94-102011 9 ,4-10a0 ) i
CITY 0F FEDERAL WAY Firstt Way South BU PERMIT NO:SSUED: 01 /05/9508
33530
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661 -4000 EXPIRES: 07/04/95
ADDRESS: 33301 9TH AVE S Unit : #200
NO. : 926501 -0130
PROJECT DESCRIPTION:TI - INTERIOR WORK ONLY FOR NEW TENANT SPACE.
MEDICAL INSURANCE OFFICE
= OWNER — CONTRACTOR — LENDER
1L 0 E1 U THEW I CEGNtR 'l fieriIsiV .al5 SUPERIOR BUILDERS INC
12886 INTERURBAN AVE SO. ""i� 34310 - 9TH AVE S t108
SEATTLE WA 98168 FEDERAL WAY WA 98003
248-7300 814-3647
SUPERBI112D2
•
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •I/OP FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: 8225:sf STORIES • 2 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLAN CHECK DEPOSIT.* $ 415.68
CENSUS CATEGORY •437 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS .p FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm PLCK-FIR comml only* $ 31.98
:82 : : OTHR: 0: O:sf EXIST..$: 4251600 FRONT • 0.00 ft BUILDING PERMIT....* $ 639.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 100000 SIDE • 0.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
:3-1HR: : : DECK: 0: O:sf REAR • 0.00:ft SEWER SERVICE..:FED ,
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:10/17/94
83: 0: 0: 0: TOIL: 0: 8225:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 1091.66
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
• CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 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 THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT t'�'�� DATE J/ -95
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SA BY:DEPT. OF 00410iITY DEV; 1-23-94 : 4;85PM ; OF" FEDERAL WAY-4 20:`3 ‘,21t 1494;# 2
RECEIVED
City of Federal Way
oivc, ---
-
(---
APPLICATiON FOR BUILDING PERMITOCT 17 1994
IV OF FEDERAL WAY
BUILDING DEPT.
A,, ,ri)3
PLEASE PRINT Sle•112•00 APPLICATION #:Ft_D9 ,( „y
*A k:110:040.#11211SINVA Addr"a -3 '? I 3>. cl+ AaLsQ.As essor'sTaxii 3
_
[Tenant (if known) 1 L., A ad ._. ..__ ::.:_ 1, Lot a
C-7(0 1011.
r‘
Building Ow Address
" UM __AI A - . --
4 IL.-.4tie-)ek, ,1*.-iteu a*, z.6,AL_
0;/,,, -7-_-_-,_, I___,e_ _ State AhAL_ Zip °ilillf .e —
;a Phone Zel 5 -/%cpc) -
-- - - - --- ---
Nature o Work -re/nay)A_ 4--,i,v-_,AL- a -- - • e : 1 1 0: I-
0.44.04#100M1WW. ',!sk.:4P01:47
Name (F,M,
a tail A O ' • (a a _ . .
Address . ..
itOP A *gem. ' Wan IL AC dip CO
City --C- ±Er ' I State up.... zip-27 -- --
Contact P mon bay Phone i ....1 Other Phone Fax 4.ct
Otittati010.**4,0.,....':!$..gliki5ltitrai. ...
Company Name ,..---..
%--now a+ \ V)i ‘Y-Nr) . ,...., 1
Address
City State Tp__
Contact Person 103•2)-6(q c Phone Fax
0
id(4_, Ltt4CflU.i1j
Contractor's Ot(card must be prose
Mg(r elf EXpiration Date I Verifie71-XYes
1 C/06 Olk
—..... L I
rdtl , el,' OPY4iN:tiMila. ° 4 , &tact c._
4„,,;,......„,.... :.. ,_m ::, 0 ire• c GI
,z ,L (be?'6e4S't-______ __d_i___.____
Name
A30-TC-Fa-\ O ,...._,n, , se,
....._ ...._
Address
City State Zip
. .
----—
Contact Person Phone
.--- -.-- -_
LEGAL PE&CRIPTION on
_
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--- 1 I k_. r ChM
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agjiLS:ptrzAte Revfirso Sidi:
t.A.14.)4*1:1A.A:4
SENTAY DEPT,., Or COMM . Y DEV: _c 36PM ; CITY •FEDERL wAY-_ __ 2 e2 ?4;U-;-4 3
Q ` " � iM
. ,J 111E��\xietin® Use
I G6. P-opa ea Use t e_. , y. Building Permit inciudest _ Mechanical 0 Other
Tyco c Work: 0 Residential ❑ New __ — aemodel
❑ Number of Units__ fl r:c
0 Commercial 0 Addition 0 Garage LI Shed !7"i Oti-u
f.,— .,_____-_--_____________*_H
Enter 1st Floor a ft 2nd Floor, 2F so ft 3rd Floor sq ft l Existing Hoar Aree _sq ft
Area Basement sq ft t7ecka .----7- sq ft Garage eq ft Proposed fatal Area sq ft i
Wetter Availability ❑ Sewer Availability 0 On-Site Septic System Availability (❑ 1t's,;';a,1. ,..:.oly f lIniM1 rY i
rin a" [ -r/O7') Lot Size 1tG41 'ild 1fkJ dot a rk, 4,0
Y mfi a � a e '`4.� �t.�,
riOt;1e �^7, Y•V
IAddress
City 'State r
I p i
.-� ��_�
..r s #sa of y a idt
Contractor Name —I Ari iraaa
City Stats Zip
Contaot Phone T, Fax ------
I
i
License it _ Expiration Date Verified G' Yes J` No
Contractor Name Address
1
City State `G
r Contaot Phony Fax
License # —_ Expiration Date `Verified '7.2 Yea �,No
+yy�yyii ta>a .A
Water Ciosete Sinks _ Urinals µ Lawn Sprinkiere
Bathtubs Dtsh Washers Drinking Fountains Other
Showers Eleotrio Water Heater& Sumps ----4
Levatonea Washing tvlaehine Drains 't;o►p}, x, a Irct< t
E IIG X.. } ,fib `..O CA Dec,i, ecD
Fuel Type (electric/other} Gas Dryer Air Hendli:tp < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range _ Air Handling > as 10,000 CFM 30.50 TonsY
Furn d-
<100K BTUs Cies Lag Unit Heater 60+ Tore I
1
Furn >100 BTUs Fans4�v_ Miscellaneous Fusi Tanks i
Gee Hwt Hood Boilers Above Ground ___ I
Cony Burner ,Duct Work 0-3 Tons Underground j
BBC's — Wood Stoves 3-15 Tons 1'ata�U(•,rt Count-
DISCLAIMER: i certify under'pone'--:.:'perjury that tho Information furnished by me le true and correct to tho beat et my kr,owiodge nd furthorthat I ern cutrrrited by the own,,-
of the above premises to perform. - ----,rk far v.htch permit applieatIonie mad&f farm,•,:y-ee Ig aevo hermteee the City of Feder/0 Wa, auto any claim(InGiudina coats,arcpene,r
and attorneys'toes incurred in lr,- _;tion and clefanse of each Claim),Which may be rn! by any;tarpon,including the s;ndersionee.end Vied aga(nst the Ctty of Federal We.
but only where such alum anima of the telien06,4t the City, Ir.aluding its offie ra:nu ammpioyeoa, .,;Yon the accurao-;=f tn.Inforraat(on eupptled to the City us a part of this
appllcstlon.
ilwneriQ(ftlriL'
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