93-102620F --
L-1
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:33310 1ST AVE S Unit: B100
NO.: 926500-0250
PROJECT DESCRIPTION : TI - NEW TENANT IMPROVEMENT (OPTICS LAB)
OWNER CONTRACTOR
KENNEDY ASSOCIATES
2400 FINANCIAL CTR BLDG. qZ
SEATTLE WA 98161 15i¢T7!F
623-4739
{1s?- 5 -X- 4Y7-76 15 i
LENDER
9 3 — I o -)- (o —Le)
PERMIT NO: BLD93-1094
ISSUED: 10/26/93
BY: FC
EXPIRES: 04/24/94
BLD?:X MEC?:X PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :IP
FEES:
TYPE OF WORK:TEN USE:COM
1ST.: 0: 7000:sf
STORIES........: 0
REQUIRED PARKING..:
24
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.$
$
76.05
CENSUS CATEGORY ..... :437
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
FINAL PLAN CHECK...+
$
0.00
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 9Pm
PLCK-FIR comml only$
$
5.85
A2 :
OTHR: 0:
O:Sf
EXIST..$: 1222200
FRONT.........:
50.00 ft
BUILDING PERMIT .... $
$
117.00
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP ... $: 10000
SIDE..........:
20.00 ft
WATER SERVICE..:FED
SBCC SURCHARGE ..... $
$
4.50
:5N :
DECK: 0:
O:Sf
REAR..........:
20.00:ft
SEWER SERVICE..:FED
PLUMBING FIXT.... 93$
$
49.00
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:10/13/93
MEG APPLIANCE FEES.$
$
4.50
0: 0: 0: 0:
TOTL: 0: 7000:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:Y
TOTAL FEES
$
256.90
FUEL TYPES.: FANS..........: 1 BOILERS/COMPRESSORS
WATER CLOSETS......: 3 URINALS........: 1
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........:
0
DRINKING FOUNT.:
1
FURN<100K... 0
DUCT WORK......
0
3-15 HP...... 0
SHOWERS .............
0
SUMPS...........
0
GAS NWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........:
0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
SINKS ..............:
3
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
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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
1
OWNER OR AGENTDATf /
---------------------- L E -
FILE COPY
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
BUILDING P
Building Inspection Requests 661-4140
ADDRESS:33310 1ST AVE S Unit: 8100
NO.: 926500-0250
PROJECT DESCR I PT ION : TI - NEW TENANT IMPROVEMENT (OPTICS LAO)
OWNER CONTRACTOR LENDER
KENNEDY ASSOCIATES
2400 FINANCIAL CTR BLDG.
SEATTLE WA 98161
623-4739
4 y 7 TG 5u C- ' '*q ; _ C _ f/
BLD?:X MEC?:X PLM?:X FLR EXIS'--F,AC.F �M hW�ILINS UNITS. 0
TYPE OF WORK:TEN USE:COM
1ST..
0
0: f
"_*OFTFi:. `' I
CENSUS CATEGORY ..... :437
21D.:
0:
0:
0F!C-4T. A. f
OCCUPANCY GROUP----------
3RD.:
L
0:0
,`ALUAIIOA---.-- ---
:82
"OTO
0°
0:'s 1,
i1IST.4. k?4 00
TYPE Of CONSTRUCTION---
RSIIT.
a:
D:'-
PHOP..,4. 00
:5N .
DFCK:
0:
: f
5+ HP.......: 0
OCCUPANT LOAD------------
GAR.:
0
t 3f.
kfr0v� :10113/9
0: 0: 0: 0:
TOTL
A.
& f
<=10,000 CFM:
COMP PLAN ......... A P
REQUIRED PARKING..: 24
REQUIRED SETBACKS - __
FR I.......... �?.OQ V
MIDI .O0""
REAR........... 20i.0:ft
4PERY SURFACE: 0 Sf
SPRINKLERS?......:?
HAZARD CLASS... -`t
FIRE FLOW.,..: O gpe
WN TFR SOVICt. f
SEWER StRVICE- J ED
SENSITIVE AREAS?.:Y
MATER CLOSETS......:
FUEL TYPES.:
URINALS........: i
FAK'ou".'...... :
1
BOILERS/COMPRESSORS
SHOWERS .............
GAS PIPING.:
0 ft
H009i ........}
0
0-3 HP......: 0
.FURN000K..:
GAS HWT....:
0
0
DUCT WORK.....:
WOOD STOVES...:
0
0
3-15 HP.....: 0
15-30 HP....: 0
EIEC WTR HEATERS...:
CONV BURNER:
0
FU911>100K.....:
0
30 50 HP....: 0
880........:
0
MISC..........:
0
5+ HP.......: 0
GAS DRYER..:
0
AIR RADLING UNITS
FUEL TANKS ---------
RANGE ...... :
0
<=10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,000 CFM:
0
4NDERGROUND.: 0
COMP PLAN ......... A P
REQUIRED PARKING..: 24
REQUIRED SETBACKS - __
FR I.......... �?.OQ V
MIDI .O0""
REAR........... 20i.0:ft
4PERY SURFACE: 0 Sf
SPRINKLERS?......:?
