92-100471CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
91- t06 y7,/
BUILDING INSPECTION
661-4140
92-434 RA
VINCENT BENNETT 33320 33 PL SW
PERMIT NO. OWNER'S NAME
SITE ADDRESS
MEND—ALL—CONST
2129 S 286 ST FEDERAL WAY 946-2134
CONTRACTOR
ADDRESS CONT. PHONE
MENDACI091N8
8/92 952-3782 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.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN GRADING OTHER RE—ROOF ENTIRE HOUSE
TAX ACCOUNT NO. 954280-0730
LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE -3 - 2- DATE OF APPLICATION 3/24/92
BUILDING INFORMATION
ONE SET BACKS: FRONT
SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION
CENSUS NO. /S 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
NONE
DRYER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION $2,970
BLDG DEPT APPROVAL = KEVIN ELLIS
$54.00
PERMIT FEE
PLAN CHECK FEE 35.00
"CALL 661-4140 FOR INSPECTION -
PLUMBING FEE
ECHANICAL FEE
ART P/C FEE
SEPA REVIEW
PUBLIC WORKS 4.50
S.B.C,C. FEE
7
FIRE FEE
DATE:
�0
OTHER FEES
AMOUNT: $93.50/
$93.50
AMOUNT DUE
y
RECEIPT: C� � L L
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 INF047TIO URNISHED BY ME
IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. \l
OWNER OR AGENT
DATE
'J
!1
Petit # �• ` +3 4,
�rV CITY OF FEDERAL WAY--
MAR BUILDING PERMIT APPLICATION
R 2 4 1992 — Please Print —
OWNER SITE LOCATION
OWNER'S ADDRESS 333 A I
_� &3A_ -,a N- e w CITY � PHONE '>A�
DESCRIBE JOB
THE PROPERTY IS OWNED : SINGLE/MARRIE PARTNERSHIP CORPORATION � _
BOX 2 CONTRACTOR'S NAME _ ct�1 urs' &V • 11,4,1 CONTRACTOR'S REG. # cci j tji,-,
Card MUST be present
CONTRACTOR'S ADDRESS 2 CITY "� ft _= =j� t PHONE!?#6 f,%134
EXPIRATION DATE - 2
—OR—
I HAVE READ CHAPTER 18.27.010 RELATek DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ,-4K:t o," i,, , U Xcl )ij r�,�f`-.z ur,'--a c '> c• PHONE !' y 6 - :4 /-? e,,z
BOX 4 SEWER DISTRICT
BOX 5 ESTIMATED PROJECT COST
BOX 6 PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION
WATER DISTRICT
EXISTING BUILDING VALUATION
(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 = ) (. )-TXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT r
:1 •
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
RAINS
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 KNALEDGE
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 E�MPL YEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT _ . _ DATE: .; 4 I j( !Z"L
ANP -008 3/90
ZONE SETBACKS:FRONT
PLANNING DEPARTMENT APPROVAL
REMARKS:
gFPA• FXFMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LIMIT
PUBLIC WORKS DEPARTMENT APPROVAL
REMARKS:
TYPE OF JOB: NEW RESIDENCE__,RES.
ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. A6D/ALT
NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP.
OTHER
OCCUPANCY ' TYPE OF CONSTRUCTION STORES
UILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
...RECEIVED
ASSIGNED ADDRESS: ('c—c- 'e --
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
M
DATE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL q
DATE �7T! �/
ACCEPTED FOR FILING
CITY 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
NE
SET BACKS: FRONT SIDE REAR
HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT ____ BLDG. SO. 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
a
$2,
VALUATION
BIMG DEPT APPROVAL - KEVIN ELLIS
$54.
PERMIT FEE
t
"CALL -661-4140 FOR TAd'aPrC*rI014m
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
RT P/C FEE
SEPA 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
SET BACKS AND FOOTINGS
DATE --.....— ... ... ----BY
OX TO POUR FOUNDATION WALLS
DATE ..... —...__BY _ __..
PLUMBING GROUNDWORK
DATE — - BY
PLUMBING ROUGH IN
DATE...— —_ -_—_BY
_ ....—_ _
WATERLINE O.K. _
GAS PIPING O.K.
. ......
MECHANICAL INSPECTION
DATE
O.K. TO ENCLOSE FRAMING
DATE _...___BY
_.
INSULATION
DATE ....... _
BY _
WALL BOARD AND FIRE WALL
DATE -- __BY
FINAL O.K. TO OCCUPY
DATE .BY
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