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91-101609CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT 5), AD) 6a9 BUILDING INSPECTION 661-4140 91-1571 PERMIT CA CHINESE ACUPUNCTURE CLINIC 13516 9TH AVE S #C NO._ OWNER OWNER'S NAME ___ SITE ADDRESS ----------------- CONTRACTOR __ ADDRESS CONT. PHONE CONT. REG. NO. EXP. OWNER'S PHONE 228-3511__ OWNER'S ADDRESS 1124 S 23RD ST RENTON TYPEJOB: NEW RESIDENCE-- ADDITIONNEW INDUSTRIAL NEW COMMERCIAL-- COMMERCIAL ADD. XX INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILYUNITS-) MULTI. ADD._ SIGN GRADING OTHER TAX ACCOUNT NO. 92625-0160 LEGAL DESCRIPTION LOTS 7, 8 & 9 OF THE PLAT OF WEST CAMPUS OFFICE PARK DIV 2, RECORDED IN VOL 1203 OF PLATS AT PAGES 14 & 15 RECORDS OF KING CO, WA. ISSUED BY _ JOANNE JOHNSON - DATE OF ISSUE it - 14 - 9/ DATE OF APPLICATION 11-6-91 BUILDING INFORMATION OP ZONE SET BACKS: FRONT -- _ SIDE ---- .------------- -- ------- REAR -- HEIGHT LIMIT OCCUPANCY B2 --------- TYPE OF CONSTRUCTION VN CENSUS NO.__- TYPE OF HEAT --BLDG. SO. FT.-__- 1500 STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS _-_ ELEC. HOT WATER HEATER GAS PIPING -_ FT. GAS LOGS BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK RECEIVED SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES ---------- DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS 4 MISC. _ BBQ _ BASIC FEE RETURNED DISHWASHERS __ TOTAL FIXTURES 4X5= 20-00 DRYER TOTAL MECHANICAL AMOUNT VALUATION 16,020.00 PLANNING DEPT APPROVAL: REQUIRED PARKING STALLS PER FWZC 55.10:8 LS 11-12-91 180.00 PERMIT FEE PLAN CHECK FEE 117.00 IRE/BUILDING DEPT APPROVAL: KC 11-15-91 PAT K 11-14-91 LUMBING FEE 20.00 ECHANICAL FEE PART P/C FEE ------ SEPA REVIEW PUBLIC WORKS - S.B.C,C. FEE 4-50 FIRE FEE 9-00 DATE: OTHER FEES AMOUNT: $330.50 AMOUNT DUE ��0 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-- ,NTY OF FEDERAL WAY 23530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 35 PERMITNO.___ OWNER'S NAME3 SITE ADDRESS CONTRACTOR __ ADDRESS ________ CONT. PHONE CONT. REG. NO. ___-__ EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ---------- ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC --------- PUBLIC ADD. NEW MU LTI-FAMILY __ (UNITS_____) MULTI. ADD ._------- SIGN GRADING ------ OTHER ----- TAX ACCOUNT NO.----- --------- LEGAL DESCRIPTION ISSUED BY ___ DATE OF ISSUE ____ ----- DATE OF APPLICATION BUILDING INFORMATION ONE _ ------ SET BACKS: FRONT _-____ SIDE_-_________ _REAR____ HEIGHT LIMIT JCCUPANCY - TYPE OF CONSTRUCTION CENSUS NO._ -______ TYPE OF HEAT BLDG. SO. 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. SINKS _ _ MISC. _ BBQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL _ AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE ART P/C FEE - -- EPA 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 - -- -- - - - SET BACKS AND FOOTINGS DATE _ ._—...... BY _ _—_ _.._ OX TO POUR FOUNDATION WALLS DATE _ —,,.BY _ PLUMBING GROUNDWORK DATE ._--- -- . — ___BY PLUMBING ROUGH IN DATE _ ___BY _ .. __.__._ WATER LINE O.K. _ GAS PIPING O.K. __... .... _..... _ MECHANICAL INSPECTION DATE _ BY O.K. TO ENCLOSE FRAMING DATE.... _3'yl ._BY �/7� __—._ INSULATION DATE --.... — BY .. WALL BOARD AND FIRE WALL DATE —� 2 'Z_ BY _ FINAL O.K. TO OCCUPY DATE --S-9Z BY13. DCD PSD FD NG /tit c fiisf c i31t i1" !�.'3G 'i� ./i /. ` / /y 3_%/ f.'�� ••/T/� v N f av/i!P T OA,,Y T y � 0 0 RECEIVED Pere # r � NOV 0 6 IN CITY OF FEDERAL WAY OITYOFFEUFRAL+wAYBUILDING PERMIT APPLICATION 110..A 11 �!/ -� bi U A L AV��-A— V -f lase Print — ,1 , ` � (�� BOX 1 TENANT NAME: ` 1 ff_ Seri -CA XC_ OWNER /SWOff—fs 1 4 Wo—Chow L144,1 SITE LOCATION 33.5/6 9T"14V-` �D: e� GVGSff✓Y/C� OWNER'S ADDRESS 5-;0. 4? q' CITYPHONE DESCRIBE JOB ' Wa r, THE PROPERTY IS OWNED Y: SINGLE/MAf PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME E�2 f l4z� 2 CONTRACTOR'S REG. # CONTRACTOR'S ADDRESS EXPIRATION DATE 1' Card MUST be presented CITYJ: ;Zh:'77 PHONE I HAVE READ CHAPTER 18.27. 010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 5 ESTIMATED PROJECT COST 4'?.7 "e EXISTING BUILDING VALUATION /l tS`2Z,9. PROPERTY TAX ACCOUNT NUMBE LEGAL DESCRIPTION 2> (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOORZJ'6T I 2ND FLOOR / 3RD FLOOR / BASEMENT__ DECK ! _ GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ),MULTIFAMILY (NO. OF UNITS = ) (.) EXISTING STRUCTURE ( v) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES SINKS CONVERSION BURNER 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 $ "MPS, SPRINKLER VACUUM BREAKERS OTHER $ jRAINS $ OTHER $ _ 4TOTAL FIXTURES _ $ XS -- Zp. 00 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, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: _/ L ��DATE: ANP -008 3/90 ZONE SETBACKS: FRONT_ PLANNING DEPTMENT APPROVAL REMARKS: 0 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIDE REAR HEIGHT LIMIT Ip mom/Ss.ir, s ( F SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL PQ DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL 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/ALTS TENANT IMP. OTHER OCC CY ►J �- TYPE OF CONSTRUCTION ✓N STORES MC D e- BUILDING SQ. FT. r"r-O 8 @ 33 _ Ei O 10 O BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ O ( (� �' C>• ZO TOTAL SQ. FT. TOTAL VALUATION (0 O ZD BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: PERMIT FEE S 0 PLAN CHECK FEE 117 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES =D gee O AMOUNT DUE PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY DATE 11-07— IG t � r ACCEPTED FOR FILING