91-101665CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
C-11 1 -- I C I (:� (f' S
BUILDING INSPECTION
661-4140
91-1621 CA PACIFIC AERO SUPPORT INC 840 S 333RD STREET
PERMIT NO. OWNER'S NAME SITE ADDRESS
ICSI P O BOX 1607 GIG HARBOR, WA 858-3669
CONTRACTOR ADDRESS CONT. PHONE
ICSI11OKK 5/92 661-9600 NAM YOUNG CHUNG/HONOLULY, HAWAII
CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS
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
926500-0150-09 LOT 15-16, CODE 1205, W.CAMPUS OFFICE PARK DIV I, LOT 1
TAX ACCOUNT NO. LEGAL DESCRIPTION
TGW PORT OF LOT 16 LY ELY OF A IN DAF BAAP S 52-58-44 W 70 FT FRNW COR SD LOT 15 TPOB_ OF SN IN
TN S 37-01-16 E 82.7 FT.
ISSUED BY JOANNE JOHNSON DATE OF ISSUE/DATE OF APPLICATION 11-15-91
BUILDING INFORMATION
OP 20 5 30
5___
ZONE SET BACKS: FRONT SIDE REAR_HEIGHT LIMIT
B2 VN
OCCUPANCY 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
10,000
VALUATION
PLANNING DEPT APPROVAL: LS 11-19-91
FIRE/BUILDING DEPT APPROVAL: KC 11-20-91
PERMIT FEE 117.0
PLAN CHECK FEE 76.00
UMBING FEE
ECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE 4-5(
9-8!
FIRE FEE
DATE:
$203.25
OTHER FEES
AMOUNT:
AMOUNT DUE 203-
RECEIPT: q j; C 73
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 TRUED CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. 7D
/
OWNER OR AGENT DATE
� � V
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDINGPERMIT BUILDING INSPECTION661-4140
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.
NEW PUBLIC _ PUBLICADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
NE
SET BACKS: FRONT SIDE REAR
HEIGHT LIMIT
CCUPANCY
0
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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
RT P/C FEE
.PA 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 - _ _ _ BY
PLUMBING ROUGH IN
DATE,_____ BY _ ..---...-
WATERLINE O.K.
GAS PIPING O.K......._.- ... .... ..-_..... ... _
MECHANICAL INSPECTION
DATE _- _BY
O.K. TO ENCLOSE FRAMING
DATE __- __-_BY_-,-
INSULATION
DATE -...._. .....--...._
WALL BOARD AND FIRE WALL
_
DATE --- Y
FINAL O.K. TO OICCUPY
�7
DATE '- � BY
DCD
PSD
FD
0 0
FIE -CF -WED
Nov 15 AN
C+ � m Y
Perm# 9/—/b D_/ CD„¢
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: �%�(' �l �;'l �`,��` r��1�.
OWNER Rr`e_' G41UrVC3 E7 A-(-- SITE LOCATION F;40 • 5'53^W, 4 : ,
OWNER'S ADDRESS L--L-"-LA- . NR W�11 ' CITY F615 G(. Whj PHONE (.cam x(('000
DESCRIBE JOB '"%I,l AL1,L-r iX&P' F"z,4 �/1AZ. l'r
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2
CONTRACTOR'S NAME
C 1
CONTRACTOR'S REG. #iCS1 *�& YI 10 YAK
GAS PIPING, FEET -'
$
CONTRACTOR'S ADDRESS
IPC) 600 1(v0_7
Card MT be presented
CITY 611 C --a qA4 9L, PHONE '36cd.
"-' SHOWERS
EXPIRATION DATE
S- S- A -z-
"— LAVATORIES
'^ CONVERSION BURNER
$
SINKS
- OR -
$
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
AIR HANDLING UNITS
CHAPTER 18.27.110 WHICH
PROHIBITS ISSUING PERMITS
WITHOUT PROOF OF REGISTRATION.
BOX 3
CONTACT PERSON
Tl tA R&P.:I GA U
PHONE27�i e G I
BOX 4
SEWER DISTRICT
L. `4
WATER DISTRICT
BOX 5
ESTIMATED PROJECT COST
1 O� 000 --F.--
EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 9 Z& 5C)0 - 0 ) tC -_ dq
LEGAL DESCRIPTION LuT t5 -r Co cczDF IZc�, W, CArrpus o01Le PRp.K'b%Y I, L
LoT 1La �_j ELj of R L.ti ISAF- 6kPP'& 5 52-59-9� W 'Io FT f^
(If necessary, please submit a separate page with the legal description.) i TPoB OF Sb Lu
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE:xistind xe{�esedj
3RD FLOOR / ENT W R
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = )
( ) COMMERCIAL/INDUSTRIAL
R S 7'GW Port of
W co 12 S D Lor- 15
A S 37— of -1L E $L:
1ST FLOOR14Ty3 2ND FLOOR /_
_/ DECK / GARAGE 1I /_
( ) NEW CONSTRUCTION
EXISTING STRUCTURE
OTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES -
BASIC FEE $
NO. '"- WATERCLOSETS
GAS PIPING, FEET -'
$
�— BATHTUBS
N0. - FURNACE, ELEC. "'"'` GAS
'-' $
"-' SHOWERS
-' GAS HOT WATER HEATER
$
"— LAVATORIES
'^ CONVERSION BURNER
$
SINKS
�' BOILER, SIZE — BTU
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
""' HEAT PUMPS, SIZE "'
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
"' AIR COOLING UNITS, SIZE "-
$
DRINKING FOUNTAINS
"-' COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
-' OTHER -"
$
DRAINS
$
OTHER
$
-45`- TOTAL FIXTURES
$
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 AN LOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER rNT: ���� DATE:
ANP -008 3/90
OFFICE USE ONLY(PLEASE DO NOT WRITE BEL40 11 THIS LINE)
ZONE SETBACKS: FRONT SI REAR S HEIGHT LIMIT'
PLANNING DEPARTMENT APPROVq
REMARKS:
SEPA: EXEMPT / NOT EXEMPT
FIRE DEPARTMENT APPROVAL t DATE9�—
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 B 2- TYPE OF CONSTRUCTION t/Al STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ, FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION Ldle_ &)d 0
BUILDING DEPARTMENT REMARKS:
Nov As 1991
FEGE�� pY
8ij��
RECEIVED
ASSIGNED ADDRESS:
Amount
K
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEESr D r-e-F—
AMOUNT DUE
''// BUILDING DEPARTMENT APPROVAL
BY �C, DATE ) (// ` 2Z—T(
ACCEPTED FOR FILING