92-100150 9J-/db15-0
CITY OF FEDERAL WAY
33530 First Way South
FedealWay, W 98003 66141
BUILDING PERMIT BUILDING INSPECTION40
PERMIT NO. 92-0091 CA OWNER'S NAME N.W. PROSTHETIC/ORTHO CLINIC SITE ADDRESS .34709 9 AVE S "A-100"
CONTRACTOR TRADEMARK CORP ADDRESS 2000 124 AVE NE BELLEVUE _ CONT.PHONE 883-7800
CONT.REG.NO. TRADFC*231OR EXP. 5/92 OWNER'S PHONE 883-7800 OWNER'S ADDRESS 2000 124 AVE NE BELLEVUE
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 TENANT IMPROVEMENT
TAX ACCOUNT NO. 926480-0010 LEGAL DESCRIPTION _ POR OF LOT 1 WEST CAMPUS BUS PARK ACCD TO THE PLAT
RECD IN VOL 97 OF PLATS PGS 78-82
.SUED BY ELIZABETH SNYDER DATE OF ISSUE __ /" 7C) % 9- DATE OF APPLICATION 1/22/92
BUILDING INFORMATION
ZONE OP SET BACKS:FRONT NA SIDE NA REAR NA HEIGHT LIMIT NA
OCCUPANCY B-2 TYPE OF CONSTRUCTION 5—N _ CENSUS NO. 437 TYPE OF HEAT_ NA BLDG.SQ.FT. 1480 STORIES NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS _ _. LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS _ URINALS GAS HOT WATER HTR. _ AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER _ MISC.
_
SINKS 2 MISC. BBQ BASIC FEE RETURNED
DISHWASHERS _ TOTAL FIXTURES 2 X $5.00 DRYER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $2 O,0 9 8 PLANNING DEPT APPROVAL = LORI SCHILL
PERMIT FEE $216.00
PLAN CHECK FEE 140.00 "APPLICATION EXEMPT FROM SITE PLAN REVIEW UNDER FWZC 175.10.2.B"
UMBING FEE 10.00
FIRE DEPT APPROVAL = CHRIS INGRAM/KEVIN ELLIS
litECHANICAL FEE
PART P/C FEE BLDG DEPT APPROVAL = KEVIN ELLIS
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE 4.50
FIRE FEE 10.80 DATE: i- ,3 C -G)
OTHER FEES AMOUNT: $381.30
AMOUNT DUE $381.30 RECEIPT: ‘VCj S 6.
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 INFO' S FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. ��
OF �� - `
-,,,
OWNER OR AGENT ��, s_ , - _ DATE
CITY OF FEDERAL WAY
33530 First
Way, WA98003 BUILDING PERMIT BUILDING INSPECTION
Federal
661-4140
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR. ADDRESS _ . CONT.PHONE
CONT.REG.NO. EXP. 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 _ SET BACKS:FRONT _SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION _- CENSUS NO._ _- - TYPE OF HEAT _ BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER - _ GAS PIPING_ FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS _ CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION PT,ANNIN{1 DEPT APPROVAL = LORI SOUL.
PERMIT FEE "APPLICATION EXEMPT FROM SITE PLA*
PLAN CHECK FEE
PLUMBING FEE FIRE DEPT APPROVAL = CHRIS INGRAM//
KEVI_mss ELL IS
MECHANICAL FEE
PART P/C FEE -_- PLIX DEPT APPROVAL = K='t'IN T LLI"
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES AMOUNT:
AMOUNT DUE RECEIPT:
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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RECEIVED
JAN 2 2 1992 Periij ' CO
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{)1'1Y DNG DEPT. AY
BUILDING
CITY OF FEDERAL WAY BUILDINGDEPT:
BUILDING PERMIT APPLICATION
// —Please/ Print—/� / /
BOX 1 TENANT NAME: �, J ho 51i-he_T/.0 Amc Q}-14 7`/C �'//!v1( 4 - / O�J
OWNER c r� �N�w (�s;- , SITE LOCATION _ :37/7n? 2r1 4 S: Fed
OWNER'S ADDRESS Jc*cx /amu r' h' .a A/I CITY_ PHONE avSrr 713 rcn
DESCRIBE JOB / Ts ,
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /r--,c/� A , CONTRACTOR'S REG. # T/=f HJ% <2,?/d/
Card MUST be presented
CONTRACTOR'S ADDRESS ,,7C / _t ' N f CITY _ - PHONE F
EXPIRATION DATE 7 /— 9
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING 0 DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON -.J'/-e- PHONE S's_3 700 -
BOX 4 SEWER DISTRICT :CI- d.. wC WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ,5-65(56 c'". EXISTING BUILDING VALUATION 3r5e1 22-
BOX 6 PROPERTY TAX ACCOUNT NUMBER i
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.) q
K.C. Plat Recording # �JJ14`J�
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR_ ' 2 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ((/) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 'art'-r 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 $
DRAINS $
OTHER
TOTAL FIXTURES $
0 v TOTAL MECHANICAL FEE $
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„ UPONTHE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: _ ��-c_ / c—��/l<- DATE: ! `” ,2
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE op SETBACKS: FRONT /A- SIDE '�4 REAR AI% HEIGHT LIMIT x-11--
PLANNING DEPARTMENT APPROVAL /- �'� �f
REMARKS: lrf'c.lc.477.0 v FXF.?rp7 74�ir�( 5/re 1'LAN >lEv/E ') u.Uo
/ 77/e, z,d,
SEPA: EXEMPT / ..-'' NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE / - 7-c0,
REMARKS: — S21Aikt/ -S o
i-Z�- 72
PUBLIC WORKS DEPARTMENT APPROVAL /V_ / fr DATE
REMARKS:
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. OTHER
OCCUPANCY � TBUILDING FT. P-1
OF CONSTRUCTION VA/ ��` �� STORES too Lig-z,4'v-d l
O ff tLP_ BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT.
BUILDING SQ. FT. dtAO ( i-1 Q Ute`- 6` Qv
TOTAL SQ. FT. TOTAL VALUATION 2_00qg. 1-1O
BUILDING DEPARTMENT REMARKS: PERMIT FEE Zt6
PLAN CHECK FEE ( '1 0
PLUMBING FEE /0- BCS
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE < w
OTHER FEES ,) F e-e- O S O
AMOUNT DUE b
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL p/
RECEIVED BY DATE I - Z� - r 2 ACCEPTED FOR FILING