90-100465CITY OF
FEDERAL WAY BUILDING PERMIT BUILDI94 IN5 SECTION
qe -!o 04& S
PERMIT NO. 90-640 OWNER'S NAME
CHAFFEY CORP JOB ADDRESS 2930 S.W. _ PL
CONTRACTOR CHAFFEY CORP
ADDRESS P.O. BOX 560 KIRKLAND CONT. PHONE 822-5981
CONT. REG. NO. CHAFFC150NG
OWNER'S PHONE 822-5981 OWNER'S ADDRESS P.O. BOX 560 KIRKLAND, WA
TYPE JOB: NEW RESIDENCE XXX 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. 890228 0477
LEGAL DESCRIPTION LOT 37 GROUSEPOINT
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE DATE OF APPLICATION 5-21-90
BUILDING INFORMATION
ONE RS 7.2 OCCUPANCY B3
TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 3152
BACKS: FRONT 20 _ SIDE
5 REAR 5 _ STORIES 2 HEIGHT LIMIT 2
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER
GAS PIPING _ FT. 3.50 BOILER
BATHTUEi�' 1 LAUNDRY DRAINS
1
COMPRESSOR TANK(S)
RECEIVED _
SHOWERS _I_-_ URINALS
FORCED AIR FURNACE 1.0._00 AIR HANDLING UNIT
NUMBER
LAVATORIES -5 DRINKING FOUNTAINS
GAS HOT WATER HTR. 6-50 MISC.
•
SINKS -2- MISC.
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS 1- TOTAL FIXTURES14X5= 70-00
UNIT HEATER TOTAL MECHANICAL -70-00
AMOUNT
VALUATION 167,6410.52
PERMIT FEE 878.00
PLAN CHECK FEE 571.00
PLANNING DEPT APPROVAL: B.K. 6-14-90
PLUMBING FEE 70.00
20.00
BUILDING DEPT APPROVAL: KC 6-18-90
MECHANICAL FEE _
TOTAL BLDG. FEES
SEWER O.K.
_
4 TPICFEE
WATER WITH CITYOF TACOMA
PA REVIEW
WATER SERVICE
WATER MAIN CHG.
DATE :
.
S.B.C.C. FEE 45 0
OTHER FEES
AMOUNT: J V
1 543.50
AMOUNT DUE •
-
RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WO K IS STARTED. RE P RMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INF MA ON FURNISHED Y
IS TR AND CORRECT TO THE FEST OF WLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL B ET:
r
OWNER OR AGENT
_ DATE40
V/
6'- V"7
�ermit
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER Sit �i
OWNER'S ADDRESS Vr
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SING
BOX 2 CONTRACTOR'S NAME
ED _ PARTNERSHIP CORPORATION
6DW_ _ CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS ( CITY_ PHONE
EXPIRATION DATE r1 _WA, g806,�
-OR-
1 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
• R /1as13WAM iIAA til ► '' / �"':�
BOX 5 ESTIMATED PROJECT COST __ //`i, 3R D "' EXISTING BUILDING VALUATION --- b `-'
PROPERTY TAX ACCOUNT
LEGAL DESCRIPTION
(If necessary, please submit a separateAa e with the legal description.)
K.C. Plat Recording # M6 �z 4-7� �L S� �fl.�l., I � 'L` -x'71 4-
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /1V 2ND FLOOR /i 1 6
3RD FLOOR / -- - BASEMENT -J=O-- - DECK GARAGE /
BOX 8 (;4) SINGLE FAMILY ()C) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY C_ j L r✓' SQ FT
;� •
PLUMBING FIXTURES (including rough -ins)
N0._ �h WATERCLOSETS
-~BATHTUBS
�-SHOWERS
LAVATORIES
SINKS
DISHWASHERS
__ ELECTRIC HOT WATER HEATER
_LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
_ DRAINS
_OTHER E- file
TOTAL FIXTURES
8C)'cc
MECHANICAL APPLIANCES - BASIC FEE $
GAS PIPING, FEET _ $
NO. FURNACE, ELEC. GAS $
_�-GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
__SIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
OTHER $
$
TOTAL MECHANICAL FEE $
3 SY_o
6 . SCS'
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 EMPLpJES UPON 1,04C,CURACY�OF THE INFORMA)rN SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION
--Aa4N R/AGENT:
DATE:- 2-` -qc)
ANP -008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEK51.2- SETBACKS: FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT .6:` NOT EXEMPT,
SIDE s �_ REAR_ HEIGHT LIMIT 3S
l �i-ao - tl f
FIRE DEPARTMENT APPROVAL AIA DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE 6 ` - %2
REMARKS: 5e -W ev' o �.
Cowl
TYPE OF JOB: NEW RESIDENCE_ RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
49
NEW COMMERCIAL
COMM. ADD/ALT NEW MULTIFAMILY
(UNITS )
- 7/ .
MULTIFAMILY ADD/ALT
TENANT IMP. OTHER
MECHANICAL FEE
O, a
TOTAL BLDG. FEES
OCCUPANCY rh -
TYPE OF CONSTRUCTION
V
AJ STORES
S.B.C.C. FEE
BUILDING SQ. FT.
@
ro 9, 00 -
O
6/000
BUILDING SQ. FT. %
@
(02. 00
6(o ,•
GcLrar4 3C
BUILDING SQ. FT. lS�a o2
@
/7. 0
9. 030, (o O
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
31
TOTAL SQ. FT.
TOTAL VALUATIO
-�
BUILDING DEPARTMENT REMARKS: 3-`IC� 7.- 'S -
RECEIVE
MAY 2 1 19go
CITY OF FI ,I) -RAI V
WE DEPT,
ASSIGNED ADDRESS:
Amount
il)C •/ I V
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
Y BUILDING DEPARTMENT APPROVAL
BY C-, DATE
ACCEPTED FOR FILING
49
PERMIT FEE
-
PLAN CHECK FEE
- 7/ .
PLUMBING FEE
MECHANICAL FEE
O, a
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
-
OTHERFEES
AMOUNT DUE
, 5
il)C •/ I V
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
Y BUILDING DEPARTMENT APPROVAL
BY C-, DATE
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN SSECTION
PERMIT NO.
2.
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
NE
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
PERMIT FEE
_
PLAN CHECK FEE
PLANNING ORPT APPROVAL: B.K. 63"°'14-90
PLUMBING FEE
il
1:iU .f..DING Dii e� A PWVAL C6-18-90
ECHANICAL FEE _
TAL BLDG. FEES"
•"
WATER WITH CTTY0" TACOMA
A
PART PIC FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
DAT
S.B.C.C. FEE
OTHER FEES
9 t!Rf?ar r
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-....
. .... . ...
O.K TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE ,BY
PLUMBING ROUGH IN
DATE3
WATER LINE O.K.
GAS PIPING O.K_J/
MECHANICAL INSPECTION
DATE _By
O.K. TO ENCLOSE FRAMING
DATE *O/ BY ,
INSULATION
DATE vla 4 BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE By
DCD
PSD
FD
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