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90-100644 CITY OF BUILDING INSPECTION BUILDINGFEDERAL WAY PERMIT941-1555 q. o -IOQ (09L7 PERMIT NO. 90-901TI (CA) OWNER'S NAME _ 11TH PLACE CENTER JOB ADDRESS 34616 11 PL S CONTRACTOR RICHARDS CONST ADDRESS 34016 9 AVE S #D 9 CONT. PHONE 838-1844 CONT. REG. NO. RICHACP132JA 4/91 _ OWNER'S PHONE 927-1839 OWNER'S ADDRESS 11811 NE 1ST STE #201 F.WAY TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER COMMERCIAL ALTERATION (T.I. ) TAX ACCOUNT NO. 215470-0110-02 LEGAL DESCRIPTION LOT 11 EAST CAMPUS MEDICAL CENTER DIV NO. 1 ACCORDING TO THE PLAT RECORDED IN VOL 112 OF PLATS, PAGE 3/4 IN KING CO. ISSUED BY ELIZABETH SNYDER DATE OF ISSUE 1/ �� DATE OF APPLICATION 6/14/90 BUILDING INFORMATION ONE NA OCCUPANCY B-2 TYPE OF CONSTRUCTION 5—N _ BLDG. SQ. FT. OFFICE=1820 SF SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER AVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL NONE, AMOUNT NONE LEGAL DESCRIPTION VALUATION 18,418.00 PLANNING DEPT APPROVAL = Lot 11. East Campus Medical Center Division ' IN USE OR PERMIT FEE $198.00 no. 1. according to the plat recorded in Vol. 112 PLAN CHECK FEE _ 129.00 of plats. page 3 and 4. in King County. WA. PLUMBING FEE SEPA = Together with a non-exclusive easement for ingress, egress and parking over. across and upon those portions of the north 57 feet CHANICAL FEE FIRE DEPT APPROVAL _ of lots 8 and 10, East Campus Medical Center. described as •TAL BLDG. FEES $327_00 follows: PART P/C FEE PUBLIC WORKS APPROVAL = Beginning at the N.E. corner of said lot 8 thence N 88-45'-16" W along the north line there of. 130 feet: thence S 1-16'-44" W 37 SEPA REVIEW BUILDING DEPT APPROVAL = feet thence S 88-43'-16" E NO 51 feet to a point on a curve whose WATER SERVICE center lies N 75-48'-59" E a distance of 45 feet: thence Northerly WATER MAIN CHG. 1 along said curve to the right through a central angle of 73-22'- 43" and an arc distance of 57.03 feet: thence N 1-25'-33" E 6.87 S.B.C.C. FEE 4.50 DATE PAID AMO feet to the point of beginning. Also, together with a non- exclusive casement for ingress. egress and parking over. across. OTHER FEES and upon that portion of the North 45 feet of lot 10. lying west AMOUNT DUE $331.50 lii 5f It _ of a line described as follows: Beginning at a point on the north J line of said lot 10. which lies N 88-43'-16" W 11.62 feet from the — northeast corner there of: thence at right angles S 1-16'-44" W. ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.-RE" DENTIAL AND GRA 45 feet, all in the Plat of East Campus Medical Center, as recorded in volume 112 of plats. page 3 and 4. records of King I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF I county, WA. REQUIREMENTS WILL BE M T: TAX ACCOUNT NUMBER: 215470-0110-02 1 OWNER OR AGENT / f. ,r`. , ' .' / Ali) DATE I -7 (I -77 9 a/ CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 :7 PERMIT NO. OWNER'S NAME JOB ADDRESS '` CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO._ _ LEGAL DESCRIPTION •f .:- L+..Cii, ,1V ._14 IN xmm ,.: ISSUED BY _ DATE OF ISSUE_ _ DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT SET BACKS: FRONT _ SIDE _ REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER _ RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS _ URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL • AMOUNT VALUATION / PERMIT FEE ,A, 3 PLANNING ` APPROVAL rs TWIN ELLIS D 6/220 0 (NO CHANGE USE 0" PLAN CHECK FEE 129. �� OCCUPINCY) PLUMBING FEE __ SEPA gm EX NTT MECHANICAL FEE FIRE DEPT APPROVE.. mig E1 If ELLIS ON 6/22/90 TOTAL BLDG. FEES 0 PART P/C FEE PUBLIC WORKS APPROVALme NOT - SEPA REVIEW BUILDING DEPT APPROVAL. a + YEVV ELLIS e4 6/22/90 WATER SERVICE WATER MAIN CHG. _ S.B.C.C. FEE /./ •�t+t r•rrntr� U PAID-4,!: 2 -) 14x . : r ip2# OTHER FEES .