92-101311CITY OF FEDERAL WAY
BUILDING P
q?-
PERMIT NO.:
-0115))
BLD92-2 035
33530 First Way South
BUILDING INSPECTION - 661-4140
ISSUED:
09/25/92
Federal Way, WA 98003
TYPE OF WORK:TEN
BY: MH
661-4000
O:Sf
STORIES........: 0
REQUIRED PARKING..:
SITE ADDRESS: 32114 1ST AVE
S Unit., #203
FINAL PLAN CHECK...*
PARCEL NO.: 926450-0000
76.05
CENSUS CATEGORY ..... :437
2ND.: 0:
PROJECT DESCRIPTION: TI --INSTALL LEAD SPALLS IN X-RAY ROOM. ENT means Ear,
Nose and Throat Clinic. db
OWNER CONTRACTOR LENDER
GREEN RIVER ENT CLINIC KNS CONSTRUCTION
32114 1ST AVE. S. #203 29834 232ND AVE. SE
FEDERAL WAY WA 98003 KENT WA 98042
661-2594 886-1796
. KNSCO**1408N
BLD?:X MEC?:
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :0
FEES:
TYPE OF WORK:TEN
USE:COM
1ST.: 2400:
O:Sf
STORIES........: 0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
FINAL PLAN CHECK...*
$
76.05
CENSUS CATEGORY ..... :437
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS ... :LIT
PLCK-FIR coml. only*
$
5.85
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
BUILDING PERMIT....*
$
117.00
:B2 :? :?
:?
OTHR: 0:
O:Sf
EXIST..$: 0
FRONT.........:
20.00 ft
SBCC SURCHARGE.....*
$
4.50
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP ... $: 10000
SIDE..........:
5.00 ft
WATER SERVICE..:FED
:5N :? :?
:?
DECK: 0:
O:Sf
REAR..........:
10.00:ft
SEWER SERVICE..:FED
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:08/18/92
27: 0:
0: 0:
TOTL: 2400:
O:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:N
TOTAL FEES
$
203.40
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 0
ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
SHOWERS ............:
0
SUMPS..........:
0
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........:
0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K......
0
30-50 HP..... 0
SINKS ...............
0
DRAINS..........
0
BBQ......... 0
MISC...........
0
5+ HP........ 0
DISH WASHERS........
0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
0
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
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEARA "N
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE 0 D L' Y� EM WILL BE MET.
OWNER OR AGENTy� ' X
.Cl�//L/ DATE
bld_prmt 07/31/92
SET BACKS AND FOOTINGS
DATE . ... ..... ____—BY
OX TO POUR FOUNDATION WALLS
DATE -BY
PLUMBING GROUNDWORK
DATE . . . . ...... -_ BY
PLUMBING ROUGH IN
DATE-_
WATERLINE O.K.
GAS PIPING O.K. __ . ... ..
MECHANICAL INSPECTION
DATE __ . ... .... ... . --BY
O.K. TO ENCLOSE FRAMING
DATE,__ __.-BY
INSULATION
DATE ..... . . ..... .. . . BY
WALLBOARD A"b -FIRE VV*t:t
L"
DATE -BY
EEK
FINAL O.K. TO OCCUPY
DATE --
DCD JPSD
FD
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD92-2 075
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/25/92
Federal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 32114 1ST AVE S Unit: #203
PARCEL NO.: 926450-0000
PROJECT DESCRIPTION: TI --INSTALL LEAD WALLS IN X-RAY ROOM. ENT means Ear, Nose and Throat Clinic.db
UMNtK
LUNIKAk.UK
LCKVCK
GREEN RIVER ENT
CLINIC
KN S CONSTRUCTION
32114 1ST AVE.
S. #203
29834 232ND AVE.
SE
FEDERAL WAY WA
98003
KENT WA 98042
661-2594
886-1796
KNSCO**1408N
?:X MEC?:
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :0
FEES:
TYPE OF WORK :TEN
USE:COM
1ST.: 2400:
O:Sf
STORIES........: 0
REQUIRED PARKING..: 0
SPRINKLERS?......:?
FINAL PLAN CHECK...* $ 76.05
CENSUS CATEGORY .....
:437
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS ... :LIT
PLCK-FIR comm[ only* $ 5.85
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
BUILDING PERMIT....* $ 117.00
:B2 :? :?
:?
OTHR: 0:
O:Sf
EXIST..$: 0
FRONT..........
20.00 ft
SBCC SURCHARGE.....* $ 4.50
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP...$: 10000
SIDE..........:
5.00 ft
WATER SERVICE..:FED
:5N :? :?
:?
DECK: 0:
O:Sf
REAR...........
10.00:ft
SEWER SERVICE..:FED
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:08/18/92
27: 0:
0: 0:
TOTL: 2400:
O:Sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:N
TOTAL FEES $ 203.40
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 0
ft
HOOD...........
0
0-3 HP....... 0
BATH TUBS........... 0
DRINKING FOUNT.:
0
FURN<100K... 0
DUCT WORK......
0
3-15 HP...... 0
SHOWERS ............. 0
SUMPS...........
0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........: 0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>10OK..... .
0
30-50 HP..... 0
SINKS ............... 0
DRAINS..........
0
BBQ......... 0
MISC...........
0
5+ HP........ 0
DISH WASHERS........ 0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...: 0
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
SERMITS 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 p v
bld_prmt 07/31/92
DATE - �S�`��+ Z
rmit # QA
i 0
;aCITY OF FEDERAL WAY
AUG�VcbUILDING PERMIT APPLICATION
C 18 1992 — Please Print —
T Chu C.
OWNER V i r 6,,,, LA , t rn SITE LOCATION -:LA 14 Fire 0,k L it 0 3
OWNER'S ADDRESS i -o Ct- fie zo Aubw. L06 CITY P , j PHONE 66'1
DESCRIBEJOB ryx, 4�C':
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP SC CORPORATION
BOX 2 CONTRACTOR'S NAME :: a R2C_r ��.7 '%t� <:;'r��,} CONTRACTOR'S REG.
nk, Card MUST be presented
CONTRACTOR'S ADDRESS_'2 i =3!jl g L-7— A,,,,;5 fLje-� CITY Ki: -,"74 (A% PHONE ` rte -` l.1<
EXPIRATION DATE _l1_�%T�
—OR—
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 WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON t" -, us C PHONE Ell 3 H'{ q
BOX 4 SEWER DISTRICT cifkc.,r�k uL-,)4 l.uLt fig It LC WATER DISTRICT �cr i<<_(_
BOX 5 ESTIMATED PROJECT COST __ i v .a EXISTING BUILDING VALUATION
a<BOX 6,,PROPERTY TAX ACCOUNT NUMBER q � v �C) (, o
LEGAL DESCRIPTION (,t � us_T 20 3 I'vp u o 6' )C(o o I U )tzj_
(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_____J_ DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (r) EXISTING STRUCTURE
( Y:) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. FURNACE, ELEC. GAS
$
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
SINKS
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
$
TOTAL FIXTURES
$
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:C1 1-2 -0-C-2 ��c DATE: _ `_- I � -I � `l -2--
cl kh ^/ ANP -008 3190