99-104005 99-io Y00.5-'
CITY OF FEDERAL WAY PERMIT NO: BLD99-0636
33530 First Way South .,I ... M,...0.. ,. I.... .1).,.1 ''I lei ";,fi r.rt r i ,,I.. ,,r ISSUED: 10/18/99
Federal Way, WA 98003 Building Inspection Reciuests 253 -661-4140 BY: FC
2.53-661-4000 EXPIRES: 04/15/00
ADDRESS : 34223 PACIFIC HWY S
NO . : 202104-.9068
PROJECT DESCRIPTION:TI - TENANT IMPROVEMENTS FOR A HAUNTED HOUSE TEMPORARY USE AND CHANGE OF OCCUPANCY FROM M TO A-4.
- OWNER ---- - -- -----_ =_:= CONTRACTOR -__ -------_._------.____=____- LENDER =_= -- �
HAND UP FOUNDATION OWNER IS CONTRACTOR
22601 - 18TH AVE S 1
DES MOINES WA 98198 1
41,-919-0429I `
N/A
XXX CONTRACTORS, PLEASE USE LOCATION CODE 1732 'WREN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.6% *#x
BLD?:X MEC?: PLM?: FLR -tXIS Pq.J�--- :WELLING UNITS: 0 COMP PLAN •' i FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 5000: ,•c` .: u- t REQUIRED PARKING..: C SPRINKLERS' '? PLAN CHECK FEE $ 63.21
- Eu�i�a.....
CENSUS CATEGORY •437 2ND.: 0: f E' ' " HAZARD CLASS BUILDING PERMIT $ 97.25
OCCUPANCY GROUP 3RD.: 0: .- ALJ-'I0N PC FRED SETBACKS------- FIRE FLOW..-: 0 ynM 1 SBCC SURCHARGE $ 4.50
:A4 :? :? :? GT;r,R: C. =_XI':,-,.$: O ? ?. 0.00 't
TYPE OF CONSTRUCTION
LAT: 3: 0:sr PRC- .$: 4000 SIDE,....,, . ,, 0,00 ft WATER SERVICE..:'.
:5N :? :? :? DECK: 0. 0:sf j REAR • 0.O0:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:12/12/99
I : 0: 0: 0: 0: TOTL: 5000: 0:sf o IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
[ FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS J WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 164.96
AilliPIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
<100K..: 0 DUCT WORK • 0 3-15 TON • 0 i 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
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 TH ANION FURNI , i ' • IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICAB E CITY ;. rEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ro l � /g
FILE COPY
v14 BUILDING DIVISION
Frt_ RESUBMITTED
33530 First Way South
R3 Federal Way,WA 98003
FT (253)661-4000
OCT 1 21999 Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # LL // -46 36
.. .. .. . ...... . ......................_:.:....:.::<_:::
� � S �Aoc J _ Nvayecx
�L��966
Tenant name 10Lot # cAs�vssor's T/cx,#yRiu OP 17-)und A
Building Owner's Name
UIIQ11 r ry Fre r� s Address r Bo/ LI
c d a O �
City Fede L Wlq State49
A Zip son E3 Phone .23-3— )Sri -c;21-0/1
Description of Work 14 U 0
Name (F,M,L)
Addressy9. lQo ) i at no, � I
City I X�j r 1 1 (� I n lE� State 0 Zip 'C-? / ( s-
Contact Perso^� [ Day Phone �3 �y Other Phone Fax [� /�,
IV e-e- 1 r ��? �1 1 — �� ! 50 (Q_Ba _ix, 7
BLIIL.D]NG CONTB?AtTOR _.. ._.....s_ Federal Way Business License #
Company Name r v A
- Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified O Yes ❑ No
;AKCHfTEGT ;':
Name
IU
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please_comp/ete Reverse Side /
• •
pi 4
11$TpuQTIJRl Existing Use s S int re Proposed Use Jint) v - c)
- Permit includes: A Building_ ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: 0 Residential ❑ New ❑ Remodel ❑ # of bedrooms ❑ Deck
kCommercial ❑ Addition ❑ Repair ❑ Garage ❑ Shed
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area /s�ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ [ate err-C.'
Zoning Lot Size Existing Bldg Valuation $ IE'
lid)pr
t NDER'>?,:ig > _ > »> �><'« <«
:..,;;..:. :: . :. ;;;:.>:.;:.; , For new residential only - Proposed selling cost: $
Name
Address
City State Zip
IV ik
�#�A�IIivAL. l�T�+vt'f3R. ..
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes ❑ No
«I
BIMC C
PtUMo.1VTRA`CtCR >> > '> >`>
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
lL,UMHIIiG giiii Ri CQE NT ::. \Ps
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
.................................... ..M:::.............
Lavatories Washing Machine Drains Total Etxftfe Count:
ICAL.CI�IIT.C.O.UNT '� MECHANICAL EVALUATION ONLY $
Fuel Type (gas/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 >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Undersround
BBO'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 anout 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.
v�—�, \‘‘.2_ / i 2- - fYC
Owner/Agent: 4_(\...t ) C))- �� _ Date: ! /
b�nu.u.n.r
IItvSED 5/19199
• •