92-100809 CITY OF FEDERAL WAY 9,� /8 0 � b �j
Fede al IWay`,NW 98003 B U I L D I N G P E R M I T BUILDING INS 661 4140
92-0844 FA WEYERFIAEUSER CO 33330 8TH AVE S
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR FIRE ONE INC ADDRESS 229 SW 41ST ST RENTON WA 98055 CONT.PHONE 575-0311
CONT.REG.NO. FIREOIO99RW EXP 5/93 OWNER'S PHONE 575-0311 9�EFfi5"AD�ESS 33330 8`1'� pIVE S FEDERAL WAY
TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER FIRE A�'�ARM
TAXACCOUNTNO. 92SF)OO-OZZO-OF) LEGALDESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE - DATE OF APPLICATION 6-1-92
BUILDING INFORMATION
ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.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 FIRE PERMIT FEE INCLUDING FIRST ZONE $30.00
5 ADDITIONAL ZONES @ $L0.00 50.00
PERMIT FEE �HO.OO
PLANCHECKFEE FIRE DEPT FEE 40.00
PLUMBING FEE
MECHANICAL FEE Z Z O.O O
�RT P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE 4�'�0 DATE: lLJ I � � �-�
OTHER FEE i AMOUNT: 12O.OO
AMOUNT GUE i �n_nn RECEIPT: v .1 - ( 9 3 �/
/SLL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
; 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 ���`s-/�.�l"' DATE � ��� c�'Z
CITY OF FEDERAL WAY
33530 First Way South B U I L D I N G P E R M I T BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC 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
ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATEfl 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 �
-- __....._ . _ .� _.__._.. ,_ . _ v _ _. .. .. z �s_.
�
PERMIT FEE ��
PLAN CHECK FEE �
PLUMBING FEE ��
ECHANICAL FEE �
ART P/C FEE �,y
SEPA REVIEW "� u
PUBLIC WORKS /�,
l'
S.B.C.C.FEE {�
FIRE FEE DATE: �[�U
OTHER FEES AMOUNT: �`
AMOUNT DUE RECEIPT: O
�-.. . M �<y ��
�
{„
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPI AR AFTER D E OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE AP ICABLE CIT F FEDERAL WAY REQUIREMENTS WILL
BE MET. �
V
OWNER OR AGENT DATE
# � � � � )
' . PERMIT �p' ! �� FA
� �
� � � • � . � � � 1 �
Job Address: 3 3-3-3 O 8r�j�F. S. F���+��� �4 �80G7,�
IStrxq ICityl fSt�tel IZiDI (Suite II
Owner: '��� 4,-c /C Tenant Name: � <<--��`�"� �_ ��
Contractor: ��� Q,�c /.vc Tax Parcel # �ZS600 -OlZp -D6
Address: z Z �w� S'lr�' Sy �-�fo�✓ ��� 9�'USS
Phone: S7S-6,?// Contractor License #: �j�c�i'�Dyp�w Expiration Date: � � 3
ICard m�st be prnscntedl �
�Owner's Address: Somc L4�c� �i� y Phone: - 9Z�/'Z�72-
Contact Person: ��� /�A,��.�. Phone: ��S-d,�l/
y
PLEASE SUBMIT THREE (3I SETS OF FIRE ALARM WIRING DIAGRAMS, DEVICE LOCATION PLANS AND CUT
SHEETS WITH THIS APPLICATION.
INDICATE NUMBER OF ZONES ON PANEI, INCIUDING SPRINKLER ZONES, IF APPLICABLE: �Zo.v�r —4����,r 4L�
MAXIMUM PLAN SI�E = 24�� X 36��
i CERTIFY UNDER PENAtTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORREC7 TO THE BEST
OF MY KNOWLEDGE AND FURTHER THAT 1 AM AUTHORI2ED BY THE 01NNER UF THE A80VE PREMISES TO PERFORM THE ''
WORK�OR WHICH PERMIT APPUCATION IS MADE.: I FURTHER AGREE TO SAVE�{ARMLESS THE CITY OF FEDERAC WAY AS
TO ANY CLA1M tiNGWDING GOSTS, EXPENSES,AND AT70RNEYS'FEES 1NCURRED IN iNVESTIGATION AND DEFENSE OF
SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON,1NCLUDING THE UNDERSIGNED,AND FILED AGAINST THE CI7Y OF '
'' fEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OU7 OF THE RELIANCE OF THE CITY,lNCLUDING 1TS OKFICERS AND
EMPLOYEES;UPON THE ACCURACY'OF THE 1NFORMATION SUPPLIED TO THE CITY AS A PART OF 7HIS APPLICATION. -:
, Owner/Agent: �Gc.,, Date: ���9Z
Office Use On/y (P/ease do not write below this line/ �1/C�
d�
Remarks: ��£C�'il�i4 �rr�/�t'� �'�/�:"L�CX %'"�� JUN " � �9g
,_� .��.�;_ �4F��L��L
�,.��.
Department of Labor and Industries
Electrical Permit shail be posted Permit Fee (includes First Zone) S30.00
at all fire alarm insta�lations. ��� Additional Zones @ S 10.00 ea. �c' '-' �
� - � �._ `�f t: <� U
�-Received � �
Total Fees S r�.(; • UCl
Route to: Fire Department�
A roved b ;' . i�, r, ..-
PP Y� 1.� �- Date: _ �=
CD0491