93-102578 93- ioa 578
3CITvFirst Way South fEDERAL WAY BUILDING P PER ISSUED: 110/26/93MIT NO: 76
Fe eral Way, WA 98003 Building Inspection Requests 661-4140 BY: RM
661-4000 EXPIRES: 04/24/94
ADDRESS:2158 S 314TH ST Unit: #100
NO. : 092104-9053
PROJECT DESCRIPTION:TI - INTERIOR ALTERATION FOR NEN TENANT SPACE.
:TI
— CONTRACTOR4 — LENDER
GUSTTO INC. RIVER CITY CONSTRUCTION INC
2158 S 314TH ST 1100 P 0 BOX 6315
FEDERAL WAY NA 98003 FEDERAL WAY NA 98063
939-4545
RIVERCC11108
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •/ FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: 1500:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS/ •9 PLAN CHECK DEPOSIT.* $ 105.30
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 gin PLCK-FIR coal only* $ 8.10
:B2 : OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft BUILDING PERMIT....* $ 162.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...1: 15000 SIDE • 0.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
:5N : DECK: 0: 0:sf REAR • 0.00:ft SEVER SERVICE..:FED MEC APPLIANCE FEES.* $ 11.00
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:10/08/93 PLUMBING FIXT....93* $ 14.00
0: 0: 0: 0: TOTL: 0: 1500:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.: FANS • 1 BOILERS/COMPRESSORS WATER CLOSETS • 1 URINALS • 0 TOTAL FEES $ 304.90
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
Am fURN<100K..: 0 DUCT WORK • 1 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
411, GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES . 1 VAC BREAKERS...: 0
CONY 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 NTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 0
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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE )j';, 'N
----12v, _11124 ==
FILE COPY
A _
CITY
F
RAL WAY
MIT
335300FirstEWay South BUILDING P ERM I T PER ISSUED: 10/26/9376
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/24/94
** REVISED PERMIT **
ADDRESS:2158 S 314TH ST Unit: #100
NO. : 092104-9053
PROJECT DESCRIPTION:TI - INTERIOR ALTERATION FOR NEN TENANT SPACE.
REVISIONS REC'S 11/23/93.
OWNER — CONTRACTOR — LENDER
GUSTTO INC. RIVER CITY CONSTRUCTION INC
ill
2158 S 314TH ST #100 P 0 BOX 6315
FEDERAL NAY NA 98003 FEDERAL WAY NA 98063
939-4545
RIVERCC11708
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN -/ FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: 1500:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS/ -? PLAN CHECK DEPOSIT.* $ 105.30
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 gps PLCK-FIR cone only* $ 8.10
:82 : OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft BUILDING PERMIT....* $ 162.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 15000 SIDE • 0.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
:5N : DECK: 0: 0:sf REAR - 0.00:ft SEWER SERVICE..:FED MEC APPLIANCE FEES.* $ 11.00
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:10/08/93 PLUMBING FIXT....93* $ 14.00
. 0: 0: 0: 0: TOIL: 0: 1500:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? FINAL PLAN CHECK...* $ 30.00
FUEL TYPES.: FANS - 1 BOILERS/COMPRESSORS WATER CLOSETS • 1 URINALS - 0 TOTAL FEES $ 334.90
S PIPING.: 0 ft HOOD - 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
RN<1OOK..: 0 DUCT WORK - 1 3-15 HP • 0 SHOWERS - 0 SUMPS - 0
GAS HNT - 0 WOOD STOVES...: 0 15-30 HP - 0 LAVATORIES • 1 VAC BREAKERS...: 0
CONV BURNER: 0 FURN)100K • 0 30-50 HP - 0 SINKS • 0 DRAINS - 0
880 - 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
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 FURN 1( IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT4-.;.-w_ DATE ��
FILE COPY
r
CITY OF FEDERAL WAY B j T ILDING PE�MIT PERISSUED: 10/26/937633530 First Way South <J1
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/24/94
** REVISED PERMIT ** 'T
ADDRESS:2158 S 314TH ST Unit: $1100
NO. : 092104-9053
PROJECT DESCRIPTION:TI - INTERIOR ALTERATION FOR NEN TENANT SPACE.
REVISIONS REC'S 11/23193.
