93-101518CITE' OF FEDERAL WAY
33;130 First Way South
Federal 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: TENANT IMPROVEMENT
PERMIT NO.: BLD93®0677
ISSUED: 06/24/93
BY: FLF
of — t 01's 1 �5 -
OWNER
CONTRACTOR
LENDER
VALLEY CITIES MENTAL HEALTH
NOC GENERAL CONTRACTORS
33301 - 1ST WAY S UNIT #C-115
20628 - 29TH AVE SE
FEDERAL WAY WA 98003
BOTHELL WA 98012
467-6500
206-487-6742
NOCGEC*O71K6
BLD?:X MEC?: PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
FEES:
TYPE OF WORK:TEN USE:COM
1ST.: 0: 2250:sf
STORIES........: 0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.* $ 146.25
CENSUS CATEGORY ..... :437
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
BUILDING PERMIT....* $ 225.00
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 Spm
SBCC SURCHARGE.....* $ 4.50
:62
OTHR: 0:
O:Sf
EXIST..$: 900000
FRONT.........:
0.00
ft
PLCK-FIR comml only* $ 11.25
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP ... $: 22000
SIDE..........:
0.00
ft
WATER SERVICE..:?
:5N
DECK: 0:
O:Sf
REAR...........
0.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:06/21/93
24: 0: 0: 0:
TOTL: 0: 2250:sf
IMPERV SURFACE:
0
sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 387.00
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 ...............
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
> 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
a
DATE �15
0
SET BACKS AND FOOTINGS
DATE --......-__BY
OX TO POUR FOUNDATION WALLS
DATE , _ . . .... _BY
PLUMBING GROUNDWORK
DATE
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.K. TO OCCUPY
DATE.
DCD
PSD
FD
7-2-q 3
t 6,V o
CITY OF FEDERAL WAY BUILDING PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 33301 1ST WY S Unit: C-115
PARCEL NO.: 926500-0230
PROJECT DESCRIPTION: TENANT IMPROVEMENT
OWNER CONTRACTOR
VALLEY CITIES MENTAL HEALTH NOC GENERAL CONTRACTORS
33301 - 1ST WAY S UNIT #C-115 20628 - 29TH AVE SE
FEDERAL WAY WA 98003 BOTHELL WA 98012
467-6500 206-487-6742
NOCGEC*O71K6
LENDER
PERMIT NO.: BLD93-0677
ISSUED: 06/24/93
BY: FLF
BLD?:X MEC?:
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
FEES:
TYPE OF WORK:TEN
USE:COM
1ST.: 0: 2250:sf
STORIES........: 0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.*
$
146.25
CENSUS CATEGORY .....
:437
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
BUILDING PERMIT....*
$
225.00
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
SBCC SURCHARGE.....*
$
4.50
:62
OTHR: 0:
O:sf
EXIST..$: 900000
FRONT.........:
0.00 ft
PLCK-FIR comml only*
$
11.25
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP ... S: 22000
SIDE..........:
0.00 ft
WATER SERVICE—:?
:5N
DECK: 0:
O:sf
REAR..........:
O.00:ft
SEWER SERVICE—:?
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:06/21/93
24: 0:
0: 0:
TOTL: 0: 2250:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:?
TOTAL FEES
$
387.00
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 ...............
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
/�NGE...... : 0
<=10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...
: 0
6LOGS... : 0
i
> 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 Z�yt^%:A SC�C/L - DATE
bld_prmt 10/23/92
PLEASE PRINT
SI
TE LOCAT
0 City of Federal Way 0
APPLICATION FOR BUILDING PERMIT
r^ IISS APPLIrATInN &
ION Address _72
30 1sa- nvia
Tenant (if known) Lot # Assessor's Tax #
S 2� S- S
Building Owner Name Address
4-c-:oleA e- In64 tirr Co. g7t,-& U4, SrKIO
City State jJ( _ Zip r' �6j,v Phone 7-6_5Z/6
Nature of Work
APPLICANT'
Name (F,M,L) _
Address
2-06,2-<Z 2-9-1"- fv4tE-
rtY
State L Zip �f Jc
'/. Z.
