91-100263CITY OF
FEDERAL WAY
BUILDING PERMIT
0 -/aoa63
BUILDING INSPECTION
941-1555
PERMIT NO. 91-232
CA OWNER'S NAME GOOD
SHEPHERD COUNSELING SEAyWcFr:SS 345 S 312TH
CONTRACTOR SELF
ADDRESS
-- CONT PHONE
CONT. REG. NO. --
OWNER'S
PHONE 839-6100 OWNER'S ADDRESS 345 S 312TH FEDERAL WAY
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL
NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN
GRADING OTHER (SEE ATTACHED)
TAX ACCOUNT NO. 082104-9010
LEGAL DESCRIPTION
ISSUED BY JOANNE
JOHNSON
DATE OF ISSUE DATE OF APPLICATION 2-27-91
BUILDING INFORMATION
ZONE
OCCUPANCY
TYPE OF CONSTRUCTION.— BLDG. SQ. FT
SET BACKS: FRONT
SIDE
REAR STORIES HEIGHT t. M11
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
1,943.04
VALUATION
PLANNING
DEPT APPROVAL: CS 2-28-91 EXTERIOR REMODEL UNDER
$10,000 -- DOES NOT REQUIRE SITE PLAN REVIEW.
45.00
PERMIT FEE
29.00
PLAN CHECK FEE
BUILDING
DEPT APPROVAL: RC 3-4-91 EXTERIOR WALL RATED
_PLUMBING FEE
FIRE RESISTIVE CONSTRUCTION AND PROTECTION OF OPENINGS SHALL
,CHANICAL FEE
BE PER UBE — TABLE 5—A.
TOTAL BLDG. FEES _
—
DATE:
A�r��}f
PART P/C FEE
SEPA REVIEW
AMOUNT:
$80. 75
WATER SERVICE
WATER MAIN CHG.
RECIEPT:
4.50
S.B.C.C. FEE
_
OTHER FEES F.D. FEES 2.25
AMOUNT DUE
80 • 75
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
ET:
OWNER OR AGENT
DATE
�-
v
CITY OF FEDERAL WAY
�rmit # /- 2 .-?__-� &.4
i - ►ooze
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NA
OWNER , LLTYON PHONE OWNER'S AODRESS 15-
DESCRIBE JOB `
THE PROPERTY IS OWNE11BY: SINGLENARRIED PARTNERSH11P CORPORATION
BOX 2 CONTRACTOR'S NAME ONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS —CITY F-4JJAAG•� PHONE 9 2
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. c9 3cl - c9l �
BOX 3 CONTACT PERSON PHONE
BOX 4 SEWER DISTRICT i.) WATER DISTRICT b
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION U
BOX 6 PROPERTY TAX ACCOUNT MBER V TT 0 � U
LEGAL DESCRIPTION
(If necessary, please submitg separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE:
(Existing/Proposed)
1ST FLOOR_ 1 2ND
FLOOR /
3RD FLOOR /
BASEMENT 1 DECK /
GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS
EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL
TOT4 AREA OF PROPERTY
SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES
— BASIC FEE $
N0. WATERCLOSETS
GAS IPI G, FEET
$
BATHTUBS
NO. URNACE, EI_EC. GAS $
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
ONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
r AIR HANDLING UNITS
$
ELECTRIC HOT WAT�ERIHE
T R
HEAT PUMPS, SIZE
$
LAUNDRY WASHER O
TLET
UNIT HEATERS
$
_ URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAIN
COMMERCIAL HOOD
$
SUMPS, SPRINKLER
ACUUM 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 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:
_. DATE: —;:� -
�r
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE ' y 2 SETBACKS: FRONT_ Nip S D
PLANNING DEPARgENT APPROVAL
REMARKS,:
SEPA: EXEMPT '\ —NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
REMARKS:
REAR HEIGHT LIMIT A/AZ
C, -2
*' ,6
DATE
DATE_ _
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. OTHER
OCCUPANCY 6-1- TYPE OF CONSTRUCTION IJA-'f STORES
DC� BUILDING SQ. FT. /q Z @�
BUILDING SO. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
TOTAL SO. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: F-xle-Ic4ir- Uq / ,, a
RECEIVED
ASSIGNED ADDRESS: e
Amount
d
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
`(S
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
• j a
OTHER FEES 'FD ��e
z __
AMOUNT DUE
• '7J
Receipt #
BUILDING DEPARTMENT APPROVAL
BY r - --- DATE_. i
ACCEPTED FOR FILING
qj I -i'Do c_ 3
01TY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
94711 55ECTION
PERMIT NO..
OWNER'S NAME JOB ADDRESS _
CONTRACTOR
ADDRESS CONT.PHONE
CONT REG. NO
OWNER'S PHONE _ _, OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY.
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE
OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
T 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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES _
AT P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
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
WATER LINE O.K.
GAS PIPING O.K._
PLUMBING GROUNDWORK
DATE
MECHANICAL INSPECTION
DATE BY
PLUMBING ROUGH IN
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
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PREPARED BY
JOHN R. EWING AND ASSOCIATES
CIVIL ENGINEERING ® PLANNING & DESIGN
JRE
4 ENT, WASHINGTON (206) 852-6633
DESIGNED BY DRAWN Y CHECKED BY
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