OWNER ,. .�r CONTRACTOR .�- .-.. LENDER , ........------....:
605110 INC. RIVER CITY CONSTRUCTION INC
2158 S 314TH ST 1100 P 0 BOX 6315
FEDERAL NAY NA 98003 ill
FEDERAL NAY WA 98063
939-4545
.-s
BLD?:X NEC?:X PLN?:X FIR -EXU. PROP , i � 1NIP PLAN.........:? FEES:
TYPE OF WORK:TEN USE:CON IST 1500:s T� T �` (RED PARTING. 0 SPRINKLERS" .� PLAN CHECK DEPOSIT.' 1 105.30
CENSUS CATEGORY 431 2MI) A. 0 s: ICHT** . t �� ���� : . FINAL PLAN CHECK...' $ 0.00
OCCUPANCY GROUP .* 4 I RET I PLCK FIR cnssl only' $ 8.10
:
:82raS I ' "� ,:s*14 IST A4. �.� 1,�. . PERM.....' $ 162.00
TYPE Of CONSTRUCTION-- s s �P. 10 'S r i; , '44 ��i t
NATER SE :FED NpRGE..,.. = 4.50
:5N : 'E - _ �� 0.00:ft SEWER SERVICE..:FED NEC APPLIANCE FEES.* $ 11.00
OCCUPANT LOAD--- -------_ , I 93 ,E PLUMBING FIKT....93' 14.00
• 0 0: 0: V. IO %E�' I � (PIPER,/ SURFACE: 0 sf SENSITIVE AREAS?.:? FINAL PLAN CHECK.,.' 30.00
FUEL TYPES.: FAN5 • BOILERS/COMPRESSORS NATER CLOSETS.......: 1 URINALS • 0 TOTAL FEES $ 334.90
S PIPING.: 0 ft HOOD • 0 0-3 RP......: 0 BATH TUBS • 0 DRINKING FOUNT.: 0
N(I00K..: 0 DUCT WORK • I 3-15 HP • 0 SHOWERS : 0 :SUMPS • 0
GAS NWT • 0 $000 STOVES...: 0 15-30 HP....: 0 LAVATORIES . 1 VAC BREAKERS...: 0
CONY BURNER: 0 FURN)108K • 0 30-50 HP 0 SINKS • 0 DRAINS.........: 0
88G • 0 MISC • 0 5+ HP • 0 DISH WASHERS 0 [ANN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS- ----- ELEC VTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 (:10,000 CfI: 0 ABOVE GROUND: 0 LAUN WIW OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AF1F.R ISSUANCE IF WD WORK IS STARTED. RESIDENTIAL AND GRADING PERNIIS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT IRE INFORMATION FURNISED BY NE,IS TRUE AND CORRECT TO THE BEST OF NY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE NET.
// j
OWNER OR AGENT .__ _ _----__. _._. __.._._._ DATE. y/x..5.—__ .,7`_"
V
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( (I) 4
FIELD COPY I� ��
CITY
F
RAL WAY
- '' 33530OFirsDtEWay South BUILDING FPERMITISSUED: 110/26/9376
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: RM
661 -4000 EXPIRES: 04/24/94
ADDRESS:2158 5 314TH ST Unit: #100
NO. : 092104-9053
PROJECT DESCRIPTION:T1 - INTERIOR ALTERATION FOR NEN TENANT SPACE.
= OWNER ---- CONTRACTOR a --- LENDER '- ----
GUSITO INC. RIVER CITY CONSTRUCTION INC
2158 S 314TH ST 1100 P 0 BOX 6315
FEDERAL NAY NA 98003 FEDERAL NAY NA 98063
111/1 939-4545
RIVERCCI1108
BLD?:X MEC?:X PIM?:X A.R.-OUST- -PROP- rNFIUNC Mr): 0 COMP PLAN •7 FEES:
TYPE OF WORK:TEN USE:CON 1ST.. 0: 1500:,,.i "T+ }F ~ 4 ' REQUIRED PARKING..: 0 SPRINKLERS , PLAN CHECK DEPOSIT.* $ 105.30
CENSUS CATEGORY •431 111 0: 0:5i -T(� • ii AG fF HAZARD CLASS FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3 •R" 0 0:sI Ai tom- ..- _. _. R OJ1'0 gym � � PLCK-FIR coal only' A 8.10
:82 : : : : uit � a 0 t t1f,T.,+. 4, '`TEM _....., .: ) ` l „�=d5 g ,:or f BUILDING PERMIT....* $ 162.00
TYPE OF CONSTRUCTION A Cr- RIP '.0(,) .)TC+, ,.. 00 ft N ° 7' E .:111., SURCHARGE $ 4.5)
:5N : 0
*,: „ M OO:ft SEWER' E...FE+ PPLIANCE FEES.* $ 11.00
OCCUPANT LOAD . ' s 1TviD :101005_ .; PLUMBING FIXT....93* $ 14.00
0: 0: 0: 0: - a 0 f, v,,., IttPERY SURFACE: 0 sf SENSITIVE ARIAS?.:?
