97-104490 • 374010 90
CITY OF FEDERAL WAY PERMIT N : D D9 -0
E O- L 7 1
33&-30 Ftrs t WaySouth 1:31.,„) .:,E ti... ., , .:::. .^#�,::;;.f T;,� ::;;.: '?. '" ::i ,w�,,, ISSUED: 12/15/97
Federal Way, WA 98003 1:3ui 1 ding Inspect;:ion Reciuz is 233-661-4140 BY: FC
253-661-4000 EXPIRES: 06/13/98
ADDRESS: 32018 23RD AVE S
NO . : 162104-9028
PROJECT DESCRIPTION:plumbing permit only
F= OWNER -- ===_•- ---=F= CONTRACTOR -- • - __-_= , LENDER __ _......
1 UW PHYSICIANS NETWORK T W A BOTTING COMPANY t
1 2505 S 320TH ST, SUITE 110 PO BOX 33706
IFEDERAL WAY WA 98003 SEATTLE WA 98133
.3-584-8408253-364-0340 1
WABOTC*099JA 1
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ***
T
BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 , COMP PLAN •CCCO FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: 0:sf STORIES • 0 iREQUIRED PARKING..: 0 SPRINKLERS' -' PLUMBING FIXT....93* $ 259.00
CENSUS CATEGORY •999 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' ° PLM PRMT ISSUANCE.. $ 20.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:12/15/97
: 0: 0: 0: 0: TOIL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS I WATER CLOSETS • 4 URINALS • 0 TOTAL FEES $ 279.00
S PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
IIIPPN<100K..: 0 DUCT WORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 24 DRAINS • 1
BBQ • 0 MISC • 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: C
GAS DRYER,.: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 1 OTHER FIXTURES.: 2 ;
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 INFOR ATIO RNISHED 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 YL-lr�_ 1-ctl
FILE COPY
4 ,
CITY 01 FEDERAL WAY PERMIT NO: HI D97-0 719 •
33530 First; Way South . DU .1 L DI NG PERMt 1.y.,;(.4 D: 1.2/n/97
I
Fede ra 1 Way. WA 9303 1301 1 fli rig II nspe c t.-i o n Requests 253-661 4140 BY: IC
253 -661-4000 E XP1RI.C: 06/1`.3/90
ADDRE.SS:32018 23RD AVE. S .
1O. : 162104-90213
PROJECT DESCRIPTION:pluebinq permit only
t. 0wmut avoitt.smeaucoo"insmaamswimultstaxinavatacamatemagrwriewmamoma.v.vx,r CONTRACTOR .................................,....T. limo umftwaommaut=or,”.*.vvamvuumsmommamtwr,mna.o,mumuw,
UV PHYSICIANS NETWORK 1 11 A DOTTING COMPANY
2505 S 320TH ST, SUITE 110 1 PO BOX 33704 1
FEDERAL WAY HA 98003 I SEATTLE NA 98133
1
34
-8408 253-364-0340
NABOTC*099JA
211.
COMA , eLtRa USE 1-00111011 OK 11.12 WU RiPORTIOG SALES TAX FOR PROJECTS VIININ IN CITY Of mum RAY. 1A1 RATE : 8.6% *Is
..um,pwammwws.vs=41.40441010tuismoupommmslizar,. =714x=malawmxex,•---rrvaw,==xmasmilwausamasszovmm*=,=...444mgov,---.Ta'ssummt, mvit,..4-m—wgmr c -2..
1 BID?:X MEC/:? PLM?:? FIR—EXIST-1 —0OP ., DWITIMG OPITc: 0 COMP PLAN
1
*CCCO 1 FEES:
.,, 1
I TYPE OF NORK:TEN USE:COM 1ST.: 0: 0:s+ (-001ES.......: 0 REQUIRED PARKING..: 0 SPRINKLERS4 PLUMPING FIXI....93* $ 259.00
1 CENSUS CATEGORY *919 2ND.: 0: 0:. . TIGHT.. ..: 0.00 t-, ITAZAHO CLASS., .-? 1 PIM PKNT ISSUANCE.. i 20.00
OCCUPANCY GROUP-- .----- 3RD.: 0: -.4:fiT ' VlUi0tON-- . TWIRL.) StIPACr. rill Row_
- 1 :? :.? :? :? : ATOP: 0: .0-s'-'11:sf IT'. $: 0 INC.. ...., 0.00 ft
TYPE Of CONSTRUCTION-- . 8SMT: '1* 0:sf NOP . 1: 0 1 SIDE... . .....: 0.00 ft VAILP qfAC.C..:?
:? :? :? : : kJ: 0 o'sf REAR..........: 0.00:11 AMER SERv)(E..:?
