91-101051CITY OF
FEDERAL WAY
BUILDING PERMIT
gl-/biosl
BUILDING INSPECTION
941-1555
PERMIT NO. 91-1006 OT OWNER'S NAME SALTWTER ASSN LTD JOB ADDRESS 28620 PACIFIC HIGHWAY S
CONTRACTOR BRIDGEWAY CONSTRUCTIONADDREss
3826 WOODLAND PRK N SEATTLE CONT. PHONE 632-0800
CONT. REG. NO. BRIDGCC186R3 OWNER'S PHONE 839-8800 OWNER'S ADDRESS 28620 PACIFIC HIGHWAY S FEDERAL W
TYPE JOB: NEW RESIDENCE ADDITION NEWINDUSTRIAL
NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN
GRADING OTHER REPAIR FIRE DAMAGE
TAX ACCOUNT NO. 332204-9213-0
LEGAL DESCRIPTION ISEE ATTACHED)
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE DATE OF APPLICATION 7-29-91
Ift
BUILDING INFORMATION'
mw
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
BATHTUBS LAUNDRY DRAINS
COMPRESSOR _ TANK(S)
RECEIVED _
SHOWERS URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER _
LAVATORIES DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC
SINKS _4_ MISC.
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERF, TOTAL FIXTURES 9X5= 4_D0
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION 951000
INSPECTION
BY NB — PERMIT TO REPAIR FIRE DAMAGE TO APARTMENT COMPLEX
IF ANY MORE EXTENSIVE DAMAGE IS UNCOVERED IN THE
PERMIT FEE 617_0
PLAN CHECK FEE 401.00
COURSE OF FIRE REPAIR, ENGINEERED STAMPED PLANS
PLUMBING FEE 4 n0
(2 SETS) MUST BE PROVIDED TO BUILDING DEPT FOR
ICHANICAL FEE
PLAN REVIEW.
OTAL BLDG. FEES
PART P/C FEE
DATE:
r
SEPA REVIEW
WATER SERVICE
AMOUNT:
1,067.50
WATER MAIN CHG.
S.B.C.C. FEE A _ C;o
RECEIPT:
OTHER FEES
AMOUNT DUE 1 . 06 �,fl
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 FU KED BY ME IS TRUE A
ORRECT HE BEST OF MY KNOWLEDGE AND THE APPLI BLE CITY F FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGE
DATE
kY
ECEI'VED
JUL 2 9 1991
CfrY OF F-EDEi AL V . ,
BUILDING z-, --,,t
BOX 1 TENANT NAME:
0 A �
CITY OF FEDERAL WAY
0Permit # l
d0(; 01
BUILDING PERMIT APPLICATION
— Please Print —
OWNER — L 1
OWNER'S ADDRESS 0
DESCRIBE JOB M o4
THE PROPERT IS OWNED BY: SINGLE/MARRIED
BOX 2 CONTRACTOR'S NAME
SIIT� �LOCATIO
k �- CITY–
PARTNERSHIP CORPORATION
CONTRACTOR'S REG. #10
CONTRACTOR'S ADDRESS CITY HONE K!,
EXPIRATION DATE % C2 90
W1112M
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 N!� PHONE 6 3.a "G dZ�
BOX 4 SEWER DISTRICT WATER DISTRICT
PROPERTY TAX ACCOUNT NU
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 FL00 -7 W 379'0 2ND FLOOR
3RD FLOOR BASEMENT / —'DECK ARAGE
BOX 8 ( ) E FAMILY ( ) NEW CONSTRUCTION
( MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE /�
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY % r 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
ETHER
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 SU £LAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES�THE ACCURACY THE INFO�N SUPPLIED TO THE
,CITY AS A�ART OF THIS APPLICATION.
OWNER/AGENT: DATE:
ANP -008 3/90
3
i •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAI
REMARKS:
SIDE_ REAR HEIGHT LIMIT
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
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
gFcF_ F_D
,UL 2 9 1991
AY
COV l'�F
NG DEPT
Slj CEIVED
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE
DAT
DA
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
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
941!N 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
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
",•=t±!l r» ! t� � ,t.: .... PSFAIT TO REPAIR FIRE DAMAG ,TO
IF ANY MORE = x"`EllS I`,M_ DA2%,AG,.F
AICI
IS INNO :fir`
PERMIT FEE
CMRSE ``IRE SRF Et"+GINFE STAFIPl'' $
PLAN CHECK FEE
yOF
C" 5 +,#�s i MUST BE, PROVIOEC, TO
.E-k�
PLUMBING FEE
�j�4VI�aI.�•
�CHANICAL FEE _
TOTAL BLDG. FEES
(
PART P/C FEE
SEPA REVIEW50
t
WATER SERVICE
fti x�7 i yi a
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:
OWNER OR AGENT
DATE
J
0
0
SET BACKS AND FOOTINGS
O.K 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 ENCLOSFRAMING
DATE _!f/w_BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE _/,0V0t_ __
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