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91-100802 W-10680 D CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91-764 CA OWNER'S NAME PACIFIC VASCULAR JOB ADDRESS 34709 9TH AVENUE S #B-600 CONTRACTOR TRADEMARK CORP ADDRESS 2000 124TH AVENUE NE BELLEVUE CONT. PHONE 454-7000 CONT. REG. NO. TRADEC231 OWNER'S PHONE 454-7000 OWNER'S ADDRESS 2000 124TH AVENUE NE BELLEVUE TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD.XX INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADINGOTHER TAX ACCOUNT NO. 926480-0010-03 LEGAL DESCRIPTION (SEE ATTACHED) ISSUED BY JOANNE JOHNSON DATE OF ISSUE 7/ 9/ DATE OF APPLICATION 6-10-91 BUILDING INFORMATION ONE OP OCCUPANCY B2 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 1500 T BACKS: FRONT SIDE REARSTORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 1 ELEC. HOT WATER HEATER _ 1 GAS PIPING _FT. BOILER _ RECEIVED _ BATHTl V LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES 1 DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC SINKS • 3 MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES6X5= _ 30.00 UNIT HEATER TOTAL MECHANICAL _ AMOUNT VALUATION 20,370.00 PLANNING DEPT APPROVAL: CORY SMITH 6-18-91 FIRE/BUILDING DEPT APPROVAL KC 6-24-91 PERMIT FEE 716_.00 PLAN CHECK FEE 13n_cm PLUMBING FEE 30..0.0 MECHANICAL FEE TAL BLDG. FEES T P/C FEE SEPA REVIEW DATE: .7- - /- 7/ WATER SERVICE WATER MAIN CHG. AMOUNT: $391. 30 S.B.C.C. FEE 4. 50 `� r OTHER FEES F.D. 10_80 RECEIPT: 376=7 AMOUNT DUE 391 -30 ALL PERMITS EXPIRE 180 DAYS AFTgR ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE I -i' IN FUR HED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WI r` OWNER OR AGEN 4111! ,S7 / t� � DATE 7 -y CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS V CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. 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 OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. ^BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED _ BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ LAVATORIES _ DRINKING FOUNTAINS GAS HOT WATER HTR. MISC _ RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL ' AMOUNT VALUATION ERB/ t'ILD:SIG DEPT APPROVAL KC 6-24-91 PERMIT FEE + PLAN CHECK FEE 130.00 PLUMBING FEE 30.00 MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE / / SEPA REVIEW DATE: '7 ^ -' --- WATER SERVICE WATER MAIN CHG. AhoU��i�T •.- 391.30 S.B.C.C. FEE i0 /�� OTHER FEES . . ;0 RECEt: ______aC/ , `] .-• • { t i3! AMOUNT DUE 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 l ' 1 I m Z m Q ccm O o . o cc a a w c�`r Z D co cc 1 z Q CS J Q ir U Q `�\ Z I z I m EL Q D w 0 I- -I 1- wQ a 0 < 5 0 1 1 0 J I CD < a Z O >- ' >- i-7- m m Q 0 1 z I k. O YY "' O O miii Nt oa K z O a C a Q O I- F (0 F 0 O O 3 O ? < 0 1 o I z 1= m m a m >- m �U , LLIaN. Z 1 O O ° vv hFftI a 0 Mr RECEIVED •rmit JUN 1 0 1991 CITY OF FEDERAL WAY OITYOFVED RALWAY BUILDING PERMIT APPLICATION BUH � NQ Q - Please Print— BOX 1 TENANT NAME: ' ,)Jo +n', 1 ,_c,,n I/. ,r;(7_,r_ /i 0 le ?fir t - OWNER .T-• , • it V L _ ^ SITE LOCATION -7--------=',-* ' - =• ~^3 n 'v S _`io-41&8-‘44c OWNER'S ADDRESS.s20C7- j,".2 _Z7/ ibiti IVE CITY 13 //e v,<..-< 11'x, PHONE Y,5-7/ 7L-'--`0 DESCRIBE JOB 7 Z F' - Occ A . n JPi'c-e.:._ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Fey-c itc e_ �- -,C' i!!r,a-1 ! a . CONTRACTOR'S REG. # • "�- 'e c. i- 13/OR Card MUST be presented CONTRACTOR'S ADDRESS )(7-r 1,;2 4, '?, Ae r N* CITY - , t' it/:e PHONE W.'rzf ''�-e-r' r:2 EXPIRATION DATE 7--/ -- cg. — OR — I HAVE READ CHAPTER 18.27.010 ATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON 7 < :-- .J_I- -Its ,--.5.� PHONE :�°s'3 7??''-Ce" BOX 4 SEWER DISTRICT : <I /4.C WATER DISTRICT f l't % j BOX 5 ESTIMATED PROJECT COST . 5i (-115EXISTINGBUILDING VALUATION -3�'-r � '-e` -,-" `' BOX 6 PROPERTY TAX ACCOUNT NUMBER -7.:•,2C N $C% ` Co. /G LEGAL DESCRIPTION Ste- 4f/4-eh.: j. (If necessary, please submit a§eparate page with the legal description.) K.C. Plat Recording # (/ BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /32`-,5,` / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY // e'-z ' SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ 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 $ gs $THER $ TOTAL FIXTURES $ f .; 340 ,O a 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 EMPL •'i ' THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. 40 q OWNER/AGENT: ti Ja _.,0'- ..��,. 7/ c DATE: ! /� 000 ANP-008 3/90 lip e _ OFFICE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) Qs/19V314 ZONE ,' 1 SETBACKS: FRONT "44? SIDE -' , I' REAR /l'i/-1 HEIGHT LIMIT /v//feel0 i wit_ PLANNING DEPARTMENT APPROVAL (ai� �i .., l-/,P- f/ u -i.; y :y REMARKS: �/ YAWTR30 SEPA: EXEMPT X NOT EXEMPT FIRE DEPARTMENT APPROVAL ' DATE 6 - 2 y ` f/ REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: 4)/-A, 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 8 Z TYPE OF CONSTRUCTION t!/rd STORES Aite , - 6 1CS- BUILDING SQ. FT. (S °o @ G 7 r 7 = (0 ( SSO BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ "iC66?f -(er - 0 - 2-c-' TOTAL SQ. FT. TOTAL VALUATION X370 BUILDING DEPARTMENT REMARKS: /f/lkk_5`1— 5 l Lu3 C PERMIT FEE 2-4 ( ( 70a cU v fV PLAN CHECK FEE l 'f O e � r � PLUMBING FEE 30 MECHANICAL FEE 0 TOTAL BLDG. FEES 3 tL PART P/C FEE SEPA REVIEW S.B.C.C. FEE 11• 3-6 OTHER FEES FD 1e, /0 •e 0 AMOUNT DUE ASSIGNED ADDRESS: Ce-e- Q‘k(7C+(bt-5 Q � �� PARTIAL PLAN CHECK FEE RECEIVED V� �0l�© Amount Date Receipt# J 4/ JZ �� BUILDING DEPARTMENT APPROVAL _ ZL� G�' K BY �� DATE t 1 I ACCEPTED FOR FILING REC ��: 0