FUEL TYPES.. �, .. a BOILERS/COMPRESSORS INTER CLOSETS • 1 URINALS • 0 TOTAL FEES i 304.90
' GAS PIPING.: 0 ft II 0 0-3 HP • 0 BATH TUBS • 0 DRINKING fOUNT.: 0
FURN(1001..: 0 DUCT WORK • 1 3-•15 HP - 0 SNORERS • 0 SUMPS..... • 0
GAS HNT • 0 MOOD STOVES...: 0 15-30 HP ...: 0 LAVATORIES • 1 YAC BREAKERS...: 0
CONY BURNER: 0 FURN)LOOK • 0 30-50 HP 0 SINKS • 0 DRAINS 0
880 • 0 MISC • 0 5+ HP.......: 0 DISH MASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS- ELEC VTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE - 0 (:10,000 CFM: 0 ABOVE GROUND: 0 LAUW VSHR OUTLTS...: 0
GAS LOGS...: 0 ) 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADIA6 PERMITS EXPIRE ONE YEAR AFTER DAZE OF ISSJAMCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME IS TRUE AND CORRECT TO THE BEST Of MY KNOWLEDGE AND THE APPLICABLE CIT�,ir?_2 J
CITY//Of FERERAL{ WAY REQUIREMENTS WILL BE NET.
OWNER OR AGENT _--- L0k4,t--- DATE _ �1.��"'".eS _
I
FIELD COPY
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am*" i ESV ED City of Federal Way
V AY U 31993 APPLICATION FOR BUILDING PERMIT
tRAL
i1�CY OF Fi G DEPT•WAY it 0
PLEASE PRINT 8U"--N I'C APPLICATION #: so -T,3 076
SITE LOCATION Address .2 45i3S 3 i'-7N2a.L-Gv �, , Gt../8Tenant (if known) Lot # Assessor's Tax #
6 6(-s'7 rb f�izc .lC 4 c, 6-V 47,x-c,HG�V
Building Owner Name Address
3 p
73 00 e i-e-cD P, 1 Q o M e�Jla D� L 02,/01-4-9
CityC''
SA-Ar /4 State Gseitee Zip ` O 7 Phone
LoG S74-"- S'Sao
Nature of Work 49.cioGn/z4-. titio zez)�� . ,,2 — /fir_ M) • 1
APPLICANT
Name (F,M,L)
A01 a lrzs Go y c-r—d2e, a a Goc,,_,
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING.CONTRACTOR
Company Name
Q
/L/G77 .7'y 'o/7 577 .. e7
Address
AO, 73ax 62/3'
City f'El7E/2 -4 Gt/ / State 4,./4 Zip Fre 63
Contact Person Phone Fax
13o h ,d 6 '-1-A-1 9'31'- ys of 9.67 5'3 r/
Contractor's # (card must be presented) Expiration Date Verified erYes 0 No
/2//45,6 GG /lCs q- 4,2--cfi•
ARCHITECT
Name
&Xf�'-� / C o ase. Gj-6 .Q
Address
/Doc 4�Oc/-e/C. pAeto 6 f 7 1
City � is r i,,T State y;4. Zip ?r/4(
Contact PersonPhone Fax
40 3 IDawic./- 1?9-4/rti
LEGAL DESCRIPTION
4--•e- os' 771;441C,t- D C.77 ( ,, ..,,S')
Please Complete Reverse Side
CD0492(Rev 4/931
$!RUC TRE ting Use ���„ / �oposed Use
L� /G-C-74/2--,
Parr Aides: ❑ Building Plumbing .a Mechanical ❑ Other
Ty Nork: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
,Commercial 0 Addition 0 Garage ❑ Shed 0 Other
Er sr 1st Floor/5-00 sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area /5-00 sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area /3-71.) sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Veluation I$ /5 Udo
Zoning Lot Size Existing Bldg Valuation $
................
