96-103318 CITY OF FEDERAL WAY PERMIT NO: BLD96-0395
33530 First Way South EMIl.„,,I' YI!!..,,,.104 NI& PPI,r;'irk 111 .1 "Tr ISSUED: 09/30/96
Federal Way, WA 98003 Building Inspection Request.. 661--4140 BY: FC2
661-4000 EXPIRES: 03/29/97
ADDRESS: 33301 1ST WY S Unit : C-120
NO. : 926500-0230
PROJECT DESCRIPTION:TI - BUILD OUT OFFICE IMPROVEMENTS TO STORAGE SPACE, ADDING WALLS AND CEILING GRID
r OWNER - -.- _- _. .. _.--_-L- CONTRACTOR - •- -----'r- LENDER :----- .. _____
VALLEY CITIES MENTAL HEALTH J COMMERCIAL TENANT SERVICES 1
1 33301 - 1ST WAY S UNIT *C-120 3 2111 LK SAMMAMISH PL SE 1
i FEDERAL WAY WA 98003 J ISSAQUAH WA 98029 1
I 1 `i
1 206-467-6500 ) 206-229-1667
3 COMMET509306 1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE = 8.2% ***
( BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 1 COMP PLAN •' ) FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 3320: 0:sf STORIES • 0 1 REQUIRED PARKING..: 0 SPRINKLERS' •'' 1 PLAN CHECK FEE $ 152.10
CENSUS CATEGORY •437 2ND.: 0: O:sf HEIGHT • 0.00 ft 1 HAZARD CLASS •' 1 BUILDING PERMIT....* $ 234.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION I REQUIRED SMACKS FIRE FLOW 0 gpm I PLCK-FIR comml only* $ 11.70
:B :? :? :? OTHR: 0: 0:sf EXIST..$: 0 I FRONT • 0.00 ft 3 SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 22677 SIDE • 0.00 ft WATER SERVICE..:? 1 FINAL PLAN CHECK...* $ 0.00 _
:5N :? :? :? DECK: 0: 0:sf 1 REAR • O.00:ft SEWER SERVICE..:? 1
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:09/17/96 1 1
: 33: 0: 0: 0: TOTL: 3320: O:sf I IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? 1
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS 1 WATER CLOSETS • 0 URINALS • 0 1 TOTAL FEES $ 402.30
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 1
ON<100K..: 0 DUCT WORK • 0 3-15 HP • 0 ) SHOWERS • 0 SUMPS • 0 (
S NWT • 0 WOOD STOVES...: 0 15-30 HP • 0 1 LAVATORIES • 0 VAC BREAKERS...: 0 1
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 1 SINKS • 0 DRAINS • 0 1
BB0 • 0 MISC • 0 5+ HP • 0 1 DISH WASHERS • 0 LAWN SPRINKLERS: 0 I
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ) ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10.000 CFM: 0 ABOVE GROUND: 0 1 LAUN WSHR OUTLTS...: 0 1
0 1 1
::GAS LOGS4 =T . -vim -_w_. � 000CFM: O UNDERGROUND.:
�_.._ L_� _. 1: = - _.._.:__- ---I
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK I STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF RMATION FURNISHED BY ME IS UE AND ORRECI TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT 44`,- DATE f- 5d ?(..,
FILE COPY
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' fIVANLELIZEY-'-j1fimfrS";i3N(A''L" N*F* A"11"0"'"-"--"--" CONNtRCIAL TENANT SERVICES
33301 1ST WAY S UNIT 1(-120 2111 LK ANNANISN Pt SE , , • .
FEDERAL WAY WA 98003 ISSAQUAII WA 48029
1.
206-461-6500 206-229-166!
(0MNE1509306
*;$ CONTRACEOP4:, PURSE USE IWAIION (Rik ,E434 EKE( RUVIIIR; SALL'd 111 t0P 1100,11ki'• NIIIIIK Itit (11Y 01 Ft litilil IlAilt. EJAY Pirlt U.7% ss*
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rypt of woRK:TEN usta„on 1sT.. ,L„ . , ,,_i- _. „ „toy/REp PARK . . , , PLAN CHECK FEE $ 152.10
• 34: 0:sf. :7 . ____. ..„
' ,,,'''1. tr'. 0.sf-4 ,
CENSUS CATEGORY 7431 2ND. e..:,.. c 0:s. _ . HA/ARD CLASS :''
UAT ,,, „, , . s ' - .--`- - I BUIL DING PERM!I ._ $ 234.00
1-OCCUPANCYPE OF f?C'° SGROUPT:R? (I:(1'..ti'1. ' -:. ' 7 D::: :5,:-1 IP.ST11111W— '14:1,1. '''' 1111:;..741.--lii. -::- ,AE,wrEE; SF', -..•.41. 11111111111: FCP-1131(:1(l L.srSURCHARGE
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OC(LIPANT LOAD- .-4:11 t• 1 MINN
33: 0: 0: 0 RV sup,rAti' 0 sf SENSITIVE AREAS?.:?
.. -- ---- ' - *----- . ' ' • 0 URINALS
-" r,--- .-...
