91-100514NG
FCITY OF
EDERAL WAY BUILDING PERMIT BUILDI941!N SSECTION
If 4141
9/- fin V
PERMAOC 91-537
RA OWNER'S NAME
DONALD LUNDOUIST JOB ADDRESS 30157 16 AVE SW
CONTRACTOR SULLIVAN CONSTRUCTION
ADDRESS 3701 E OLIVE ST SEATTLE 98122 CONT. PHONE
SULLIC*218Q9 11/91
863-7868
CONT. REG. NO.
OWNER'S PHONE OWNER'S ADDRESS ABOVE
TYPE JOB: NEW RESIDENCE ADDITION XXX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD.
SIGN GRADING OTHER
TAX ACCOUNT NO.
005050-0100
LEGAL DESCRIPTION IAT 10 ADELAIDE BEACH ESTATES
ISSUED BY ELIZABETH
SNYDER
DATE OF ISSUE DATE OF APPLICATION 4.130191
BUILDING INFORMATION
ONE RS
1 5 OCCUPANCY R-3
TYPE OF CONSTRUCTION 5—N BLDG. SQ. FT. fi89
SET BACKS: FRONT
901 SIDE
5' TACH REAR 51 _ STORIES 1FXTqTTNr, HEIGHT LIMIT 301 MAX _
PLUMBING
NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS -1
ELEC. HOT WATER HEATER
GAS PIPING FT. BOILER
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS
1 URINALS
_
FORCED AIR FURNACE AIR HANDLING UNIT _
NUMBER _
LAVATORIES _
9 DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC
RETURNED
SINKS
I MISC.
CONVERSION BURNER BASIC FEE
NONE
NONE
DISHWASHERS
TOTAL FIXTURES 5 X
$5=10,0—
UNIT HEATER TOTAL MECHANICAL
AMOUNT
vALu,orloN
$9,943.00
PLANNING DEPT APPROVAL = LORI SCHILL ON 5/6/91
PER,rAITFEE
$117.00
PUBLIC WKS DEPT APPROVAL = RON GARROW ON 5/10/91
PLAN CHECK FEE
76.00
PLUMBING FEE
25.00
FIRE/BLDG DEPT APPROVAL —= KEVIN ELLIS ON 5/22/91
ECHANICAL FEE
OTAL BLDG. FEES
$218.00
PART P/C FEE
SEPA REVIEW
1/1 �11//)
WATER SERVICEWATER MAIN CHG.
l�
DATE PD AMT $257.50 REC T r
S.B.C.C. FEE
4.50
OTHER FEES PUB'
WKS 35.00
$257.50
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:
� �Yt %/'sT
�Il flrw��'Lv/ °, f
OWNER OR AGENT
DATE `
1 1 53
.y Ormit #
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER DONALD W. LUNDQUIST SITE LOCATION 30157 16th Ave SW, Federal Way
OWNER'S ADDRESS 30157 16th Ave SW CITY Federal 'Way PHONE 863-7868
DESCRIBEJOB Add New Stair From Deck_ Add Hot Tub and Interior Remodel
THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME OUT TO RID CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS OUT TO RTD CITY PHONE
EXPIRATION DATE OUT TO BID
—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 CONTACT PERSON ;aures F. Hamilton PHONE 623-5677
BOX SEWER DISTRICTFederal Way Water X SPwPr Dist., WATER DISTRICT Federal Way Water & Sewer District
BOX 5 ESTIMATED PROJECT COST $20,000- EXISTING BUILDING VALUATION $300,000_
BOX 6 PROPERTY TAX ACCOUNT NUMBER 005050-0100-0
LEGAL DESCRIPTION Page 1. Lot 10. Block Adelaide Beach Estates
Plat Adelaide Beach Estate
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # .l',
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1245 / Same 2ND FLOOR 1315 / Same
3RD FLOOR_ Q J 0 BASEMENTSSame_ DECK 1012 Same GARAGE 787 / Same
BOX 8 (X) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 1 Vii, 000 SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
NO. I WATERCLOSETS
BATHTUBS
1 SHOWERS
2 LAVATORIES
1 SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
r
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
5. TOTAL FIXTURES
v'�_ _r__ G of
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 EMPLOYEE , UPON THE CCURAQY OF THE INF03MATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: f� _ DATE: 30 April 1991
ANP -008 3/90
ZONES SETBACKS: FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
t r
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
�e I SIDE r REAR ` HEIGHT LIMIT 3�
BUILDING DEPARTMENT REMARKS:
ASSIGNED ADDRESS: Ste- e ZCC S
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
SEPA: EXEMPT NOT EXEMPT
-74
PLUMBING FEE
1�
FIRE DEPARTMENT APPROVAL L
TOTAL BLDG. FEES
DATE 2
REMARKS:
SEPA REVIEW
PW kie-vi ¢c�>
3 S. Cr
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
PUBLIC WORKS DEPARTMENT APPROVAL
DATE 9!
REMARKS: SPn n ara p«ndW
7v ,tAwtryVLY SCE -14A
TYPE OF JOB: NEW RESIDENCE RES.
ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT
NEW MULTIFAMILY
(UNITS )
MULTIFAMILY ADD/ALT TENANT IMP.
OTHER
OCCUPANCY A_-5 TYPE OF CONSTRUCTION l
STORES
�- (V BUILDING SQ. FT.
L @
-TZ- ` 1(0 =
L( C( 7f 7, 8
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
BUILDING SQ. FT.
@
@
_
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
ASSIGNED ADDRESS: Ste- e ZCC S
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
DAT
ACCEPTED FOR FILING
PERMIT FEE
PLAN CHECK FEE
-74
PLUMBING FEE
1�
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
PW kie-vi ¢c�>
3 S. Cr
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL
DAT
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
9;IN5 SECTION
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 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
ZONE
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. SO. 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
PLANNING DEPT APPROVAL =
PUHLICC WKS DEPT APPROVAL
LOKI SCH1Li'. ON 5i6/91
'° PON GAS ON 5/10/91.
PERMIT FEE
PLAN CHECK FEE
711RL/iiLDC, DEPT APPROVAL
KEVIN ELLT-
UMBING FEE
-
UCHANICAL FEE
lit
TOTAL BLDG. FEES _
PART P/C FEE
_
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
�}
DATE PD
APT $257.50 ppTE
S. B.C.C. FEE.
-
OTHER FEES
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:
l.�
.0
OWNER OR AGENT
DATE ` t�
SET BACKS AND FOOTINGS
DATE .... —....--.BY —
OX TO POUR FOUNDATION WALLS
DATE - ---_ ..BY —_ -- .—.
PLUMBING GROUNDWORK
DATE t/0 --/y' yj----BY
PLUMBING ROUGH IN
DATE _L _"-// -� BY
WATER LINE O.K. _
GAS PIPING O.K.________
_..... ... - - .._
MECHANICAL INSPECTION
DATE _—_ _BY
O.K. TO ENCLOSE FRAMING
DATE 9-_��'-?/'BY C% �� —
XY rf5
INSULATION
DATE
BY _.._.. --..._
WALL BOARD AND FIRE WALL
DATE —_ - _ BY
FINAL O.K. TO OCCUPY
DATE _ _— BY
DCD
PSD
FD
— � �� y'�
� i�/2�' c✓1/�%l ' vi'7 �. ' /G w lgf�
�n {r�A't' c z
G Z
rtLn �•r:� »-y nc CC)
Al &'i— c 41 1 �� J
��E'ii tom, /2 i 4^j oi� G�le/I i "Y
iG G- AJA/rIry jl`%Z/1/Li