OCCUPANT LOAD ;AR.: ): 0:',TREOIVLD,t .,'121 '
1W0
0: 0: 0: 0: IOU: 0- t:sf INPERV SURFACE: 0 sf SENSITIVE AREAS?.:/
=av=ilimmum=ft4allmr=awscusgs.....A.m.=m1N=apponsamomma00,"4400ft=m44goau=.1.Awom.uncaa.... .M,XPITAMNA1==,WV4=901=9=UMMAiiiNCE4M.W=VMUUW4=MWON4,A24.1130=1.4
FUEL TYPES.:? ? FANS. ..-4. • 0,---' BOILERS/COMPRESSORS RATER CLOSETS......: 4 URINALS • 0 TOTAL FEES $ 119.60
c PIPING.: 0 ft HOOD 0 0-3 TON. • 0 BATH TUBS - 0 DRINKING FOUNT.: 0
11(100K..: 0 DUCT RORK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0
IGAS OWT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES 4 VAC BREAKERS...: 0
CONY BURNER: 0 FURN,100K • 0 30-50 TON • 0 SINKS 24 DRAINS • 1
1 880........: 0 MISC • 0 50+ TON. • 0 DISH RASHERS • 0 EMI SPRINKLERS: 0
GAS DRYER..: 0
RANGE •
GAS LOGS...: 0 AIR HANDLING UNITS
(
> 10,000 (FM: 0 FUEL TANKS-----,--, 1 EIEC WIR HEATERS...: 1 OTHER FIXTURES.: 2
0 40,000 (FM: 0
ABOVE GROUND: 0 I LAUN WSHR OUTLIS...: 0
UNDERGROUND.: 0
PANTS EXPIRE 180 DAYS AFTER ISSUANCE If NO NARK IS STARTED. RESIDENTIAL All GRADING PERNIIS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
io I CERTIFY TMT IRE INF, Il 1 N1SHED RY NE IS ROI AND MEC! 10 TNI BEST OF MY KNOWN' ANA la *MICAS" CITY Of FEDERAL WAY REQUIREMENTS IIIII 81: NIT.
, t
OWNER OP AGENT DATE -. I '77->: 71 1
FIELD COPY
1 SETBACKS & FOOTINGS • •
Date By
2 FOUNDATION WALLS
Date By
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Date r L_ ($'—cYZ By � 'sf
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4 SLAB INSULATION
Date By
7151.1.77.0T7DF
OWNSF
Date By
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6 UNQ
LOOR;FRAMING...
Date By
7 SHEAR WALLS
Date By
PLUMBING ROIJGWIN
Date /—$ By 'L
9
Date By
10 MECHANICAL ROUGH-IN
Date By
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11 FRAMIN;
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17 PUI3LlI :1 kORKS.FINAL.
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CD0193(Rev 4/97)
•
BUILDING DIVISION
•
G 33530 First Walt South
Federal Way,WA 98003
uv AY' (253)661-4000
Fax(253)6614129
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # 4,� ( / )
Address �7� •
— S '
Z � 50
U
Tenant(if known) Lot# Assessor's Tax #
Building Owner's Name Address
City State Zp _Phone
Nature of Work
............................................................................................
............................................................................................
...........................................................................................
............................................................................................
Name (F,M,L)
1 ��t�;t\c\C.O-
Address
t zsr ct t 20 i2 f
City 4t e_, 12State Zip C1 t 33
Contact Person Day Phone Other Phone Fax
To
frit M a P-1- t--) Zc', Ear 03'--O 3'..4 03 61
B1IlE .NC Ct?NTR�CT�R......... ..............
Company Name
SEn Cr)Clv!-\ Co,
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
............................................................................................
...........................................................................................
............................................................................................
............................................................................................
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
:3:> istin Use
Pro osed Use
Per:nit includes: ❑ Building ❑ Plumbing ❑ Mechanical El Other
Type of Work: El Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
El Commercial El Addition El Garage 0 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 El Sewer Availability ❑ On-Site Septic System Availability 0 _ Project Valuation $
Zoning I Lot Size Existing Bldg Valuation $
Name Address
City State Zip
Contractor Name Address(w_". e.) 3`�49 AU2C /� AVE,City C.. jTt,:jF1 oiip, . State A Zip 9-a 3
Contact Fax
_
IfM 312AJ
License # \J t/. e)0-T-C s I Expiration Date Verified ❑ Yes ❑ No
Contractor Name Address
iS1a1F_ AS M C, i.Ctrl. -
City State Zip
Contact Phone Fax
License # Expiration Date Verified El Yes 0 No
PLUM BII G IXTURe COUNT
Water Closets 4 Sinks 29' Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains I Other R F-F z?
Showers Electric Water Heaters ( Sumps
Lavatories ¢ Washing Machine Drains I Total Fixture Count
S
I+�, NM.� f..tlr�tlT Cf3UN '#':::.::...........:::;.;: MECHANICAL EVALUATION ONLY $ � , Oct'(?
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 – 33, %