93-101404F.
1w T - T T , T
CITY OF FEDERAL WAY
33530 First Way South BUILDING PERMIT
Federal Way. WA 98003 Building Inspection Requests 661-4140
661-4000
3 > _%w r Sa.
ADDRESS 44- Unit: 81 D A
NO.: 926500-0250
PROJECT DESCRIPTION: 11 - ELEVATOR A RfSTROOM UPGRADE
rONNf R CONTRACTOR
CAMPUS SQUARE 80W PACIFIC CONSTRUCTION SYSTEMS,
181 S. 333RD ST 2275 116TH AVE HE SUITE 100
FEDERAII. NAY WA 98003 8FLt[VQf #A 98004
623-9739
q 3 - Itl 40q
PERMIT NO: BLD93-0628
ISSUED: 11/08/94
BY: FC
EXPIPES: 05/07/95
'FIES
xg
8111,40t,1109 A wop PLAN..... .... :IP TEES:
BLD7:X NEC?:X Fto?:X FLR Qw-PROP-
LAN C
C1 F IMAL
aFo 0 f ST PLAN CHECK DEPOSIT.$ 1 185.00
TYPE OF VOPK:TEN USE COM IST '0646EF I
HES t
FINAL PLAN CHECK ... 1 --0.01
f
CENSUS CATEGORY.... d3 '4
R
-H OR
f " I
VA
IR coal only$ 1 14.23
OCCUPANCY
:82 9 WNT ......... 50.00 ft BUILDING, PERMIT....x 284.50
MIDE .......... 20.00 f t NATER SERVICE..:f[D 4.50
TYPE OF CO#STR(KFION----- gf,,FM SOCC SWHARGf.....f
- - - - - - - - - -
PEAR. ...... 20.00:ft SEVER SFRVICE..:fED NEC APPLIANCE FEES.* 1 6.50
:5# 43
OCCUPANT S MFIVCDO OPPLUMBING FIXT....93t i 1%.00
0: 0: A: 0: TO 0- :5f INPERV SURFACE: 0 sf SENSITIVE AREAS?.: Y
FUEL 7TY TYPES.:? 5 ? ? FANS..........: I BOTtERSICONPPESSORS WATER CLOSETS......: 12 URINALS........: 2 TOTAL FEES 1 690.66
G RING__
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..._......: 0 DRINKING FOUNT.: 2
FURN toot .SUMP -15 HP__ 0 S � ... ......
FURN(1001..: 0 DUCT VORE ..... 0 3 SHOVERS ............ 0
GAS HIT....: 0 WOOD ti40VES ... 0 15-30 RP.... 0 LAVATORIES.........: 0 VAC BREAKERS..
CONY BURNER: 0 FURN) I OOK ..... 0 30-50 HP....: 0 SINKS........:......: 10 DRAINS.........: 0
BBQ........: 0 MISC .......... 0 5+ HP.......: 0 DISH MASHERS.......: 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- FLEC NTR HEATERS_: 0 DINER FIXTURES.: 0
RANGE......: 0 <-10,000 CFN: 0 ABOVE QOW-, 0 LAUN NSRWVJTLIS ... : 0
GAS LOGS ... 0 > 10,000 CFN- 0 UNDERGROUND.: 0
. . . . . . . . . . . . . .
PERMITS EXPIRE 180 DAYS, 4U ISSUANCE If NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER TATE OF ISSUANCE,
I CERTIFY THAT THE INFO Im FURNISED RY HE 15 TROF AND CORRECT TO THE BEST OF MY KNONLEDGf AND THE APPLICABLE CITY.Af fFRERM. NAY REQUIREMENTS 0111 BE NET.
rip T
FURM OOPY
SETBACKS & FOOTINGS
vow
Date jh4— IFLI/ By i01-1/
FOUNDATION WALLS
Date //—fid— By /k4/
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 13--6,4vBy ;
INSULATION
Date By
GWB - 1 ST LAYER
Date/—) By�/
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
'
Date i I q� By rl
BUILDING FINAL
Date -/- j 1-7?Al
OTHER
Date By
OTHER
Date By
CDO193
CITY F FEDERAL WAY
0Firstt
BUILDING P
MIT NO:
PERISSUED:
3353OWay South
11/08/9428
Federal Way, WA 98003
Building Inspection Requests 661-4140
BY:
FC
661-4000
105:sf
EXPIRES:
05/07/95
ADDRESS:181 S 333RD ST Unit: BLD A
NO.: 926500-0250
PROJECT DESCRIPTION:TI - ELEVATOR 6 RESTROOM UPGRADE
ONNER CONTRACTOR
CAMPUS SQUARE BLOW PACIFIC CONSTRUCTION SYSTEMS,.
