91-101264CITY OF FEDERAL
33530 First Way South
Federal Way, WA 98003
WAY 9), / 0/4 y
BUILDING
BUILDING PERMITRENEWAL OFF 90-641 INSPECTION661-4140
91-1209
RE CHAFFEY CORP 2915 SW 342 PL
PERMIT NO.
OWNER'S NAME
SITE ADDRESS
CHAFFEY
CORP
POB 560 KIRKLANI)
CONTRACTOR
ADDRESS
CONT. PHONE -822-5981
CHAFFC
150NG 7/92
SAME SAM
CONT. REG. NO.
EXP.
OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
RENEWAL OF EXISTING PERMIT TO CONSTRUCT HOUSE
NEW MULTI -FAMILY (UNITS
) MULTI. ADD.
SIGN GRADING OTHER
294450-0450
LOT 45 GROUSEPOINTE
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ELIZABETH SNYDER
9/4/91
M I
ISSUED BY
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
RS 7.2
2 01
5 EACH 5 30 1 MAX
NE
SET BACKS: FRONT
SIDE REAR HEIGHT LIMIT
OCCUPANCY R-3
TYPE OF CONSTRUCTION 5-N CENSUS NO. 434 TYPE OF HEAT GAS BLDG. SQ. FT. 2847 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 2
URINALS
GAS HOT WATER HTR. XXX AIR HANDLING UNIT
NUMBER
LA`4TORIES 4
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
2
RETURNED
SINKS
MISC.
BBQ BASIC FEE
DISHWASHERS 1
TOTAL FIXTURES
15
DRYER TOTAL MECHANICAL BELOW
AMOUNT NONE
$148,529.01)
VALUATION
$405.50
PERMIT FEE
THIS PERMIT EXPIRES 6/20/92 AND CANNOT BE RENEWED AGAIN! !
PLAN CHECK FEE
37.50
PLUMBING FEE
10.00
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
$ 453.00
$453 _ 10
AMOUNT DUE
RECEIPT: It- - 77�,___
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 INFOUIMAA IONFURNISHEQAY
AND CORRECT TO THE BEST QF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
aTRUE
OWNER OR AGENT
DATE
ml
P itgo-6�-1 �!
SEP 4 1991 CITY OF FEDERAL WAY
ITraL1N(3gELvvAy BUILDING PERMIT APPLICATION
�l�� �� — Please Print — zz
BOX 1 TENANT NAME:
OWNER SITE LOCATION,
OWNER'S ADDRESS CITY PHONE
DESCRIBE JOB - I
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # C}�ffC�'ll1l�
p /� �n Card MUST be presented
`
CONTRACTOR'S ADDRESS / � f% CITY /� lk/� (AVUO PHONE ZZ -6761
EXPIRATION DATE T/2
—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 PERSON 7yz:Fz � � PHONE53 ,�—!ST T
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1z q 4L 4S — 0
LEGAL DESCRIPTION'>—�`f��
(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
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 EMPLUEES, UPON THE ACCURACY OF THE JNFORMATIM SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: i _ DATE:
ANP -008 3/90
CIYY 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: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD.
INDUSTRIAL ADD.___
P?EWPUBLIC 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
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
52 9
VALUATION
. 50
PERMIT FEE
THISPETC-Ad EXPIRES 6/20/92
AMD
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
!, y
PUBLIC WORKS
J)A,
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
`
AMOUNT DUE
RECEIPT:
BY
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 REQUIREMENT (L�
BE MET.
`OWNER OR AGENT
DATE
SET BACKS AND FOOTINGS
DATE BY
_
PLUMBING ROUGH |w
DATE BY
O.K�TOENCLOSE FRAMING
DATE BY
FINAL OK
o4Te BY
OXTOPOUR FOUNDATION WALLS
DATE ev
WATER LINE L|NEOX.
GAS PIPING Ox__ .....
__-_____—_-
|wGuLAT|Om
PLUMBING GROUNDWORK
DATE
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
ME
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