98-102790QITY OF 'FEDERAL WAY
33530 First. Way c;outh
Federal Way, WA 9LI003
.253-661-4000
WILDING PERMIT
building Inspection ReqUests 253-661-4140
ADDRESS:30333 PACIFIC IqWY
NO.: 042104-9040
PROJECT DEc-'CRIPTION: ll - CONSTRUCTION Of INTERIOR WALL, PARTITIONING OFF DIMING ROOM
OWNERMA..0 .... .... =1 .......5CONTRACTOR ........................ ......
BOX SCAT, INC.
30333 PACIFIC HWY S /V)- V"v
'_FEDERAL WAY WA 18003
5511
CONIkAClOkS, PLLA(A, USL LOCATOR CODL 1112 VIILN RMPI ING SALES TAX is
BLD?:X HE(?: PLN?: FIR--EXIST-.-?ROP--- llwtt t INC �jpl 1� f
TYPE Of WORK:TEN USE:COM IST... �7:,98:ct jopus 0 will!
CENSUS' CATEGORY.....:437 211D.: 0: O:sf 0 UU
OCCUPANCY GROUP---------- IRD.: 111 9:5l VAL101010 i
6\.
Add
? R - 10� 7,9 D
PERMIT NO: ULD98-0502
BY:
- I
e c?
CITY Of f LDtRAL 1my.
-,PRINKLERS ....... :?
IRE
:? :? :? :? 0 T R 0: 0:!-,
j. uu
g
TYPE Of CONSTRUCTION-- 0 0: Oaf f I R9, 00, v
....... 0.00 f t WATER "LAK
? '--
OR........... 0.00:ft t(WIR SERVICL-AAK
i '-
A
OCCUPANT LOADTYE,
0: 0: 0: 0: 1 101 1"PERV SURFACE: 0 sf SENSITIVE AREAS?.:?
TAX RATE: 8.6% ***
FEES:
PLAN CHECK FEE 14.30
PLCK-FIR comml only* 1.10
BUILDING PERMIT....* 22.00
M#ARGE ..... 4.50
TYPES.:? ? 1A4,'........ ESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES
PIPING.: 0 ft HOOD........ 1—.: 0 BATH TUBS........... 0 DRINKING FOUNT,: 0
FURM<100K..: 0 DOC TON..... 0 SHOWERS ............ 0 SUMPS........... 0
GAS MT.—: 0 woo S 15-30 TON...: 0 LAVATORIES .......... 0 VA( BREAKERS...: 0
CORV BURNER: 0 ALIJ!rw/ 30-50 TOM—: 0 SINKS .............. 0 DRAINS.......... 0
BBQ......... 0 50+ TON...... 0 DISH WASHERS........ 0 LAWN SPRINKLERS: 0
GAS A AN Ts FUEL TANKS----- --- [LEC WTR HEATERS—: 0 OTHER FIXTURES.: 0
C..
M: 0 ABOVE GROUND: 0 LAUN WSHR OUTLIS ... : 0
GAS LOGS. 0 CF": 0 UNDERGROUND.: 0
PERNIT 1 190 1 E IF NO WORK IS SIARTED. RISID[NIIAL AND GRADING PLRNIIS EXPIRE ONL YEAR AFILR Kill Of ISSUANCE.
1 CERTI FWNISNLD 9Y Ht IS IROU AND CORRECT To INE 8[ST Of NY XMILIKE ANY (Of APPLICASLE CITY Of FEKIK NAY REQUIRININTS HILL It NET.
DATE
OWNER OR 14 1
_7
FIELD COPY
$ 41.90
P v vs. X
BUILDING DIVISION
MY OF G 33530 Fust Way South
4Y EO I\/ED Federal Way, WA 98003
uV Fry (253) 6614000
JUL 2 4 1998
Fax (253) 6614129
CITY OF FEDERAL WAV
BUILrAPPLICATION FOR BUILDING PERMIT
PLEASE PR/NT
APPLICATION # r) Lj, f 6
D
Address 3 A —
f:::::::><:::::::>::::>:<:::> ::::::::....::..........1 3 33 c� l-�r' t��J Q !
Tenant (if
�.' Building C
X
Cit, f��
J
11
t-40` VL
nrk l" D N T---1
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
S'- " 0011
State A-%"
I C -L_ W til
Lot #
�Adadr. 2 l
'moo 1' W( O-3'
r E
ssor's Tax #
S— V
Phone
-$1, lG
Name (F,M,L) WooI
\��
Address �
��• 1 . ` ` �
V� �1
Cit t
/1
State S
Zi
Contact Person
S�
=
Day Phone
�3 Z
Other Pho I-
IzX-? 31j3j1
Fax
...........................................................................................
............................................................................................
...........................................................................................
U* It pit«>` <>>>>>
.....................................................................................
