90-100455yo-/aoyss
CITY OF FEDERAL WAY BUILDING PERMIT BUILDING
941 � 555ECTION
PERMIT NO. 90-626 RA OWNER'S NAME GARY STONEBURNER JOB ADDRESS 33819 26 AVE SW
CONTRACTOR OWNER
ADDRESS SAME CONT. PHONE 838-7230
CONT. REG. NO. NA
OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION XX NEWINDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN__ GRADING OTHER_ REPLACE EXISTING DECK & ENLARGE
TAX ACCOUNT NO. 010920-0360
LEGAL DESCRIPTION LOT 36 ALDERDALE DIVISION #1
ISSUED BY ELIZABETH SNYDER
Y4(DATE OF ISSUE 1.1 — I *')-- q V DATE OF APPLICATION 5/18/90
BUILDING INFORMATION
NE NA OCCUPANCY
TYPE OF CONSTRUCTION 5—N BLDG. SQ. FT. DECK=266 SF
T BACKS: FRONT 20'
SIDE 51 EACH REAR_ 51 _ STORIES NA HEIGHT LIMIT NA
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS ELEC. HOT WATER
HEATER _
GAS PIPING FT. BOILER
BATHTUBS LAUNDRY DRAINS
COMPRESSOR TANKS) _
RECEIVED_
SHOWERS URINALS
FORCED AIR FURNACE AIR HANDLING UNIT _
NUMBER
LAVATORIES DRINKING FOUNTAINS
_
GAS HOT WATER HTR. MISC. _
SINKS MISC.
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS TOTAL FIXTURES NONE
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION 2,340-00
PLANNING, SEPA, FIRE, PUBLIC WORKS DEPTS = REVIEWS NOT NECESSARY FOR
PERMIT FEE $45-00 _
THIS PERMIT.
PLAN CHECK FEE 29-00
PLUMBING FEE
BUILDING DEPT APPROVAL = KEVIN ELLIS ON 5/25/90
MECHANICAL FEE
TAL BLDG. FEES 74 _ nn
T P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
! o
S.B.C.C. FEE 4.50
OTHER FEES
Q
AMOUNT DUE $78.50
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 0R AGENT
%
t Zt
_
DATE
ermit #
CITY OF FEDE AL4WAY
BUILDING PERMIT APPLICATION
E�
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS
EXPIRATION DATE _
riL
CITY
CONTRACTOR'S REG. #
Card MUST be presented
PHONE
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 cu i L -l/ —PHONE.4 f � -f_ .. 1
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST (00 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 # —r=
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK 10Q/ I(04 GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION (�
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE D wc� ✓ bs
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
— Please Print —
AY 18
BOX 1 TENANT NAME:
GAS PIPING, FEET
$
Lail EPA,
OWNER A R 5
oN RNER
SITE LOCATION
DP 'Ay
OWNER'S ADDR SS 3'3%19
G
CITYFe4x_'I low
PHONE O
DESCRIBE JOB:e3ph
BOILER, SIZE _ BTU
$
DISHWASHERS
THE PROPERTY IS OWNED BY: SINGLE ARRI
PARTNERSHIP
CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS
EXPIRATION DATE _
riL
CITY
CONTRACTOR'S REG. #
Card MUST be presented
PHONE
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 cu i L -l/ —PHONE.4 f � -f_ .. 1
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST (00 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 # —r=
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK 10Q/ I(04 GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION (�
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE D wc� ✓ bs
( ) 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
$
UTHER
$
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: `5��8 / 1 C
ANP -008 3/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:_
0 •
OFFICE. USE ONLY *,PLEASF�DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT AP
REMARKS:
DA
DA
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
_C 1L BUILDING SQ. FT. oma{ �O ro @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. _ ` @
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: .. � f 20 %-S
14,
�by0
RECEIVED
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
,BUILDING DEPARTMENT APPROVAL _ Q
BY � t ( _ DATE �; ZS r `�
ACCEPTED FOR FILING
PERMIT FEE
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
Receipt #
,BUILDING DEPARTMENT APPROVAL _ Q
BY � t ( _ DATE �; ZS r `�
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN 55ECTION
PERMIT NO.
OWNER'S NAME JOB ADDRESS
CONTRACTOR
ADDRESS CONT. PHONE
CONT. REG. NO.
OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: 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
OCCUPANCY TYPE OF CONSTRUCTION BLDG.SQ.FT.
SET BACKS: FRONT
SIDE REAR_ STORIES HEIGHT LIMIT
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. _ _ BOILER
RECEIVED _
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS
URINALS _ __
FORCED AIR FURNACE _ AIR HANDLING UNIT _
NUMBER
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC _
_
RETURNED
SINKS
MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES _'
UNIT HEATER TOTAL MECHANICAL _
AMOUNT
Z
VALUATION
7LAN ` NG,SF s , FlPd., PURUC R" i tP= - RAMS NOT i LSSA 'Y
_ .
THIS PERMIT.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
a f
BUILDING DEPT APPROVAL � � YIN 'J IS ON 25/90
ECHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
_
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. _
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE7F,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 .... . . ... ... .......... . .... . . . .... __
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE __ __ BY . ... ...
WATER LINE O.K. . . ...... . . ....
GAS PIPING . .. .....
MECHANICAL INSPECTION
DATE --BY
O.K. TO ENCLOSE FRAMING
DATE --- --- BY,
INSULATION
DATE -_......_BY
WALL BOARD AND FIRE WALL
DATE . . ...... .
FINAL O.K. TO OCCUPY
DATE
DCD
PSD
FD