95-102008 9 5----its)-sag
- .r.
4 I TY OF FEDERAL WAY PERME i 14o:-. ULIP,5-0645
kf. 33530 First 'Way south DUI L. DI NG PERMIT ISSUED: 09/11/95
Federal Way. WA 98003 EMI I di nci 1 nc-cpe. Lion Pr,que,-.;t-,c, 661 --41140 FTY: F C2
• 661-4000 EXPIRES: 03/09/96
ADDRESS:31701 20TH AVE S
NO. : 092104-9034
4 PROJECT DESCRIPT EON-TENANT IMPROVEMENT - INTERIOR PARTITION TO EXISTING SPACE
CASCADE ATHLETIC CLUB 11* OWNER TS CONTRACTOR '**
31701 20TH AVE S
FEDERAL WAY WA 98003
41-5991
• ,
lit NONE **If
1*; COoB11
NIRAciS, 11A41 US1 10,011011 COOT 1/12 WHIR R1P0v1110. SALES TAX FOR PROJECTS VIM* fill CITY Of ItIt0 l&h4WAY.
44
BLD?:x MEC?: PLM?: FLR--EXIST--PROP--- '. OtIftf4ROANTIPS: 0 -COMP PLAN *BUS FEES: 1
TYPE Of WORK TEN UE CON 1ST 0: 20218 sf 11, 1,-..1,.. ...: 2 REQUIRED PARKING..: 0 SPRINKLERS' •Y PLAN ditcf, TEE $ 14.30 1
CENSUS CATEGORY *437 2111, 0: 10162-f NIGHT._ 0.00 ,t IfALAglf CLAS' _III .. ,,, FINAL PlAll CHECK...* $ 0.00
OCCUPANCY GROUP---------- 301. 0: 0: t V1, liftlfof f )0.0 im.1,, , f ,, quo .: P 4 *: -PLCK-FIR cool only $ 1.10
.
:A3 :B :£3 :? . 404A. ii• , f f, i ,! 1- 0'0 i PAT. ........:" 0." it
1,il! BUILDING PERMIT. ..* $ 22.00
TYPE OF CONSTRUCTION-- l'91'- " q- t vl ' 4- --oo 1 • )Pc ...1*1."?.. 'f 0 ft- WATER 'ovt(*,.:FED - '-'-' , ,:' :CHARGE * $ 4.50
:4-111R:3-1HR:3-111R:? : ,tfl, ' ' 0*,..: KE,Alt * 0.00:ft SEWER SERVKE..:FED
OCCUPANT 00................, 0 , 7,f Rf,Elvti, ,001,q5 i
: 151: 10: 18: 0: MI Jo 0:ef AmpERv stow: 0 sf SENSITIVE AREAS?.:A
FUEL TYPES.:? ? FAH- „ ... 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 41.90
kAS PIPING.: 0 ft HOOD • o 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
IIIFURN100f..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWI.,..: 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0 1
CONY BURNER: 0 FURN>100K • 0 30.50 HP • 0 SINKS • 0 DRAINS : 0
BBQ 0 MIS( • 0 51 HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC VTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 Y-:10,000 CFM: 0 ABOVE GROUND: 0 .LAUN WSHR OUTLIS...: 0
GAS LOGS...: 0 ) 10,000 (FM: 0 UNDERGROUND.: 0 • I
I
PERMITS EXPIRE 180 DnYS ni PANTO it NO WORK IS STARTED. RESIDENTIAL AND GRAMM, PURIM EXPIR1 0N1 TEAR 611IR DATE Of ISSUANCE.
I CERTIFY (NAT TOE IN MAMA TURNISKED BY NE IS TRUE AND CORRECT TO TOE NEST OF NY °WEDGE 1110 la APPIICABEt CflY 01 IIDIRM q.Y ernOT9P4Pne Jul 11* Drr
OWNER OR AGENT1 AN-"----- . DATE 1-10 .cr
., 4 ..
