90-100155CITY OF
FEDERAL WAY
PERMIT
BUILDING INSPECTION
941-1555
�o- 100tSS
PERMIT NO. 90-204
OWNER'S NAME DORENBUSH HOMES JOB ADDRESS 1319 SW 347 PL
CONTRACTOR OWNER
ADDRESS 275 118 AVE SE #110 BELLEVUE CONT. PHONE 451-1994**
CONT. REG. NO. DORENI*21OM3 6/90 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XX
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. 192104-9048-39 LEGAL DESCRIPTION LOT 27 PARKLANE ESTATES
(WATER & SEWER IS AVAILABLE)
ISSUED BY ELIZABETH
SNYDER DATE OF ISSUE DATE OF APPLICATION 3/26/90
BUILDING INFORMATION
NE RS7.2
OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N _ BLDG. SQ. FT. 2090+487=2577 TO
SET BACKS: FRONT 20
SIDE_ 5 v EACH REAR---- 51 STORIES 2 HEIGHT LIMIT 301 MAX
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3
ELEC. HOT WATER HEATER
GAS PIPING — FT. _ 3.5 BOILER
BATHTUBS 2
LAUNDRY DRAINS 1—
COMPRESSOR TANK(S)
RECEIVED _
SHOWERS
URINALS _
FORCED AIR FURNACE 1Q_._QAIR HANDLING UNIT
NUMBER
LAVATORIES 4
DRINKING FOUNTAINS _
GAS HOT WATER HTR. __fL_50 MISC. _
SINKS I_
MISC.
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS I
TOTAL FIXTURES 12X50_
UNIT HEATER TOTAL MECHANICAL 90-0
AMOUNT NONE
VALUATION $1-34,318-
n
PLANNING DEPT APPROVAL = R.C. ELLIS ON 4/11/90
PERMIT FEE $762_00
PUBLIC WORKS DEPT APPROVAL = SKIP GREESON ON 4/5/90
PLAN CHECK FEE 495-00
FIRE DEPT APPROVAL NOT NEEDED PER BLDG. DEPT
PLUMBING FEE 6000
CHANICAL FEE 9n.
-On
SEPA = EXEMPT
TAL BLDG. FEES $1337
00
PART P/C FEE
SEPA REVIEW
WATER SERVICE
DATE PAID
WATER MAIN CHG.
S.B.C.C. FEE 4-50
AMOUNT PAID z
OTHER FEES
AMOUNT DUE $1341,50
RECEIPT # M Z A4
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 INFO MATION FURNIS'HE(? BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL B ET:;
\
C
OWNER OR AGENT
DATE��
PL
b�
CITY OF FEDERAL WAY. 11AR 16
BUILDING PERMIT APPLICATIONCI i3 °�F g�U
Please PrInt — Cpl JC p` TAY
BOX 1 OWNER DORENBUSH HOMES, INC. JOB LOCATION -13A
OWNER'S ADDRESS 275 118th Ave. S.E., #110 CITY Bel 1 evue PHONE 451-1994 _
DESCRIBE JOB- Single-Family/Residential
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X __
BOX CONTRACTOR'S NAME __ DORENBUSH HOMES. INC.CONTRACTOR'S REG. DOR N_I* 1OM3
Cud MUST bepresented
CONTRACTOR'S ADDRESS 275.118th Ave. S.L.-J110
EXPIRATION DATE 6/27/90 ---CITY- Rel1PVlIP PHONE 4.51-14A4 Ts.
-- OR --
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS of GENERAL CONTRACTORS AND SPECIALTY CONtRACTORSAND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX CONTACT PERSON Jim Schmautz
PHONE 451-1994
BOX 4 SEWER DISTRICT Federal Way Water & Sewer
WATER DISTRICT Federal Way Water & Sewer
BOX 5 ESTIMATED PROJECT COST $135,000.00
EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 192104904839
LEGAL DESCRIPTION Lot 27, Parklane Estates
(I1 necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR__1 31 / 2ND
FLOOR_959
3RD FL00 N A BASEMENT_ _ / DECK 0 /
GARAGE 487 /
BOX 8 (X ) SINGLE FAMILY
(X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = —_a
( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL
TOTAL AREA OF PROPERTY
SO FT
BOX 9 PLUMBING FIXTURES (including rough -Ins)
N0. 3 WATERCLOSETS
MECHANICAL APPLIANCES --- BASIC FEE S 0
GAS PIPING, FEET $
2 BATHTUBS
N0. 1 FURNACE, ELEC.
p
GAS_X $ 1--C>-
-SHOWERS
SHOWERS
1 GAS HOT WATER HEATER
$
4 LAVATORIES
CONVERSION BURNER
$
�1-- SINKS
BOILER, SIZE BTU $
1 DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
.,HEAT PUMPS, SIZE
$
1 LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
_.AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER
$
_ !2
$
,�OTALFIXTURES
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 PER-
FORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE.
OWNER/AGENT: DATE:
A"01M OM
0
E
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
clpk
R
F U
ZONE?` SETBACKS: FRONT u'r SIZEa'r- IIEIGHT LIMIT �G f
PLANNING DEPARTMT 'APPROVAL l=_ c_._ ((� Icl
REMARKS: 1
SEPA: EXEMPT iC NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DAT
REMARKS:
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. ROOF OTHER
OCCUPANCY ! L TYPE OF CONSTRUCTION ° ' ' STORES
R" BUILDING SO. FT. l @ '� Q 7-1c)
BUILDING SO. FT. @ _ /Z 1-0 s
BUILDING -SO. FT. @ ••
BUILDING SO. FT. @
BUILDING SO. FT. 0(44L
BUILDING $0. FT. @
TOTAL SO. FT. TOTAL VALUATION S
EBUILDING PERMIT NO. PLAN CHECK FEE RECD RECEIPT NO.
