91-101789CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
9j—!(st -72"9
BUILDING INSPECTION
661-4140
PERMIT NO. 91-1763 CA OWNER'S NAME B P
OIL SITE ADDRESS 33800 1 WAY S
CONTRACTOR BEAMON CORP ADDRESS 800 W SMITH ST GREENSBORO CONT. PHONE(919) 271-4400
CONT. REG. NO. BEAMAC141L6 EX4/31/92
OWNER'S PHONE 874-7512 OWNER'S ADDRESS 33501 1 WAY S B-100 FEDERAL WAY
TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN GRADING OTHER REMODEL EXISTING GAS CANOPY INCLUDING
TAX ACCOUNT NO. 926480-0235
LEGAL DESCRIPTION UPPER STRUCTURE & DECK
LOT 1 KC SP # 1279074 A POR
OF LOT 23 WEST CAMPUS BUS PARK PLAT REC IN VOL 97 OF PLATS PP 78
THRU 82 KING CO WASH]
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 12/19/91
BUILDING INFORMATION
ZONE BN SET BACKS: FRONT 40
SIDE 10, REAR 15' HEIGHT LIMIT 351
OCCUPANCY B-1 TYPE OF CONSTRUCTION 5-N
_ CENSUS NO. 437 TYPE OF HEAT NA BLDG. SO. FT. NA STORIES NA
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
BATHTUBS LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
RECEIVED
SHOWERS URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES DRINKING FOUNTAINS
CONVERSION BURNER MISC.
SINKS MISC.
BBQ BASIC FEE
RETURNED
DISHWASHERS TOTAL FIXTURES NONE
DRYER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION $25,000
PLANNING DEPT APPROVAL = MIKE THOMAS
$252.00
PERMIT FEE
PLAN CHECK FEE 164.00
FIRE
DEPT APPROVAL = KEVIN ELLIS/CHRIS INGRAM
LUMBING FEE
.ECHANICAL FEE
BLDG
DEPT APPROVAL = KEVIN ELLIS
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE 4.50
12.60
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
$433.10
AMOUNT DUE $433 -in
RECEIPT:
1
1�4
13
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.
- J
OWNER OR AGENTDATE
Per "t
.. � �E � o # 3
DEC 19 199, CITY OF FEDERAL WAY 6A
arry
eu°s aF,, - qY BUILDING PERMIT APPLICATION
D� — Please Print —
BOX 1 TENANT NAME:
OWNER PP 0 t 1.. SITE LOCATION " - 6V LIW/37 W Y
OWNER'S ADDRESS 53-409 61174.1' 44MY O_ 10 CITY CEDF/1AL WAS PHONE '
EV
DESCRIBE JOB KW 0D*1_ ISZW4 eAs '�! "AjdINC4 . UP(*2 C-11ZU6-rvtj"" ANO D&6 K
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 94EAt-7zr/ Lie -24e CONTRACTOR'S REG. 4,66AM46 141 L to
CONTRACTOR'S ADDRESS A55kW Id. 61-11-79 -157- CITY .�0 PHONE
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DFINI ONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Ro6.1E9 Q L L 6 NRLt f2 6-) PHONE 461-1231
BOX 4 SEWER DISTRICT MIV LOKbIL 2F ZVIAUCA-WATER DISTRICT G M- 5 K -
BOX 5 ESTIMATED PROJECT COSTtlg, D j EXISTING BUILDING VALUATION �0 M
BOX 6 PROPERTY TAX ACCOUNT NUMBER O '
LEGAL DESCRIPTION / 71. K. 6. Smtr A Paxomj ir- !.o?''L'S, A65S7'C,,f4w0yS
t4�si Ss M4K Pz_+-7' Af4WK-0 W WG 77 0 &40/ PP 78 IN&V41i 8V-, MA4 4&Vjr�[ k11A
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 3D0fS:j
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR U16^0 _(090 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS=—)
(vj COMMERCIAL/INDUSTRIAL
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
( ) NEW CONSTRUCTION
(v' EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ FT
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 TY OF FEDER�L Wy, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPONeTWACC ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
0 6 1 -**
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE 10 REAR �� HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL t Z i 2 -
REMARKS:
SEPA:
REMARKS:
SEPA: EXEMPT____X NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT AP
REMARKS:
L
DATE Z
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 TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION ZS( �—
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: Se_e_
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
PERMIT FEE 2' Z
PLAN CHECK FEE t'
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE 4,56
OTHER FEES17- -6 AMOUNT DUE r `
BUILDING DEPARTMENT APPROVAL �(
BY DATE —1— 17i
ACCEPTED FOR FILING
CITY OF FEDERAL WAY
33530•; irst 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
'TsA``.'1.1TNG' DETT APP �OWUL ' MIKE TRUAM
PERMIT FEE
PLAN CHECK FEE
g�yyn2'(� ��q g j
'IRr TIEPT ArS'iSOVAT� " KEVIN FT.T S/CHRIS ia9 a
PLUMBING FEE
ECHANICAL FEE
`.LDG DEPT APPROVAL = KEVIN El.LI S
ART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
JI ,-
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.
0
OWNER OR AGENT
DATE
N1
(v
q),
N