90-101182 9b-/6 18.)
CITY OF BUILDING BUILDING INSPECTION
FEDERAL WAY PERMIT 941-1555
#437 T-'zt.-.,,,L" ,5 ID
PERMIT NO. 90-1393CA OWNER'S NAME INTER COOP USA #3 JOB ADDRESS 033720 9TH AVE S SUITE 3
CONTRACTOR RICHRDS C NSTRUCTION & ARA TING 34016 9TH AVE S #D9 FEDERAL WAY CONT. PHONE 838-1844
CONT. REG. NO. RICHACP 32JA OWNER'S PHONE 643-8400 OWNER'S ADDRESS C/O M.PIRA 14645 BEL RED RD, BELLEVUIE
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL _ NEW COMMERCIAL COMMERCIAL ADD.XX INDUSTRIAL ADD NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNIT ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. ' 926480-0140-06 LEGAL DESCRIPTION LOT 14 OF WEST CAMPUS BUISLNES PARK AS REC'D IN
VOL 97 OF PLATS AT PAGS 78-82, RECORDS OF KING CO WA
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 1 ( /3 /9° DATE OF APPLICATION 8-21-90
BUILDING INFORMATI N
ZONE OCCUPANCY B2TYPE OF CONSTRUCTION III N _ BLDG. SQ. FT. 505
SET BACKS: FRONT _ SIDE REAR _ STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS _. COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 5,514.60
PERMIT FEE R 1 _00
PLAN CHECK FEE 53.-0-0-
PLUMBING FEE
CHANICAL FEE _
I TOTAL BLDG. FEES
PART P/C FEE (i- 0 SEPA REVIEW DATE: 1 ( l3
WATER SERVICE ' I
WATER MAIN CHG. AMOUNT: /`'( 2 - S
S.B.C.C. FEE 4. 50
OTHER FEES F.D. 4.05 RECEIPT: Z(-(4 // /1j )'
AMOUNT DUE 142,_5 CC: F.D.
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 FURNISHE Y ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET-
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
T. SID rl
BOX 1 OWNER Inter Co-op U.S.A. No. 3, A Wash.CortQB LOCATIONForum TT, V1770 9th Ave- q. , Suite 3
OWNER'S ADDRESSc/o Morris Piha,14645 Bel Red RcadCITY RP11Pv„e PHONE 643-8400
DESCRIBE JOB Tenant improvement
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Richards Construction & 1}ainting, Inc. CONTRACTOR'S REG. # RICHACP132JA
Card MUST be presented
CONTRACTOR'S ADDRESS 34016 9th Avenue South, #D9 CITY Federal Way PHONE 838-1844
EXPIRATION DATE April 1, 1991
— OR —
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.
BOX3 CONTACT PERSON Rick Miller PHONE 838-1844
BOX 4 SEWER DISTRICT Federal Way Water & Sewer WATER DISTRICT Federal Way Water & Sewer
BOX 5 ESTIMATED PROJECT COST $5,776.00 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION Lot 14, West Campus Business Park
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 9257 / 505 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (x) EXISTING STRUCTURE
( x) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
N/A DISHWASHERS N/A AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
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 A D FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK FOR Ai P R T APPLICATION IS MADE.
OWNER/AGENT: / DATE: I 2-1-1,6
ANP-006 2/90
M 0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT _ SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: N/A (AA ( ukS e_. or D cc_ r L
7(
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL -L DATE -7 - G _ U
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVALDATE_ _
REMARKS: (IA
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT % NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY (3 2 TYPE OF CONSTRUCTION la N STORES
=� ce BUILDING SQ. FT. @ SW• £ = 2-7 5-7 3 rcv
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ frt0d)( c(c .(r = O• Z a
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION SS-( yr
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE cL( PLAN CHECK FEE PLUMBING FEE -- ----- MECH. FEE c)
TOTAL FEES 1.7)tl_ SBCC SURCHARGE qf, c 0 ENERGY SURGHARC,E 0.5" AMOUNT DUE I 11Z,
• 5c
BUILDING DEPARTMENT APPROVAL - h-fu�: lrq e. -- DATE_ ' 6 `"q0 _
REMARKS: J
ASSIGNED ADDRESS: S
RECEIVED
AUG 211990
CITY OF FEDERAL WAY
BUILDING DEPT.
RECEIVED ACCEPTED FOR FILING