING PHONE:
2tI .0/ C,en,�ec- St . Ti9-c-47/'ic , EN3 A- 9Q `l0 (,2o6) .kL-10-c1 1l
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER. FAX NUMBER:
6 6 - 1 0 l 3 y 6 - S i- (as ) Si )'7' 7
CONT FACTOR'S REGISTRATION NUMBER. EXPIRATION DATC'
(copy of Cad requ.reC) SiA ' ` K /Jr ( I C J / 4l 1,2
CO
APPLICANT: NAME DAYTIME PHONE
SLS et-o <-- I LA.N Iket-s , ZNc ; (253) 573 16yg
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,2Ir): EVENING PHONE:
.2.j I g (x 4e-r- &r, I it4co,K.A; VO / et S YF C( (app) ;240 - 96t I
RELATIONSHIP TO PROJECT. __ __ii I FAX NUMBER:
C3 ARCHITECT ❑ TENANT < OTHER ( DESCRIBE): //W•3i -RC-4O c (.253 ) 5731-79 7,
E-MAIL ADDRESS: C.. l l A i
li
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR S.4ff of - cc).
' ;` - - '■ DETAILED BUILDING INFORMATION - -
EXISTING USE: 0 t Ce EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ l DCo/ 00 3
PROPOSED USE: Y .4.4.••(r PROPOSED VALUATION FOR IMPROVEMENTS: $ i, 0 0 0, a 0
SPRINKLERED BUILDING? CyI YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES NO
WATER SERVICE PROVIDER: t LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: t -LAKEHAVEN 0 HIGHLINE 0 PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ .PROJECT FLOOR AREAS` -
•
FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
•
FOURTH
•
OTHER FLOORS(DESCRIBE) j
DECK
GARAGE
HOW MANY FLOORS? ,
TOTAL: I 1
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERTS) E(S) MISC. (
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEA! SOURCE• ❑ ELECTRIC ❑ GAS
PLUMBI G /
44
BATHTUB(S) LAVATORY(S) ' L(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC U GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) � SINK(S) WATER CLOSET(S) MISC. (
INTERCEPTOR(S) SUMP(S)
• •■ •DISCLAIMER/SIGNATURE BLOCK • .
I certify under penal of perjury that the information furnished by me is true and correct to the best of my knowledge, and
further, that I am authorized 'y the owner of The above premises to perform the work for which the permit application is made. I
further agree to hold harmles the City of Federal Way as to any claim (including costs, expenses, and attorneys'fees incurred in the
investigation nd defense of s ch Elaim), which may be made by any person, including the undersigned, and filed against the City of
Federal Way, .\ t ly.where s ch lain) arises out of th ce of the city, including its officers and employees, upon the accuracy
of the informat\ .p •ed to .he . . r plicaU+
, --., 4(6 (6 (
NAME/TITLE: t:`` .�-►� �� DATE:
❑ PROPERTY OW ER ❑ APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: _ 1 LOT SIZE:
ZONING DESIGNATION : I BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION I BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE 1 NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? L) YES L) NO 1 CHANGE OF USE? _L) YES It) NO
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