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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.