92-102871q 1.. -\ 0'"2..-&t)
C ITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003,l 4 1-CO d-·,O BUILDING PERMIT BUILDING INSPECTION
661-4140
PERMIT NO. 9 2-6 8 8 NR OWNER'S NAME SCHNEIDER BO.MES SITE ADDRESS ---=l::..::5::....:2=---S=--=2=9c.::9,._,P::.:L=----------
CONTRACTOR_O~iWNE-=R __________ ADDRESS 6510 SOUTHCENTER BLVD TUKWILA CONT.PHONE 248-2472
CONT.REG.NO. SCHNEI*245P8 EXP .10/92 OWNER'SPHONE SAME OWNER'SADDRESS __ _.S..,AME,..-,....._ ______________ _
TYPE JOB: NEW RESIDENCE XXXADDITION, ___ NEW INDUSTRIAL___ NEW COMMERCIA.__ __ . ___ NEW PUBLIC PUBLIC ADD .. __ _
NEW MULTI-FAMILY ___ (UNITS ) MULTI. ADD. SIGN GRADING __ _
TAX ACCOUNT NO. 8 914 2 0-0 2 4 0 LEGAL DESCRIPTION -l--l---~,L,A~...X.._J[_..&...i.;1.DJo.L.U.,LL.Ji:L...t:1...1.........JD...C.,.LJl..LlliUUU------------
BUILDING INFORMATION
ZONE RS 9.6 SET BACKS: FRONT 20• --=-~-----s1DE s •Is• REAR,_=s '-• _______ HEIGHT LIMIT -~J ....... o_• ____ _
OCCUPANCY R-3 TYPE OF CONSTRUCTION __...___....__ __ CENSUS NO. 101 TYPE OF HEAT GAS BLDG. SO. FT 3 8 0 8 STOAIES--=2=------5-N
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER :2 GAS PIPING FT. 2.00 GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS
SHOWERS 2 URINALS
LAVATORIES 4 DRINKING FOUNTAINS
SINKS 2 MISC.
DISHWASHERS 1 TOTAL FIXTURES 15
VALUATION $212,485
PERMIT FEE $1035. 00
PLAN CHECK FEE $19 9 • 5 0 6 J 3 • 0 0
PLUMBING FEE 7 5. 00
MECHANICAL FEE 18 • 50
1 FORCED AIR FURNACE 10.00 DUCT WORK
GAS HOT WATER HTA. 6.50 AIR HANDLING UNIT
CONVERSION BURNER MISC.
BBQ BASIC FEE
X $S.OQ DRYER TOTAL MECHANICAL
PLANNING APPROVAL= DEB BARKER
FIRE/BLDG APPROVAL= KEVIN ELLIS
PUBLIC WKS APPROVAL= KAREN LANCASTER
NUMBER
RETURNED
18.50 AMOUNT NONE
\ PART P/C FEEa~~i3~56 {473 r 50)
/ SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
OTHER FEES
AMOUNT DUE
35 .00
4.50
$1367,50
DATE:
AMOUNT: $1367.50
RECE IPT:
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.
I
\
g 'L -l 0'2-81(
•TV OF FEDERAL WAY
530 First Way South
"deral Way, WA 98003
' BUILDING PERMIT BUILDING INSPECTION
661-4140
PERMIT NO . __________ OWNER'S NAME ---------------------SITE ADDRESS ---------------------
CONTRACTOR _______________ ADDRESS ____________________________ _
CONT. REG. NO. EXP. OWNER'S PHON _________ OWNER'S ADDRESS _____________________ _
___ NEW INDUSTRIAL___NEWCOMMERCIA INDUSTRIALADD. ___ NEW PUBUC ___ PUBLIC ADD .. __ _
NEW MULTI-FAMILY ___ ~UNITS ___ ) MULTI. ADD. SIGN GRADING ___ OTHER ------------------------------
TAX ACCOUNT NO LEGAL DESCRIPTION -------..:....-=------=.::.=.....:.---=..::....~--.:...-----------------
PLUMBING
WATER CLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
"'tRT P/C FEE
.J-PA REVIEW
PUBLIC WORKS
S.8.C.C. FEE
FIRE FEE
OTHER FEES
AMOUNT DUE
NO.
BUILDING INFORMATION
SET BACKS: FRONT __________ SIDE __________ REAR __________ HEIGHTUMIT ----------
TYPE OF CONSTRUCTION ______ CENSUS NO. TYPE OF HEAT BLDG. SQ. FT . STORIES _____ _
NO.
ELEC. HOT WATER HEATER
LAUNDRY DRAINS
URINALS
DRINKING FOUNTAINS
MISC.
TOTAL FIXTURES ... ~
DATE:
AMOUNT:
RECEIPT:
MECHANICAL APPLIANCES AMT.
GAS PIPING __ __,FT.
FORCED AIR FURNACE
GAS HOT WATER HTR.
CONVERSION BURNER
BBO
DRYER
=
GAS LOGS
DUCTWORK
AIR HANDLING UNIT
MISC.
BASIC FEE
TOTAL MECHANICAL
AMT. BOND
RECEIVED
NUMBER
RETURNED
AMOUNT
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE Ot.lE YEAR AFTER 6ATE OF ISSUANCE.. \ r ~ .I\
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 0.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE _____ BY DATE BY DATE ·--------·-.BY --·----_ ·--PLUMBING ROUGH IN WATER LINE 0.K. MECHANICAL INSPECTION DATE 'r,-'f-;,-~>:J. .. BY /7s GAS PIPING O.K. _'J.:::.!...b·-l "Z_ 111 /,/ DATE '7..~2!:..:__~~---BY Witt/ O.K. TO ENC~FRAMING INSU~L WALL BOARD ANO FIRE WALL DATE d _BY SJ'~ DATE~ l... BY 5£~ DATE (Q-:1 .. ~'r'Z::_ ____ BY JIJ!J.J) ____ FINAL O.K. TO OCCUPY I PSD I FD sv__h_.lV DCD DATE/t.-.(2, :2 2.. 7-/t:i-9L c.,. ,..,1)/Z/.!-r~c..· '-'~~ o.u-_ a. ti _/G/-y:_?_ •I) _(" .# /7 °A-77//IV~ ,._;,. ;.!,. .,a;} -·-'ff. ;fp-fz.. /11ec·I-/ k a>UC,.././ /.-(/ c:; c,i., t;> C:-~ C <-;' p' h'c /11 ;<J.::4 7c.1,? C ( ~ ".,. 4 ,w::~-)>.._VI:;> l/4,,Ji ?1 P&e-C~c,'14 ;;:,,c: rM;)) '
·~ .. , q-i. ~\01.. Z>l I Pl!OEIVl:D MAV O 4 1992 Of'N ()Ir F-~QERAL WAY aun.DtNG 02PT. ermit# 92 ~:if µe CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION .. // ifr72--_ -Please Print -fd , 7 :]. ) 0 ~ C: 2 -I ~~.;~t: BOX 1 TENANT NAME: OWNER 5 c I-ING: lO ~R H tnn es. SITE LOCATION OWNER'SADDRESS b5"/0 Sout+tt!etv..,..e,e BluA CITY TvKLul/14 PHONE 248-7-477-DESCRIBE JOB /u e (,.,L,1 R..-e '$ / IC>-( ,v Ce THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION )( -..:.-=------BOX 2 CONTRACTOR'S NAME 5 A Mt; CONTRACTOR'S REG. # SCJ.IA.>c I *V-f S-,08 Card MUST be presented CONTRACTOR'S ADDRESS SA I'-'\. t CITY 5 ~f'/\t PHONE '2-Y 8-2..Y "1 2-EXPIRATION DATE JO-2~-9·-i... -OR-I HAVE REAO CHAPTER 18.27.010 RELATING TO DEFIN_ITIO~.S QF.,GENERAL CONT.~~CTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. B0X3 CONTACT PERSON -:ScFF #~IAJT2. PHONE Z.<./8-Z4tZ.... BOX 4 SEWER DISTRICT Fe. ct f. I' 14 /. tu A Y WATER DISTRICT Fe.c1 .f'l'-A t WAY ' BOX 5 ESTIMATED PROJECT COST / 7 S-. 6 oo EXISTING BUILDING VALUATION j BOX 6 PROPERTY TAX ACCOUNT NUMBER BCZ //../ 1-.. D -D 1-4 0 LEGAL DESCRIPTION 71 be v;/t~W . e:a=:5 L..o r Z.. '-I {/ l if <d &........