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SET BACKS AND FOOTINGS O. UR FOU ATION WALLS PLUMBING GROU DWORK
DATE • CI BY /z-5 DATE _ .1 f/f BY 1Z- DATE / BY /V,Z
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DATE
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3/ 7 BY ' GAS PIPING O.K. 3/5172 . DATE Y1.4A Z BY 674)
O.K. TO ENC OSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE 3 742"BY
.4 ---
DATE '.3// ;Y 72 DATE _s3/1/1 2-- By OA)
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
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AEC
Eti , • r , ' P.it # ! / Y 7/ &,4
SUN 2 $ 1991 CITY OF FEDERAL WAY
o.�y�t: i .� ALWAY BUILDING PERMIT APPLICATION
B�91{.'OBNG DEPT — Please Print—
�
BOX 1 TENANT NAME: -T L C. P fi-(--
OWNER h �.:1-t--GA- PLN1', 1-- MPt--r.. SITE LOCATION 4t4 `S1/44.! ...':))t 2, eeauks.\ WN-c-
OWNER'S ADDRESS ` .33"L No AN.' CITY Mme, PHONE e39 ,2-4g -'
DESCRIBE JOB {R'C 4b33 -L- Du*kiv- i-t i `� t.
><-- u'
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION 1'
BOX 2 CONTRACTOR'S NAMEE 3-1-• i -Ru ac-t4 , ON-k IA 1�2, CONTRACTOR'S REG. it e"
Card MUST be presented
CONTRACTOR'S ADDRESS CITY ., PHONE • C'
EXPIRATION DATE - E1
— 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 J ''��-5 P__�G_T2 C- i h'1) PHONE 141-42_7 9
BOX 4 SEWER DISTRICT C- VJA2` -- 10 -- -z-- WATER DISTRICT k L&),\(
BOX 5 ESTIMATED PROJECT COST fi s( C.-cc EXISTING BUILDING VALUATION ( t 41.,C OCA ti'-3( /
BOX 6 PROPERTY TAX ACCOUNT NUMBER 0 7-27 t C 4 •- Cl LC . -'C
LEGAL DESCRIPTION E `/2 U F . - ' J 44 , c: WAJ '4 L 5 CO RD LS PC a SLE`
cc Ccs P 4 g i-'[ c F pt v N 0 23C: to c F SU° co( 'Ili B 26.- 11 '33-O 2-
(If necessary, please submit a separate page with the legal description.) 3'3 L
K.C. Plat Recording # tkc`k P-hrrGi)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 414( c / 2ND FLOOR ..20 /
3RD FLOOR E- / BASEMENT (- / DECK C / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) EXISTING STRUCTURE
(-4 C LC-Ite$ •r{ TOTAL AREA OF PROPERTY .9-e)•f ' C't2S
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. .4 WATERCLOSETS GAS PIPING, FEET t 2 $ 3, S 0
BATHTUBS NO. a. FURNACE, ELEC. GAS •)< &/C5 c $ , ,00
SHOWERS GAS HOT WATER HEATER $
4 LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
t URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
10 TOTAL FIXTURES $
X5- = SC.. tt TOTAL MECHANICAL FEE $ Z3. 5-0
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.
