90-1007677o - >v o ?,/,7
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
INSPECTION REQUEST LINE - 946-6794
PERMIT NO. 90-1339 CA OWNER'S NAME HOLIDAY SPA JOB ADDRESS 29100 PACIFIC HWY S #1
CONTRACTOR HATCH CONSTRUCTION ADDRESS 16912 19 AVE CT S SPANAWAY CONT. PHONE 536-3515
CONT. REG. NO. HATCHC110PK
10/90 (OK) OWNER'S PHONE 941-3800 OWNER'S ADDRESS 30806 PAC HWY S FEDERAL WAY
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 COMMERCIAL ALTERATION (TENANT IMPROVEMENT)
TAX ACCOUNT NO. 042104-9073
LEGAL DESCRIPTION NW 4-21-4
ISSUED BY ELIZABETH
SNYDER DATE OF ISSUE DATE OF APPLICATION 8/10/90
BUILDING INFORMATION
ZONE NA
OCCUPANCY B-2 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. NA
T BACKS: FRONT NA
SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
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.
CQNVERSION BURNER BASIC FEE
_
•_1SHWASHERS
TOTAL FIXTURESOUNIT
HEATER TOTAL MECHANICAL _11NONlF
AMOUNT NONE.
VALUATION $ 2,
5100 00
BUILDING DEPT APPROVAL:KEVIN ELLIS ON 8/13/90
PERMIT FEE $108-00
_
PLAN CHECK FEE 35-00
PLANNING DEPT APPROVAL: NO CHANGE IN USE/OCCUPANCY
PLUMBING FEE
_
MECHANICAL FEE _
FIRE DEPT APPROVAL: KEVIN ELLIS ON 8/13/90
TOTAL BLDG. FEES
148 _ nn
RT P/C FEE
COPY TO FIRE DEPT
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
r
S.B.C.C. FEE
OTHER FEES F.D. 5,4013"'DATE
PAID I ` AMOUNT $Y RECEIPT /
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
i )
q
AGENT
DATE ( 6 V
Permit # �0 ,,a3a,
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print — k k
BOX 1 TENANT NAME:
OWNER SITE LOCATION r C L GWA
%
OWNER'S ADDRESS C, CITY L) c H E . Q
DESCRIBE JOB Tlc _
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME c c' ��� H iC� CONTRACTOR'S REG. # //4,t <, c: I/O,'/r'
Card MUST be presented
CONTRACTOR'S ADDRESS ld'rla 19/4 ave &IS CI TYSlld1JQwa i PHONE s s1i�
EXPIRATION DATE /10--17'/— _ Q % c
—OR —f `���QM
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.
PROPERTY TAX ACCOUNT NUMBE
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR—L4 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) XW CONSTRUCTION '-Yp f
( )�dfULTIFAMILY (NO. OF UNITS = ) ( EXISTING STRUCTURE ,,
( � COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY �V4&J7 �1L` SQ FT
BOX
9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
ATHTUBS f
i SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
PA T TA FIXTURES
tt. �
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
$
=0
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KOWLEDGE
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:
ANP -008 3/90
ZONE SETBACKS:FRONT
PLANNING DEPARTMENT APPROVAL
REMARKS:
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) y
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT 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/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION 1,'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 `- ct
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: s +
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
IID
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 :rP
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL
DATE �, — 13 `
0l—
;S�. of
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.---
DD.-NEW
NEWMULTI -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.SO.FT.
T 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
IT HEATER TOTAL MECHANICAL _
AMOUNT _
VALUATION 2.
BUILDING BKPT APPROVAL: KEVIN JZWS ON Sl13/90
PERMIT FEE
a _
PLAN CHECK FEE
J . , I',;G DEPT APPROVAL: `t CHGJ� IN USN/OCC: ,,
PLUMBING FEE
MECHANICAL FEE _
/
'TRE�� APPROVAL: APL: XWTN ELL,'rS ON 8/13/90
BLDG. FEES
OTAL
RT P/C FEE
,ti. i y TO rim DEQ ._.._ ._ ..,._.,_.
SEPA REVIEW
WATER SERVICE
l
WATER MAIN CHG.�-
w
.f
j
S.B.C.C. FEE'
f t
OTHER FEEST
IR PAT 4 mg,*r 4 3 7. st 0 ire x
j
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
SET BACKS AND FOOTINGS
DATE . . .. ..... . ........ -
OX TO POUR FOUNDATION WALLS
DATE _-__-_BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE __ __ __ ,BY . . . .....
WATER LINE O.K . . ..... . _ . .. .... . . ....
GAS PIPING O.K.___._ . . . .... .... ...
MECHANICAL INSPECTION
DATE --BY
O.K. TO ENCLOSE FRAMING
DATE -_ BY,
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TOO CUPY
DATE BY
DCD
PSD
FD