95-102368 CITY OF FEDERAL WAY PERMIT NO: BLD95-0750
33530 First Way South I;;;�11,,,.�� .,,�.,. ... .,� ;�b.,,I "^ »�:k 11:;;,;,.�' ,, I 1(411 .' . ..i ISSUED: 10/03/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/31/96
ADDRESS:33301 9TH AVE S Unit: 200
NO. : 926501-0130
PROJECT DESCRIPTION:TI - INTERIOR REMODEL - EXTENDING EXISTING OFFICE SPACE.
OWNER
4=113 =__---- -
CONTRACTOR _ T_ LENDER ----- - q
UNITIED PHYSICIANS SUPERIOR BUILDERS INC
3301 9TH AVENUE S #200 ( 34310 - 9TH AVE S #108
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
248-7300874-3647
_WSUPERBI112D2
;_ ._
___ _ ___ -- -- -- -----------
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% ***
BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •I/OP ( FEES: +
{ TYPE OF WORK:TEN USE:COM 1ST.: 0: 3882:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' •' ( PLAN CHECK FEE $ 184.93
( CENSUS CATEGORY •437 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 284.50
( OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm SBCC SURCHARGE * $ 4.50
( :B :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 0.00 ft PLUMBING FIXT....93* $ 21.00
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 30000 SIDE • 0.00 ft WATER SERVICE..:?
( :3-1HR:? :? :? DECK: 0: O:sf REAR • O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD
D GAR.: 0: O:sf RECEIVED.:09/13/95
39: 0: 0: 0: TOTL: 0: 3882:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
__..
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 494.93
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 1 OTHER FIXTURES.: 0 1 I
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 t LAUN WSHR OUTLTS...: 0
I GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 I
.--. .. __._ _ . ___ _ 1 - ____ _
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 INFORMAT N FURNISHED 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 _.....___. f'�� ___ _,u, ..Cpp_y DATE (0 - 3 °15)
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SETBACKS & FOOTINGS
Date By
' FOUNDATION WALLS
Date By
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 By
INSULATION
Date By
GWB 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
.......................
FIRE FINAL
Date By
rimmummium
BUILDING FINAL 22312 li44il1 m-xJ,045 �1 �3�iUZT�
Date / ► - By y4''// Ari,--p n Iy errk p 3,
G U
OTHER # ( e'L1/4
sti ,�.�-c,�
Date t 5 By "71?/-
OTHER
Date By
CD01 93
0
• Cityof Federal Way• i
c-rEoEiliAECENED
APPLICATION FOR BUILDING PERMIT
SEP 1x, 1995
PLEASE PRINT G t BOL F0 NG D P7 44. AY
APPLICATION #: ,-I)qs " 0 '13( )
SITE LOCATION Address /
Tenap f. ho J ( f(2
n Lot # I Assessor's Tax #
i I,Building Ownerm_ 7( M f_ _ a/y^��/' Address j
eid
4,
City = State U Zip Phone
Nature of Work ifiC
f/ Jj 12CeiW JI Of fAr711 ixtrC'
APPLICANT
Name (F,M,L) ��'
1C6tif /0(rta)(2 / Y.
Address
City ,ee iiii-eirtvw - - ' ,'7,
ryjit' 7 State 4417A-
Zip ��fContact Person Day Phone Otherone Fax 7
61
BUILDING CONTRACTOR w 15
Company Name
J..(pai 01( eidr5
Address
City State Zip
Contact Pe 5.Kri 'l S k w ` Phur ui_ (..0 Fax
Contractor's # (card must be presented)) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name �Vffb
j n i
Address L/
V201 Vff2tj
At'
,73°-0,47
City d -r t ft C! State IAA_ Zip 61C 1
Contact Person--ii,
: n _f_ -1 , 0 (tack Phone Fax ' j
LEGAL DESCRIPTION • I 1.9_1-,1 i 1v9 J10
z � ���M ` � �� ki/ f-
_
/ (l r,CI�J�J COMP!)
Please Complete Reverse Side
CD0492(Rev 4/93(
STRUCTURE E. UseCfficc- sed Use
( Permit includes: CX Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition Garage ❑ Shed ❑ Other
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 `7., - sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation$ . '`
Lot Size
Zoning ) 5 I . / Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes Cl No
PLUMBING FIXTURE COUNT INUJ-
Water
iWater Closets Sinks /Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
i.iiiiLavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT LU�►1UI 5 -pat,bt- ; nal--
Fuel Type (electric/other) Gas Dryer � Air Han ing < = 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
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 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 cla m,arises out of - retia e f 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: ifit //� Date: 451/4 ��-
1'
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