Contact Person Day Phone Other Phone Fax
111111e tilt- zo -- Z 2-Oc.--6• -v/6-
BUILDINGCONTRACTOR
Company Name
,W(7- G 2i _-z�ve
Address
City da-4-4State • 1 Zip Z
Contact Person Phone Fax
c Urz 266-�.S� e'z 2c,fj- elf 7 -OW
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
C-, _ L 07
ARCHITECT
Name
( /a&,A1ef -- A.1.�✓
Address
City State IZip
Contact Person Phone Fax
�//L49 Zee, - 61,o -6'7d L
LEGAL DESCRIPTION
J U,, N 18 1993
Please Complete Reverse Side -7o,
li l
v p�!;+`,G DEPTCD0492 (Rev 4r931
APPLICANT'
Name (F,M,L) _
Address
2-06,2-<Z 2-9-1"- fv4tE-
rtY
State L Zip �f Jc
'/. Z.
Contact Person Day Phone Other Phone Fax
111111e tilt- zo -- Z 2-Oc.--6• -v/6-
BUILDINGCONTRACTOR
Company Name
,W(7- G 2i _-z�ve
Address
City da-4-4State • 1 Zip Z
Contact Person Phone Fax
c Urz 266-�.S� e'z 2c,fj- elf 7 -OW
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
C-, _ L 07
ARCHITECT
Name
( /a&,A1ef -- A.1.�✓
Address
City State IZip
Contact Person Phone Fax
�//L49 Zee, - 61,o -6'7d L
LEGAL DESCRIPTION
J U,, N 18 1993
Please Complete Reverse Side -7o,
li l
v p�!;+`,G DEPTCD0492 (Rev 4r931
BUILDINGCONTRACTOR
Company Name
,W(7- G 2i _-z�ve
Address
City da-4-4State • 1 Zip Z
Contact Person Phone Fax
c Urz 266-�.S� e'z 2c,fj- elf 7 -OW
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
C-, _ L 07
ARCHITECT
Name
( /a&,A1ef -- A.1.�✓
Address
City State IZip
Contact Person Phone Fax
�//L49 Zee, - 61,o -6'7d L
LEGAL DESCRIPTION
J U,, N 18 1993
Please Complete Reverse Side -7o,
li l
v p�!;+`,G DEPTCD0492 (Rev 4r931
ARCHITECT
Name
( /a&,A1ef -- A.1.�✓
Address
City State IZip
Contact Person Phone Fax
�//L49 Zee, - 61,o -6'7d L
LEGAL DESCRIPTION
J U,, N 18 1993
Please Complete Reverse Side -7o,
li l
v p�!;+`,G DEPTCD0492 (Rev 4r931
LEGAL DESCRIPTION
J U,, N 18 1993
Please Complete Reverse Side -7o,
li l
v p�!;+`,G DEPTCD0492 (Rev 4r931
C
RUCTURE
Existing Use
C19/1?c�rc,,/fZ%
Proposed Use
Permit includes:
Building
big
I
License #
Expiration Date
Type of Work: ❑ Residential
Commercial
❑ New
❑ Addition
Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑ck
❑
Other
Enter 1st Floorz c�> sq ft
Area Basement sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
Washing Machine
sq ft
sq ft
[Water Availability Sewer AvailabilityOn-Site Septic System Availability ❑
Project Valuation
$
pp
Zoning
Lot SizeI,-'
Underground
Existing Bldg Valuation
$
key::
LENDER
Name -, �
Address
��
State
City
State Zip
MECHANICAL CONTRACTOR
Contractor Name
Address
City 04 Z
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING'' CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets
(
Sinks
15-30 Tons
Urinals
Lawn Sprinklers
Bathtubs
= 10,000 CFM
Dish Washers
Y
Drinking Fountains
Other
Showers
�r
Electric Water Heaters
JP
Sumps
ef
Lavatories
Gas Hwt
Washing Machine
Boilers
Drains
101— Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (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 10
Furn > 100 BTUs e,,
Fans
<2" Miscellaneous
ef
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
115f 3-15 Tons
'✓�
Total Unit Count �I
DISCLAIMER: 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 lincluding 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. /&(
�&��-` Date:Owner/Agent:__ —_ /v/i—T