91-101263CITY OF FEDERAL
33530 First Way South
Federal Way, WA 98003
WAY
BUILDING PERMITRENEWAL O 90-63BUILDIN9 INSPECTION
9 3 661-4140
91-1208 RE CHAFFEY CORP 2924 SW 342 PL
PERMIT NO. OWNER'S NAME
SITE ADDRESS
CHAFFEY CORP POB 560 KIRKLAND 822-5981
CONTRACTOR ADDRESS
CONT. PHONE
CHAFFC 150NG 7/ 7/92
SAME SAME
CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE—ADDITION—NEW INDUSTRIAL
NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
RENEWAL OF EXISTING PERMIT TO CONSTRUCT HOUSE
NEW MULTI -FAMILY UNITS )MULTI. ADD. SIGN
GRADING OTHER
24450-0360
LOT 36 GROUSEPOINTE
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 9/4/91
BUILDING INFORMATION
ONE RS 7.2 SET BACKS: FRONT 20
SIDE 51 EACH REAR 51 HEIGHT LIMIT 30' MAX
CCUPANCY R-3 TYPE OF CONSTRUCTION 5—N
CENSUS NO. 434 TYPE OF HEAT GAS BLDG. SQ. FT. 2817 STORIES 2
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER
GAS PIPING FT. XXX GAS LOGS
BATHTUBS 2 LAUNDRY DRAINS 1
FORCED AIR FURNACE XXX DUCT WORK
RECEIVED
SHOWERS 1 URINALS
GAS HOT WATER HTR. XXX AIR HANDLING UNIT
NUMBER
LAVATORIES 5 DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS 2 MISC.
BBQ BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES 15
DRYER TOTAL MECHANICAL BELOW
AMOUNT NONE
$145,511.00
VALUATION
THIS PERMIT EXPIRES 6/20/92 AND CANNOT BE RENEWED AGAIN!!
PERMIT FEE $4001-50
PLAN CHECK FEE
37.50
PLUMBING FEE
10.00
MECHANICAL FEE
RT P/C FEE
PA REVIEW
J
PUBLIC WORKS
`J
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
$448.00
$448.00
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 INFOR ION FURNISHE YM THEB T MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
JANDCORRECTT
BE MET.
4
e71
OWNER OR AGENT /1
DATE
1 /
RECEIVED
SEP 4 1991
on OF FEMPAL I'dY
i 1"
CITY OF FEDERAL WAY
4 i-'(2.
Ormit #
BUILDING PERMIT APPLICATION
SUI NO I)fpT — Please Print — ('
BOX 1 TENANT NAME:
/ Card MUST be presented
n
CONTRACTOR'S ADDRESS ��^� —CITY IC !ti PHONE
EXPIRATION DATE
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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMB
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 / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK_____J_ 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)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER _
$
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 EMPLOYB�S, yPON TV"CQ1 RACY OF THE INfORM/)Tf UPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: 25-' Z !
ANP -008 3/90
C,TY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
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
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
ONE
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
g:
ty� 7� r �r i�zn / / {y �y CANNOT
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Brig. WED �►1u�INJ I
PERMIT FEE yr `1 ti C ..iii
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
ART P/C FEE
BEPA REVIEW
r
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