90-101225CITY OF
FEDERAL WAY
BUILDING PERMIT
BUILDING INSPECTION
941-1555
INSPECTION REQUEST LINE -946-6794
PERMIT NO. 90-1430
RA OWNER'S NAME GLENN MADDEN JOB ADDRESS 2605 S 304 ST
CONTRACTOR OWNER
ADDRESS SAME CONT. PHONE 244-1837
CONT. REG. NO. NA
OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE
ADDITION XX NEWINDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER_ RESIDENTIAL ALTERATION
TAX ACCOUNT NO. 092104-9078 LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE — qo DATE OF APPLICATION 8/31/90
BUILDING INFORMATION
NE NA
OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N BLDG. SO. FT. NA
SET BACKS: FRONT NA
SIDE NA REAR_ NA STORIES NA HEIGHT LIMIT 30' MAX
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
MISC.
CONVERSION BURNER BASIC FEE
RETURNED --
DISHWASHERS
TOTAL FIXTURES NON 'F
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION $
6,_000
PLANNING DEPT APPROVAL: NOT APPLICABLE
BUILDING DEPT APPROVAL: KEVIN ELLIS ON 8/31/90 (DOUBLE FEE, WORK STARTED
PERMIT FEE $ 162
00
PLAN CHECK FEE
-93-00
WITHOUT PERMIT -PLANS NOT REQUIRED, PER NORM BRAY
PLUMBING FEE
FIRE DEPT APPROVAL:
ECHANICAL FEE
�JTAL BLDG. FEES $
215.00
PUBLIC WORKS DEPT APPROVAL: NOT APPLICABLE
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE $4.50
OTHER FEES
DATE PAID t / O - �F O AMOUNT 219.50 RECEIPT 2—
AMOUNT
AMOUNT DUE $
219.50
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
OWNE A NT
DATE
Permit # TO — 0
CITY OF FEQR L WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER C4?,1.0—.v1U C . /YIQZGE Aj SITE LOCATION . .�
OWNER'S ADDR S __110 CITY. PHON —/533 ;
DESCRIBEJOB SIA Ica u
THE PROPERTY IS OWNED BY: SINGL /M RRIE PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME / i A : Vii W.(( CONTRACTOR'S REG
CONTRACTOR'S ADDRESS
EXPIRATION DATE
M•
CITY
PHONE
Card MUST be presented
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 Z�/r,A0 A) A4L W PHONE 6z4) --_W J837
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMB
i 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/ o?Cn/ � 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES including rough -ins)
NO. \WATER LOSETS
-H BS
ERS
r TORIES
KS
HWASHERS
TRIC HOT WATER HEATER
IN Y WASHER OUTLET
DRINKI%FIXTUR
INS
SUMPSR VACUUM BREAKERS
DRAINS
OTHER
TOTAL
MECHANICAL AP LIANCES — BASIC FEE $
GA (PING, FEET $
N0. FURNACE, ELEC GAS $
AS HOT WA R HEATER $
DNVERSI BURNER $
OILER, ZE BTU $
IR IDLING UNITS $
PUMPS, SIZE $
T HEATERS $
IR OOLING UNITS, SIZE $
OM RCIAL HOOD $
ER
S
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, ANDATTORNEYS'
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
OFFICEkS AND EMPLOYEES, UPONiTHE ASG % CY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
DATE:_ I ��
ANP -008 3/90
OFFICE USE ONLY (PLELSE RRNOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: /lI
fIlk
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
DATES`'
PUBLIC WORKS DEPARTMENT APPROVAL
REMARKS:
IV
'Z' 0Cs
PLAN CHECK FEE
DATE a'�"f"''`-"•�::
PLUMBING FEE
MECHANICAL FEE
U
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT
NEW INDUSTRIAL
IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT
NEW MULTIFAMIL�_�
(UNITS )
MULTIFAMILY ADD/ALT TENANT IMP.
OTHER %Gl
o
AMOUNT DUE
OCCUPANCY TYPE OF CONSTRUCTION
1JAI
STORES
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
dam®
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
s
"IlEllefew
RECEIVED
AUG 3 11990
PERMIT
RECEIVED
PERMIT FEE
'Z' 0Cs
PLAN CHECK FEE
d
PLUMBING FEE
MECHANICAL FEE
U
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
r C:
OTHER FEES
o
AMOUNT DUE
2 ` O
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE
t
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT
BUILDING INSPECTION
941-1555
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.SO.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
=gym; ._'9PT Ak* l
�J1LDI�NG, DEPT` Rw Vifit$ VIb EI.eLIS ON 6/31!90 (DOUBLE Fk_e, WORK STARTED
PERMIT FEE
A
PLAN CHECK FEE
WITUMM PERMIT—PLANS *YiWREQUIRED, PER WOR B
IRE DEPT APPkOV
PLUMBING FEE
.-
MECHANICAL FEE
TOTAL BLDG. FEES
.JBL.IC WORKS DEPT APPROVAL: N( ` A ,..i 'chump
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE >.
215
a «.50
>. rE PAID-_ Ail OM RECEIPRECEIPT
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
SET BACKS AND FOOTINGS
DATE . . . ....... _ BY
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. TO OCCUPY UDCD
DATE -3, By
JPSD
FD
vZe 6r" lz-