92-1005574
4
's
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO. 92-571 RA OWNER'S NAME ERIC/WAGNER & CHERYL SITE ADDRESS 838 S
299 PL
OWNER SAM
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE 946-2001 OWNER'SADDRESS SAME
TYPEJOB: NEWRESIDENCE
ADDITION XXX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
5.5160-0175 LEGAL DESCRIPTION LOT 11 AND EAST I OF LOT
12 BLK 4 MARINE HILLS
#1 ACCD TO THE PLAT RECORDED IN VOL 56 OF PLAT PG 58 IN KING CO
ISSUED BY E
SNYDER DATE OF ISSUE ~ DATE OF APPLICATION
4/9/92
BUILDING INFORMATION
ZONE RS
9.6 SET BACKS: FRONT 20 SIDE 5 /5 REAR 5v
HEIGHT LIMIT 30'
OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5-N CENSUS NO. 431 TYPE OF HEAT GAS BLDG. SQ. FT.
509 STORIES EXISTING
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
1 DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS
MISC.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES 3 X $5. 00
DRYER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION
$17,037
PLANNING APPROVAL = DEB BARKER
$189.003.00
PERMIT FEE
"NO BLDG SHALL ENCROACH ONTO ANY BLDG SETBACK LINE
OR EASEMENT, SHOWN
PLAN CHECK FEE
5.00
OR NOT SHOWN'
PLUMBING FEE
MECHANICAL FEE
PUBLIC WKS APPROVAL = JEFF S "TIGHTLINE NEW WORK
TO EXISTING ROOF DRAIN
SYSTEM"
PART P/C FEE
SEPA REVIEW
35.00
BLDG APPROVAL = KEVIN ELLIS
PUBLIC WORKS
4.50
S.B.C.C. FEE
/ l�
FIRE FEE
DATE:
$366.50
OTHER FEES
$366.50
AMOUNT:
AMOUNT DUE
ff
RECEIPT: c>
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO W IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT
HE INFORMA ION FU HE Y MEI RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY
OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
OWNER OR NT
DATE -
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDINGPERMIT BUILDING INSPECTION661-4140
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CONTRACTOR
ADDRESS CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE -946, 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
DNE
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
PLAMING tD.. ;` its , DEP iAE'1i 44KET,
PERMIT FEE
*NO BLDG SHALL J:iXROACH ONTO A.4x RLDr. SETBACK LINE OR EA_st"w-.'",
PLAN CHECK FEE
VS. 00
OR NOT Scat v' t
PLUMBING FEE
PUBLIC t4KS APPROVAL JEFF S 'TIG7
ECHANICAL FEE
}
ART P/C FEE
SEPA REVIEW
BLDG APPROVAL '—=!IN SiLLIS
PUBLIC WORKS
S.B.C.C. FEE
%
- Q
FIRE FEE
OTHER FEES
DATE:, 1
AMOUNT: DA{
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
'-" 6 le (Z' e67
SETBACKS AND FOOTINGS
DATE _�? 9_I._BY _�_
OX TO POUR FOUNDATION WALLS
DATE .... ... . . . .... __ . ..... BY . .... ...
PLUMBING GROUNDWORK
DATE . .. ... ..... - BY
PLUMBING ROUGH IN
DATE ..... . .... ... ____ _BY
WATERLINE 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
DATE ____.__..........-BY ... . . ... ....
DCD
PSD
I'D
•
Ormit # i �_ -!�j 1 gA
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER SITE LOCATION /-Z
OWNER'S ADDRESS 9,;38 5- 1 ei ,'�`" rc CITY "f A, PHONE
DESCRIBE JOB A19r_a 64^ G01-2194jZT �De)„'csi EkT&_7vs, Z, Ely 6X.,
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS
EXPIRATION DATE
E
CITY
CONTRACTOR'S REG. #.
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 8flA^1 % if3t3 T PHONE `>511 `
BOX 4 SEWER DISTRICT 1571e -101,0e- ;A” C WATER DISTRICT 6>> k Z L 1,,t,A"
BOX 5 ESTIMATED PROJECT COSTZU, Dt�n `G EXISTING BUILDING VALUATION /C7 54) e)
BOX 6 PROPERTY TAX ACCOUNT NUMBE
LEGAL DESCRIPTION Zv'r //
(It necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 5�-) `-r-v' 2ND FLOOR -�r4,.� = �
3RD FLOOR / BASEMENT / DECKGARAGE A7 l —313
BOX 8 (vj SINGLE FAMILY ( ) N CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (0 --EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 6,7 1 Z 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
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
$
OTHER
$
_TOTAL FIXTURES
$
`X = f � , v 0
TOTAL MECHANICAL FEE
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KvWLEDGE
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 FEDERALY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND-RAPJLOYEES,,,I�Pf}t_THE AQ9URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGE '``-- � DATE: t� z1__
f ANP -008 3/90
• 6
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZON '?,(0 SETBACKS: FRONT
PLANNING DEPARTMENT APPROVAL
REMARK§ ' � a.. ' :o
ri1
SEPA: EXEMPT ( NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
SIDE J5 ' REAR �F ' HEIGHT LIMIT 36 "
or easeme
DATE
PUBLIC WORKS DEPARTMENT APPROVAL DATE
Z4 L
REMARKS: 'IleWr Uti % Ew c.�a2aC ?b L-~Xi57�NG c F D2A S
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 3 TYPE OF CONSTRUCTIONy/ii STORES
L- `v f BUILDING SQ. FT. @ /PWA .6
of ryd el, BUILDING SQ. FT. -3 ZS @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @d
TOTAL SQ. FT.)Uj TOTAL VALUATION 7
17037.7
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS:
Amount
S
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
�$
PLAN CHECK FEE
z
PLUMBING FEE
IS
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
`sem
OTHER FEES
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE
ACCEPTED FOR FILING