92-101794 CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD92-2318
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/05/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 31701 20TH AVE S
PARCEL NO.: 092104-9034
PROJECT DESCRIPTION: T.I. — MINOR ALTERATION WORK
— OWNER — CONTRACTOR - LENDER
JOSEPH HOLMAN BEDROCK GENERAL CNTRNG INC
31701 20TH AVE S 16618 NE 128TH ST
FEDERAL WAY WA REDMOND WA 98052
941-5990 206-869-5862
-1111 BEDROGCD99J2
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •7 FEES:
TYPE OF WORK:ALT USE:COM 1ST.: 20218: 240:sf STORIES • 2 REQUIRED PARKING..: 0 SPRINKLERS') •7 FINAL PLAN CHECK...* $ 40.95
CENSUS CATEGORY •437 2ND.: 10762: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •, PLCK-FIR comm only* $ 3.15
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 63.00
:A3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP. .$: 3500 SIDE • 0.00 ft WATER SERVICE..:?
:3-1HR:? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:10/15/92
3: 0: 0: 0: TOTL: 30980: 240:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 111.60
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 L
11, 1 S
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 ...C--- %s Ja DATE /3---/Ry
bld_prmt 10/23/92
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CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD92-2318
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 01/05/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 31701 20TH AVE S
PARCEL NO.: 092104-9034
PROJECT DESCRIPTION: T. I o — MINOR ALTERATION WORK
OWNER CONTRACTOR — LENDER
JOSEPH HOLMAN BEDROCK GENERAL CNTRNG INC
31701 20TH AVE S 16618 NE 128TH ST
FEDERAL WAY WA REDMOND WA 98052
5990 206-869-5862
BEDROGCD99J2
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN . FEES:
TYPE OF WORK:ALT USE:COM 1ST.: 20218: 240:sf STORIES . 2 REQUIRED PARKING..: 0 SPRINKLERS? •? FINAL PLAN CHECK...* $ 40.95
CENSUS CATEGORY •437 2ND.: 10762: 0:sf HEIGHT • 0.00 ft 1 HAZARD CLASS .? PLCK-FIR comm only* $ 3.15
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION I REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 63.00
:A3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 3500 1 SIDE • 0.00 ft WATER SERVICE..:?
:3-1HR:? :? :? DECK: 0: O:sf REAR • O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:10/15/92
3: 0: 0: 0: TOTL: 30980: 240:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 111.60
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
RAEC
• 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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.
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7
OWNER OR AGENT DATE //Lj—/ ��j
bld_prmt 10/23/92 (� ((( ttt
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
DATE .... -_-BY --.... DATE .... BY --._....— ......— DATE —. — BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
l lr rS / i✓.✓� �I�r�- /� /G led9J/ t!,Veli
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RECEIVED • POnit # 7 Z - 2- /5
OCT 1 41992 CITY OF FEDERAL WAY
ol'IYOpFEDERAL WAY BUILDING PERMIT APPLICATION
ILIUM DEW -Please Print—
BOX 1 TENANT NAME: C4!e 4OE. ftTtti& G 4
OWNER i 'LI-M - SITE LOCATION Vi 4 1--
OWNER'S
-OWNER'S ADDRESS CITY � PHONE 4.414-5 b
DESCRIBE JOB /r1 i
THE PROPERTY IS OWNED B illar MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME --- CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
—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.
BOX 3 CONTACT PERSON rick ,00kE k' 7O.) PHONE
BOX 4 SEWER DISTRICT Fv _ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COSTt•'‘;) EXISTING BUILDING VALU�G h m// t
i
BOX 6 PROPERTY TAX ACCOUNT NUMBER Oct 2/4>4 - `l63 4
LEGAL DESCRIPTION Lo`r a S-firA T f ictt"T NO. ?7 g OI
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR fe/�r� Cf 2ND FLOOR /q 702 SF'
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (EXISTING STRUCTURE
(COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY i 3/ �' 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 I r AIR HANDLING UNITS $
'.iELECTRIC 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 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 ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE FORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: -� DATE: 1O/(#/r
` " `r-_2 I"�V �`� 'of L S ANP-008 3/90
• ; r ��
ayr r 'K".
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) !
ZONE SETBACKS: FRONT /t/1(4 SIDE fl/f REAR /40- HEIGHT LIMIT N(//-
PLANNING DEPARTMENT APPROVAL r- s- - L"
REMARKS:
SEPA: EXEMPT 3CS NOT EXEMPT �_ �`
FIRE DEPARTMENT APPROVAL 6-0I2-1/J4_07 i"�z►-e�� i-Iz� tic-1-tC�-� t -jet4 DATE (-CAM_
REMARKS: � t Q4J
PUBLIC WORKS DEPARTMENT APPROVAL 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. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING