90-101516 9b- io15/(
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
TENANT: DR. NELSON OPTOMOTRIST
PERMIT NO. 90-1741 FSS OWNER'S NAME BCE DEVELOPMENT INC JOB ADDRESS 2100 S. 314TH STREET #16
CONTRACTOR GRINNELL FIRE SYSTEMSADDRESS 1106 54TH AVE E TACOMA WA CONT. PHONE 922-6644
CONT. REG. NO. GRINNFPQ37LE OWNER'S PHONE OWNER'S ADDRESS 8780 WESTWOOD MALL
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. 362403-9007-09 LEGAL DESCRIPTION _
4 g
ISSUED BY JOANNE JOHNSON DATE OF ISSUE �� DATE OF APPLICATION 10-31-90
BUILDING INFORMATIO
ZONE OCCUPANCY - TYPE OF CONSTRUCTION _ BLDG. SQ. FT.
*ET BACKS: FRONT SIDE _ REARSTORIES 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 2,977. 92 FIRE/BUILDING APPROVAL: KC 11-20-90
PERMIT FEE 54_00
PLAN CHECK FEE 35-00
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
*EPA
RT P/C FEE
REVIEW DATE: ( -
WATER SERVICE ��
WATER MAIN CHG. AMOUNT:
S.B.C.C. FEE 4. 50 97.95
OTHER FEES F.D. 4.45 RECEIPT: `�-
-9
AMOUNT DUE 97_95
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 i41 DATE (1 L ' ---' /� ''1 C.
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
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
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. 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 .L.?E/aUILlXNG APPROVAL: WC 31-20-9
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE 's .;
's;:. 1 f`
SEPA REVIEW DA �� e
WATER SERVICE
WATER MAIN CHG. AMOUNT: 97.q5
S.B.C.C. FEE
OTHER FEES :.j;C :6I : 1
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
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CITY OF FEDERAL WAY pT �)'
BUILDING PERMIT APPLICATION
Lt
`\ /n."' l..I by t Piint—� 1' - -1 0 0 �� ,-Nk 61--
BOX
TBOX 1 OWNER BGE DEVELOPMENT INC JOB LOCATION_FED wAY1-j-/ -
OWNER'S
/ -
OWNER'S ADDRESS .1: •• _ E i D .4L-L.. CITY_SE4 r� ti." PHONE
DESCRIBE JOB Ta--, AN.7c LMP(lW P7EN-r ErAf_ DP_ PVELSON OPTOMETRUT NSU-£10E PLAZA Fa:o We
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 6c Q I L-L- PI RF SYSTE►'ltS CONTRACTOR'S REG. #6 R.-I NN-FP-371-E
Card MUST be presented
CONTRACTOR'S ADDRESS I I O(, 51-r`-' AVE. E CITY TA-comet A WA PHONE Ig 922-6.. , 4-4
EXPIRATION DATE G - I- y J
— OR —
I HAVE READ CHAPTER 18.27.010 R LATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX3 CONTACT PERSON PAuI— [30P-E PHONE97-2-- 6.-(D44—
BOX
- `(D44-
BOX 4 SEWER DISTRICTr - WATER DISTRICT -_
BOX 5 ESTIMATED PROJECT COST DI J 5 ci , 0 6 EXISTING BUILDING VALUATION --
OX 6 PROPERTY TAX ACCOUNT NUMBER 3,2403 - 9.007- 09
LEGAL DESCRIPTION
‘'e -
(If
.tai
(If necessary, please submit a separate page with the legal description.)SEs ci-cE- p,__" 4 ct).9(1
reL w1T
BOX 7 BUILDING SQUARE FOOTAGE: Existi Proposed) 1ST FLOORL25 Cc, / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (X) EXISTING STRUCTURE
(,) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 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 FIRE SPr2INKlE1 - RE<t/(S(O. $
DRAINS - o TENow-r _SP AGE $
__ OT R - _ $
OTAL FIXTURES $
TOTAL MECHANICAL FEE $
.ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
ST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK FlAi; WHI H PERMIT APPLICATION IS MADE.
OWNER/AGENT: � DATE: a
ANP-006 2/90
•
OFFICE USE ONLY (PLEASE F WRITE BELOW THIS LINE) •
ZONE SETBACKS: FRONT SIZE _ _ TEAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: _v7A
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL ' DATE //- 2-(3 -- /CJ
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: 4///4
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 OTHEf .
OCCUPANCY TYPE OF CONSTRUCTION 4 U/VR iSTORES
S rtc(^tc_Ierl BUILDING SQ. FT. 2_1-5---6 @ (--3-C-) = 33i3V
BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ -` _
BUILDING SQ. FT. @ III vl� � e� t---= 0 - ap
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION ` ''f 77' `t Z-
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE S ii,00 PLAN CHECK FEE - ---r- - PLUMBING FEE MECH. FEE
TOTAL FEES £31,OC SBCC SURCHARGE `I`rte -ENERGY SURCHARGE -( AMOUNT DUE 17. '75--
BUILDING
SBUILDING DEPARTMENT APPROVAL D-Ere_-_ DATE // ' - trO
REMARKS:
ASSIGNED ADDRESS: S� e_4( (S� (
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RECEIVED ACCEPTED FOR FILING III