__ ._ . ....,...._. .,.._.... ______ _---_.....�.._ AMOUNT DUE ALL 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 FURNISHED BY 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 SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE -_...- BY DATE BY DATE _-_ BY PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION DATE BY GAS PIPING O.K.- DATE BY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL y3/. -2 DATE BY ..., �' DATE ......_BY DATE ---.. BY FINAL O.K. TO OCCUPY �7 DCD PSD FD DATE_... lei' BY_........ `'__ . co., --, i ''...----( "{-- c-,/.-1!GC: • /kb 0 SUN * 1. Ci,. 1 r opy 19 O CITY OF FEDERAL WAY 804 P6'0 b� �� .4-i 1,, TI �- BUILDING PERMIT APPLICATION �Fprwgy — Please Print— BOX 1 OWNER The Pheonix Assoc_ c/OSBasiXthJOB LOCATION 34616 lith Place SS C4 OWNER'S ADDRESS Mortgage Co. , 11811 N.E. 1st /`2(tITY Federal Way PHONE 927-1839 DESCRIBE JOB Tenant Improvement THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME ; ' .. . .. . • _ CONTRACTOR'S REG. # RICardCHIapres�32JA ented CONTRACTOR'S ADDRESS 34016 9tb Ave S_ , !D 9 CITY Federal Way PHONE 838-18/0i`' EXPIRATION DATE 4/1 /91 `t — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX3 CONTACT PERSON Wayne James PHONE 838-18/001 BOX 4 SEWER DISTRICT - _ _ _ - 7 _- WATER DISTRICT _ - , _ . _ 7 _ _ ,, BOX 5 ESTIMATED PROJECT COST $5,000.00 EXISTING BUILDING VALUATION two million BOX 6 PROPERTY TAX ACCOUNT NUMBER 215470-0110-02 LEGAL DESCRIPTION Lot 11 , Fast Campus Medical Center Division no.1 according to the plat recorded in vol . 112 of plats, page 3 and 4, in King County, WA.--See Attached (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 540 2ND FLOOR 6/ 015 3RD FLOOR 6/ 558 BASEMENT 1/ 788 DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (X ) EXISTING STRUCTURE ( x) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 20,901 SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ (.• TOTAL FIXTURES $ - TOTAL MECHANICAL FEE $ ,-_ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOW EDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER- FORM THE WORK F�' WHICHADERM1T APPLICATION IS MADE. OWNER/AGENT: 1 ' ,� � 1 ./� DATE: ..0 / I C / ANP-006 2/90 • .. • OFFICE USE ONLY (PLEASE DO NO WRITE BELOW THIS LINE) ZON ING SETBACKS: FRONT SIZE REAR HEIGHT LIMIT PLAN DEPARTMENT APPROVAL REMARKS: /th C IA-a tA-Se.- Or o c c k q v► C/ SEPA: EXEMPT NOT EXEMPT J FIRE DEPARTMENT APPROVAL DATE ( - ZZ - 9c) REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL "d/if DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY A Z TYPE OF CONSTRUCTION k, 4/ STORES -ce BUILDING SQ. FT. v -2_r @ S , 60 = oz,cQ7 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ MO J� r = _ C BUILDING SQ. FT. @ �t TOTAL SQ. FT. TOTAL VALUATION ( 'II 6 • 14 0 EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO. PERMIT FEE Pn, 00 PLAN CHECK FEE ---/-7--S-LK-4:- PLUMBING FEE MECH. FEE ( ' TOTAL FEES 32-7<<'c SBCC SURCHARGE `{`5-o ENERGY SURCHARGE AMOUNT DUE 33( • S U BUILDING DEPARTMENT APPROVAL DATE 6 -ZZ- 4/0 REMARKS: ASSIGNED ADDRESS: 5t_ t. (S f( 0.- J 3'- p o -�o y °> `° f9m �citCEIVED v ACCEPTED FOR FILING