92-100580CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
REF = 92 -68 CA
BUILDING PERMIT
9 a - /oa s8-c�
BUILDING INSPECTION
661 -4140
PERMIT NO. 92 -607
FSS OWNER'S NAME K —MART SITE ADDRESS 1201 S 320 ST
CONTRACTOR FIRE
SYSTEMS WEST ADDRESS 1502 PIKE ST NW #4 AUBURN CONT. PHONE 833 -1248
CONT. REG. NO. FIRESWI140B1 EXP. 8/92 OWNER'S PHONE 941 -3820 OWNER'S ADDRESS SAM AS SITE
TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI - FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER REMODEL EXISTING FIRE SPRINKLERS
TAX ACCOUNT NO. 150050 -0020 LEGAL DESCRIPTION
I en
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/15/92
BUILDING INFORMATION
NE
SET BACKS: FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION 5 —N CENSUS NO. O/S TYPE OF HEAT NA BLDG. SQ. FT. 4656 STORIES NA
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 NONE
DRYER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION
$6,555
FIRE DEPT APPROVAL = KEVIN ELLIS /PAT KETTENRING
$90.00
PERMIT FEE
PLAN CHECK FEE
59.00
BLDG DEPT APPROVAL = KEVIN ELLIS
LUMBING FEE
ECHANICAL FEE
"NO SPRINKLER HEAD ADDN SHALL OCCUR WITHIN THE REMOTE AREA UNLESS
CALCULATIONS SUPPORT SUCH ADDITION"
ART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
74.50
FIRE FEE
DATE:
$223.50
OTHER FEES
$223.50
AMOUNT:
AMOUNT DUE
RECEIPT:
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.
1 Z/-7
OWNER OR AGENT
�� DATE 1-7/ �"
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APR 151992
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 RF@MffigYAS - ►L -
OWNER 1L _MA PF E LOCATION
OWNER'S ADDRESS I Z.e> 1 S ��� CITY L ONE 20
DESCRIBE JOB a IS
THE PROPERTY IS OWNED BY: SINGLE /MARRIED PARTNERSHIP 0 C RPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # 0265-W 1 14-0 E51
Card MUST be presented
CONTRACTOR'S ADDRESS Z s T-� N•k1 t' 4- -CITY ,wL50 / uIA. PHONE
EXPIRATION DATE 8 111 I°IZ
—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 dam 1?AIzJL PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT •'�•
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION "--
BOX 6 PROPERTY TAX ACCOUNT NUMBER
(If necessary, please submit a serrate page with the legal description.)
K.C. Plat Recording # ��
BOX 7 BUILDING SQUARE FOOTAGE: xisti roposed) 1ST FLOOR 2ND FLOOR /
3RD FLOOR / SEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( - -- XtSTING STRUCTURE
( L-- MMMERCIAL /INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
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 /AGE
DATE:
415eiZ
ANP -008 3/90
OF RE USE ONLY (PLEASE DO NOT WRITE BELO IS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: ,i .J
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL �—� DATE
REMARKS: f'ji r Y,f 11P 1, r, r t^ a
PUBLIC WORKS DEPARTMENT AP
REMARKS:
DAT
�� i992
APR � 5 pp►�w
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
RECEIVED BY F-' C, DATE `' r
ACCEPTED FOR FILING
TYPE OF JOB: NEW RESIDENCE RES. ADD /ALT
NEW INDUSTRIAL
IND. ADD /ALT
NEW COMMERCIAL
COMM. ADD /ALT
NEW MULTIFA ILY (UNITS
"
MULTIFAMILY ADD /ALT
TENANT IMP.
OTHER
OCCUPANCY
TYPE OF CONSTRUCTION
BUILDING SO. FT. @
STORES
BUILDING SO. FT.
@
_
BUILDING SO. FT.
@
_
BUILDING SO. FT.
@
_
BUILDING SQ. FT.
@
8 4—(
BUILDING SQ. FT.
@ el
6 SS S. 6 S"
TOTAL SO. FT.
TOTAL VALUATION
REMARKS:
f '
BUILDING DEPARTMENT
PERMIT FEE (j
J/
_
PLAN CHECK FEE
PLUMBING FEE
UGC W
(K
P--G X-C(
MECHANICAL FEE
l.( C q
C v t--
U/'— S
TOTAL BLDG. FEES
J
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES F F e S
AMOUNT DUE
�� i992
APR � 5 pp►�w
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
RECEIVED BY F-' C, DATE `' r
ACCEPTED FOR FILING
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661 -4140
PERMIT NO.
OWNER'S NAME
SITE ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
EXP.
OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: 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
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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
AMOUNT DUE
RECEIPT:
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
O.K TO POUR FOUNDATION WALLS
DATE -- - -- BY
PLUMBING GROUNDWORK
DATE - BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.-- ........--- .— .. ...... —
__
_ _
MECHANICAL INSPECTION
DATE _ .......__BY .----- - -_ - --
O.K. TO ENCLOSE FRAMING
DATE _ BY _
............ -- ....... .._.....
INSULATION
DATE _.......BY —.
— _...._
WALL BOARD' aNffi�iI11�E( rPMENT DC-AA
DATE BY
AUG 1993
FINAL Q.K. TO OCCUPY
DATE_....... -- — - _BY _._....—
.... ...__......._–
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