91-100669CITY OF
FEDERAL WAY
BUILDING PERMIT
51-taz) e.6 9
BUILDING INSPECTION
941-1555
PERMIT NO. 91-614 NR OWNER'S NAME STEVE/SHARON ESBENSHADE JOB ADDRESS 2406 SW 342 PL
CONTRACTOR OWNER ADDRESS 12218 44 AVE S SEATTLE 98178 CONT. PHONE 763-9880
CONT. REG. NO. NA OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER • .AND GARAGE/DECK
TAX ACCOUNT NO. 242103-9041 LEGAL DESCRIPTIO LOT 1 OF K.C. SHORT PLAT NO 1283026 RECORDED
UNDER REC. NO 8602060550
ISSUED BY ELIZABETH SNYDER DATE OF ISSU DATE OF APPLICATION 5/15/91
1 1141
BUILDINd INFORMATION
ZONE RS 7*2 OCCUPANCY R -3/M-1 TYPE OF CONSTRUCTION_ 5-N BLDG. SQ. FT. 3229
SET BACKS: FRONT 20 SIDE 5' EACH REAR -51
1 STORIES 2 HEIGHT LIMIT 30 ' AM (MAX)
UMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER
GAS PIPING FT. 3.50 BOILER
BATHTUBS 1 LAUNDRY DRAINS 1
COMPRESSOR TANK(S)
RECEIVED
SHOWERS 2 URINALS
rT
FORCED AIR FURNACf�S 10.00 AIR HANDLING UNIT _
NUMBER
LAVATORIES 3 DRINKING FOUNTAINS
GAS HOT WATER HTR. 6.50 MISC.
_
SINKS 1 MISC.
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS 1 TOTAL FIXTURES 12 X $5.00
UNIT HEATER TOTAL MECHANICAL 20. 00
AMOUNT NONE
VALUATION $169,699.00
PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $885.00
NO BUILDING SHALL ENCROACH ONTO ANY BUILDING SETBACK LINE
PLAN CHECK FEE 575.00 -------
165.25 OR EASEMENT, SHOWN OR NOT SHOWN
PLUMBING FEE 60.00
FIRE DEPT APPROVAL = KEVIN ELLIS
MECHANICAL FEE 2 U . U U
_
"ROAD & TURNAROUND REQUIRED PER R.C. ROAD
TOTAL BLDG. FEES
/
C
PART P/C FEE (409.75)
DATE: PUBLIC WKS DEPT APPROVAL = RON GARROW STAND ARIC
SEPA REVIEW
TER SERVICE
"ISSUANCE SUBJECT TO RECEIPT OF LETTER FROM
AMOUNT: 1,574.75
BANK ON INTENT TO PROVIDE ASSIGNMENT OF
ER MAIN CHG.
4.50
FUNDS FOR ACCESS ROADWAY IMPROVEMENTS"
.C. FEE
RECEIPT:
OTHER FEES P - WKS•
40
I -
BLDG DEPT APPROVAL = KEVIN ELLI S
AMOUNT DUE"' -2 TT
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 ET:
OWNER OR AGENT -`- DATE � `'�
RECEIVED ! 0 Permit # I ( l ) 4
MAY 15 NJ CITY OF rEDERAL WAY
101Tti'OFFE"ER►LWAYBUILDING PERMIT APPLICATION
— Please Print —
F
BOX 1 TENANT NAME:
OWNER j�`�I�
OWNER'S ADORES ' 4
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SI
SITE LOCATION
CITY
TNERSHIP
fir- -
CORPORATION
BOX 2 CONTRACTOR'S NAME -0W AQX CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS , 0_�p GtUM1 CITY
EXPIRATION DATE
PHONE
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTR CTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. "X) A)Kk • �35-q715
— rY1L, ' 1-N►k45
BOX 3 CONTACT PERSON
kt
PHONE "'7(v3 -F ri) _ c'"y
BOX 4 SEWER DISTRICT 6WfiL �T JCi L n w I WATER DISTRICT Rdera.1 W&AI
BOX 5 ESTIMATED PROJECT COST QQ,a)(-) EXISTING BUILDING VALUATION /V / A
BOX 6 PROPERTY TAX ACCOUNT NUMBER !1`I',t1173 qQq l –Oto
LEGAL DESCRIPTION 6e4&,j'zt:fe. (.kips (2.4M 7ed,,
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #. /2zjoa& 1 j
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1,9&6 5v ff 2ND FLOOR /
3RD FLOOR lt_�$ASEMENT) q, l /f- DECK 1C? GARAGEiS
_70 It
BOX 8 V --j SINGLE FAMILY NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY--Qrlo14-1 SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES
— BASIC FEE $
NO. _3
GAS PIPING, FEET
$
).,5-o
BATHTUBS
NO. 1 FURNACE, ELEC. GAS
X $
IG-
_.24 SHOWERS
_GAS HOT WATER HEATER
$
6 S c}
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
$
�CT - 6 d . r- C)
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 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:
TE:
ANP -008 3/90
ZON _f'L SETBACKS: FRONT.
