90-101355CITY OF
FEDERAL WAY
BUILDING
96-io/3 s5
PERMITBUILDING INSPECTION
68YZVJ540
90-1563 FSS SHERWOOD FOREST ELEMENTARY SC12TH AVE SW
PERMIT NO. OWNER'S NAME
DRESS34220
TRINITY FIRE PROTECTIPARA*C 11021 CRAMER RD KPN GIG HARBOR 857-5222
CONTRACTOR
CONT. PHONE
CONT, REG. NO. TRINITY FIRE PROTECT, O*iWNER's
PHONE 941-0100 OWNER'S ADDRESS 31405 18TH AVE S FEDERAL WAY
TYPE JOB: NEW RESIDENC TNIFAAWQK NEW INDUSTRIAL
NEW COMMERCIAL COMMERCIAL ADD. It i1 D.WAY i(Qjf DISI u#ttE',�Al�o.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN
GRADING OTHER AUTOMATIC FIRE SUPPRESSION SYSTEM
292104-9023-02
TAX ACCOUNT NO,
LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE y� (' ,r DATE OF APPLICATION 9-27-90
BUILDING INFORMATION
ZONE OCCUPANCY
TYPE OF CONSTRUCTION BLDG. SO. FT. 47,044
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 47,044
FIRE DEPT
APPROVAL: RC 1-23-91
473.00
PERMIT FEE
.00
PLAN CHECK FEE
LUMBING FEE
CHANICAL FEE _
TOTAL BLDG. FEES
PART PIC FEE
SEPA REVIEW
WATER SERVICE
TE:
L
WATER MAIN CHG.
1,174.50
S.B.C.C. FEE 4-150AMOUNT:
OTHER FEES F. D, 390 nn
AMOUNT DUE 1-374 50]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 INFOR AfION FURNISHED BY, MFS IS TRUE
D CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL B
OWNER OR AGENT
DATE
RECEIVED 0
mit # 9 y Fsj
SEP 2 7 1990
CITY OF FEDERAL WAY
BUILDING DEPT
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: F -C7 *t Z, - W A `f
OWNER •`-EV-3cy.AL L,.; Al _Pc:v3%_iz SITE LOCATION 34�2-S= ('2-_'� A\)G. & U' ..
OWNER'S ADDRESS 3 14o :; i 8'l'- AVE <&, . CITY PHONE 4--t 4 1-c i co
DESCRIBE JOB 'f_ C- s PW. � ,.r r -Lr -YL sir -AE -X-, r nj E: LF_ Xi&FA, z V mac_ L -10r,
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORP RATION
BOX 2 CONTRACTOR'S NAME -7i2 i ►,a 7 y 1= %R hitt t nz.�r CONTRACTOR'S REG. # -t Ri k.), F P c, 6 iL-
11J� Card MUST be presented
CONTRACTOR'S ADDRESS l l ozr KVN+ CITY 6, 6 NivRP5c=Q_Lk%A PHONE �7 j ZZZ
EXPIRATION DATE 3 I z1 Cj t
—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 �/A-04 Y 14 PHONE a 's 5 z_ 2- Z _
BOX 4 SEWER DISTRICT , — WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 6,'7 , '�Mc-, EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER j Z /U�/ 9 d Z3 ^G -2-
LEGAL
LEGAL DESCRIPTION 'moo r"21 ' Ib"
(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
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, AID 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 EMPLOYEES. UPON THE ACCURACY OFzIE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
')WNER/AG ENT: —//L a�7 J DATE:
ANP -008 3/90
0 •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL c DATE
REMARKS:__
PUBLIC WORKS DEPARTMENT APPROVAL Al DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT
NEW INDUSTRIAL IND. ADD/ALT
PLAN CHECK FEE'107<
NEW COMMERCIAL
COMM. ADD/ALT
NEW MULTIFAMILY (UNITS_)
MECHANICAL FEE
MULTIFAMILY ADD/ALT
TENANT IMP.
OTHER u <- S
,,LL
MSS ry S s
OCCUPANCY
TYPE OF CONSTRUCTION Ll STORE
(0,09–A'—S
BUILDING SQ. FT.
' @ %� 3"0 =
?o S-6 E
AMOUNT DUE
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@
BUILDING SQ. FT.
@ _
TOTAL SQ. FT.
TOTAL VALUATION
Z 018 ` O
BUILDING DEPARTMENT REMARKS:
RECEIVED
SEP 2 7 1990
CITY OF FEDERAL WAYI
BUILDING DEPT.
RECEIVED
ASSIGNED ADDRESS: e_
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
–73 - v a
PLAN CHECK FEE'107<
d�'
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
q`J
OTHER FEES FD FtF
3 O -v0
AMOUNT DUE
1 t 7q, 5-0
Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE I _ Z� C
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
� 555ECTION
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
-,,J,-,SUED BY
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE
OCCUPANCY
TYPE OF CONSTRUCTION
BLDG. SO. FT---
T.__SET
SETBACKS: 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
."'
KC 1-23-91
✓
n r.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
2,YT�d.S
WATER MAIN CHG.
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:
OWNER OR AGENT
DATE
SET BACKS AND FOOTINGS
DATE __ _BY
PLUMBING ROUGH IN
DATE ....__ BY
O.K. TO ENCLOSE FRAMING
DATE BY
FINAL O.KI.ITO O COPY
DATE _/ �`_2' BY��/
•
O.K TO POUR FOUNDATION WALLS
DATE BY -
WATER LINE O.K.
GAS PIPING Q.K.
INSULATION
DATE -_-. -_ _._BY
DCD
PSD
0
PLUMBING GROUNDWORK
DATE -.__-- __- ___BY _
MECHANICAL INSPECTION
DATE _ _ BY
WALL BOARD AND FIRE WALL
DATE - -._ _ BY
FD