181 S. 333RD ST 2275 116TH AVE HE SUITE 100
` FEDERAL NAY NA 98003 i BELLEVUE NA 98004
623-9739
455-3000
PACIFCS187PK
LENDER
BLD?:X MEC?:X
PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :IP
FEES:
TYPE OF WORK:TEN
USE:COM
1ST.: 0:
105:sf
STORIES........: 2
REQUIRED PARKING..: 63
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.;
$
185.00
CENSUS CATEGORY ..... :437
2ND.: 0:
56:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
FINAL PLAN CHECK...*
$
-0.07
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpo
PLCK-FIR coal only*
$
14.23
:B2 :
OTHR: 0:
O:sf
EXIST..$: 1222200
FRONT.........:
50.00 ft
BUILDING PERMIT....*
$
284.50
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP -3: 30000
SIDE..........:
20.00 ft
WATER SERVICE..:FED
SBCC SURCHARGE ..... #
$
4.50
:5N :
DECK: 0:
O:sf
REAR..........:
20.00:ft
SENER SERVICE..:FED
MEC APPLIANCE FEES.x
$
6.50
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:06/08/93
PLUMBING FIXT.... 93$
$
196.00
0: 0:
0: 0:
TOTL: 0:
161:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:Y
TOTAL FEES
$
690.66
FUEL TYPES.:? ? FANS..........: 1 BOILERS/COMPRESSORS
WATER CLOSETS......: 12 URINALS........: 2
GAS PIPING.: 0
ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........: 0
DRINKING FOUNT.:
2
FURN<100K..: 0
DUCT NORK.....:
0
3-15 HP.....: 0
SHOWERS ............: 0
SUMPS..........:
0
GAS HNT....: 0
NOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........: 0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K.....:
0
30-50 HP....: 0
SINKS ..............:
10
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 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 INFO TION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICfABLE.CITY F FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -- _ -_--------____-- _ DATE
FILE COPY
G IP—
City of Federal Way
`vAPPLICATION FOR BUILDING PERMIT
JON 0S 1993
PLEASE PR/N��CP FEVERALt'
MW MWS
C_ Q/1til PU-S SOUGr�'� APPL/CAT/ON #
� c z - 21 e-le,�
TTE LOCATION Address
Tenant (if known) i Lot # Assessor's Tax #
Building Owner Name Address
City istate ! Zip U, o Phone r
Nature� r'e"d
leis /,A ;
APPLICANT
Name (F,M,L) #
Address
City StateVA
Zip a U
Contact Person � ' � e✓� ! � Day Phone � � � � ir. � Other Phone Fax � 1�
V s`
BUII,DING CONTRACTOR
Company Name
tdy)
Address
City
State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
Name 14?AJ j. n r� j �✓ 1l / _ !
Address 1/e/ �t/ ��i�rv'�,
City%- k State Zip D
Contact Person `I Pho Ij J Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (R- 4!93)
APPLICANT
Name (F,M,L) #
Address
City StateVA
Zip a U
Contact Person � ' � e✓� ! � Day Phone � � � � ir. � Other Phone Fax � 1�
V s`
BUII,DING CONTRACTOR
Company Name
tdy)
Address
City
State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
Name 14?AJ j. n r� j �✓ 1l / _ !
Address 1/e/ �t/ ��i�rv'�,
City%- k State Zip D
Contact Person `I Pho Ij J Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (R- 4!93)
BUII,DING CONTRACTOR
Company Name
tdy)
Address
City
State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
Name 14?AJ j. n r� j �✓ 1l / _ !
Address 1/e/ �t/ ��i�rv'�,
City%- k State Zip D
Contact Person `I Pho Ij J Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (R- 4!93)
Name 14?AJ j. n r� j �✓ 1l / _ !
Address 1/e/ �t/ ��i�rv'�,
City%- k State Zip D
Contact Person `I Pho Ij J Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (R- 4!93)
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (R- 4!93)
STRUCTURE
Address
E g Use
State
osed Use
State Zip
Phone
Fax
Permit includes:
Expiration Date
Building
❑ Plumbing
❑ Mechanical
❑
Other
Total Fixture 'Count
Type of Work:
❑ Residential
❑ New
❑ Remodel
O Number of Units
❑
Deck
Fuel Tanks
[?"Commercial
❑ Addition
❑ Garage
_
❑ Shed
❑
Other
Duct Work
Enter 1st Floor
f Z' sq ft
2nd Floor
sq ft 3rd Floor sq ft
Existing Floor Area
/r
sq ft
Area Basement
sq ft
Decks
sq ft Garage sq ft
Proposed Total Area
^
sq ft
Water Availability
❑ Sewer Availability ❑ On -Site Septic System Availability ❑
Project Valuation
$
yC
Zoning
Lot Size
Existing Bldg Valuation
$
LENDER
Name a /��yi
Address
City
State
City
State Zip
MECHANICAL CONTRACTOR
Contractor Name /
r
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name
YA
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUAM-I NG FIXTURE COUNT
Water ClosetsZZ
Sinks
Urinals
?i Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Range
Lavatories
Washing Machine
Drains,`
Total Fixture 'Count
TfECHANICAL 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
Furn >I 00 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 agreeto save harmless the City of Federal Way as to any claim (including costs, expenses,
and attorneys' fees incurred in investigation and defense of such claiml, 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:
Ll