PLANNING DEPARTMENT APPROVA
REMARKS:
OFFICE USE ONLY (PLEAS) DO NOT WRITE BELOW THIS LINE- , ,
200 SIDE �� � REAR � HEIGHT LIMIT 30 t
.FPA• FXFMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
PUBLIC WORKS DEPARTMENT APPROVAL / o'n -4q,a,n� DATE 8/1( ,/it
REMARKS: 1cscAwCC 9di6,7tc7- 7** ,t,CCCrOO7-LErrr� /=", n Qt;wrc ons iAviZw7-n rortwrac
A,Psrs,vtren„ oR ,=zNDs /2V2 4ccc-as 9.040w*t lf7l0 0VGAs^rs
TYPE OF JCB: NEW RESIDENCE_ RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
410 Z-570
NEW COMMERCIAL COMM. ADD/ALT
NEW MULTIFAMILY
(UNITS )
iMULT.1FkMILY ADD/ALT TENANT IMP.
OTHER
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
OCCUPANCY j1,3 TYPE OF
CONSTRUCTION
V i(% STORES
1-( vc` s r BUILDING SQ. FT.
5-G 5-
@
7Z -4(0
yo 8 d •S'o
If 6ASeklJtk. BUILDING SQ. FT.
C(( Z
@
" _
6 6 q y` So
li'cc q 'e- BUILDING SQ. FT.
S 7 Z.-
@
($ _ 3 p =
( O �(6 7, 4
U� BUILDING SQ. FT.
`�
@
(�
BUILDING SQ. FT.
@
_
0 ( (e(T =
O
BUILDING SQ. FT.
@
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
ASSIGNED ADDRESS: �4 0 G 5 r k -v' , 3 Z
4 PA TIAL PLAN CHECK FEE RECEIVED
Amount+�7 Date Receipt #
PERMIT FEE
410 Z-570
PLAN CHECK FEE �
5-7s"
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
PL.cJ
410 Z-570
S.B.C.C. FEE
` S�
OTHER FEES
AMOUNT DUE��
J_cBUILDING DEPARTMENT APPROVAL
BY DATE--? ( �
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN SSECTION
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 NEWINDUSTRIAL 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
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
UNIT HEATER
TOTAL MECHANICAL
AMOUNT
$16416149.00
VALUATION
;PUA" ING DEPr APPROVAL
NO iit)MING
DER b
e4ii1'ULT, ENCROACH ONTO Y ��� � ±ear ��i��Z SETBACK
PERMIT FEE
PLAN CHECK FEE
'. �Y ^ s a � OR MAS -EPS',
n
SHOWN OF N a�i'lwwo
UMBING FEE
FIM DEPT APPROVAL s 'KENVIN ELLIS
CHANICAL FEE —
"ROAD tt T[. R:NA OUNID PFS R X.C.
TOTAL BLDG. FEES
IREQUIRED
T ,_
2.-
PUBLIC UKS DEPT APPROVAL = R071 CA.RW)vf
PART P/C FEE
--+- ----.- .. ._..:_.._.....
t
C
SEPA REVIEW
"IS,SUANC:" SUPJECT TO RECRIPT-OSE'
WATER SERVICE
BANK ON INTENT TO PROV M ASSIMMIR`a'.P'` CP
WATER MAIN CHG.
FUNDS R ACCESS ROADWAY
S.B.C.C. FEE
OTHER FEES
FILD 4 if°",'POT APPPOVAL = KEVIN ELLIS
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT -S 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:
f
OU 'NER OR AGENT_
DATE
. .. _.
w~ .
SET BACKS AND FOOTINGS
DATE
OX TO POUQ FOUN ATION WALLS
DATE �///?B Y
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE
WATER LINE OX . . ... ... . . .... . ..... ..
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE . .. ... --BY
O.K. TO ENCLOSE FRAMING
6- BY
INSULATION
DATE
WALL BOARD AND FIRE WALL
BY
FINAL O.K TO OCCUPY
DATE BY
DCD
PSD
I'D
lof