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CITY OF FEDERAL WAY BUILD I N G PERMIT PERMIT NO.: DLD93®0797
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 07/28/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 1500 S 336TH ST Unit: #12
PARCEL NO.: 926503-0030
PROJECT DESCRIPTION: TI — TENANT IMPROVEMENT TO EXISTING TENANT SPACE
OWNER CONTRACTOR -- LENDER -------
INTERIM PERSONNEL *OWNER IS CONTRACTOR*
1500 S 336TH ST STE#12
FEDERAL WAY WA 98003
• *OWNER*
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BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 1680: 1680:sf STORIES • 1 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLAN CHECK DEPOSIT.* $ 64.35
CENSUS CATEGORY •437 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS...:? FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION---------- REQUIRED SETBACKS FIRE FLOW....: 0 gpm PLCK-FIR comml only' $ 4.95
:B2 : : OTHR: 0: O:sf EXIST..$: 0 FRONT.........: 0.00 ft BUILDING PERMIT....* $ 99.00
TYPE OF CONSTRUCTION----- BSMT: 0: 0:sf PROP...$: 8000 SIDE • 0.00 ft WATER SERVICE..:? SBCC SURCHARGE * $ 4.50
:5N : : : : DECK: 0: O:sf REAR..........: 0.00:ft SEWER SERVICE..:? I MEC APPLIANCE FEES * $ 9.00
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:07/19/93 PLUMBING FIXT....93* $ 21.00
17: 0: 0: 0: TOTL: 1680: 1680:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.: FANS • 2 BOILERS/COMPRESSORS WATER CLOSETS • 1 URINALS • 0 TOTAL FEES $ 2020.h
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 • 2 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
DOGS...: 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.
OWNER OR AGENT _____41
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,41Z This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying � Oikev
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of
a„� City of Federal Way
-=-, �� VED BY
�� yJNITY bc.,/E MENT DEFA PLICATION FOR BUILDING PERMIT i
JUL 1 9 1993
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PLEASE PR/NT APPLICATION #: 1�' ( /��', -' r, / / /�
.-SITE LOCATION Address 4c-0 0 S'n' ...33�t Lj
Tenant (if known) 0I Lot # Ass ssor's Tax #
�� t7 v ??P./Soiler./ Too,/ 7 C -s03—QO3'D
Building Owner Name Address
City State Zip Phone
Nature of Work 7 -1-
. -APPLICANT
V Name (F,M,L)
Til ePevroti(' / ,OD / .
Address
1S ,...v, P
City State Zip
Contact Person Day Phone� �� _7^��� Other Phone Fax
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BUILDING CONTRACTOR
Company Name//-/
11 L'I.J11 PK _
Address '
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
...''''''..........NNNNN.N.NN
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
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Please Complete Reverse Side
CD0492 IRev 4/9 —
0 0
.Ic P.:TRUCTURE Existing Use Proposed Use
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks _sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability Cl Project Valuation Se QOM'
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL COCTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CO CTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
*PLUMBING FIXTURE COUNT
Water Closets Sinks I Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
* MECHANIC UNIT COUNT
Fuel Type (electric er) 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 -----\.Qas Log Unit Heat: 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt . • Boilers Above Ground
Cony Burner ____� Duct Work •-3 Tons Underground
BBQ's C 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 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 information supplied to the City as a part of this
application.
Owner/Agent: Date: