91-102056CITY OF
FEDERAL WAY
BUILDING PERMIT
BUILDING INSPECTION
941-1555
PERMIT NO. 91-814 NR OWNER'S NAME CENTEX HOMES JOB ADDRESS 1633 SW 331 PL
CONTRACTOR_ CENTEX HOMES
ADDRESS 2320 130 AVE NE #200 BELLEVUE , CONT PHONE 622-8288
CONT. REG. NO. CENTEH*101QA 10/91
OWNER'S PHONE SAMEOWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XX ADDITION
NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTIFAMILY (UNITS ) MULTI, ADD.
SIGN GRADING OTHER • . AND GARAGE
TAX ACCOUNT NO. 010457-0210
_ _ LEGAL DESCRIPTIO LOT 168 DIV 8 ALDERBROOK
ISSUED BY ELI ZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 6 / 19 / 91
BUILDING INFORMATION
ZONE RS 5.0 OCCUPANCY
R-3/M-1 TYPE OF CONSTRUCTION 5-N BLDG. SO. FT. 2132
SET BACKS: FRONT 20 SIDE 5' EACH REAR 5 t STORIES 3 HEIGHT LIMIT 30MAX
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3 ELEC. HOT WATER
HEATER
GAS PIPING 30 FT. 2.00 BOILER
BATHTUBS 2 LAUNDRY DRAINS
I-
COMPRESSOR TANK(S)
RECEIVED
SHOWERS 0 URINALS
FORCED AIR FURNACE GAS10. 00 AIR HANDLING UNIT
NUMBER _
LAyATORIES 4 DRINKING FOUNTAINS
GAS HOT WATER HTR. 6.50 MISC
1
RETURNED
SINKS MISC.
CONVERSION BURNER BASIC FEE
'WASHERS 1 TOTAL FIXTURES
12 X $5. 00
UNIT HEATER TOTAL MECHANICAL 18 - 5Q
AMOUNT NONE
VALUATION $112 . 5 D 7- 0 Q
PLANNING DEPT APPROVAL =DEB BARKER
PERMIT FEE $685_ DC7
685
"NO BUILDING SHALL ENCROACH ONTO SIDE YARD SETBACK NOR
PLAN CHECK FEE _ 0 _--
-
FRONT YARD SETBACK LINES OR EASEMENTS . "
/PLUMBING FEE 60 _ 00
;HANICAL FEE i g_ 5 Q
OWE=12 7. 0 0
FIRE DEPT APPROVAL = K.C. ELLIS
TOTAL BLDG. FEES $1 70 R 54
PART P/C FEE (318,00)
--PD
6 / 19 / 91 PUBLIC WKS DEPT APPROVAL = TOM COLLINS
SEPA REVIEW
#3444
WATER SERVICE
LDG DEPT APPROVAL = MIKE MONEN
WATER MAIN CHG.
j
S.B.C.C. FEE 4.50
f ry
OTHER FEES P . WKS 35.00
DATE PD �+ AMT $ 9 3 0.0 0 REC' T �32a;�
AMOUNT DUE $930.00
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 INFOR HED
ME TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MOWNER 71�_
OR AGENT__
__ DATE
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
941!N 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.
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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE _
TOTAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.0 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 5�BY _ j
OX TO POUR FOUNDATION WALLS
DATE ._ . J' y� BY _ter
�NiJ/Z�r
DATE `2� 5,� — _BY._
r 4_
PLUMBING ROUGH IN
r
DATE / BY
WATER LINE O.K.
GAS PIPING O.K. V
MECHANICAL INSPECTION
DATE
D.K. TO C FIR MING
Syr},fi�:�.w
DATE ` 9i BY c —
INSULATION
DATE `z3` `�i BY L�
WALL BOARD AND FIRE WALL
? 7
DATE �_y /C� I _ _. BY
FINAL O.K. TO OCCUPY
DATE � BY � _-_
DCG
PSd
FD
n !tL_
,opz,15t:%7 _s;'c /v �C c Jr
to T d_cL - 6z
RMFIVED
.SUN 19 19m
Pr_ /snit # C 1 J� k-
CITY OF FEDERAL WAY I —I CZUSC
BUILDING PERMIT APPLICATION
+r"� �L � —Please Print —
BOX 1 TENANT NAME:
OWNER ((c SITE LOCATIO. ►�+����•�— �� L.`,%
OWNER'S ADDRESS Z CITY PHONE
DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY C" L e 0s.69-. PHONE LIZ--1Z11
EXPIRATION DATE Ci }
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFI I IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONE 6-79 171�
BOX 4 SEWER DISTRICT Et6►Lu9 WATER DISTRICT FULIAS
BOX 5 ESTIMATED PROJECT COST .SSiGC3 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal descriptioQ.
K.C. Plat Recording # q.G0— CLO
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOk_Z3L_Z__J 2ND FLOOR _
3RD FLOOR ___Z �_ 1 BASEMENT 1 DECK / GARAGE MO— S7 r
BOX 8 (>Q SINGLE FAMILY (�,4 NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = } ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SOFT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
NO. 3 WATERCLOSETS
GAS PIPING, FEET -? $
_BATHTUBS
NO. FURNACE, ELEC. GAS k $
_SHOWERS
GAS HOT WATER HEATER $ !- =
_!A LAVATORIES
CONVERSION BURNER $
_ __�__SINKS
BOILER, SIZE BTU $
_,DISHWASHERS
AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE $
_ 1 LAUNDRY WASHER OUTLET
UNIT HEATERS $
URINALS
AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS
COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER $
DRAINS
$
OTHER
$
TOTAL FIXTURES
I��..
7
X �°�' - C,C�
TOTAL MECHANICAL FEE $
1 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 FEDER Y, BUT ONLY WHERE
SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEEScGRE ACCUFkACY OF THE INFORMATION SUPPLIED TO THE CITY A,5 A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP-008 3/90
OFi..E USE ONLY (PLEASE GO KNOT1,VRITE BELOW 1.,.o LINE)
ZON �5 (2 SETBACKS: FRONT SIDE .5 1 BEAR _ HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE 6 /�41��
REMARKS:
TYPE OF JOB: NEW.AESIDENCE r-, RES. ADWALT.
NEW COMMERCIAL COMM. ADD/ALT
MULTIFAMILY ADD/ALT TENANT IMP.
NE a uinii0,nle��, II D ADD/AIT
IYCVY IIYutJO I rnn ��.v.
NEW MULTIFAMILY (UNITS )
OTHER
OCCUPANCY TYPE OF CONSTRUCTION -Al STORES `fie
BUILDING SQ. FT. �3 a @ z OE = 0`�`10l b a, g 0
,and BUILDINGSQ.-FT 1�"Fa @ 96 = 'ya �id7 - <6�
BUILDING SQ. FT. 5b-s @ /�i�° _ 9d ylr So
BUILDING SO. FT. �7I -7 @ 9d = �71 977 e 76
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ '-;7dd1xe'C 4LI ` . so
TOTAL SO. FT. TOTAL VALUATION
! � ZrS —T 4t I'*)
-
BUILDING DEPARTMENT REMARKS:
PERMIT FEE
If -
PLAN CHECK FEEl��'
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: r.&31 s. w, 3 s r PT
PARTIAL PLAN CHECK FEE RECEIVED
Amount N) Date 1`i 1 Receipt #
BUILDING DEPARTMENT APPROVAL
BY .,Zhr e-i-L DATE 42
C'
3 _�- 00
4/ S�
ACCEPTED FOR FILING