FUEL TYPES,:?' " ' -2 . ' '
' ' I ,' NIIER t/CONPRESSORS WAlER CLOSEIs ' 0 TOTAL FELS $ 402.30
GAS PIPING.: 0 ft ,,,'i • ,',•
HFOO'IN(D...:.-,. ...-.... '. \ 0-3 IW • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
11100f..: 0 INIt I WORK • 0 3-15 HP • U SHOWERS • 0 SUMPS • 0
NWT • 0 WOOD STOVES. • 0 15-30 HP • 0 LAVATORIES • 0 VA( BREAKER' • 0
CONV BURNER' 0 FURN\1001,. ..: 0 30.50 Hp • 0 I SINKS • U DRAINS ' 0
88Q .
0 MISC • 0 54 HP • 0 DISH WASHERS • 0 IHNI4 SPRINKLERS: 0
1 bAS DRYER..: 0 ALP HANDLING UNITS FULL TANKS-- -- - ELL(' WTR HEALERS : 0 °NEP FIXIURES.: 0
1 PANGE ' 0 10.000 OM: 0 ABOVE GROUND: 0 lAUH WSHR Oil TS..,: 0
i GAS LOGS...: 0 10,000 (FM: 0 UNDERGROUND.: 0 1
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101141` CCertificate of Occupancv
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17,14 This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying \t .jize
toi that at the time of issuance, this structure was in compliance with the various ordinances of the City tin*
0,114\6: regulating building construction or use. For the following: Wpal,
1111\1/4 4fe4046
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......,,, OCCUPANT LOAD: 33 PERMIT NUMBER: BLD96-0395 4-40rarar.
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drAllgOr4 TENANT NAME. . : VALLEY CITIES MENTAL HEALTH Ni•NRII
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Ileil& ADDRESS. . . . . . : 33301 1ST WY S Unit: C-120 Vie
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ipok...........,.., OWNER NAME. . . : VALLEY CITIES ME TAL HEALTH w,.....gmultio
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‘--.40. ------:-: ADDRESS • 3330 - 1ST WA S UNIT #C-120 p-z.".4010
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- DERAL WA WA 98003
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04-4.1.71;13,V The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience
has shown most severely affect the health and safety of the general public. Although the City has made as complete a review and inspection as \\\OhNell
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VIP 4 41, is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or ilA11::.
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to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the state of Atiji
11\* Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of oho
au,Ne; the owner and/or occupant of the premises. IRAgb
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RECEIVED
• City of Federal Way
+i ` F171996
APPLICATION FOR BUILDING PERMIT
i,:i i: OF FEDERAL WAY
BUILDING DEPT.
PLEASE PRINT APPLICATION #: t3L q 036/c
SITE LOCATION Address .??- 34C) ( t 6r HA‘( 5 It--C17-0 _fig tAy 4A 3
Tenant (if known) Lot # , Assessor's Tax #
VA1/i, `( c t-c , b ' t(i '2;3c1o O-0230 -03
Building Owner Name, Address
.T N- pRic, Al2 (
ik�SoC•g01�MF�A, ( V i C . ii40 E, 'It74)& 1tA7.H
City -( c/�M/ (State k Zip o ?j Phone� 03Y," � ���
Nature of Work
To /Mf12O I, 4 E,' iF 131;11,...0 " r
APPLICANT
Name (F,M,L)
0/AID r c, KA.-A06G- co/VA/ D Fehr, (—Wear
Address
City No ptivn_AK F (l' 2 State /NA-- Zip Q 413
Contact Person D y Pho Other Phone Fax
7-012) 771-020
BUILDING CONTRACTOR
NtaCompany Name
Address
City r- L 14/4 State t/ Zip G�b®Z j_ L3G
Contact Person Y /(,J Phone�,1 Qv�" �/ ,(/ �},-
1 G�i:(Gr�i% (Z )es7`T' t2-0e17- 0(0//
Contractor's # (card mint be presented) Expiration Date Verified 0 Yes 0 No
//14F_G0 ' 0&.3P4- (0(711-/q Ceo
ARCHITECT
Name
SSE A Am/ c T
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
ON 5 r 7-1
a
,
Please Complete Reverse Side
CD0492(Rev 4/93)
.)
STRUCTURE ting Use ice 6 . I oposed Use r- �C
AO
1 Permit includes: .:Building ill Plumbing II Mechanical El Other
Type of Work: ❑ Residential ❑ New _Remodel ❑ Number of Units ❑ Deck
zCommercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor J3 i-t sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area ?7_7 sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area aj "fir' sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ U Project Valuation $ 2,76-j77 D(.
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name Address ,�'
j
City State Zip
MECHANICAL CONTRACTOR
j`
t
Contractor Name Address i'
Ci State Zip
Contac Phone -
Fax
License # Expiratio 'Date Verified ❑ Yes ❑ No
\.,
PLUMBING CONTRACTOR.
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks- Uri : s Lawn Sprinklers
Bathtubs Dish Washers Drinking .untains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT C,
Fuel Type (electric/ot)er) Gas Dryer Air Handling < = 10,000 CFM .N\-15-30 Tons
Length of Gas Pip- "g Range Air Handling > = 10,000 CFM 3), (\-.)Tons
Furn <100K Us Gas Log Unit Heater 50+ ns
Furn >10 BTUs Fans Miscellaneous Fuel Tanks
Gas t Hood Boilers Above Ground
Conv 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 best of my knowledge and further that I am authorized by the owner
y f 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,
._nd 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 relian e o the City, includin its officers and employees,upon the accuracy of the information supplied to the City as a part of this
?pplication. iN
I`�
Owner/Agent: r 1 Date: 1 - I1I