HAZARD CLASS... -`t
FIRE FLOW.,..: O gpe
WN TFR SOVICt. f
SEWER StRVICE- J ED
SENSITIVE AREAS?.:Y
MATER CLOSETS......:
3
URINALS........: i
BATH TUBS..........:
0
DRINKING FOUNT.: i
SHOWERS .............
0
SUMPS........... 0
LAVATORIES.........:
0
VAC BREAKERS...: 0
SINKS..............:
3
DRAINS.........: 0
DISH WASHERS.......:
0
LAWN SPRINKLERS: 0
EIEC WTR HEATERS...:
0
OTHER FIXTURES.: 0
LAUN WSHR OUTLTS...:
0
PERMIT NO: BLD93-1094
ISSUED: 10/26/93
BY: FC
EXPIRES: 04/24/94
FEES:
PLAN CHECK DEPOSIT.4 = 1.05
FINAL PLAN CHECK ... • i 0.00
PLCK-FIA cold only* 5.85
BUILOING,PERMIT.... # 117.00
ate -.SURCHARGE ..... * $ 4.50
PLYING FIXT.... 93s 49.00
NEC APPLIANCE FEES.$ i 4.50
TOTAL FEES
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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENTi_ L' 'C : DAT. 4 _�
.R
FIELD COPY
T 256.90
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH -IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH -IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date _ - By !GJo✓
INSULATION
Date By
GWB - 1 ST LAYER
Date I/- / - j By A47,v
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
aG �[ /��L' �'Z /' �1 "e2'
Date By
BUILDING FINAL
Date — 3 BY Ak/
OTHER
Date By
OTHER
Date By
CDO193
CITY OF FEDERAL WAY
33530 First allay South
Federal Way, WA 9E3003
661-4000
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:33310 1ST AVE S Unit: B100
NO.: 926500-0250
PROJECT DESCRIPTION: 11 - NEN TENANT IMPROVEMENT (OPTICS LAB)
REVISIONS RECD 10/27/93.
CONTRACTOR=-_
ONNER
KENNEDY ASSOCIATES
FLETCHER WRIGHT INC
2400 FINANCIAL CTR BLDG.
P 0 BOX 3764
SEATTLE NA 98161
SEATTLE NA 98124-7654
623-4739
447.7556
101
810?:X MEC?:X PEN?:X
TYPE OF NORK:TEN USE:COM
CE M. CATEGORY.....: 437
OCCUPANCY
B2
TYPE
TYPE Of CONSTRUCTION
:5N .
OCCUPANT LOAD ------------
0: 0: 0: 0:
FUEL TYPES.:
GAS PIPING.: 0 ft
FURNA00K..: 0
GAS NMT....: 0
CONY BURNER: 0
BBQ.......... 0
GAS DRYER..: 0
RANGE....... 0
GAS LOGS...: 0
w
FLR..r �--PROS--
l5`s: f
siw-: 0: 0:
OTi 0
ara
f
--- --
FANS........... 1
HOOD..........: 0
DUCT YORK...... 0
1000 STOVES...: 0
FURNA00K.....: 0
MISC........... 0
AIR HANDLING UNITS
t=10,000 CFN: 0
> 10,000 CEN: 0
01ttL ft UNITS: V
0
WANT . 1
.00 t't
CaITSi.
13
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.: 4
CORP PLAN ......... A P
LENDER
VIDE..........: 20.00 ft NATER SERVICE- 1ED
REAR..........: 20.00:ft SEVER SERVICE..:FED
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y
VOTER CLOSETS......: 3
BATH TUBS..........: 0
SHOVERS ............: 0
LAVATORIES.........: 0
SINKS ............... 3
DISK NASNERS....... : 0
ELEC VTR HEATERS...: 0
LAUN VSHR OUTITS... : 0
URINALS........: I
DRINKING FOUNT.: I
SUMPS..........: 0
VAC BREAKERS...: 0
DRAINS.......... 0
LANK SPRINKLERS: 0
OTHER FIXTURES.: 0
PERMIT NO: BLD93-1094
ISSUED: 10/26/93
BY: FC
EXPIRES: 04/24194
` at
FEES-
IRAN CHECK DEPOSIT.$ 11 76.05
FTKAt PLAN CHECK ... = S 0.00
PICK -f IR coal only$ >T 5.85
'54"=4 SING PERMIT .... 8 1 117.00
Arc SURCHARGE ..... S ; 4.50
PLUMBING FIXT.... 931 ; 49.00
MEC APPLIANCE FEESJ 4.50
TOTAL FEES 1 756.90
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCIE.
I CERTIFY THAT TN' NFO F ISED BY IS TRUE AND CORRECT TO THE BEST Of MY ICNONLEDGE AND THE APPLICABLE CITY OF FERERAI. NAY REQUIREMENTS VILE BE MET.
FIELD COPY Y\nd
C111-ttij of je�[L>r f Pyla
Certif 1 -rate af (0-crupaurij
This Certificale issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance, this structure was in compliance with the various ordinances of the City
regulating building construction or use. For the following:
OCCUPANT LOAD: 70. PERMIT NUMBER: BLD93-1094
TENANT NAME..: DIAMOND POWER
ADDRESS......: 33310.1ST AVE S Unit: B100
GROUP: B2 SQFT: 7000 CONSTRUCTION TYPE: 5N
OWNER NAME...: KENNEDY ASSOCIATES
ADDRESS......: 2400 FINANCIAL CTR BLDG.
SEATTLE WA 98161
a
UI NG OFFICIAL DATE
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience
has shown most severely affect the health and;safety of the general public. Although the City has made as complete a review and inspection as
is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or
to any other person that this Certificate evidences strict compliance with each and every ordinance or• regulation of the City or the state of
Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of
the owner and/or occupant of the premises.
POST IN A CONSPICUOUS PLACE III
rma
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:3331O IST AVE S Unit: B1OO
NO.: 926500-0250
PROJECT DESCRIPTION:TI - MEN TENANT IMPROVEMENT (OPTICS LAB)
REVISIONS REC'D 10/27/93.
ONNER CONTRACTOR
KENNEDY ASSOCIATES FLETCHER NRIGHT INC
2400 FINANCIAL CTR BLDG. P 0 BOX 3764
SEATTLE NA 98161 SEATTLE NA 90124-7654
623-4739
447-7556
FLETCNI977CH
LENDER
PERMIT NO: BLD93-1094
ISSUED: 10/26/93
BY: FC
EXPIRES: 04/24/94
** REVISED PERMIT **
BLD?:X MEC?:X PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :IP
FEES:
TYPE OF WORK:TEN USE:COM
1ST.: 0: 7000:sf
STORIES........: 0
REQUIRED PARKING..: 24
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.*
S
76.05
CENSUS CATEGORY ..... :437
2ND.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
FINAL PLAN CHECK...*
f
0.00
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLON....:
0 gpI
PLCK-FIR conal only*
$
5.85
:B2 : : :
OTHR: 0:
O:Sf
EXIST..=: 1222200
FRONT.........:
50.00 ft
BUILDING PERMIT....*
i
117.00
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP ... $: 10000
SIDE..........:
20.00 ft
NATER SERVICE..:FED
SBCC SURCHARGE....._
$
4.50
:5N :
DECK: 0:
O:sf
REAR..........:
20.00:ft
SEVER SERVICE..:FED
PLUMBING FIXT.... 93*
$
49.00
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:10113/93
NEC APPLIANCE FEES.*
$
4.50
0: 0: 0: 0:
TOIL: 0: 7000:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:Y
TOTAL FEES
f
256.90
FUEL TYPES.: FANS..........: 1 BOILERS/COMPRESSORS
WATER CLOSETS......: 3 URINALS........: i
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........: 0
DRINKING FOUNT.:
1
FURN<100K..: 0
DUCT NORK.....:
0
3-15 HP.....: 0
SHOWERS ............: 0
SUMPS..........:
0
GAS HNT....: 0
HOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........: 0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
SINKS ..............: 3
DRAINS.........:
0
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
DISH WASHERS.......: 0
LANK SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC NTR HEATERS...: 0
OTHER FIXTURES.:
0
RANGE......: 0
<:10,000 CFM:
0
ABOVE GROUND: 0
LAUN NSHR OUTLTS...: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
PERMITS EXPIRE 180 D FTER ISSUANCE IF NO NORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT TH INFORM ON F ISED BY M I5 TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAT REQUIREMENTS WILL BE MET.
OWNER OR AGENT --- ------ ------ ----- ------------------------------------- DATE L
--- -- �J
FILE COPY
CITY WAY
RAL
335300FirsttEWay South BUILDING P
Federal Way, WA 98003 Building Inspection Requests 661-4140
661-4000
ADDRESS:33310 1ST AVE S Unit: B100
NO.: 926500-0250
PROJECT DESCRIPTION:TI - MEN TENANT IMPROVEMENT (OPTICS LAB)
REVISIONS RECD 10/27/93.