Company Name 0 t4
Address "
Add; ess
30
Zi
Cit L ti
State W
zip O
Contact Person
no K
Ph i1n
3s 311c
Fax
Contractor's # (card must be presented)
Expiration Date
Verified ❑ Yes ❑ No
............................................................................................
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
IT
Name
Address "
City State
Zi
Contact Person `� Phone
Fax
LEGAL DESCRIPTION ^ �T� CT1 0 . n1 � I � ' ` lO � � a -C
I t/ ,N IV W `
i u I n L x I 6 " ae. K) ti's we -,5 t\') 19, SITP 0a 0
dr�fl 0 l� b�OL, Oct- ek rz- T� �A �- Cl��e`7C)0 . CotQSTRrJLrjc)0,
oo
Please Complete Reverse Side
3
I
rl
A
Name
Address
State I Zi
Contractor Name
Address
Ex i se
to U
State
Proposed ed Use n,r�
Contact
Phone
Permit includes:
License #
'M Building
❑ Plumbing
❑ Mechanical
❑
Other
Furn <100K BTUsr
Type of Work:
❑ Residential
ommercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑
❑
Deck
Other
Fuel Tanks
Enter 1 st Floor
Area Basement
q ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Duct Work
Water Availability
Sewer Availabilit
d. On -Site Septic System Availability ❑
Project Valuation
I $
0 l
Total lUnit Count
Zoning
I Lot Size
'0 C1 Z_
Existing Bldg Valuation
s
qS O 0
Name
Address
State I Zi
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes , ❑ No
P.U �:y:�iyt»K em>«>t :>
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
---fW.shing Machine
Drains Total':FixtuPa:Gount
..........
LA.IL.T,...:,.::.;,:;;;.;:;.;:;;..;
MECHANICAL EVALUATION ONLY S
Fuel Type (electric/othe
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 BTUsr
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
BBZs
Wood Stoves
3-15 Tons
Total lUnit 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
attomeys' 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 ofthis application.
�( Owner/Agent: 4'" / Date: �7 /
6wLDI—Aw
ftvam 6/26/97
CITY OF FEDERAL WAY
i
N � � �.0
�,. ) 19;;».,. � w��
I..,,,, 04 �,.;, 1 I
PERMIT NO:
BLD98-0502
08/17/98
33530 F rs t Way South
.I��� ..aA,. .,�,,,� ..,�„� li il" Ii�"'�� .„u..
ISSUED:
HEIGHT.....:
Federal Way, WA 98003
Building Inspection Requests 253--661--4140
BY:
FC2
253-661-4000
0 ft
EXPIRES:
02/13/99
ADDRESS:30333 PACIFIC HWY S
NO.: 042104..-9040
PROJECT DESCRIPTION:TI - CONSTRUCTION OF INTERIOR WALL, PARTITIONING OFF DINING ROOM
r= OWNER =__________________________________________________;= CONTRACTOR
BOX SEAT, INC. I -�Kf#tY+4taKN �j-
30333 PACIFIC HWY S ��✓/Vi.L�1// Qn�;
FEDERAL WAY WA 98003
253-931-5511
LENDER
t
i
f
US CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.6; t;s
BLD?:X MEC?: PLM?:
TYPE OF WORK:TEN USE:COM
CENSUS CATEGORY ..... :437
OCCUPANCY GROUP ----------
:?
TYPE OF CONSTRUCTION -----
:?
OCCUPANT LOAD ------------
0: 0: 0: 0:
FLR--EXIST--PROP--- DWELLING UNITS: 0
1ST.:
0:
7298:sf
STORIES........: 0
2ND.:
0:
O:sf
HEIGHT.....:
0.00 ft
3RD.:
0:
O:sf
VALUATION----------
0 ft
OTHR:
0:
O:sf
EXIST..$:
0
BSMT:
0:
O:sf
PROP ... $:
500
DECK:
0:
O:sf
0 SUMPS..........:
0
GAR.:
0:
O:sf
RECEIVED.:07/24/98
0
TOTL:
0:
7298:sf
0
COMP PLAN ......... :COME
REQUIRED PARKING..: 0 SPRINKLERS?......:?
HAZARD CLASS...:?
REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm
FRONT.........: 0.00 ft
SIDE..........: 0.00 ft WATER SERVICE..:LAK
REAR..........: O.00:ft SEWER SERVICE..:LAK
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FEES:
PLAN CHECK FEE
PLCK-FIR comml only*
BUILDING PERMIT....*
SBCC SURCHARGE.....*
___________
FUEL TYPES.:?
?
