92-100244CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
9.)- /0" *1
BUILDING INSPECTION
661-4140
PERMIT NO. 92-174 NR OWNER'SNAME
CENTEX HOMES SITE ADDRESS 33039 20 PL SW
CONTRACTOR CENTEX—OWNER
ADDRESS 2320 130 AVE NE BELLEVUE CONT. PHONE 622-8288
CONT. REG. NO. CENTEH*101QA EXP. lO 92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPEJOB: NEWRESIDENCEXXX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN GRADING OTHER ..AND GARAGE
TAXACCOUNT NO. 010457-0060
LEGAL DESCRIPTION LOT 153 ALDERBROOK DIV 8
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE 5 — ( Z DATE OF APPLICATION 2/5/92
BUILDING INFORMATION
ZONE RS 5.0 SET BACKS: FRONT
20' SIDE 51 /51 REAR_ 51 HEIGHT LIMIT 301 MAX
OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5—N CENSUS NO. 101 TYPE OF HEAT GAS BLDG. SQ. FT. 2360 STORIES 2
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER
GAS PIPING 15 FT. 2.00 GAS LOGS
R 1THTUBS 2 LAUNDRY DRAINS
1
FORCED AIR FURNACEGAS 10-00 DUCT WORK
RECEIVED
SHOWERS 1 URINALS
GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT
NUMBER
LAVATORIES 4 DRINKING FOUNTAINS
CONVERSION BURNER MISC.
IMISC.
RETURNED
SINKS
BBQ BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES 13
X 5.00
DRYER TOTAL MECHANICAL 18.50
AMOUNT NONE
VALUATION $129,969
PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $745.00
PLAN CHECK FEE $134.50 484. 00
FIRE DEPT APPROVAL = KEVIN ELLIS
PLUMBING FEE 65.00
CHANICAL FF4750 18.50
(349.50)
BLDG DEPT APPROVAL = MIKE MONEN
PART P/C FEE 2/5/92
PUBLIC WKS DEPT APPROVAL = KAREN LANCASTER
SEPA REVIEW 35.00
PUBLIC WORKS
"DOWNSPOUTS, FOOTING DRAINS & RUN—OFF FROM IMPERVIOUS SURFACES SHALL
4.50
S.B.C.C. FEE
BE TIGHTL D TO THE APPROVED STORM DRAIN SYSTEM AS REQUIRED PER
FIRE FEE
DATE: �E17 . 5; Z CONDITION OF THE APPROVED PLAT"
$1002.50
OTHER FEES
$1002.50
AMOUNT:
�j -' 77 Y
AMOUNT DUE
RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANO
WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATI ED Y M
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 - 6-
"iteelVe
FEB 05
ftQ 1614L
•992
BOX 1 TENANT NAME:
Per* #
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
OWNER SITE LOCATI 33C7?,� 'ZG — V Ir Sii N - G A-,
OWNER'S ADDRESS CITY _ PHONE 6ZZ-Mi
DESCRIBE JOB
THE PROPERTY IS OWNED BY: INGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 6,3-n�� 6166_" CONTRACTOR'S REG. # C&,Y�,k It I fL R
Card MUST be presented
CONTRACTOR'S ADDRESS 2 2s 1le_. CITY PHONE 6Z'Z. T`ZX
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO r)FFINIIVNq OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON i Lc4"A-," PHONE 5�74 -':07S
BOX 4 SEWER DISTRICT FU L. S WATER DISTRICT P"141_5
BOX 5 ESTIMATED PROJECT COST 90 00CCj EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER C S
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # CIW20
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / iesZ 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 71 1�Zn SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
NO. WATERCLOSETS
GAS PIPING,
FEET l_S
$ 2vz`
Z BATHTUBS
NO.
FURNACE, ELEC. GAS. _
$ /,0
_SHOWERS
GAS HOT WATER HEATER
$ G
_LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
_I LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
—COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER
$
TOTAL FIXTURES
$
1-
� !e
TOTAL MECHANICAL FEE
$
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 FEDER Y, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYW-S-, CJP@PI,THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE:
ANP -008 3/90
ZONE SZ' SETBACKS: FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
20f SIDE r� REAR HEIGHT LIMIT'
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 2 q Z
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVA
REMARKS: V)p�,
TYPE OF JOB: NEW RESIDENCE V RES.
ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL
COMM. ADD/ALT
NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT
TENANT IMP.
OTHER
OCCUPANCY 23
211 TYPE OF CONSTRUCTION j STORES
a
A-
BUILDING SQ. FT.
Iy S2 @ %a-90 =
%� Fj9t . a2
Z^
BUILDING SQ. FT.
e4a @
129
/�ea9c_
BUILDING SQ. FT.
qAl, @ 116 • 3b =61
fo
BUILDING SQ. FT.
@ =
BUILDING SQ. FT.
@ _
y7 6`%Z, Y�
BUILDING SQ. FT.
@
TOTAL SQ. FT.
n
—��o�to TOTAL VALUATION
is y `fib 31
BUILDING DEPARTMENT REMARKS:
RECEIVED
PERMIT FEE S OO
PLAN CHECK FEES14 8' • 40
PLUMBING FEE ks
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA R VIEW
S.B.C.C. FEE TSU
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: Y5039_ - O US S,
�nPARTIAL PLAN CHECK FEE RECEIVED
Amount `�� r� Date Receipt # 4q -s-(-
BUILDING DEPARTMENT APPROVAL
BYDATE q 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
4 '�A ag"
VALUATION
PLAFNING D3".',PT :ti's ,�__'V'% - DEB
PERMIT FEE
FIRE DEFT APPROVAL KEVIN E LI «'
PLAN CHECK FEE
aio
PLUMBING FEE
`
R...,DG DEPT APPROVAL MIKE �4dMEN
MECHANICAL FEE
11ART P/C FEE
PUBLIC !"!KS DEPT REN T.,ANC ASR
.,EPA REVIEW
PUBLIC WORKS
qp
OWWNIISP S,t 'FOOTING DRAINS & F f—OFF FROM IMPEPT1DUS S AC -.__
S.B.C.C. FEE
1—, qty . ... t' F� w'Qv DRAIN SYsS' "fI 1+ F.',�II'.�'yJ �T
FIRE FEE
DATE: CflMI ION OF TIM APPYOVERY) PLAT"
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.
�V
OWNER OR AGENT
DATE
SET BACKS AND FOOTINGS
DATE Z BY
OX TO POUR FOUNDATION WALLS
DATE B Y Av6
PLUMBING GROUNDWORK
DATE . . . ....... . . . .... ..... . ...... BY
PLUMBING ROUGH IN
DATE,,/O-/(- -'IZ-,BY
WATER LINE O.K. . .. ...
GAS PIPING
MECHANICAL INSPECTION
DATE BY
O.K. TO ENCLOSE FRAMING
BY
DATEDATE
INSULATION
_BY
WALL BOARD AND FIRE WALL
DATE eO4
FINAL O.K. TO OCCUPY
DATE /_!,P.- BY . . . .... .... .
DCD
PSD
FD
c,o t>
_:Z/vs,-/Lj:, or"
io Lz z-- A z- of', hye4 tily/ec
f