93-101635Y`OF FEDERAL WAY
3330 First Way South
2deral Way, WA 98003
661-4000
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 33301 1ST WY S unit: C-115
PARCEL NO.: 926500-0230
PROJECT DESCRIPTION:
OWNER
VALLEY CITIES MENTAL HEALTH
33301 - 1ST WAY S UNIT #C-115
FEDERAL WAY WA 98003
0467-6500
CONTRACTOR
CORNELL PLUMBING & HEATING INC
3210 S TACOMA WAY
TACOMA WA 98409
839-7455
CORNEPH277JF
LENDER
-p6
PERMIT NO.: BLD93®0719
ISSUED: 06/30/93
BY: FC
q3- ol 0,357
BLD?: MEC?:
PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
FEES:
TYPE OF WORK:?
USE:?
1ST.: 0:
O:Sf
STORIES........: 0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
PLM PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY.....:800
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
PLUMBING FIXT.... 93* $ 7.00
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
:? :? :?
:?
OTHR: 0:
O:Sf
EXIST..$: 0
FRONT..........
0.00 ft
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP ... $: 0
SIDE..........:
0.00 ft
WATER SERVICE..:?
:? :? :?
:?
DECK: 0:
O:Sf
REAR...........
O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:06/30/93
0: 0:
0: 0:
TOTL: 0:
O:Sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 27.00
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 ...............
1
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
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 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
bld_prmt 10/23/92
DATE
SET BACKS AND FOOTINGS
DATE _....—._......... _ BY _.. .--..---
PLUMBING ROUGH IN %
DATE ._F7 _7 9 :3 BY _ ✓�_C _
O.K. TO ENCLOSE
FRAMING
DATE.7- T773
BY "" y
FINAL O.K. TO OCCUPY
DATE ....... __—BY _—
OX TO POUR FOUNDATION WALLS
DATE .........BY ..... .......
_
WATERLINE O.K.
GAS PIPING O.K.---,, ... _....
INSULATION
DATE .... _—..... --- BY .......—
DCD
lC
PSD
PLUMBING GROUNDWORK
DATE _ .....BY
MECHANICAL INSPECTION
DATE b .. �f ..s 3.... __BY
WALL BOARD AND FIRE WALL
DATE 7--r-1-5 _ _—____BY .
0 0
wil
X/
xol/�/
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD93-0719
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/30/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 33301 1ST WY S Unit: C-115
PARCEL NO.: 926500-0230
PROJECT DESCRIPTION:
OWNER
VALLEY CITIES MENTAL HEALTH
33301 - 1ST WAY S UNIT #C-115
FEDERAL WAY WA 98003
467-6500
BLD?: MEC?: PLM?:X
TYPE OF WORK:? USE:?
CENSUS CATEGORY ..... :800
OCCUPANCY GROUP----------
:?
TYPE OF CONSTRUCTION-----
:?
OCCUPANT LOAD ------------
0: 0: 0: 0:
SUEL TYPES.:? ?
GAS PIPING.: 0 ft
FURN<100K..: 0
GAS HWT.... : 0
CONV BURNER: 0
BBQ......... 0
GAS DRYER..: 0
RANGE....... 0
-OGS.... 0
FLR--EXIST--PROP---
0
1ST.:
0:
O:Sf
2ND.:
0:
O:Sf
3RD.:
0:
O:Sf
OTHR:
0:
O:Sf
BSMT:
0:
O:Sf
DECK:
0:
O:Sf
GAR.:
0:
O:Sf
TOTL:
0:
O:Sf
FANS........... 0
HOOD........... 0
DUCT WORK.....: 0
WOOD STOVES...: 0
FURN>100K...... 0
MISC........... 0
AIR HANDLING UNITS
-10,000 CFM: 0
> 10,000 CFM: 0
CONTRACTOR
CORNELL PLUMBING & HEATING INC
3210 S TACOMA WAY
TACOMA WA 98409
839-7455
CORNEPH277JF
DWELLING UNITS: 0
STORIES......... 0
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP ... $: 0
RECEIVED.:06/30/93
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP..... 0
5+ HP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
COMP PLAN.........:?
REQUIRED PARKING..: 0
REQUIRED SETBACKS -------
FRONT ......... . 0.00 ft
SIDE........... 0.00 ft
REAR........... O.00:ft
LENDER
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW....: 0 gpm
WATER SERVICE..:?
SEWER SERVICE..:?
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER CLOSETS......:
0
URINALS........: 0
BATH TUBS..........:
0
DRINKING FOUNT.: 0
SHOWERS .............
0
SUMPS........... 0
LAVATORIES.........:
0
VAC BREAKERS...: 0
SINKS ...............
1
DRAINS.......... 0
DISH WASHERS.......:
0
LAWN SPRINKLERS: 0
ELEC WTR HEATERS...:
0
OTHER FIXTURES.: 0
LAUN WSHR OUTLTS...:
0
FEES:
PLM PRMT ISSUANCE.. $ 20.00
PLUMBING FIXT.... 93* $ 7.00
TOTAL FEES $ 27.00
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 `,3c; �f
bld_prmt 10/23/92
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1
TENANT NAME:
GAS PIPING, FEET
$
OWNER
SITE LOCATION
GAS HOT WATER HEATER
OWNER'S ADDRESS : �' ! %— �`, S r:
CITY %=edej,�_ PHONE
$
DESCRIBE JOB
$
AIR HANDLING UNITS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORPORATION
BOX 2
CONTRACTOR'S NAME
CONTRACTOR'S REG. #P%j c
AIR COOLING UNITS, SIZE
$
�,7�I/1
Card MUST be presented
$
CONTRACTOR'S ADDRESS
p
CITY 'T��y�,, PHONE @ q
EXPIRATION DATE /0-1
—OR—
TOTAL MECHANICAL FEE
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 OULAVt '5aQtCf)
PHONE M— 0 V,5
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6
PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(It 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 / GARAGE /
BOX 8
( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( j EXISTING STRUCTURE
( COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
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:
DATE:
ANP -008 3/90
0 Pgnit #
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: y �1 ( �6
OWNER SITE LOCATION
OWNER'S ADDRESS v d- CITY ff d�v-( PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME r ii o0i icl- 1 c`_ CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS '+ CITY 7(�(' QMri PHONE "19 ` IN S5
EXPIRATION DATE i I ja a.3�-
-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 - -+ r PHONE ?11-1
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
(. ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
` SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
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:
DATE:
ANP -008 3/90