FANS..........:
0
BOILERS/COMPRESSORS
WATER CLOSETS......:
0 URINALS........:
0
TOTAL FEES
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 TON.....: 0
BATH TUBS..........:
0 DRINKING FOUNT.:
0
FURN<IOOK..:
0
DUCT WORK.....:
0
3-15 TON....: 0
SHOWERS ............:
0 SUMPS..........:
0
GAS HWT.... :
0
WOOD STOVES...:
0
15-30 TON...: 0
LAVATORIES.........:
0 VAC BREAKERS...:
0
CONV BURNER:
0
FURN>100K.....:
0
30-50 TON...: 0
SINKS ..............:
0 DRAINS.........:
0
BBQ........:
0
MISC..........:
0
50+ TON.....: 0 ,
DISH WASHERS.......:
0 LAWN SPRINKLERS:
0
E
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
0 OTHER FIXTURES.:
0
i
RANGE......:
0
<:10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...:
0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.: 0
-----------------------
_____________________________________=====z------
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 INFORMA ION FURNISHEI�Y 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
-/,? ,
FILE COPY
$ 14.30
$ 1.10
$ 22.00
$ 4.50
$ 41.90
0 •
CUT OF BUILDINGDngsioN
• ESE_ 33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
Affidavit in Lieu of General Contractor Registration
State of Washington
County of King
state as follows:
1. I have made application for a building permit from the City of Federal Way, Washington.
2. I understand that state law requires that all building construction contractors be registered
with the State of Washington. The exceptions to this requirement are stated under Section
18.27.090 of the Revised Code of Washington (RCW), a copy of which is printed on the
reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work which is to be done by any
contractor, the City of Federal Way must verify either that the contractor is registered by the
State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Federal Way of my compliance with this
requirement, I hereby attest that after reading the exemptions from the registration
requirement of RCW 18.27.070, I consider the work authorized under this building permit to
be exempt under No. , and will therefore not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in
any decision to engage an unregistered contractor to perform construction work. J,
APPLICANT
Signed and s
w
op to before me this
Sloe-ofSloe-of Washington, residing at
County.
NI-y"C'ommission expires: ,Z�
Revised Code Of Washington
18.27.090 Exemptions. This chapter shall not apply to:
1) An authorized representative of the United States
government, the state of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2) Officers of a court when they are acting within
the scope of their office;
3) Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4) Any construction, repair, or operation incidental
to the discovering or producing of petroleum or gas, or
the drilling, testing, abandoning, ro other operation of
any petroleum or gas well or any surface or
underground mine or mineral deposit when performed
by an owner or lessee;
5) The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a permanent
fixed part of a structure;
6) Any construction, alteration, improvement, or
repair of personal property, except this chapter, shall
apply to all mobile/manufactured housing. A mobile/
manufactured home may be installed, set up, or
repaired by the registered or legal owner, by a
contractor licensed under this chapter, or by a mobile/
manufactured home retail dealer or manufactured
licensed under chapter 45.70 RCW;
7) Any construction, alteration, improvement, or
repair carried on within the limits and boundaries of
any site or reservation under the legal jurisdiction of the
federal government;
8) Any person who only furnished materials,
supplies, or equipment without fabricating them into or
consuming them in the performance of, the work of the
contractor;
9) Any work or operation on one undertaking or
project by one or more contracts, the aggregate contract
price of which for labor and materials, and all other
items, is less than $500, such work or operations being
considered as a casual, minor, or inconsequential
nature. The exemption prescribed in this subsection
does not apply in any instance wherein the work or
construction is only a part of a larger or major
operation, whether undertaken by the same or a
AMDvr.FR.m
REVISED 7/4/98
different contractor, or in which a division of the
operation is made into contracts of amounts less than
$500 for the purpose of evasion of this chapter or
otherwise. The exemption prescribed in this subsection
does not apply to a person who advertises or puts out
any sign or card or other device which might indicate to
the public that he is a contractor, or that he is qualified
to engage in the business or contractor,
10) Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts or
reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or poultry
raising; or to clearing or other work upon land in rural
districts for fire prevention purposes; except when any
of the above work is performed by a registered
contractor;
11) An owner who contracts for a project with a
registered contractor;
12) Any person working on his own property,
whether occupied by him or not, and any person
working on his residence, whether owned by him or
not, but this exemption shall not apply to any person
otherwise covered by this chapter who constructs an
improvement on his own property with the intention
and for the purpose of selling the improved property;
13) Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
14) A licensed architect or civil or professional
engineer acting solely in his professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of
the state of Washington while operating within the
boundaries of such political subdivision. The
exemption provided in this subsection is applicable
only when the licensee is operating within the scope of
his license;
15) Any person who engages in the activities herein
regulated as an employee of a registered v ontrac�or
with wages as his sole compensation;
16) Contractors on highway projects who have b�eea
prequalified as required by chapter 13 of the Laws of
1961, RCW 47.28.070 with the department of
transportation to perform highway construction,
reconstruction, or maintenance work.