_V A{. )/J (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR fh30 2ND FLOOR 3RD FLOOR / BASEMENT DECK / GARAGE __ ~ BOX 8 (X) SINGLE FAMILY (X} NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = } ( j EXISTING STRUCTURE L'-IS?;J 728 ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY sa FT BOX 9 PlUMBING FIXTURES (including rough-ins} MECHANICAL APPLIANCES -BASIC FEE$ NO. '3 WATERCLOSETS GAS PIPING, FEET £0 $ '2. • (.) 0 £__BATHTUBS NO. I FURNACE, ELEC. GAS )( $ (o, c> O 7-SHOWERS / GAS HOT WATER HEATER $ 0 , > o ~LAVATORIES CONVERSION BURNER $ ~SINKS BOILER, SIZE BTU $ _/ _DISHWASHERS 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 $ l___OTHER ?-Au;.;t>P.y ~IN)( $ If" TOTAL FIXTURES $ ';( S---7 5"", 0 o TOTAL MECHANICAL FEE $ / tg , 10 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, EXPENse~,A~Q ~TIORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM). WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSU~NED, AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE GIT¥, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF; THIS APPLICATtbN. OWNER/ AGENT: DATE: ~~30-9Z ANP-008 3/110
Off ICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) zoNeR$Cf.{q SETBACKS: FRONT c?e>' SIDE ,51 REAR ,5< HEIGHT LIMIT ;!}a] . :;t,; , ;J f P j-. PLANNING DEPARTMENT APPROVAL .5/(?jt/:)-~ .. ··,, .;•,-,· " REMARKS: :No l":lii!dLl"'lg shall enema.ch onto any bulldinc; setbacl( Hne or e~sament, .s~1c'sn or no~ Sf)C'-~.m.-SEPA: EXEMPT \ / NOT EXEMPT ___ _ FIRE DEPARTMENT APPROVAL DATE 5' ~ / 8' 9 2. REMARKS: ________________________________ _ PUBLIC WORKS DEPARTMEfoN.1APPdRralnOVA~-.r ....... .__ ..... _ eurfaees shaff be ffghtlfn@d ......... ,nout, uung S, Qlll,I IUll"'\KI Nl,.,.CWWII roved !al.. kl DATE <?:';-/2 -Ci Z.. REMARKS: w ,ua approved swrm dram oonndon•riq!J!ffid per~ ol a.pp P TYPE OF JOB: NEW RESIDENCE ±:: RES. ADD/ALT NEW INOUSTRIA IND. ADO/ALT --NEW COMMERCIA COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER --,--,----.---------------OCC,UPA,NCY ().. 1 TYPE OF CONSTRUCTION VR STORES x ..:4i\ L\ v, 4 4--~ ~ BUILDING sci. FT. f, _) o @ 1U-(lo == -~lt._l __ ~ __ lAilf __ ----"'----2.-__ BUILDING SO. FT. [ ':J.s=Q @ rr == \ 07 3 0 fl b GH(ct.q e.. BUILDING so. FT. 1i-i @ f'j, 6 o == I J5 '-fO, o _______ BUILDING sa. FT. @ == -------BUILDING sa. FT. @ ! -r \ == M.<=>~( t<t..f';;. 0 ~ ~ 8 TOTAL VALUATION '2..,( Z::lffJJ": ~ 0 BUILDING SQ. FT. :Jri~i @ TOTAL SQ. FT. l) BUILDING DEPARTMENT REMARKS: PERMIT FEE q .-t1~0t:JVeD "'~ ~ \) " ¥a9'L ~~;.&~ 6\)\-VED PLAN CHECK FEE\q , ~ ------~----PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW p.Lu, ~e-e S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: I £2. So, 2--C/Cf fC. f~ PARTIAL PLAN CHECK FEE RECEIVED Amount ~( 7 7. ):U Date G-<f-Cjz._. Receipt# 6:i • /l 7S'<;,, BY ./2:C BUILDING DEPARTMENT APPROVAL DATE ~ _, (~--t('-i... ~~ '-/,.JO ACCEPTED FOR Fl LING
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