Loading...
90-10031490 . /00 3/ CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 TENANT: SHOP RITE 90-432 TI WEST COAST GROCERS 35447 21ST S.W. PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR DWINELLS CENTRAL NEON ADDRESS 3614 6TH AVE S SEATTLE CONT. PHONE 292$865 CONT. REG. NO. DWINECN204M1 OWNER'S PHONE 572-0112 OWNER'S ADDRESS 1525 E "D" STREET TACOMA 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 CONSTRUCTION OF AN AWNING TAX ACCOUNT NO. 252103-9002-02 LEGAL DESCRIPTION (SEE ATTACHED) ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 4-24-90 BUILDING INFORMATION BC OCCUPANCY M2 _ TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 7NE 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 x.480-0-0- MUST MEET REQUIREMENTS OF ZONING CODE, SEC 115.85 3 PERMIT FEE 99-00 _ SEPA EXEMPT PLAN CHECK FEE 64.00 PLUMBING FEE CHANICAL FEE DATE: TAL BLDG. FEES PART P/C FEE AMOUNT: SEPA REVIEW WATER SERVICE RECEIPT: o WATER MAIN CHG. S.B.C.C. FEE 4 _ 90 OTHER FEES AMOUNT DUE 167-50 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 OR AGENT l�c-�'l.✓us� - DATE • famit # (� o — `( CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER JA; �..Si +kV. r 0.p ,F S SITE LOCATION s - 1'N 7�- OWNER'S ADDRESS l5�� >c `'(L�T�gF�r `!gwal CITY PHONE 7-2- DESCRIBE JOB jN.s MoN -- get u1& THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION iZ BOX 2 CONTRACTOR'S NAME DA)l u F t , N F pli CONTRACTOR'S REG. # o u osW I Card MUST be presented CONTRACTOR'S ADDRESS 3&f Li roT AoF- S PHONE .292 2N�A-" EXPIRATION DATE IM 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 150NNIG nLNj1a.u4e A- % 6i2uC& 010,.j gNT- PHONE ca.12-t9_86S7 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST s& -6,560 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER a52 /03 q00 �Z 0.7, LEGAL DESCRIPTION ajar—H E!O (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION X30 1,1^54,L Fwew- ( ) MULTIFAMILY (NO. OF UNITS = ) ( EXISTING STRUCTURE )--0OT0kG4�_. (�4) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ N0. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCIAL HOOD $ OTHER $ 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: :.tG- 90 ANP -008 3/90 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE__ SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL ['_ r�=' ` . .5"` /5— yFo REMARKS: `f"J el�, c,,C, , s4;G, l t S, xs SEPA: EXEMPT___ NOT EXEMPT FIRE DEPARTMENT APPROVAL 4 DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL A A DATE— REMARKS:-- TYPE ATEREMARKS:_ 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 _�/� Z TYPE OF CONSTRUCTION ✓AJ STORES k BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ A/It) OTt -V U ` TOTAL SQ. FT. TOTAL VALUATION 7 y d'd . c U BUILDING DEPARTMENT REMARKS: ASSIGNED ADDRESS: Amount RECEIVED PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE C_l-__ PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE b TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE 167 Receipt # BUILDING DEPARTMENT APPROVAL DATE 5_ f G ACCEPTED FOR FILING CITY OF FEDFRAL WAY BUILDING PERMIT BUILDING 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 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 xs'i ,�: ie, .i .a a.E� ..•s __ . _ ZLI, .L,vi ,.0DE4, iii. I.L5. PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE + SEPA REVIEW .�. ..., WATER SERVICE £+ EIPT: WATER MAIN CHG. S.B.C.C. FEE OTHER FEES 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: •'rt OWNER OR AGENT DATE o mol PSD PLUMBING GROUNDWORK DATE BY MECHANICAL INSPECTION DATE BY xvxLLBOARDAwDFmEwAu- am