90-101186CITY OF
FEDERAL WAY /I Df)
PERMIT NO. 90-1396 NR OWNER'S NAME
CHAFFEY CORPORATION JOB ADDRESS 34338 27 AVE SW
CONTRACTOR CHAFFEY CORP — OWNER
yo _JOUE(o
BUILDING
OWNER'S PHONE SAME OWNER'S ADDRESS SAME
PER MIT
BUILDING INSPECTION
941-1555
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN GRADING OTHER
INSPECTION
REOTTEST T.TNF.— 946-6794
PERMIT NO. 90-1396 NR OWNER'S NAME
CHAFFEY CORPORATION JOB ADDRESS 34338 27 AVE SW
CONTRACTOR CHAFFEY CORP — OWNER
ADDRESS_ POB 560 KIRKLAND 98083 CONT. PHONE 822-5981
CONT. REG. NO. CHAFFC*15ONG 71910K
OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XXADDITION NEW
INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN GRADING OTHER
TAX ACCOUNT NO. 294450-0010
LEGAL DESCRIPTION LOT 1 GROUSEPOINTE KING CO NWa , SEC 24 T 21N
R 3 EAST WM
1-1 RECORDING #:8902280477
ISSUED BY ELIZABETH SNYDER
_
DATE OF ISSUE DATE OF APPLICATION 8/22/90
BUILDING INFO M TION If -
NE RS7 • 2 OCCUPANCY R-3
TYPE OF CONSTRUCTION 5—N 2835 TOTAL
- BLDG. SQ. FT.
7PLSET BACKS: FRONT 20 SIDE
51 EACH___ REAR__51 STORIES 2 HEIGHT LIMIT 30UMBING
NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER
GAS PIPING ___ FT. 3.50 BOILER
BATHTUBS 2 LAUNDRY DRAINS
1 _
COMPRESSOR _ TANKS) _
RECEIVED_
SHOWERS 1 URINALS
_
FORCED AIR FURNACE 10.00 AIR HANDLING UNIT
NUMBER
LAVATORIES 5 DRINKING FOUNTAINS
GAS HOT WATER HTR. 6.50 MISC.
_
SINKS 2 MISC.
CONVERSION BURNER BASIC FEE
RETURNED _
DISHWASHERS 1 TOTAL FIXTURES 15
X $5.00
UNIT HEATER TOTAL MECHANICAL 20.00
AMOUNT NONE
VALUATION $ 150,179, 00
PLANNING DEPT APPROVAL: BILL KINGMAN ON 9/12/90
PERMIT FEE $ 818-00
BUILDING DEPT APPROVAL: KEVIN ELLIS ON 9/20/90
PLAN CHECK FEE 532-00
FIRE DEPT APPROVAL: NOT APPLICABLE
PLUMBING FEE 75.00
ECHANICALFEE _ 20-00
PUBLIC WORKS DEPT APPROVAL: KEVIN ELLIS ON 9/20/90 (PER PLAT LISTING)
TAL BLDG. FEES $ 1,445—D0
PART P/C FEE _
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
f
S.B.C.C. FEE $4.50
OTHER FEES
DATE PAID AMOUNT $1,449.50 RECEIPT
AMOUNT DUE $ 1,449.50
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 INFO M ION FURNIS B MEIS RUE AND C0,8RECT TO THE BEST Y KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE
OWNER OR AGENT
DATE
9 Olermit # �Po - / -� S C. /v e_
CITY OF.FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER
SITE LOCATION -- ,
OWNER'S ADDRESS
- CITY PHONE
DESCRIBE JOB L��' ` �'
�- Z
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAMEP4l�/'-
CONTRACTOR'S REG. # G9 ?k tg 6
Card MUST be p
�
CONTRACTOR'S ADDRESS 170' K
%I
15 0 CITY K /X J klt-i) PHONE a-ZZ"—�;'16Z
EXPIRATION DATE
OR Ole IS
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
- PHONE
BOX 4 SEWER DISTRICT
WATER DISTRICT / g�Ff. �4
BOX 5 ESTIMATED PROJECT COST _Z'23, 5f2�n
EXISTING BUILDING VALUATION S "—
BOX 6 PROPERTY TAX ACCOUNT NUMBER
"- ocw 0
LEGAL DESCRIPTION /
>� �'l : 'f, d G1—le-
(If necessary, please submit a garat2ea e with the le al descri
K.C. Plat Recording # 6.04: Z—
a .71 -
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 114f- f- 2ND FLOOR /
3RD FLOOR / •'^ BASEMENT l .,j DECK l "'C-) GARAGE /
BOX 8 ( ) SINGLE FAMILY r1)
NEW CONSTRUCTION
