92-100360 CITY OF FEDERAL WAY 9 -1151) 06
ECTION
33530al WayWay South
Feder , W8003 BUILDING PERMIT BUILDING INS 661-4140
PERMIT NO. 92-0321 CA OWNER'S NAM€"E CAT DOCTOR VETERINARY CENTER, �TExSQORESS _ 2500 S.W. 336TH #C
CONTRACTORSHINSTINE/ASSOC INC ADDRESS P 0 BOX 1027 PUYALLUP, WA CONT.PHONE 840-1770
CONT.REG.NO. SHINSI1O7C2 EXP. 12/9�WNER'S PHONE 874-2012 OWNER'S ADDRESS 2500 SW 336TH #C FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL _NEW COMMERCIAL _COMMERCIALADD.XXX INDUSTRIAL ADD. NEW PUBLIC__ PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 132103'96-03 LEGAL DESCRIPTION (SEE ATTACHED)
3724/61
ISSUED BY JOANNE JOHNSON DATE OF ISSUE _DATE OF APPLICATION 3/2/92
BUILDING INFORMATION
ONE BN SET BACKS:FRONT NA SIDE NA REAR NA HEIGHT LIMIT
)CCUPANCY B2 _ TYPE OF CONSTRUCTION VN CENSUS NO. TYPE OF HEAT _ BLDG.SQ.FT. _ STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK 6.50 RECEIVED
SHOWERS _ URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. _ BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES i DRYER - TOTAL MECHANICAL 6.50 AMOUNT
VALUATION 4,236.96 PLANNING DEPT APPROVAL: MT** 3-11-92
PERMIT FEE 72.00 FIRE DEPT APPROVAL: KC/CR 3-11-92
PLAN CHECK FEE 47.00
PLUMBING FEE BUILDING DEPT APPROVAL: KC 3/12/92 MUST SIGN RESTROOM AFFADAVIT.
MECHANICAL FEE 6.50
S-ART P/C FEE **APPLICANT SHOULD NOTE THAT IMPROVEMENTS ARE ACCUMMULATIVE IN DETERMINING
PA REVIEW NON—CONFORMING PERCENTAGES.
PUBLIC WORKS 3.60
S.B.C.C.FEE9...------
FIRE FEE 4.50 `J DATE: / ,,...j4-
OTHER FEES AMOUNT: 133.60
AMOUNT DUE 133.60 RECEIPT:
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.
A I
OWNER OR AGENT DATE / r
CITY OF FEDERAL WAY
,---33530 First
Federal Way`, WA 98003 ay South BUILDING PERMIT BUILDING INSPECTION661-4140
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIA! NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGNGRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS _ GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL - AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES - AMOUNT:
AMOUNT DUE RECEIPT:
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 BYDATE BY -___ _ DATE BY
PLUMBING ROUGH IN WATER LINE O.K MECHANICAL INSPECTION
DATE BY ____- __ GAS PIPING 0.n. __ DATE ___'_____-aY
O.K. TO E |wG INSULATION WALL BOARD AND FIRE WALL
DATE-(.-5/.(7/7 BY /��� DATE BY DATE 5/21/,-���Bv
FINAL OOCCUPY
DCD PSD FD
oATe445// BY
,
` gir.
R RPM, • # Q)—'-' 7.>1
D
MAR 02 1iCITY OF FEDERAL WAY C
° `oF �.WO BUILDING PERMIT APPLICATION
Dept - Please Print—
BOX 1 TENANT NAME: The_ cf Doctc ' Ve fer it-will &V k(' ) P. S
OWNER Kirk H . A& SITE LOCA N 9•5-OO 5.u). 336 # C- FccLer d LOckLi
OWNER'S ADDRESS a5UO S, J. '136'2 dic- CITY FeJ1'•c1,1 Wu. PHONE c 4-ava a
DESCRIBE JOB Tenuni" TM pro.rC evtt'S / E x pc(et sio✓l' — ; i-o a bJ ace.-11" mace.
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME -, (nsf►�te.% Is A..-. Trac CONTRACTOR'S REG. #
/I a h J , 13e41ne it — Pooj ccf Mama eft Card MUST be presented
CONTRACTOR'S ADDRESS Po• �c /t9.7 CITY Pvya /lop, (AA PHONE 4940—/770
EXPIRATION DATE /2/432. �l r 1�) 1 C^
I HAVE READ CHAPTER 18.27.010 RELATING T i ' -IITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Kto k P . i-lau Y '' PHONE C31A—;o 1 a
BOX 4 SEWER DISTRICT r4cdeI'a 1 W WATER DISTRICT FFcieNt (dOcol
BOX 5 ESTIMATED PROJECT COST ).'" EXISTING BUILDING VALUATION xceblc �4F 000
BOX 6 PROPERTY TAX ACCOUNT NUMBER 14 I3z. 103 — 430R6 -03
LEGAL DESCRIPTION ,pre_
+Acib
(If necessary, please submit a separate page wit the legal description.) My Per o..( Space 1 E� t .), ,,� c,�
K.C. Plat Recording# B4 i a21 I t 7 + (�1 'S- ) W
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR l a 75/ 5506 - 2ND FLOOR /
3RD FLOOR / BASEMENT DECK________/ GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) (%/1 EXISTING STRUCTURE
(,/j COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY ,-57.76 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 $
d ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
C. LAUNDRY WASHER OUTLET UNIT HEATERS $
C•. 0 URINALS AIR COOLING UNITS, SIZE $
0 DRINKING FOUNTAINS COMMERCIAL HOOD $
—SUMPS, SPRINKLER VACUUM BREAKERS V OTHER_jr.t n tr C(6ctivcce s $
d DRAINS il,ea.+ / A.C. ue.-t iii 4-p $
_� OTHER ce'J is e_ m ti ad, <>Act\ $
v TOTAL FIXTURES S c $ 6 -5-0
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, UPIN T E ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: i w- a.- �� ' DATE: I a iq2,.
ANP-008 3/90
• . r ,
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS ITJE)
ZONE Byski SETBACKS: FRONT_A/ ' / SID
f , ' REAR fiti Ll HEIGHT LIMIT ‘
PLANNING DEPARTMENT APPROVA
•
REMARKS: 4-4.4 ,5 f/ !i••�i f -or/c.iA4-e,4-Z. d4K atcvu.1u4.4.64. -C
.4 cle,Aes44.4 A4'4- 4/ &'U4 4:1" p rtu t y e s -
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 3 -7( -9 Z
REMARKS: ("- 3 - 12- - q z-
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
OCCURINCY 6 z- TYPE OF CONSTRUCTION SIN STORES
,AAP d O f(LR--- BUILDING SQ. FT. '3 1 2— @ 67, QO = 71 ip°ii. e
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ r =
BUILDING SQ. FT. @ A400( 1�(Q-1, = 0 ` •Z-
TOTAL SQ. FT. TOTAL VALUATION 112-361 (7
BUILDING DEPARTMENT REMARKS: di
PERMIT FEE 7( IA I 4 OO � k 1 PLAN CHECK FEE 47
J PLUMBING FEE
MECHANICAL FEE 6^SC'
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE 4.S 0
OTHER FEESH H re-e. 3, 6 c
AMOUNT DUE
ASSIGNED ADDRESS: See-- e_K( STlePL-1
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
BY
RECEIVED DATE ACCEPTED FOR FILING