PERMIT FEE PLAN CHECK FEE`-- PLUMBING FEE — MECH. FEE
TOTAL FEES SBCC SURCIIARGE ENERGY SURCHARGE AMOUNT DUE
BUILDING DEPARTMENT APPROVAL —--------- ------ DATE
REMARKS:
ASSIGNED ADDRESS: 3 5, W r 3 `17
RECEIVED
i
ti'4N 4. 1990
CITY OF r-,'
DUILDIPv'G,DEPT AY
ACCEPTED FOR FILING
CITY -OF
FEDERAL WAY BUILDING PERMIT
BUILDING INS1-ECTION
•941-1555
PERMIT NO. 90-204 OWNER'S NAME DJOREND DORENBUSH H0I41FS JOB ADDRESS 1319 SW 347 PL
CONTRACTOR OWNER ADDRESS 275 5 11 8 AVE SE 1110 i3�E �l,EVI F, CONT. PHONE 451-1994
CONT. REG. NO. DORENI * 210P13 6/90 OWNER'S PHONE SANE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIQN GRADING OTHER
TAX ACCOUNT NO. 192104-9048-39 LEGAL DESCRIPTION LOT 27 PARKJ.,t 14B ESTATES
(WATER & SEWER IS AVAILABLE)
ISSUED BY ELIZABETH SNYDER _ DATE OF ISSUE DATE OF APPLICATION 3/26/90
BUILDING INFORMATION
ZONE R57,2 OCCUPANCY_ R-3 TYPE OF CONSTRUCTION 5—N BLDG. SQ. FT.2090+487=2577 TO
SET BACKS: FRONT 20' SIDE _9' EACH REARS STORIES 2 HEIGHT LIMIT 30' MAX
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS _3 ELEC. HOT WATER HEATER
GAS PIPING FT. _ ,� BOILER
BATHTUBS 2 LAUNDRY DRAINS i
COMPRESSOR TANK(S)
RECEIVED
SHOWERS URINALS
FORCED AIR FURNACE 10 _ 00 AIR HANDLING UNIT
NUMBER
LAVATORIES 4 DRINKING FOUNTAINS
GAS HOT WATER HTR. 6_9 MISC. _
SINKS 1_ MISC.
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS 1- TOTAL FIXTURES 12xF; _ nn
UNIT HEATER TOTAL MECHANICAL in _ Iiil
AMOUNT NONE
VALUATION $114.3 R !t
PLANNING DEPT APPROVAL = K.E. ELLIS ON 4/11/90
PERMIT FEE 7 fi ? n n
PUBLIC WORKS DEPT APPROVAL = SKIP GREE130N OF 4/5/90
PLAN CHECK FEE 495-00
PLUMBING FEE 60
SIRE D_'i' APPROVAL NOT NEEDED :R BLDG. DEPT'
MECHANICAL FEE _ ?()-On
SEPA = EXEL4PT
TOTAL BLDG. FEES 1 337 nn
PART P/C FEE
SEPA REVIEW
WATER SERVICE
DATE PAID
WATER MAIN CHG.
S.B.C.C. FEE 4-50
1
AMOUNT PAID
OTHER FEES
AMOUNT DUE $J341,90
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 BEM ET:,'; /
OWNER i- t
OR AGENT_1` 1 �f /�'%/t DATE+
f.
rL
SET BACKS AND FOOTINGS
DATE _. --BY - _ _-_
OX TO POUR FOUNDATION WALLS
DATE ....- _--_---_BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE BY _
_
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE __._ _BY
O.K. TO ENCLOSE FRAMING
DATE --. ---_ BY _
--
INSULATION
DATE - _-.
BY -_ _
WALL BOARD AND FIRE WALL
DATE BY
FINAL Q.K. TO -OC
DATE BY
-
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PSD
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CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN 55ECTION
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
Y"LII�±:'ldi7 ..�Y.,`��•- <°AJC 3' i�=R'�.H..C.� � li • � • :��Lc1a'Jf iilt'i � / � l� I� � t}
PERMIT FEE
4 /62. uy
PUBLIC WORTS DEPT APPROVAL SKIP GREESt N O 4%51
PLAN CHECK FEE
PLUMBING FEE
495.00
60.00
FIRS 9g'i' APPROVAL ?4(A' N8MSD PAM DEPT
�
MECHANICAL FEE
_ t!: �
SETA = RXE-APT
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
DATA; PA.I1?
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
ANO ` PAID
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:
OWNER OR AGENT
DATE
SET BACKS AND FOOTINGS
DATE 60 BY
OX TO POURFOUNDATIONWALLS
DATE C,- qo BY �...._._.
PLUMBING GROUNDWORK
DATE - - -- . BY
PLUMBING ROUGH IN
DATE- r i(J_�`r'G.... BY ..
WATER LINE O.K.
GAS PIPING O.K. _1.- Zl
MECHANICAL INSPECTION
DATE
O.K. TO ENCLOSE FRAMING
�,�r�
DATE.3/ d . BY--
INSULATION
DATE ...�. .��gv..... BY ... �� -
WALL BOARD AND FIRE WALL /
DATES' ?'3--�d....BY
�INAL O.K. TO OCCUPY %
DATE y' Z �(—BY1-`'1�
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PSD
FD
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