93-102281 93-/05 .)8/
CITY OF
33530 First Way South B U I LD I NG PERMIT PERMIT79
ISSUED: 09/29/93
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/28/94
ADDRESS: 1606 SW 312TH ST
NO. : 122103-9074
PROJECT DESCRIPTION:TENANT IMPROVEMENT - REMODEL/EXPAND EXISTING TENANT SPACE TO VACANT SPACE.
OWNERlit{
-- CONTRACTOR -- LENDER
TONER MONTESSORI DAY CARE CLEMONS CONSTRUCTION
1606 5W DASH PT RD 31431 13TH AVE SW
FEDERAL MAY NA 98023 FEDERAL NAY NA 98023
255-0429
CLEMOCx110PK
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •9 FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 3568: 4768:sf STORIES • 1 REQUIRED PARKING..: 0 SPRINKLERS? -? PLAN CHECK DEPOSIT.* $ 76.05
CENSUS CATEGORY -437 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS .9 SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gps MEC APPLIANCE FEES.* $ 15.50
:E3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft PLUMBING FIXT....93* $ 28.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 10000 SIDE • 0.00 ft MATER SERVICE..:FED FINAL PLAN CHECK...* $ 0.00
:5N :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:FED BUILDING PERMIT....* $ 117.00
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/03/93 PICK-FIR coin only; $ 5.85
: 233: 0: 0: 0: TOIL: 3568: 4768:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
•
FUEL TYPES.: FANS • 2 BOILERS/COMPRESSORS WATER CLOSETS • 2 URINALS • 0 TOTAL FEES $ 246.90
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS - 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 1 3-15 HP - 0 SHOWERS - 0 SUMPS - 0
GAS NMT • 0 WOOD STOVES...: 0 15-30 HP - 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP - 0 SINKS • 2 DRAINS - 0
BBQ • 0 MISC - 0 5+ HP • 0 DISH MASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC NTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 I
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/F�URN1ISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT _:/:e-z-1-7-/� / 1 L•f. 0,z..-=-(:_. DATE ;l:13
FILE COPY )-404I 73
"'City of Federal Way •
d
EIVE[APPLICATION FOR BUILDING PERMIT
SEP 0 31g9S
0/
PLEASE PR/NTC OFOEDERAFEDERAL
PT.W ((,o& ' f0 if Qi 44PL/CAT/ON #: J(� 1. /
SITE LOCATION Address DASH POINT ROAD & 312th S W
Tenant (if known) Lot # Assessor's Tax #
TOWER MONTESSORI DAY CARE 122103-9074-00
Building Owner Name Address
THE AUDREY & SYDENY IRMAS CHARITABLE TRUST 14105 S E 171st WAY
City RENTON State WA Zip 98058 Phone 255-0429
Nature of Work EXPANDING EXISTING TENANT SPACE APPROXIMATELY 1200 sq ft INTO VACANT SPACE
[ PPLICANT
Name (F,M,L)
ALPINE PROPERTIES, INC.
Address
14105 S E 171st WAY
City RENTON State WA Zip 98058
Contact Person Day Phone Other Phone Fax
FRANK MUDROVICH 255-0429 235-8631
BUILDING CONTRACTOR
Company Name
UNKOWN (will provide upon completion of building permit)
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT •
Name
BAYLIS BRAND WAGNER
Address
1750 112 AVENUE N E. SUITE D154
City BELLEVUE State WA Zip 98004
Contact Person Phone Fax
TOM LAMBRIGHT 454-0566 453-8013
LEGAL DESCRIPTION
ATTACHED
Please Complete Reverse Side
CD0492(Rev 4/93)
Illirlilir
STRUCTURE 0 Existing Use DAY CARE Proposed Use DAY CARE
Fermit includes: - Bu ding I Plumbing ❑ Mechanical ❑ Other t
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units_ CIDeck
C$ Commercial ❑ Addition El Garage ❑ Shed ❑ Other
Enter 1st oor 200 sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area--3 sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area 4768 sq ft
Water Availability gl Sewer Availability E On-Site Septic System Availability O Project Valuation $10,000
Zoning B—N Lot Size Existing Bldg Valuation $
LENDER
Name Address
N/A •
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
N/A
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
N/A
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets 2 Sinks 2 Urinals 0 Lawn Sprinklers 0
Bathtubs 0 Dish Washers 0 Drinking Fountains 0 Other 0
Showers 0 Electric Water Heaters ExistingSumps 0
Lavatories 0 Washing Machine 0 Drains 0 Total Fixture Count 4
MECHANICALUNIT COUNT . /q//q-
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the beet 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 information supplied to the City as a part of this
application.
Owner/Agent: i6/'5t" —r Date: 7— .2 -.:...3
1_