93-100144 ��, - �ool�y
CITY OF FEDERAL WAY B U I L D I IV C� P E R M I T PERMIT IVO.: BLD93-003 s
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 02/03/93
Federai Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 35001 EPICHANTED PRWY 8
PARCEL NO.: 202104-9143
PROJECT DESCRIPTION: T.I. — ADD FIRE DOORS AND FILL I1J ONE DOORWAY
041NER CONTRACTOR LENDER
DOUG CLERGET COLUMBIA CONSTRUCTION
1515 S 350TH ST N. 16. UNIVERSITY
fEDERAL WAY WA SPOKANE NA
--�-0632 509-922-8114
COLUMCC1177L7
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:? FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 7835: 35:sf STORIES........: 1 RE�UfRED PARKING..: 0 SPRINKIERS?......:? FINAL PLAN CHECK...* f 16.25
CENSUS CATEGORV.....:437 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? PLCK-FIR cortml only* S 1.25
OCCUPANCY GRWP---------- 3RD.: 0: O:sf VALUATION---------- RE�UIRED SETBACKS------- FIRE FLON....: 0 gpm BUILDING PERMIT....* S 25.00
:B2 :? :? :? : OTHR: 0: O:sf EXIST..S: 0 FRONT.........: 0.00 ft SBCC SURCHARGE.....* $ 4.50
TVPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 1000 SIDE..........: 0.00 ft WATER SERVICE..:?
:5N :? :? :? . DECK: 0: O:sf REAR........... O.00:ft SE41ER SERVICE..:?
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:01/15/93
. 6: 0: 0: 0: TOTL: 7835: 35:sf IMPERV SURfACE: 0 sf SENSITIVE AREAS?.:?
fUEL TYPES.:? ? fANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES S 47.00
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
FURN<100K... 0 DUCT NORK...... 0 3-15 HP...... 0 SHOWERS............. 0 SUMPS........... 0
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 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 NASHERS........ 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEI TANKS--------- ELEC WTR HEATERS...: 0 OTHER fIXTURES.: 0
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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 FURN�SHED BY M TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT L��— DATE � y�� � �
bld_prmt 10/23/92
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE___ __-.......-BY_____ - DATE ......_- .._____-_BY __._.-_ _--_ DATE -__BY _ _ _ _
PLUMBING ROUGH IN WATER �INE O.K. MECHANICAL INSPECTION
DATE_- __ -- __BY --_ ---.... GAS PIPING O.K._ _ _ __- __-_ _ DATE _ ___ . __BY .__ _
O.K. TO ENCLOSE FRAMING iNSULATION WALL BOARD AND FIRE WALL
DATE __ ____ _--.__BY _ ____ DATE ..._- _..---.... BY DATE BY _._ _ _ _
FINAL O.K. TO OCCUPY
rj� DGD PSD FD
DATE J`' /�- .7�BY .C-�n -
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CITY OF FEDERAL WAY
�a� 15 ��93 BUILDING PERMIT APPLICATION
C/��F����1'r! — Please Print—
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BOX 1 TENANT NAME: �� ;,� ; i � 1 j``
OWNER � SITE LOCATION D�
OWNER'S ADDRESS — � � CITY � PHONE ��S — 1
DESCRIBE JOB d- ��t�� �,vt.� i �� Ur�R �p�2�._1.n.� ,
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME C��---��2- C-��J�� CONTRACTOR'S REG. #���� ��7?�T
'7� Card MUST be presented
CONTRACTOR'S ADDRESS /l.) �� ��/��< `'S CITY ��d�l.at� . PHONE �`� —cl ZZ^�l't�,
EXPIRATION DATE
— 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.
BOX 3 CONTACT PERSON rj � �'�r� � PHONE 4����?���
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST lf�Gb�" EXISTING BUILDING VALUATION S�� ��• oa
BOX 6 PROPERTY TAX ACCOUNT NUMBER Z�Z_�d — � �
LEGAL DESCRIPTION 7(�'Z l�� —�/�/�
(If necessary, piease submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: ( xistin oposed) 1ST FLOOR� 2N0 FLOOR /
3RD FLOOR / EMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) (�}-€XISTING STRUCTURE
(�—}-�OMMERC�AL/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 I � I,� GAS HOT WATER HEATER $
LAVATORIES /`/ '`fi CONVERSION BURNER i $
SINKS BOILER, SIZE BTU ,( Jl� $
DISHWASHERS AIR HANDLING UNITS �`J` $
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
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 CLAIh1(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICN MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AG�INST 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.
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OWNER/AGENT: _;����� � - � DATE: � �� I`G �
ANP-OOB 3;9u