91-101251CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
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BUILDING INSPECTION
RENEWAL OF 90-644
661-4140
PERMIT NO. 91-1211 RE OWNER'S NAME CHAFFEY
CORP SITE ADDRESS 2921 SW 342 PL
CONTRACTOR CHAFFEY CORP ADDRESS
POB 560 KIRKLAND CONT. PHONE 822-5981
CONT. REG. NO. CHAFRFC* 15 ONG EXP. 7/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
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 RENEWAL OF EXISTING PERMIT TO CONSTRUCT HOUSE
TAX ACCOUNT NO. 294450-0440 LEGAL DESCRIPTION LOT 44 GROUSEPOINTE
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 914/91
BUILDING INFORMATION
ZONE 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. 2835 STORIES 2
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
CLOSETS 3 ELEC. HOT WATER HEATER
GAS PIPING FT. XXX GASLOGS
UBS LAUNDRY DRAINS
FORCED AIR FURNACE XXX DUCT WORK
RECEIVED
ERS URINALS
GAS HOT WATER HTR. XXX AIR HANDLING UNIT
NUMBER
kT'1ATEF
5
DRIES DRINKING FOUNTAINS
CONVERSION BURNER MISC.
2
RETURNED
MISC.
BBQ BASIC FEEASHERS
1 TOTAL FIXTURES 15
DRYER TOTAL MECHANICAL BELOW
AMOUNT NONE
$150,166.0
VALUATION
THIS PERMIT EXPIRES 6/20/92 AND CANNOT BE RENEWED AGAIN!!
$407.50
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE 37.50
MECHANICAL FEE 10.00
PART P/C FEE
EPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
$455.00
OTHER FEES
AMOUNT:
AMOUNT DUE $45-53-00
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 INFOPN FURNISHED ME 1 RUE AND CORRECT TO THE ESTgF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. 1
OWNER OR AGENT
DATE + /
MM.
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 $
RECEIVED vermit #
$
N0. FURNACE, ELEC. GAS
SEP 4 1991 CITY OF FEDERAL WAY
GAS HOT WATER HEATER
MY°FFEDE14AL SAY BUILDING PERMIT APPLICATION
CONVERSION BURNER
8011UNNG DISK
BOILER, SIZE BTU
— Please Print —
AIR HANDLING UNITS
BOX 1 TENANT NAME:
HEAT PUMPS, SIZE
OWNER y , SITE LOCATION
UNIT HEATERS
OWNER'S ADDRESS e CITY /54&&L
PHONE
DESCRIBE JOB S1 71 --i --- -
COMMERCIAL HOOD
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP
CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
CONTRACTOR'S ADDRESS / t i CITY l� ti �
Q Card MUST be presented
PHONE C-�ZZ—$J&
EXPIRATION DATE ?, B 7,
—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 PERSONf �l�4e
PHONE %
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 5 r0
LEGAL DESCRIPTION /AU
(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 = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY
SQ FT
MM.
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 SUC C1,AIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPL ES, UPONjq AQCURACY-OF THE I ORMA 0 SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE:
_�
ANP -008 3/90
OF FEDERAL WAY
0 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 NEWCOI`4MERCIAL 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
1EIGHT LIMIT
CCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT.
STORIES
PLUMBING NO.
NO.
MECHANICAL APPisANCES 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
MECHANICAL FEE
ART P/C FEE
:TEPA 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