4 FIELD COPY - a7,05-,5--- iic,
CITY OF FEDERAL WAY PERMIT NO: BLD95-0645
33530 First Way South ..E3:14..„1) I: i......,t).1.. N 03 PE.R.PI.. ,.. I ISSUED: 09/11/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC2
661-4000 EXPIRES: 03/09/96
ADDRESS:31701 20TH AVE S 9s -/ad-o0$
NO. : 092104-9034
PROJECT DESCRIPTION:TENANT IMPROVEMENT - INTERIOR PARTITION TO EXISTING SPACE
= OWNER == CONTRACTOR i LENDER --
CASCADE ATHLETIC CLUB *** OWNER IS CONTRACTOR ***
9 31701 20TH AVE S I
FEDERAL WAY WA 98003
111I
941-5991 i
*** NONE *** I
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
=y-"'_-=a==-'-` __ = = F _ = 0 9
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •BUS FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: 20218:sf STORIES • 2 REQUIRED PARKING..: 0 SPRINKLERS' •Y PLAN CHECK FEE $ 14.30
CENSUS CATEGORY •437 2ND.: 0: 10162:sf HEIGHT • 0.00 ft HAZARD CLASS...:LIT FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gin PLCK-FIR comma only* $ 1.10
:A3 :B :E3 :? OTHR: 0: 0:sf EXIST..$: 1340800 FRONT • 0.00 ft BUILDING PERMIT....* $ 22.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 500 SIDE • 0.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
:3-1HR:3-1HR:3-1HR:? DECK: 0: 0:sf REAR • 0.O0:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/21/95
: 151: 10: 18: 0: TOTL: 0: 30980:sf - IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 41.90
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
URN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0 I LAVATORIES • 0 VAC BREAKERS...: 0
CONV 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 WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
i 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 IN TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ( DATE1-10/i5—
, U/i5
ALE COPY
i • RECEIVED
anew �.L-L-,
City of Federal Way
APPLICATION FOR BUILDING PERMI
UG 21 1995
CITY OF FEDERAL WAY
BUILDING DEPT.
PLEASE PRINT APPLICATION #: 6( 13.— 0 45
SITE LOCATION Address 3 \rl 01 --
AV, S.
Tenant (if known) Lot # Assessor's Tax #
C -AC3rE. es-CJ ( -- - - -- �9 Z/0'`- ?0 Y/03
Building Owner Name Address
-=oE. mac, off) 5300 Sc) LA )1 c-CO -6. l
City Pa6tt< t State 02,Ek)0,1... Zip 9'`7 ?JO f Phone
Nature of Work :::ENTEI'UOY\ f7,4COI-‘1h) 1-3 -.,,).. (STl")6 —"['E1 A► I 5elko
APPLICANT
Name (F,M,L)
WJE- 44Phlu(zr€
Address 3$(( .?.-`41 -.
City CIr)L)t' C,( / (,,,1�. State w/� • Zip S' c(,2Z,
Contact Person ly ! Day Phone , Sb O Other Phone Fax
b&&e k aVg./400
BUILDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person j Phone Fax
Contractor's if (card must be presented) Expiration Date Verified ❑ Yes D No
ARCHITECT
Name
___. 7-1.-).°A CMZ- ,SES/{ S
Address
/7/ S e'''at-��0 1 ACJ .7:/n('
City PU y�(i/Jf State tjdoi, , Zip 97 3 9
Contact Person„_/�/� A��) Phone / 7 4/ z Fax
�"` � 9z — 02 5-1
LEGAL DESCRIPTION L-('( ( tC5/ 77/066
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE liking Use Cr yy � j posed Use ���
Permit includes: ❑ Building �X/rrLlf 1❑ 1Plum�ng ❑ Mechanical ' n'r ❑ Other •
Type of Work: ❑� Residential ❑ New ❑ Remodel El Number of Units ❑ Deck
I!cCommercial ❑ Addition ❑ Garage ❑ Shed ❑ Othe L }1,4,,
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ftr
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 $ ,S-(k). 00
Zoning ---1(..,, /7Lot Size 7 Existing Bldg Valuation $
LENDER
Name Address
City
State Zip
......................
MECHANICAL CONTRACTOR
Cont'i'astor Name Address
City ~ '
.� State Zip
Contact
Phone Fa
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR'
Contractor Name Address
City
State Zip
Contact
Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinajs Lawn Sprinklers
Bathtubs Dish Washers Drinkin. Fountains Other
Showers Electric Water Heaters Sumps
Lavatories
Washing Machine Drains T4tatF%xtftte06.tlTtt `,._
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 M 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CF 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fue :nks
Gas Hwt Hood Boilers Above round
Cony Burner Duct Work 0-3 Tons Undergro •d
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLA,r ER: 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 5bove 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: z.,?-C