92-100560CITY OF FEDERAL WAY
'3530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
9'�- /DoSGd
BUILDING INSPECTION
661-4140
92-0584 CA DUANE JONES 1700 S.
320TH SPACE #EF
PERMITNO.
OWNER'S NAME SITE ADDRESS
ATWOOD CONSTRUCTION 19106 43RD SE BOTHELL
487-0250
CONTRACTOR
ADDRESS
CONT. PHONE
ATWOOC132RH 12/92 956-303;WNER'SADDRESS 100 CALIFORNIA ST SAN FRAN
CONT. REG. NO.
EXP. OWNER'SPHONE(415)
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
092104-9208-03
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY
JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION
4-10-92
BUILDING INFORMATION
ONE CC
SET BACKS: FRONT SIDE REAR
HEIGHT LIMIT
OCCUPANCY B2
TYPE OF CONSTRUCTION _ VN CENSUS NO. TYPE OF HEAT BLDG. SQ. FT.
STORIES
PLUMBING
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.
RETURNED
SINKS
_5_.00 MISC.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES IX$ 5= S_._0_0
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
25,802.00
PLANNING DEPT APPROVAL: BK 4-14-92
FIRE DEPT APPROVAL: CI 4-15-92
259.00
PERMIT FEE
168.00
PLAN CHECK FEE
FIRE/BLDG DEPT APPROVAL: KC 4-16-92
5.00
PLUMBING FEE
CHANICAL FEE
RT P/C FEE
SEPA REVIEW
PUBLIC WORKS
4.50
S.B.C.C. FEE
FIRE FEE
12=9-5
DATE:
OTHER FEES
449.45
AMOUNT: 449.45
AMOUNT DUE
RECEIPT:
q I n-1, qo
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 IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
/
.00"
OWNER OR AGEN,Ts;
—�i
% — DATE
Z
'- app � o iss2
R' 1019 wAY CITY OF FEDERAL WAY cl
eMig BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: _DCw +--k L p d=0=71 C_c_,
OWNER i D i R A o (%u 't` f � SITE LOCATION
OWNER'S ADDRESS ,!tytM i` CITY�_5 LW -Wei-Sc� PHONE %Z -.3ci3i
DESCRIBE JOB cW-4-vrr-
THE PROPERTY IS OWNED BY: SINGLE/MAARIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME "C'' 'd f✓S [c; CONTRACTOR'S REG. # AiTj, c' 'I 3z-)zN
Card MUST be presented
CONTRACTOR'S ADDRESS 43 ek -467 G CITY B W PHONE 4�� Z G 2- 90'
EXPIRATION DATE '
—OR—
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 PHONE7a a
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST /C3 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMB
LEGAL DESCRIPTION
' % ZC-,6 -0
(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 = ) (v46ISTING STRUCTURE
(i�OMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES —
BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. FURNACE, ELEC. GAS
$
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
fArSINKS
CONVERSION BURNER
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
$
OTHER
$
_TOTAL FIXTURES
$
S • C. U
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,
ANDFILED 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_.CWRACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
ANP -008 3/90
B/
ZONE 66-' SETBACKS
PLANNING DEPARTMENTV
REMARKS:
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW
IS LINE)
FRONT SIDE REAR HEIGHT LIMIT
PROVAL -I - 2_" t3
SEPA: EXEMPT "'� NOT EXEMPT
FIRE DEPARTMENT APPROVAL i DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAI
REMARKS:
DA'
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT -'V NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
occgNCY 6 *Z TYPE OF CONSTRUCTION STORES % U(
O F_�G 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:
RECEIVED
ASSIGNED ADDRESS: S e,
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
Z�
PLAN CHECK FEE
6
PLUMBING FEE
S G G
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
` Sv
OTHER FEES 7::' D F y -Q—
IZ, 25 -
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL/ Cl
BY ti. - _. DATE � " l b — _I -'
ACCEPTED FOR FILING
CITY OF FEDERAL
33530 First Way South
Federal Way, WA 98003
WAY 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: NEW RESIDENCE
f-
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
NE
SET BACKS: FRONT SIDE REAR
HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT.
STORIES
PLUMBING 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.
RETURNED
SINKS
MISC.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
FEE
CECHANICAL
T 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
DATE-_...- . .... .... . . . ...... . .. .....
WATER LINE O.K. . ........ . ........ .
GAS PIPING
MECHANICAL INSPECTION
C7�7_ ca- 0_6�r_
DATE --BY
O.K. TO ENCLOSE FRAMING
DATE
INSULATION
DATE -BY . . ... .... . . . .... .. . . ......
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE 09//0 B Y (!f� .... ... -
DECD/
PSD
FID
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