90-100515CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING 941-I
555ECTION
9o- loo
s/�
90-708 P
COMPLETE PHYSIQUE
CENTERJOB 29314 PACIFIC HWY S.
PERMIT NO.
OWNER'S NAME
ADDRESS
CONTRACTOR SELF
ADDRESS 11007 7TH
PLS S. SEATTLE CONT. PHONE 431-0862
CONT. REG. NO. NA
OWNER'S PHONE 941-1881
OWNER'S ADDRESS 29314 PACIFIC HWY S. FEDERAL W
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL
COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER
PLUMBING
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY JOANNE
JOHNSON DATE OF ISSUE
DATE OF APPLICATION 5-25-90
BUILDING INFORMATION
NE
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. SO. FT.
SET BACKS: FRONT
SIDE REAR_
_ STORIES _ HEIGHT LIMIT _
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC, HOT WATER HEATER
GAS PIPING FT.
BOILER
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR
__ TANK(S)
SHOWERS
URINALS
FORCED AIR FURNACE
_ AIR HANDLING UNIT
NUMBER _
LAVATORIES
DRINKING FOUNTAINS TRAP 5.00
GAS HOT WATER HTR.
MISC
SINKS
MISC, BASIC FEE 20.00
CONVERSION BURNER
BASIC FEE
RETURNED
DISHWASHERS
TOTAL FIXTURES 25.00
UNIT HEATER
TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
25 _ 00
ECHANICAL FEE
OTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
DATE: U
S.B.C.C. FEE
OTHER FEES
AMOUNT:
AMOUNT DUE
25.00
pL
RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STA ISL AND
bRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT
DATE
lY
Permit # b
CITY OF FEDERAL WAY RECEIVED
BUILDING PERMIT APPLICATION MAY 2 51990
— Please Print —
BOX 1 TENANT NAME: j��a� ��`%J �r,`_� BUILDING DEPT.
OWNER 1� SITE LOCATION < x d
OWNER' ADDRESSr�i ;e .icer . CITY PHOKE ZhX /
DESCRIBE JOB > ,
THE PROPERTY'IS NE BY: SIN LE/MARRIED.. PARTNERSHIP ,-->C CORPORATION
BOX 2 CONTRACTOR'S NAME I k fY CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS r/GGA ��.�� CITY s Tj PHONE ez -05:e
EXPIRATION DATE
S�
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS VITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON _ PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST is EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK_____J_ GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMM ERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES —
BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS 2J-)
N0. FURNACE, ELEC. GAS
$
SHOWERS 4-
GAS HOT WATER HEATER
$
LAVATORIES
SINKS 12,
CONVERSION BURNER
-BOILER, SIZE BTU
$
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$ -
OTHER e u
Jr�
$
LTOTAL IXT_
--
$
TOTAL MECHANICAL FEE
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED 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 ATTORNEYS'
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 ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
-OWNER/AGENT:
ANP -008 3/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVA
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
f:T i1*10[ml
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY _� DATE
DAT
DA
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN 55ECTION
PERMIT NO.
OWNER'S NAME
JOB ADDRESS
CONTRACTOR
ADDRESS
_
CONT. PHONE
CONT. REG. NO.
OWNER'S
PHONE _ OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL
NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN
GRADING OTHER__
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY
DATE OF ISSUE_ DATE OF APPLICATION
BUILDING INFORMATION
NE
OCCUPANCY_
TYPE OF CONSTRUCTION--------_
BLDG. SQ. FT._
SETBACKS: FRONT
SIDE
_ REAR___ _ - - STORIES
HEIGHT LIMIT
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING _ FT. BOILER
RECEIVED _
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR _. _ TANK(S)
SHOWERS
URINALS
_ FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER _
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC
RETURNED
SINKS
MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT _
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
CHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS
AFTER ISSUANCE IF NO WORK IS
STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT
DATE
0 , 0
SET BACKS AND FOOTINGS
DATE . ...... . . . .... .... . .. .... . BY . .... . .. ...
OX TO POUR FOUNDATION WALLS
DATE ... ... . . ... ... . . . .. .... ...BY
PLUMBING GROUNDWORK
DATE ___ -_____BY
PLUMBING ROUGH IN
DATE ___BY
WATER LINE O.K.
GAS PIPING O,K.___, . . . .... . .. ..... . .... ... . .. ...
MECHANICAL INSPECTION
DATE --BY
O.K. TO ENCLOSE FRAMING
DATE . ..... . .. ... ... . -_ BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.4K.T/;OO CUPY
DATE BY
DCD
PSD
FD