LENDER
NameA///4Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address/60/ 6,, „re�1
/42A o e-v.s /--f.9 77/(>6
City 7?/"43/A,4
State 1e-Jtel Zip ?-8 /o 3
Contact
Phone Fax
1'I/4E .a.L /vv/t 6th-?-5 y2 57-,z-- /7K,„ ,
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
4-9/./>6-°-(e-- / .2/n.Zir/) 2 3/0 f3 /O6-( ‘7', G.-T Sin.,
City 7) ,1`-rState �� Zip y',rt f trey
Contact Phone Fax
/2�y 73/e,?e/ 5d'e /(78' 57(1- -2--93
License # Expiration Date Verified 0 Yes .0 No
PLUMBING FIXTURE COUNT
Water Closets / Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories / Washing Machine Drains Total Fixture Count ,`,
[ IECHANICAL UNIT COUNT
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 ip `--F 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
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. �/��_ -�./� L qp
Owner/Agent: l/V ,.._.7, 4124.4---___ _ Date: ere7aE}ee O /c193/ 3
_ • Cityof Federal Way • REVISION DA
«,.�
Nye) Fry- APPLICATION FOR BUILDING PERMIT NOV 2 3 1993
PLEASE PRINT APPLICATION #: fes"*' - `0 7 v/
Address
6i't�.:.:. :.:.:. : ;:.; .;::. . ;: __aOGP s/J`,P Soir ,A/tz -S'7�iee-11 �c�Px;'-/illx�/ CCli '1)4'4;9
Tenant (if known) / Lot # Assessor's Tax #
C '�'- ( ((.% �
B
Building Owner Name / Address
City �� j /�Sttate Zip Phone
Nature of Work AI/ `b'/k 6/? — /Tv `) Z 497?j i i D4) �a fi 172 5/,1�"�--4J
1 PPLICANT
Name (F,M,L)
7 „TOM' - 7AR K
Address ` //
/.6f__ (-)/ Fehzi//: Cy' 0/9 9cPot23
City
State Zip
Contact Person �J Day Phone Other Phone Fax
ta//�'( 5-0e/II 7,9/c: C/L/6 -- .v`-3�6
. 0744_vz566 c , _2-_ eie- 3 C,,iT/9-&7— d e-A1
BUILDING CQI iacT• R
Company Name
Address •
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
A /X
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
/V/772
Please Complete Reverse Side
CD0492(Rev 4/93)
[sTP.UCTURE �Fvisting Use �roposed Use
ermit includes: Building ❑ Plumbing ii 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 ❑ :: Project'Valuation $
xisting Bldg Valuatioi
Zoning Lot Size E5
....................... ...
. ................ .............. ...... ...............
.. .
•
•
N ...
DER
•:me Address /
City State Zip
... ......................... . ............................................. ........
1VfE.CR; NICs .:.. CTOR
ONTRAiiiiii>::>:
........................................ ..................................................
........................................ .................................................
Contractor Name Address a —
City State Zip —JI
Contact Phone �j Fax
License # Expiration Dat' a Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name
j_....
Address
City / --
State Zip
Contact / Phone Fax
License /t Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE''COUNT''=::::::::-
Water
OUNT `Water Closets Sinks rinals Lawn Sprinklers
Bathtubs Dis ashers Dri 'ng Fountains Other
Showers ' ectric Water Heaters Sumps
Lavatories Washing Machine Drains ,Tates 0.4.4 Count
MECHANICAL UNIT COT,'
Fuel Type (electric/other, Gas Dryer Air Handling < = 10,000 CF• 15-30 Tons
Length of Gas Pipin. Range Air Handling > = 10,000 CFM `30-50 Tons
Furn <100K BT Gas Log Unit Heater 50 Tons
Furn >100 B s Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Groun.
Cony B.rner Duct Work 0-3 Tons Underground
BBQfs 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:
�*,01fte/a �‘��4r�/o,/ o‘®�,rh,,/ `® ee4,�� ,ot4e9l,, ����o®� ,,�t,o, ®®te4,®®
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"114‘' (liertificat of Orrupanrg y-,0K, -
.......,, ,„,..........
„.....,„
‹.„....--._,,,..._.
j%// This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying \�\\��•�
111
t• •i that at the time of issuance, this structure was in compliance with the various ordinances of the City ♦�0
`PAS,A regulating building construction or use. For the following: #rj.
o�\\\,. OCCUPANT LOAD: 22 PERMIT NUMBER: BLD93-1076 /�/�i_�
Os/�/l.jri TENANT NAME. . : GUSTTO INC.
����`=�
SWI/l ADDRESS • 2158 S 314TH ST Unit: #100 \\\`II
L • GROUP:B2 SQFT: 1500 CONSTRUCTON TYPE: 5N 0� %
oea
ilk\�\��� OWNER NAME. . . : BROOKFIELD P.N.W. ,i//�'�'/
ez.�� ADDRESS • #3 PROMENADE LANE ===�
0��%'i SANTA ANA CA 92707 C�\.z�-n�i�
/,WA/// — \\\\®79
eirip
t it '��,,
o.��o\\ tom' a�_./ /27 ► /�/�
�.o�\ i
1_``\\ BUILDING OFFICIAL DATE 0/0/ AV:
d®�j��= The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience L'���==�
orAdrIP%
has shown most severely affect the health and safety of the general public. Although the City has made as complete u review and inspection as �\\\\\®0
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elp441, is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or ►���\\�-
•�Al(i• to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the state of �j�;i��
=�\` Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of d��®,
�a��`\� the owner and/or occupant of the premises. �j ®,�
►� POST IN A CONSPICUOUS PLACE
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