0
CRY OF
V V r7 7�r
•
BUILDING DWISION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
Affidavit in Lieu of General Contractor Registration
State of Washington
County of King
REC171VED
JUL 2 4 1999
CITY OF FEUERAL WAY
I, 1�/D� K, l� ► , state as follows: BUILDING DEPT.
1. I have made application for a building permit from the City of Federal Way, Washington.
2. I understand that state law requires that all building construction contractors be registered
with the State of Washington. The exceptions to this requirement are stated under Section
18.27.090 of the Revised Code of Washington (RCW), a copy of which is printed on the
reverse side of this affidavit.
3. I understand that prior to issuance of a building permit for work which is to be done by any
contractor, the City of Federal Way must verify either that the contractor is registered by the
State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies.
4. In order to provide verification to the City of Federal Way of my compliance with this
requirement, I hereby attest that after reading the exemptions from the registration
requirement of RCW 18.27.070, I consider the work authorized under this building permit to
be exempt under No. ' 17, , and will therefore not be performed by a registered contractor.
I understand that I may be waiving certain rights that I might otherwise have under state law in
any decision to engage an unregistered contractor to perform construction work.
.--7
2
APPLICANT
Signed and sworn to before me this
Day of :�2 _, 19�
NOTARY PUBLIC in and for the
State of Washington, residing at
)'I) itj n County.
My Commission expires: 4
0 r
Revised Code Of Washington
18.27.090 Exemptions. This chapter shall not apply to:
1) An authorized representative of the United States
government, the state of Washington, or any
incorporated city, town, county, township, irrigation
district, reclamation district, or other municipal or
political corporation or subdivision of this state;
2) Officers of a court when they are acting within
the scope of their office;
3) Public utilities operating under the regulations of
the utilities and transportation commission in
construction, maintenance, or development work
incidental to their own business;
4) Any construction, repair, or operation incidental
to the discovering or producing of petroleum or gas, or
the drilling, testing, abandoning, ro other operation of
any petroleum or gas well or any surface or
underground mine or mineral deposit when performed
by an owner or lessee;
5) The sale or installation of any finished products,
materials, or articles of merchandise which are not
actually fabricated into and do not become a permanent
fixed part of a structure;
6) Any construction, alteration, improvement, or
repair of personal property, except this chapter, shall
apply to all mobile/manufactured housing. A mobile/
manufactured home may be installed, set up, or
repaired by the registered or legal owner, by a
contractor licensed under this chapter, or by a mobile/
manufactured home retail dealer or manufactured
licensed under chapter 45.70 RCW;
7) Any construction, alteration, improvement, or
repair carried on within the limits and boundaries of
any site or reservation under the legal jurisdiction of the
federal government;
8) Any person who only furnished materials,
supplies, or equipment without fabricating them into or
consuming them in the performance of, the work of the
contractor;
9) Any work or operation on one undertaking or
project by one or more contracts, the aggregate contract
price of which for labor and materials, and all other
items, is less than $500, such work or operations being
considered as a casual, minor, or inconsequential
nature. The exemption prescribed in this subsection
does not apply in any instance wherein the work or
construction is only a part of a larger or major
operation, whether undertaken by the same or a
AFFIDvr.FRM
REVISED 2/4/98
different contractor, or in which a division of the
operation is made into contracts of amounts less than
$500 for the purpose of evasion of this chapter or
otherwise. The exemption prescribed in this subsection
does not apply to a person who advertises or puts out
any sign or card or other device which might indicate to
the public that he is a contractor, or that he is qualified
to engage in the business or contractor;
10) Any construction or operation incidental to the
construction and repair of irrigation and drainage
ditches of regularly constituted irrigation districts or
reclamation districts; or to farming, dairying,
agriculture, viticulture, horticulture, or stock or poultry
raising; or to clearing or other work upon land in rural
districts for fire prevention purposes, except when any
of the above work is performed by a registered
contractor;
11) An owner who contracts for a project with a
registered contractor;
12) Any person working on his own property,
whether occupied by him or not, and any person
working on his residence, whether owned by him or
not, but this exemption shall not apply to any person
otherwise covered by this chapter who constructs an
improvement on his own property with the intention
and for the purpose of selling the improved property;
13) Owners of commercial properties who use their
own employees to do maintenance, repair, and
alteration work in or upon their own properties;
14) A licensed architect or civil or professional
engineer acting solely in his professional capacity, an
electrician licensed under the laws of the state of
Washington, or a plumber licensed under the laws of
the state of Washington while operating within the
boundaries of such political subdivision. The
exemption provided in this subsection is applicable
only when the licensee is operating within the scope of
his license;
15) Any person who engages in the activities herein
regulated as an employee of a registered contractor
wi&, wages as his sole compensation;
16) Contractors on highway projects who have been
prequalified as required by chapter 13 of the Laws of
1961, RCW 47.28.070 with the department of
transportction to perform highway construction,
reconstruction, or maintenance work.