MULTIFAMILY (NO. OF UNITS = ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY=��' �' SQ FT
BOX 9 PLUMBINFIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $
NO. _WATERCLOSETS GAS PIPIWG, FEET $
4._ BATHTUBS NO. FURNACE, ELEC. GAS_ $ 16 `.,o
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 $
75 TOTAL FI TURES $
j� TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJUhY 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 LAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMP L ES, PON A RACY OF THE I OR I SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: r DATE:
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEBS ZL SETBACKS: FRONT 2-1 SIDE S REAR HEIGHT LIMIT ik"
PLANNING DEPARTMENT APPRZL 9 12' �tV ' 136 --
REMARKS:
SEPA: EXEMPT_ NOT EXEMPT
FIRE DEPARTMENT APPROVAL W,4,� -'l lYIdxeYl DATE / q - ib
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL - &MA4411 DATE - l`� - `!0
REMARKS:t
TYPE OF JOB: NEW RESIDENCE . K: RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY C.-- 3 TYPE OF CONSTRUCTIONy
-&Ain FLr:lL BUILDING SQ. FT. @
U PPra FL --o12 BUILDING SQ. FT. 1/70 /� @
BUILDING SQ. FT. 1/ S3 @
BUILDING SQ. FT. @
BUILDING SQ. FT. @
BUILDING SQ. FT. @
TOTAL SQ. FT.
BUILDING DEPARTMENT REMARKS:
A 63 ' ?.IPPI
/�- STORES %
6 � 3 __ £�a . 75
3p sg
- X 8
TOTAL VALUATION # Isof
S
PERMIT FEE 8/a•yy
PLAN CHECK FEE S. 3a. oti
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES '
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 3y 3 3b 2-7 A_ - S- W,
Amount
M
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL q
DATE q_�� [�
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
841!N 55ECTION
PERMIT NO.
OWNER'S NAME
C"App =y C" JOB ADDRESS
CONTRACTOR
ADDRESS si`1}3 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
ZONE
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
VALUATION
P AN ibiG Flti?T 1Ga. Pk0tALo BILL KINGRAi- ON 9f I�i9
UTUDINa DRi ' APPROVAL: JUMN ELLT IS ON 9/20/90
PERMIT FEEi
PLAN CHECK FEE
.% a
FIRE 3LPT APPROVAL-. �"T':SLI '� ABL
PLUMBING FEE
•
MECHANICAL FEE _
,y P! .
�gp�.�Ta f g
�UBIJC W --OAKS D APPROVAL: : Y"TN FIA IS Or 9# 20# 9 (PER lXi
TOTAL BLDG. FEES
PART PIC FEE
_
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEES
OTHER FEES
s 1PAIP t si!, `' c a �3 s. q f. ~ '
6
AMOUNT DUE
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
L/
T BACKS AND FOOTINGSK
DATE 2141� 13Y;/ATe
POUR FOUNDATION WALLS
_p .....BY 5
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE 5 - %10 BY
WATER LINE O.K. . .. .... . ........ . . ...... .
_q 1 -
GAS P I P I N 3 . .. . .... A--/
MECHANICAL INSPECTION
DATE — ----- -- --BY
NCPE FRAMING
DATE I ' —
- -_ 'ct '.1�BY
INSULATION Q
DATE BqC
WALL BOARD AND FIRE WALL
DATE
FINAL O.K. TO OCCUPY
DATE? _7�5_'��' _BY _ ���L
DCD
PSD
FD
6 /Z 7- rc.OGD
L . zi, e,4 4 xg 4 c- //,j
74- 4
ILA VU7
lA-Z'7L- flo v
Ere elacc_j
f.4-ra-e )`ot,,o_r Flogr S) "d 57L�-C71f�
Ce f ' 6 IYAO
��) 5 6? tl-
(v Cl
rc)L-> 4 e
ev-
t
TI
rl (e-
(c, i q t. M top-
@a c- s
( o o I o st s
re- wtfpr-�h' G
c YIl 712,9 c 1eI2 _5rll%1
S 1 D ro / r�iv
-
3_d't, -/7iS svgs
xc 12-1
coliS 0./1_ se-' -77 516-l"IZ4 el -:7
CIS