92-100787CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
g a-/ob>g7
BUILDING INSPECTION
661-4140
92-0831 CA ST FRANCIS BUSINESS OFFICE 34617
11TH PL S
PERMIT NO.
OWNER'S NAME SITE ADDRESS
SUNSET BUILDERS 3108 "C" STREET SE AUBURN
939-8474
CONTRACTOR
ADDRESS
CONT. PHONE
SUNSEB1140L6 6/ 9 BANK
3605 132ND AVE SE BELLEVI
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ESSSTONE
TYPEJOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. XX INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD.
TI
NEW MULTI -FAMILY -(UNITS-)
MULTI. ADD. SIGN GRADING OTHER
215470-0110-02 (ATTACHED)
TAX ACCOUNT NO.
_ LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-29-92
BUILDING INFORMATION
NE OP
SET BACKS: FRONT -- SIDE_ -- ___REAR --
HEIGHT LIMIT
OCCUPANCY _ B9
TYPE OF CONSTRUCTION VN 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
PLANNING DEPT APPROVAL: MT 6-18-92
VALUATION
__1310D_0__
FIRE/BUILDING DEPT APPROVAL: KC 6-10-92
PERMIT FEE 162.00
105.00
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
RT P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
4-500
FIRE FEE
8_10
DATE:
OTHER FEES
AMOUNT: 279.60
AMOUNT DUE
77Q �n
RECEIPT:
i
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.
P
�
�
j�
O��NER OR AGENT
1.� DATE
F
90CEIVED J V j # & - L? i c -A
'MAY 7 9 1992
ay � FED�FlAi. WAY CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: >�, t n„h e C % /%/ r, C�r �f-- ,
OWNER &Lf-] S /C#VF
OWNER'S ADDRESS <
DESCRIBE JOB -
THE PROPERTY IS OWNED BY
BOX 2 CONTRACTOR'S NAME
C'TE OCATION
�� CITY Q+" PHONE
SINGLE/MARRIED PARTNERSHIP CORPORATION
t -n CONTRACTOR'S REG. # C)A
>ew-j--o — %j 14-�- 9 , Card MUST be presented
CONTRACTOR'S ADDRESS ' G , , - CITY xk.�uy0 PHONE 759' -
EXPIRATION DATE i2
—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--{-brt' `t ' ZM/1 [ alk PHONE C-1 I=
BOX 4 SEWER DISTRICT l �1' _ WATER DISTRICT . IQ
BOX 5 ESTIMATED PROJECT COST b/ EXISTING BUILDING VALUATION Chi C
BOX 6 PROPERTY TAX ACCOUNT NUMBER N 5-4 %C°0
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE , OOTAGE: (Existing/Proposed) ^ AT FLOOR ZL`f 2ND FLOOR
3RD FLOOR � 1 BASEMENT h / DECK______j_ GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS=—)
P<) -EXISTING STRUCTURE
3Z 400
( COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY --SOFT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. FURNACE, ELEC. GAS
$
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
I�DISHWASHERS
ELECTRIC HOT WATER HEATER
AIR HANDLING UNITS j�/�^
HEAT PUMPS, SIZE �`�'
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
_COMMERCIAL HOOD
$
SUMPS, 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 COSTSjZXPENSES, 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 I FORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: - DATE: /� 2
ANP -008 3/90
OUSE ONLY(PLEASE DO NOT WRITE BELOW T*
ZONE (2F SETBACKS: FRONT
PLANNING DEPARTMENT APPROVAL
REMARKS: % G-
S )E
SE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL_. DATE
REMARKS:
A.-
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: A
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
OCCUPA CY - 6 2 N TYPE OF CONSTRUCTION STORES
O L, 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:
A6NUNEU AUDKE66:
PERMIT FEE�(I _z
PLAN CHECK FEE j & 5 -
PLUMBING
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE 50
OTHER FEESF D ` ( o
AMOUNT DUE
ACCEPTED FOR FILING
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING INS
BUILDING PERMIT 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
NE
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
RT 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 . . ........ —
OX 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.VKO.EN�LOSE FIR MlNrA.,Vo
DATE BY
INSULATION
DATE ..... . .. ... ....L7
BY . . ....
-
WALL BOARD 44&44RE WAI-toK
DATE -q By
FINAL O.K. TO OCCUPY
DATE.. . . . . .... .... _BY . ......... . . . . .......
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