92-100627CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
9 J00 6.27
BUILDING INSPECTION
661-4140
92-0647 OT BRUCE WALLACE 32011 40TH PL SW
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CONTRACTOR PLEASURE POOLS & SPA4DDREss 16123 116TH AVE E PUYALLUP CONT. PHONE 840-9292
PLEASP101RB 492 838-4726 32011 40TH PL SW FEDERAL WAY
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'SADDRESS
TYPEJOB: NEW RESIDENCE ADDITION XXNEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER SWIMMING POOL CONSTRUTION
873190-2670-05
TAX ACCOUNT NO.
LEGAL DESCRIPTION LOT 9 6 7 TWIN TAKES 12
ISSUED BY
JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 4-24-92
BUILDING INFORMATION
'ONE_ RS
7.2 SET BACKS: FRONT 20' SIDE 5 � REAR 5 HEIGHT LIMIT 30 �
JCCUPANCY
TYPE OF CONSTRUCTIONCENSUS 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. 3.50 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 _3_ 5 p
AMOUNT
VALUATION
13,640 PLANNING DEPT APPROVAL: REPLACEMENT OF SIGNIFICANT FIR TREES BY 25
PRYMADULUS TREEES AS NOTED ON SITE PLAN APPROVED.
PERMIT FEE
153.0 DB 5-5-92
PLAN CHECK FEE
99.0 PUBLIC WORKS APPROVED: JS 5-8-92
PLUMBING FEE
MECHANICAL FEE
3.5C BULDING DEPT APPROVAL: KC 4-30-92
RT P/C FEE
'PA REVIEW
PUBLIC WORKS
' f7
4.5(
S.B.C.C. FEE
FIRE FEE
DATE:
295.)0 $295.00
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
APR 2 4
OMOFFE®63�9 ,R CITY OF FEDERAL WAY j
SUILDNG�aa av BUILDING PERMIT APPLIC TIO
— Please Print — 32_,1�
BOX 1 TENANT NAME: .40 — J
OWNER �?eAcE 6JgU_1gCt SITE LOCATION
OWNER'S ADDRESS 3cW II y0'h` P[.86-_ 50 , CITY �( EhERAL t„30�j PHONE 38-,Y7a,6
DESCRIBE JOB cS4oz,-nm1AJ&- 6ao r,'o.�s-7Zucr7o.✓ .
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ^41eRli-6 PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME e_ l3SaA4 Pooz-S 600A CONTRACTOR'S REG. # P46115Ps01 8
Card MUST be presented
CONTRACTOR'S ADDRESS A -1-R3 //!nom 190E . E CITY PHONE
EXPIRATION DATE
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 S7bTLZ=
PHONE
BOX 4
WE ISTRICT )
WATER DISTRICT e
BOX 5
ESTIMATED PROJECT COST /57,00
EXISTING BUILDING VALUATION
BOX 6
PROPERTY TAX ACCOUNT NUMBER 73_-9-.26 7a - as -
LEGAL DESCRIPTION 1-4,_7— '),Z-7 w,&J
Z,,gye'S ``e?
(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)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
NO._ FURNACE, ELEC.
GAS $
SHOWERS
GAS HOT WATER HEATERp
$
LAVATORIES
CONVERSION BURNER
Kul $ `—
_SINKS
1 -BOILER, SIZE .25D,e60BTU $ -
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
°� OTHER $
e-
DRAINS
t A f t, d P
IL Z: $
OTHER
-414 $
TOTAL FIXTURES
? :
$
TOTAL MENANICAL FEE$
- - S—G
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
ZONEK, .r-2- SETBACKS: FRONT_
PLANNING DEPARTMENT APPROVAL
QERenove• shallencro;
0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS TINE)
SIDE �REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
DATE
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
CnmµsCh�"T
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 AA Z TYPE OF CONSTRUCTION J STORES
BUILDING SQ. FT. @ = I s S O
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @ 6 ( (e✓� �%
TOTAL SQ. FT. TOTAL VALUATION 3 C 1(0
BUILDING DEPARTMENT REMARKS: PERMIT FEE �5 5
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
RECEIVED
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: e X q t-(
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE J ) d f 2
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: NEWRESIDENCE
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. 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
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
ECHANICAL FEE
t.
ART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
OTHER FEES
DATE:
AMOUNT:
G�
D• c
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 ..__ .
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 O.K. TO OCCUPY
DATE BY
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