91-101778CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
9)-/o 177 8
BUILDING INSPECTION
661-4140
PERMIT NO. 91-1751 MH OWNER'S NAME
BILL HILLSTEAD SITE ADDRESS 31813 21 AVE SW
CONTRACTOR OWNER
ADDRESS SAML CONT. PHONE 833-3733
CONT. REG. NO. NA EXP.
OWNER'S PHONE 661-9078 OWNER'S ADDRESS POB 78025 SEATTLE
TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN GRADING OTHER INSTALL MOBILE HOME
TAX ACCOUNT NO. 122103-9051
LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 12/18/91
BUILDING INFORMATION
ZONE RM 3600 SET BACKS: FRONT
7 - MIN SIDE 3 ' /15 - REAR 10' HEIGHT LIMIT NA
OCCUPANCY R-3 TYPE OF CONSTRUCTION
5—N CENSUS NO. O/S TYPE OF HEAT NA BLDG. SO. FT. 924 STORIES NA
UMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
TER CLOSETS ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
rBA
RECEIVED
THTUBS LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
OWERS 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
#4, 065
VALUATION
PLANNING DEPT APPROVAL = DEB BARKER
$72.00
PERMIT FEE
PLAN CHECK FEE 47.00
'VEHICLES MUST PARK IN OFF—SITE SPACE #46 (SEE ATTACHED PARK SITE
PLUMBING FEE
PLAN) OR MUST BE PARKED ADJACENT TO COACH IN SIDE YARD. NO ON—
MECHANICAL FEE
STREET PARKING IS PERMITTED PER FIRE CODE REQUIREMENTS"
PART P/C FEE
SEPA REVIEW
BLDG DEPT APPROVAL = KEVIN ELLIS
LIC WORKS
W.04.50
"CALL 661-4140 FOR A BLOCKING/SKIRTING/TIEDOWN INSPECTION'
.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
$121.50
AMOUNT DUE $12 --A - S n
RECEIPT: A Al
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO ORK IS STAR RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY
E IS TR N CORREC TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
r .—
OWNER OR AGENT
DAT
u
Q
Permit
.RECEIVED
OEC 181991 CITY OF FEDERAL. WAY ,., -, , ,
BUILDING PERMIT APPLICATION
— Please Pr1ht —
BOX 1 TENANT NAME: N074r,
OWNER i % 7� SITE LOCATION dZE11 Z J1` -
OWNER'S ADDRESS o&Z r CITY PHONE o
DESCRIBE JOB F
THE PROPERTY IS OWNED BY. NGLE ARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
Q and MUST be presented
CONTRACTOR'S ADDRESS CITY PHON
EXPIRATION DATE
—OR(777:_�
—
1 HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACT S�cIQD SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PRO GISTRATION.
BOX 3 CONTACT PERSON PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 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____J_ 2ND FLOOR /
3RD FLOOR____J_ BASEMENT_______J_ 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 $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. FURNACE, ELEC. GAS
$
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
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 W TION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF
FEDERAL WAY ASTO ANY CLAIM (INCLUDING COSTS,
���NEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH WHICH MAY BE MADE BY ANY PERSON, INCL THE
�j,S
AND FILED AGAINST THE CITY OF FEDERAL
RE SUCH CLAIM ARISES OUT OF THE RELIANCE OJt@
CIS, IIQ
NG TS
OFFICERS AND EMPLOYEES, UPON T , URA
INFORMATION SUPPLIED TO THE CITY AS A PART, TBI SPP I;C, 11 /
tOWHEIM),
I
S{
OWNER/AGENT:
•I
DATE: 12
�i�I.est,��
ANP -008 3/90
OFFICE USE ONLY( PLEASE DO NOT WRITE BELOW THIS LIN
ZONE KI--2SETBACKS: FRONT IM --
PLANNING DEPARTMENT APPROVAL
REMARKS: Vek'i des h AUS+ 39
REAR 0 V HEIGHT LIMIT
'5 ;
�1 SSI
fIJFInt/il��=,V7Y0.l1fff�N^ 71tF,E.!!Ilgft'- .I'Lli.alis►�:��'�iV/ 02,rii -fl.AI 'Aff 4i/I8&' Il A
,
J –
EXEMPT NOT EXEMPT—
FIRE DEPARTMENT APPROVAL
REMARKS:
DATE
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: a i [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
OCCUPANCY TYPE OF CONSTR CTION STORES
BUILDING SQ. FT. Z @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ & (Q (% ` S
TOTAL SQ. FT. TOTAL VALUATION �—
BUILDING DEPARTMENT REMARKS:
RECEIVED
DEC 18 W
GM OF FEDERAtr
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
PERMIT FEE Z
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
fes_BUILDING DEPARTMENT APPROVAL CUBY 1� C, DATE I Z
ACCEPTED FOR FILING
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING INSPECTION
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
$ s V7
VALUATION
TITHING DEPT APPROVAL DEB EAPXER
PERMIT FEE
PLAN CHECK FEE
g
MVEUICLES MUST ARK IN OFF—SITE SPACE; #46 --
PLUMBING FEE
PLAN) OR MUST PARMT) ADJACENT TO COACH IN SIDE YARD. NO 042,-.
4 ._MECHANICAL
MECHANICALFEE
STREET ,PARKING IS PEP1I°11-ITE 7 PER FIRE CODE REQUIREMENTS -
RT P/C FEE
SEPA REVIEW
`LDG DEPT APPRONTAL. = K IN ELLIS
IC W
PUBLORKS
"CALL €61--4140 FOR A BLOCKING/SKIRTING/TI�9�OMN INSPFZTIOF*
B.ICE
S.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.
OWIdER OR AGENT
DATE I
SET BACKS AND FOOTINGS
DATE__.—BY
PLUMBING ROUGH |N
DATE BY
0.x,TOENCLOSE FRAMING
DATE BY
FINAL O.x.TOOCCUPY
DATE =- sY
OXTDPOUR FOUNDATION WALLS
DATE
WATER LINE OX.
GAS p|P|wG 0.K.
INSULATION
ME
0
PLUMBING GROUNDWORK
oxrE BY
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
0
m