OWNER CONTRACTOR
KENNEDY ASSOCIATES FLETCHER WRIGHT INC
2400 FINANCIAL CTR BLDG. P 0 BOX 3764
SEATTLE NA 98161 SEATTLE NA 9B124-7654
623-4739
447-7556
FLETCNIQ77CH
LENDER
PERMIT NO: BLD93-1094
ISSUED: 10/26/93
BY: FC
EXPIRES: 04/24/94
* =RE 1l2'SED PERMIT *3''
BLD?:X MEC?:X PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :IP
FEES:
TYPE OF NORK:TEN USE:COM
1ST.: 0: 7000:sf
STORIES........: 0
REQUIRED PARKING..: 24
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.$
S
76.05
CENSUS CATEGORY ..... :437
2ND.: 0: O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
FINAL PLAN CHECK ... =
$
0.00
OCCUPANCY GROUP----------
3RD.: 0: O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpi
PLCK-FIR comel only$
$
5.65
:B2 :
OTHR: 0: O:sf
EXIST..=: 1222200
FRONT.........:
50.00 ft
BUILDING PERMIT .... $
3
117.00
TYPE OF CONSTRUCTION-----
BSMT: 0: O:sf
PROP ...=: 10000
SIDE..........:
20.00 ft
WATER SERVICE..:FED
SBCC SURCHARGE ..... $
$
4.50
:5N : :
DECK: 0: 0:sf
REAR..........:
20.00:ft
SEWER SERVICE..:FED
PLUMBING FIXT.... 931
S
49.00
OCCUPANT LOAD------------
GAR.: 0: O:sf
RECEIVED.:10/13/93
NEC APPLIANCE FEES.*
S
4.50
0: 0: 0: 0:
TOIL: 0: 1000:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:Y
TOTAL FEES
$
256.90
FUEL TYPES.: FANS..........: 1 BOILERS/COMPRESSORS
WATER CLOSETS......: 3 URINALS........: I
;AS PIPING.: 0 ft
HOOD..........: 0
0-3 HP......: 0
BATH TUBS..........: 0
DRINKING FOUNT.:
1
FURN<100K..: 0
DUCT WORK.....: 0
3-15 HP...... 0
SHOWERS ............: 0
SUMPS..........:
0
GAS HNT....: 0
WOOD STOVES...: 0
15-30 HP....: 0
LAVATORIES.........: 0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K.....: 0
30-50 HP....: 0
SINKS ..............: 3
DRAINS.........:
0
BBQ........: 0
MISC..........: 0
5+ HP.......: 0
DISH MASHERS.......:
0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC NTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE......: 0
<:10,000 CFM: 0
ABOVE GROUND: 0
LAUN NSHR OUTLTS...:
0
GAS LOGS...: 0
> 10,000 CFM: 0
UNDERGROUND.: 0
PERMITS EXPIRE 180 D FTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT TH INFORM ON FU, SED'BY M IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS NILL BE MET.
OWNER OR AGENT --- ------ =-------- ----- --`--------------------------------- DATE
FILE COPY
C"cr City of Federal Way
v EIVEIAPPLICATION UILDING PERMIT
OCT 13
199
PLEASE PRINT CITY OF FEDER
S
F—
a vvi iia Trnni it- & /7 ai
ITE LOCATION Address bV
Tenant (if known) v ' �O ! n Lot # Assess 's Tax #
Building Owner Name f I Address
������r
City?�
-'' / 1 State Zip J I Phone
Nature of Work 1 I �� �V +� 000 ,01 1
r / -C
G
APPLICANT
Name (F,M,L)
Address " L�01\1
V L.
City 0 (/ State Zip V
Contact Pero 1 Day Phone i Other Phone Fax
BUILDLNG CONTRACTOR'
Company Name L �}
Address
City
State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
G
APPLICANT
Name (F,M,L)
Address " L�01\1
V L.
City 0 (/ State Zip V
Contact Pero 1 Day Phone i Other Phone Fax
BUILDLNG CONTRACTOR'
Company Name L �}
Address
City
State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
BUILDLNG CONTRACTOR'
Company Name L �}
Address
City
State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
ARCHITECT
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
RUCTURE
Address
Existing Use
City
Proposed Use
Zip
Phone
Permit includes:
License #
❑ Building
❑ Plumbing
❑ Mechanical
❑
Other
Type of Work: ❑
❑
Residential
Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units
❑ Shed
❑
❑
Deck
Other
Enter 1st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
3-15 Tons
sq ft
sq ft
Water Availability ❑
Sewer Availability
❑ On -Site Septic System Availability ❑
Project ValuationS
�y
l.�1R '
Zoning
Lot Size
Existing Bldg Valuation
$
LENDER `
Name
Address
City
City
State
Zip
MECHANICALCONTRACTOR
Contractor Name
z
z
Address
City
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
PLUNIBING FIXTURE COUNT
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains Total Fixture Count
AIEC IANICAL 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 <1OOK BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
Total Unit Count
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 (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. I A
Owner/Agent: _ - D