91-101659CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
X1 1- l of (0sc)
BUILDING INSPECTION
661-4140
91-1624
P 25 MINUTE PHOTO—VERONICA CHO 32911 1 AVE S
PERMIT NO.
OWNER'S NAME SITE ADDRESS
OWNER
32861 42 PL SW FEDERAL WAY 98023 874-8321/839-62
CONTRACTOR
ADDRESS CONT. PHONE
CONT. REG. NO. NA
EXP. OWNER'S PHONE SAM OWNER'S ADDRESS SAME
TYPEJOB: 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 ONLY
182104-9047 NA
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER — _ -DATE OF ISSUE _ DATE OF APPLICATION 11/14/91
BUILDING INFORMATION
ZONE_
SET BACKS: FRONT SIDE_ HEIGHT LIMIT
_—__REAR _ _. —
OCCUPANCY _ _ _
—TYPE OF CONSTRUCTION CENSUS NO. _ S TYPE OF HEAT---- — _ BLDG. SO. FT. STORIES
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
_ ELEC. HOT WATER HEATER
GAS PIPING___- FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS _
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS _
CONVERSION BURNER _ MISC.
2
BASIC FEE 20.00
RETURNED
SINKS
MISC.
BBQ BASIC FEE _
DISHWASHERS
TOTAL FIXTURES2 X 5 30.00
DRYER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION
BLDG DEPT APPROVAL = KEVIN ELLIS
PERMIT F:E
PLAN CHECK FEE
"PLUMBING ONLY — NO OTHER APPROVAL IS GIVEN OR IMPLIED FOR ANY
LUMBING FEE
$30.00
CONSTRUCTION"
.ECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT: $30.00a'-`
AMOUNTDUE
$30.00
RECEIPT: %
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 --
—. _=c_ /'{ . C /G LGr —_ — — - DATE--- —
uc
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CONTRACTOR
ADDRESS CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE _ OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE
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
SUED BY
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE
SET BACKS: FRONT SIDE REAR HEIGHT LIMIT
CCUPANCY _
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT.___ STORIES
PLUMBING
NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER _
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER _ MISC. _
RETURNED
SINKS
MISC.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES
DRYER _ TOTAL MECHANICAL
AMOUNT
VALUATION
i� Tp��+
lill/.J17 B.t_;.r-4 t�k c` to)'VAL KEVIN .i;.1. &"J. a
PERMIT FEE
AN CHECK FEE
"PLUMBING ONLY — NO OTHER. APPROVAL IS GI OR IMPix%ED FOR ANY
CONSTPUCTIONO_.�
LUMBING FEE
MECHANICAL FEE
PART P/C FEE
EPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
AMOUNT DUE
RECEIPT:
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
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 ..... .... - - _ _ _13Y
O.K. TO ENCLOSE FRAMING
DATE,___- _- _ BY _ _..........
INSULATION
DATE ....... ... - .... .... _... _.... BY _
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE _L.j.-BY
DCD
PSD
FD
0 16 0
_ 'F#EC EIVED Per* #
NOV 14 i gI CITY OF FEDERAL WAY
QM� L�L.W"YBUILDING PERMIT APPLICATION
�' — Please Print —
BOX 1 TENANT NAME: VL12,n1 co, H. Cho � S I W (i Com} -'C/ _ E/I-(� U
OWNER VercnucA H. Ch C SITE LOCATION 3.1 ti ISt fie- S,).
OWNER'S ADDRESS i Aloct P(, Su? CITY Feder -&I t e�: PHONE X74- R.
DESCRIBE JOB - '` �L
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION 1C
BOX 2 CONTRACTOR'S NAME Cti, ty CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
—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 �� (Uf C� f _ h i:> PHONE 3 `1- 6i7 �L'
BOXY SEWER DISTRICT F-eier«I Lcevy WATER DISTRICT ��er-ej LJ(Lj
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER R i r �`i =rr �;'� '� S(T �� k---0 ') A,'1�
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 FLOORFLOOR /
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
:1 •
PLtJMBING FIXTURES (including rough -ins) z p d O
N0. WATERCLOSETS
BATHTUBS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
mriNIEW1
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 OFTHE 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: �%�26%fZc4; fits' lDATE:
I1- /Y-111
ANP -008 3/90
M
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
0 0• r� }
a + '' . s
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE REAR. HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: —
PUBLIC WORKS DEPARTMENT APPROVAL DATE
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:
RECEIVED
ASSIGNED ADDRESS: "( S
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY _ DATE—
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE 30-00
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES e`
AMOUNT DUE
ACCEPTED FOR FILING
4
fZ.e5� room
QO
t'lop SinN
Sto ra a e
Co{-xf�e
(ung shop
%DD 111.
W CA -I -El r)
0-reck
0
o s
I < Frohf 7
Equipment schedule for
'Take out' coffee shop.
-------------------------------
1. Mop Sink
2. Reach -in refrigerator
3. 3 compartment sink
4. Counter for coffee machine
5. Serving counter
Elevation of counter 4&5 - 40 inches
N
culechen - vin 1 com ,Y Ptroom -vin)'comp
tinS area vinyl comp
Other area low pile carpet
Wall - All area - ypsum board
wjj paint
Ceiling -,All area - Suspended
?(LbVslG w/Acoustical tile
s.44 zIAl i
"There will be no seating area.
,
APPROVED
SUBJECT TO ORDINANCE
NOV 8 1991
EAT#NODEVIIATNS KING CO. .
UC HEALTH
BY.. .. .................._
THERE ARE TO BE
TO THE APPROVED DRAWINO>"
UNLESS OTHERWISE APPW.,.:D BY
THE FEDERAL WAY BUILDING DEPT;
CITY OF FEDERAL WAY
DEPT. Cpm COMMUNITY DEVELOPMENT
PERMIT NUMBER 1 i_UgA f
ADDRESS AU C.- _S
PLANS FOR
OWNER
._ ci ---
7-1-V
_ 'r I DATE AAF
L0 li
'ROSE L) CY