a
OWNER/AGENT: .,te t- �fldl ' DATE: 6 ', Q
ANP-008 3/90
v
OFFICE USE ONLY (PLEASE DO NOT WRITEELOW THIS LINE) s
ZONERS 7.2 SETBACKS: FRONT /V/4 SIDE /V/iA REAR N/s? HEIGHT LIMIT R/.9
PLANNING DEPARTMENT APPROVAL £ ,/ ,.:.eX, 7-;-71 '
REMARKS: J ,...,.�. i„ ee'.e- .�.� ,,..o�.c,c. J a.,..a o.t ii. ,ti,.- /. �..-- zt.-,... 1,44
SEPA: EXEMPT X NOT EXEMPT
•
FIRE DEPARTMENT APPROVAL V C DATE 7—( o —ii
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: /WA-
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT 2( NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY /4 3 TYPE OF CONSTRUCTION VAI STORES
C tCtkfr-d.i. BUILDINGSQ. FT. 32-0a @ .5"-f/.. z0 = ( 73 Yy0
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ od rl rer -= 0 - Z—O
TOTAL SQ. FT. TOTAL VALUATION 3�6 g
f(d cA
BUILDING DEPARTMENT REMARKS: ,a J?i"(,r.`( CJ () ERMIT FEE 3( 7
A - _I ( C9� (� � ✓ (� �eb cY '�'" i PLAN CHECK FEE ZQ F6
A-tA r-r`i- "- 4, A �" ( (�/ / PLUMBING FEE
re �c a--e- S �(' C G L IA. t/`-"moi �/�l MECHANICAL FEE
� � TOTAL BLDG. FEES 5"x..3+�
}�,, �- A r�o vd ( frio,,,, f"o ,Str v(Ge
C PART P/C FEE
5 -Gl C �� SEPA REVIEW
S.B.C.C. FEE '1
OTHER FEES Fp 5'`a S
AMOUNT DUE 543. E
ASSIGNED ADDRESS: Sem tK(S`I`I`i
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
JUN 18 1991 Amount Date Receipt#
CTIygOF V-LJtHAL vu►Y BUILDING DEPARTMENT APPROVAL d
RECEIVED�T -BY �Cj DATE ✓ -1 I
ACCEPTED FOR FILING
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RECEIVED
,1 Permit. ci 1 --E I f CA
NOV 0 6 1991 CITY OF FEDERAL WAY -- fEu i S(CJNt
Tv k:UERALWAY BUILDING PERMIT APPLICATION
BOLDING SEPT kOwA`f
— Please Print—
BOX 1 TENANT NAME: x-j-.. L ck4cL____
OWNER 30il ? SITE LOCATION ` ' k.,4---4----C—.) "%--711-,_ j -0-67
OWNER'S ADDRESS 2 Cr. CITY`-) PHONE ;` C7--14
DESCRIBE JOB e_tr ��
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION •-,/,.....
BOX 2 CONTRACTOR'S NAME C)�..vva�-•('---- CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
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.
BOX 3 CONTACT PERSON i vvk 2.s
PHONE ill'' 127T
f
BOX 4 SEWER DISTRICT `S V WATER DISTRICT E4/'67'
BOX 5 ESTIMATED PROJECT COST . ' ) b1.' EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) ,-
MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS ;'' GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEW' $
AVATORIES CO ERSION BURNER $
SI ' - / BOILE`, IZE BTU $
DISHWA RS AIR HAND ' U S
ELECTRIC HO A AT- ' HEATER HEAT PUMPS "'. $
LAUNDRY WAS. ' : TLET $
UNIT HES '•S $
URINALS AIRING UNITS, SIZE $
DRINKIh " FOUNTAINS COMMERCIAL HOOD $
SUi 'S, SPRINKLER VACUUM 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 EMP OYEES, UPON THE A •eACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGE . , - %'� DATE:
-_._ \
ANP-008 3/90
•
OFFICE USE ONLY (PLEASE DO NOT(WRITE 6!LOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
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 ft TYPE OF CONSTRUCTION \J/'t/ STORES
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
, PLAN CHECK FEE
l�'_�1 1�1..� tr� v L ( � �1 PLUMBING FEE
Vl, L V MECHANICAL FEE
/ TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: Se--e— -
ECEIVED
NOV 0 6 1991 PARTIAL PLAN CHECK FEE RECEIVED
orry OF FEDERAL Amount Date Receipt#
BUII,D)WDEPT BUILDING DEPARTMENT APPROVAL
RECEIVED BY `' `' DATE 1 1 — I I ACCEPTED FOR FILING
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