94-100078 911401)072'
-"CITY 3353O0F FEDERAL WAY Fi First Way South BUILDING P PERMIT
ISSUED: 03/14/9414
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 09/10/94
ADDRESS:31620 23RD AVE S Unit: #300
NO. : 092104-9051
PROJECT DESCRIPTION:TI - CONSTRUCTION N/0 BUILDING PERMIT. NEN NALLS TO EXISTING OFFICE..
ONNER - CONTRACTOR ,- LENDER
C.P.A. PARK NORTHNEST DRYNALL DESIGN ***NONE***
31620 - 23RD AVE S 1300A 22319 MARINE VIEN DR SO
FEDERAL NAY NA 98003 P.O. BOX 69427 (98168)
DES MOINES NA 98188
946-3652 181-4455 953-3144
NORTHD0074C3
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DNELLING UNITS: 0 COMP PLAN •? FEES:
TYPE OF NORK:TEN USE:COM 1ST.: 0: 0:sf STORIES - 0 REQUIRED PARKING..: 0 SPRINKLERS' 9 PLAN CHECK DEPOSIT.* $ 9.75
CENSUS CATEGORY •437 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS .7 BUILDING PERMIT....* $ 15.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLON....: 0 gpo SBCC SURCHARGE * $ 4.50
:82 OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft PLCK-FIR cool only* $ 0.75
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 500 SIDE 0.00 ft WATER SERVICE..:' FINAL PLAN CHECK...* $ 0.00
:5N : : : : DECK: 0: 0:sf REAR..........: 0.00:ft SENER SERVICE...? BUILDING PERMIT....* $ 15.00
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:01/07/94
0: 0: 0: 0: TOIL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.: FANS..........: 0 BOILERS/COMPRESSORS NATER CLOSETS - 0 URINALS • 0 TOTAL FEES $ 45.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT MORK • 0 3-15 HP • 0 SHOVERS - 0 SUMPS • 0
GAS HNT • 0 MOOD STOVES...: 0 15-30 HP • 0 LAVATORIES - 0 VAC BREAKERS...: 0
IlikiV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS - 0 DRAINS • 0
J • 0 MISC • 0 5+ HP • 0 DISH MASHERS • 0 LANN 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 MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY ME HISS U)UE AND CORRECT TO THE BEST OF MY KNONLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE MET.
L� � T Z- N -�
OWNER OR AGENT ��'"� DATE
ALE COPY
• • ,:
•
,,� Cityof Federal Way
Y v,
,..x.,_
v`.) ,.,,,' APPLICATION FOR BUILDING PERMIT
Ac- , -, i I1e. b
PLEASE PRINT re:i'
G ' ' 'j j t"( A,1?7 APPLICATION #: i `'L �� OG,/�
LOCATION :` :<'. >: Address �, Z a2 j�17 A,W&t : -,r.,',d.„,,,. � ,
Tenant( own) Lot # P 4 c( j Asse o� Tax#
e2 to V 1907
Bu' g Owner Name , Address
.V..._\ 1 ..) _ U Ck _3•3tv 2 -- , 1 Lc. ,C) 22° c-./2 <---;
City � (---) . k_, 2,p—II State UJ i- Zip CI I _5-( -2PhoneG)1G{(4)-- .2)e.,,5 L,
Nature of Work t..i'Cf1.) " -/L '•
Name (F,M, asi-_-_ c,_� ) ^
v\sJ
Address
City „��� (-' State w( Zip C'` I
Contact Person Day Phone Othe Phone I Fax
BUfl NG CONTRACTOR
Company Name 2 S `t
Address
2 -3 \ ct \...\, ,,c-2__\ N �) t _..._J 0 CL- B c)
City I jC (\---\ O 1 t.3( State LK—) ( Zip c I
Contact Pers V .=( �n I_ �I S_�Fax -� vvv
Contractor's # (card must be presented) Expi ation DateVerified 0 Yes 0 No
\)C.) e—t �-\ P 0 0-1 �c_._ I -7 ��
11C FCT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/931
SKUCT ling Use + �' posed Use 61 E...7
Permit includes: ❑ Building 0 Plumbing ❑ Mechanical ❑ Other
* _
Type of Work: 0 Residential ❑ New � 1. Remodel ❑ Number of Units ❑ Deck
Commercial ❑ Addition 0 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 1k] Sewer Availability l)Q On-Site Septic System Availability ❑ Projectllalua4an S
Zoning �-V:`1� Lot Size Existing Bldg Ya(iretion * '"
NameAddress
\
,
City State Zip
MECHANYCAUCONTRACTOR ;.:.:."
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
LUA'13XNG +CONTRACTOR:
Contractor.(Jame Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUNIMIN TT TU 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.
CHANICAI 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 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. r--
.
Owner/Agent: e / \ Date: r ` •_- _