92-100955CITY OF FEDERAL WAY
First Way South
Feder BUILDING PERMIT
Federal Way, WA 98003
9�,)ao9ss
BUILDING INSPECTION
661-4140
PERMIT NO. 92-0910 CA OWNER'S NAME JOHN
HANNA TENANT: TACO TIME SITE ADDRESS 2002 S. 320TH STREET
CONTRACTOR
ILDERS
ADDRESS
SUNSET WAY BELLEVUE 226-6656
CONT. REG. NO.
E EXP. 92
CONT. PHONE
OWNER'S PHONE % OWNER'S ADDRESS 16006 PACIFIC HIGHWAY S SEATTL
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.
092104-9020-09
LEGAL DESCRIPTION SEE PLANS - PAGE 1
ISSUED BY
JOANNE JOHNSON
DATE OF ISSUE � _DATE OF APPLICATION 6-30— 92
BUILDING INFORMATION
ONE
CC SET BACKS: FRONT 20'
SIDE 5 I REAR 51 HEIGHT LIMIT
CCUPANCY B2
TYPE OF CONSTRUCTION VN
CENSUS NO._ TYPE OF HEAT BLDG. SO. FT. 2 • 000TORIES
PLUMBING
NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
RECEIVED
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
SINKS
MISC.
BBQ BASIC FEE
RETURNED
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL
AMOUNT
5,000
PLANNING DEPT APPROVAL: 6-23-92 DB
VALUATION
FIRE DEPT
APPROVAL: 6-23-92 CI
72.00
PERMIT FEE
PLAN CHECK FEE
47.00
BUILDING DEPT APPROVAL: 6-30-92 RC
PLUMBING FEE
MECHANICAL FEE
P/C FEE
EPA REVIEW
rSART
UBLIC WORKS
4.50
.B.C.C. FEE
3.60
�'
IRE FEE
OTHER FEES
DATE:
AMOUNT:
^
$ 12 % • 0
AMOUNTDUE
127JO
RECEIPT:
02-193 tq2-
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 FURUL BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
MET.
OWNER OR AGENT2e"ze%k
DATE
-7-
romit 0 1 Z__ - q (0 C A
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: -T-6t C-0 7"—( 0-'C V_
OWNER Nr SITE LOCATION ABs' 2�> , X28 i4 '6 jT
OWNER'S ADDRESS 66 =i l6 (LJ CITYS TTLCI t,26- PHONE 24z- n 171
DESCRIBE JOB M (I V TLLNe D& _ 7o S- G RU -112 v RA 1
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ✓ PARTNERSHIP -;CORPORATION
BOX 2 CONTRACTOR'S NAME A L z)v6 CONTRACTOR'S REG. # J L LOOM •I 'Sb G1
Card MUST be presented
CONTRACTOR'S ADDRESS `D3D3 SUS 1Ja4--r CITY 'E>L(-Lc-%IUe PHONE
EXPIRATION DATE —OR— l� tj C' I -Fa Y Ga r
1
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AN
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON E516VL DOA I, a t -A C-�-22kLt_ •LCCA i 2 APHONE 651-662
BOX 4 SEWER DISTRICT 'ALV_ VCLZ L U, A -t ( AL; /kAk_,, WATER DISTRICT ,i �� - �•,
BOX 5 ESTIMATED PROJECT EXISTING BUILDING VALUATION;
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION SC- = AI-IAe�i-Q-�
(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
( ) MULTIFAMILY (NO. OF UNITS
Vj EXISTING STRUCTURE
( COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY
BOX 9 PLUMBING FIXTURES (including rough -ins),
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. FURNACE, ELEC. GAS
$
Qv
SHOWERS /� L�
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
$
THER
$
NTOTALFIXTURES
$
TOTAL MECHANICAL FEE
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THEj3EST OPI IY 'N'QWLEDGE
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 CITY0 FED AY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE GITY, INCLUDING ITS
OFFICERS AND EMPLOYEE, IfOON TAE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY ASA PART OF THIS APPLICATION.
OWNER/AGENT: r�(/L� w A / kA rte - DATE: /n
ANP -008 3/90
ZONE l SETBACKS: FRONT_
PLANNING DE RTMENT APPROVAL .
REMARKS:
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE CO REAR HEIGHT LIMIT
SEPA: EXEMPT L , NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT— NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALTS TENANT IMP. OTHER
OCCUPANCY C7 �- TYPE OF CONSTRUCTION til �v� STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION S c C
BUILDING DEPARTMENT REMARKS:
R�C�l1/�D
JUN 12 1992
", OF FIEVERAL
wADerr�
RECEIVED
ASSIGNED ADDRESS:
Amount
PERMIT FEE
77-
'PLAN
PLANCHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES F ^
_
3 ` C, n
AMOUNT DUE
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
y� BUILDING DEPARTMENT APPROVAL
BY _ DATE 6' )((
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: NEWRESIDENCE
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
rpP-(iCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT.
STORIES
LUMBING 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.
SINKS
MISC.
BBQ BASIC FEE
RETURNED
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
ECHANICAL FEE
TART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
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.
OWNER OR AGENT
DATE
SET BACKS AND FOOTINGS
DATE .........-...—BY
OX TO POUR FOUNDATION WALLS
DATE __ — BY . ... ...
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
BY
WATER LINE O.K. ........
GAS PIPING O.K.
---.....-_
MECHANICAL INSPECTION
DATE . . .... .. BY
O.K. TO ENCLOSE FRAMING
DATE
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE
DCD
PSD
FD
2- Q -),4Z-- TiU-6lCe_,ol7f0tV /517N 20v es /<
-43Z fS 'i�'d c C
1&1p11_,1,u6 o/< //t/ S4TH i2ooffs 0 A) r-> Nl lVp,
4T
3 92 c, r P_IZAP
0 0