92-100147CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
9-_�- /a -6/y7
BUILDING INSPECTION
661-4140
PERMIT NO. 92-0094
S OWNER'S NAME CHINESE ACUPUNCTURE CENTER SITE ADDRESS 33516 9
AVE S #3
CONTRACTOR OWNER
ADDRESS 1124 S 23 ST PENTON __--__ _ _
CONT. PHONE_ 228 3811
CONT. REG. NO. NA EXP. OWNER'S PHONE SAME SAME
_ _ _ OWNER'S ADDRESS _
TYPEJOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD -------
NEW MULTI-FAMILY_
NEWMULTI-FAMILY_
(UNITS--) MULTI. ADD. SIGN XX GRADING OTHER -------- ------------
TAX ACCOUNT NO. 926925-0030 LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE -_ / % L DATE OF APPLICATION
1/22/92
BUILDING INFORMATION
ZONE OP
SET BACKS: FRONT NA SIDE ------ A_ _ ______ _____REAR_ NA
HEIGHT LIMIT NA
CCUPANCY
TYPE OF CONSTRUCTION 5—N ( SIGN) CENSUS NO. NA NA
14-__
NA
__NA_ _ ------
-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.
RETURNED
• SINKS
MISC.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES _NONE
DRYER TOTAL MECHANICAL NONE
AMOUNT -----NONE-
--_NONEVALUATION
VALUATION
$400.00 _
PLANNING DEPT APPROVAL = RICHARD COTTAGE
PERMIT FEE
_$20.00
10.00
"SIGN AREA PERMITTED = 31 SF"
PLAN CHECK FEE
PLUMBING FEE
"SITE PLAN NOT SUBMITTED, DR LAW WILL DELIVER.
2/4/92, DR LAW
MECHANICAL FEE
DELIVERED SITE PLAN"
PART P/C FEE
PA REVIEW
BLDG DEPT APPROVAL = KEVIN ELLIS
PUBLIC WORKS
S.B.C.C.FEE
nCALL 661-4140 FOR ALL
`2_
INSPECTIONS!!"
FIRE FEEDATE:
-
PLANNING
25.00
$55.00
OTHER FEES
AMOUNT:
AMOUNT DUE
$55.00
RECEIPT: A14.Z 1
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.
All
4
/ / C✓ -�
OWNER OR AGENT _
__-- _ _ _ - -- DATE
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO. -- _
_ _ _ OWNER'S NAME
_ _ _ SITE ADDRESS
C�KtRACTOR __ _ __ _
_ _ 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_ PUBLICADD._ _
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.__ _ _
_ _ _ _ -_
LEGAL DESCRIPTION
ISSUED BY _
_ _ _ _ _ _ _ ._ _
DATE OF ISSUE _ _ _ _ DATE OF APPLICATION
BUILDING INFORMATION
NE
_ _ _ _ _ SET BACKS: FRONT _
_ _ SIDE_ _ _ _ _ _ REAR
HEIGHT LIMIT
OCCUPANCY
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.
RETURNED
SINKS -
MISC. _ _ _ _.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES
_ _
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
RT P/C FEE
SEPA 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 _ ..- .__- _...___. BY _
INSULATION
DATE __. .---...._..__BY
_-
WALL BOARD AND FIRE WALL
DATE -... _ BY
FINAL O.K. TO OCCUPY
DATE BY
DCD
PSD
FD
�l 2 'tel 3
• 0
gecs'VED
J AN 2 2 1992
Cs 8i� IAPrT AY
•
CITY OF FEDERAL WAY
SIGN PERMIT APPLICATION
0
Permit #
This application must be submitted to the Building Department, and a sign
permit must be issued prior to displaying any sign, except a political
sign, whether or not the proposed sign requires construction or structural
alteration.
WARNING: DO NOT CONSTRUCT OR ORDER A SIGN UNTIL A PERMIT HAS BEEN
ISSUED. THE INSTALLATION PERMIT WILL EXPIRE 180 DAYS AFTER
ISSUANCE
OWNER OF SIGN LAPHONE (.?0t-/)
ADDRESS //,2:� �� a?`' c T. �/�%ON h1A
NAME AND TYPE OF BUSINE-�S-S WITH WHICH SIGN IS ASSOCIATED
ADDRESS OF SIGN
/ tla
CONTRACTOR f Wlye_l , PHONE a?oWg9-11
CONTRACTOR ADDRESS
CONT. REG. NO.
PROPERTY TAX ACCT. # 9z� 9�-s'� �0-� �� EXP. DATE
All signs must meet the requirements of the zoning and Building
Codes. Two sets of plans showing the location of sign(s), size of
sign(s) (maximum plan size 24"x 3611) and drawing of sign(s) must be
submitted with the Sign Permit application.
�v
1. ESTIMATED PROJECT COST $
2. TYPE OF SIGN: WALL MARQUEE PEDESTAL MONUMENT
3. ILLUMINATION: INTERNAL (CABINET) INTERNAL (LETTERS ONLY)
EXTERNAL NON -ILLUMINATED
OTHER (describe)
4. SIGN AREA (SQUARE FEET) 1.4 5�' .
3
11. LIST TYPE AND SIZE OF ALL OTHER EXISTING SIGNS ON THE PROPERTY::
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 THE APPLICATION IS MADE.
OWNER OR AGENT OWNER OR AGENT
SIGNATURE PRINT NAME
DATE
5.
SIGN DIMENSIONS
1
��
6.
SUITE FRONTAGE ��Gj�
/✓�i'�
7.
STREET FRONTAGE OF
ENTIRE PROPERTY
(FT.)
8.
NUMBER OF TENANTS,
OR AVAILABLE BUSINESS
SPACES, ON PROPERTY /re`
9.
DOES THE PROPERTY
HAVE A COMPREHENSIVE
SIGN PLAN APPROVED BY THE
CITY? IF YES,
WHAT IS THE
FILE NUMBER?
10.
LIST TYPE AND SIZE
OF ALL EXISTING
SIGNS ASSOCIATED WITH THE BUSINESS:
11. LIST TYPE AND SIZE OF ALL OTHER EXISTING SIGNS ON THE PROPERTY::
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 THE APPLICATION IS MADE.
OWNER OR AGENT OWNER OR AGENT
SIGNATURE PRINT NAME
DATE
OFFICE USE ONLY
*************************************************************************
PLANNING DEPARTMENT APPROVAL:* DATEz—
PARCEL FILE (IF APPLICABLE)
ZONE %
SIGN CATEGORY L1
SIGN AREA PERMITTED 3 ' SQ. FT.
SIGN AREA PROPOSED `7L SQ. FT.
CODE CITATION WHICH ALLOWS THIS SIGN IC 460'
REMARKS
DEPARTMENT OF PUBLIC WORKS APPROVAL:* VIA DATE
REMARKS
BUILDING DEPARTMENT APPROVAL:" DATE Z�-7r`��
VALUATION
PERMIT FEE
PLAN CHECK FEE
TOTAL FEE
�- SURCHARGE
REMARKS
* ANY DEPARTMENT INITIATING DISAPPROVAL IS TO CONTACT THE APPLICANT AND
BUILDING DEPARTMENT WITH 24 HOURS INDICATING THE REASONS FOR DISAPPROVAL.
DATE OF FORM
August 8, 1990
SIGNPER.APP/MSTRFORM, JJ\LS/tp
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