91-101814CITY OF FEDERAL WAY__ /D / 2'"
33530 First Way South BUILDING PERMIT BUIL ING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. 91-1791
NR OWNER'S NAME FINELINE DESIGN SITE ADDRESS 34507 32 CT SW
CONTRACTOR TED PEDERSON ADDRESS 446 BURNETT AVE N RENTON CONT. PHONE -2 2 8-2 5 7 2
CONT. REG. NO. FINELD*110DL EXP, 1/93 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPEJOB: NEWRESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER ..AND GARAGE/DECK
TAXACCOUNTNO. 788878-0050 LEGAL DESCRIPTION LOT 5 SOUTHAMPTON COURT
SSUED BY ELIZABETH
SNYDER DATE OF ISSUE DATE OF APPLICATION 12131/91
BUILDING INFORMATION
ZONE RS7.2
SET BACKS: FRONT 20 SIDE 51/5' REAR 5 HEIGHT LIMIT 30' 14M
OCCUPANCY R3/M1
TYPE OF CONSTRUCTION 5—N CENSUS NO. 101 TYPE OF HEATS BLDG. SQ. FT. 2700 STORIES 2
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3
ELEC. HOT WATER HEATER
GAS PIPING FT. 3.50 GAS LOGS
BATHTUBS 2
LAUNDRY DRAINS 1
FORCED AIR FURNACE GAS 10.00 DUCT WORK
RECEIVED
SHOWERS
URINALS
GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
SINKS 5
MISC.
BBQ BASIC FEE
RETURNED
DISHWASHERS 1
TOTALFIXTURE412 x $5.00
DRYER TOTAL MECHANICAL 20.00
AMOUNT NONE
VALUATION
$126,896
PLANNING DEPT APPROVAL = DEB BARKER
FIRE DEPT APPROVAL = KEVIN ELLIS
$734.00
PERMIT FEE
LAN CHECK FEE
477.00-----$127.50
PUBLIC WKS DEPT APPROVAL = RON GARROW
LUMBING FEEMECHANICAL
60.00
PALL
MECHANICAL FEE
20.00
DOWNSPOUTS & IMPERVIOUS SURFACE AREAS SHALL DRAIN
(349.50)--
PD 12/31/91 TO THE APPROVED STORMWATER CONNECTION POINT PER THE
PART P/C FEE
APPROVED PLAT CONDITIONS
SEPA REVIEW
35.00
PUBLIC WORKS
4.50
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT: $981.00
98 ' 00
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 INFORM N FU 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/ -
`"` e • Perm
E
DEC 31 1991 CITY OF FEDERAL WAY
��,��.�w�� BUILDING PERMIT APPLICATION
Please Print —
BOX 1 TENANT NAME:
OWNER SITE LOCATION cry
OWNER'S ADDRESS `/ITY_&&eZ9V PHONE'Z-ZF-- 75772
DESCRIBE JOB 40"-7 N4!! �- le .e44tr
THE PROPERTY IS OWNED BY: ARRIED >C PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #/N�L✓�4*-
Card MUST be presented
CONTRACTOR'S ADDRESS V�% u Xe CITY9� PHONE�� -7--C-77—
EXPIRATION DATE 11� 49
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING T INITIONS OF OR
CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ��� P H 0 N EfK- z!r
BOX 4 SEWER DISTRICT WATER DISTRICT %
BOX 5 ESTIMATED PROJECT COST S10 —= EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 4&e
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR Z~1 2ND
FLOOR (?t019 /
3RD` FLOOR / BASEMENT_____J_ DECK
GARAG
BOX 8 SINGLE FAMILYNEW
CONSTRUCTION
MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
SP/96
( ) COMMERCIAUINDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES
— BASIC FEE $
NO_L�_WATERCLOSETS
BATHTUBS
GAS PIPING, FEET
NO. FURNACE, ELEC.
$ 3.So
GA�_< $ IC • C70
SHOWERS
AS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
. SINKS
BOILER, SIZE BTU $
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
$
DRAINS
I A XP _ 9
$
OTHER
-)
$
12-.- TOTAL FIXTURES
$
X S' = 40.&0
TOTAL MECHANICAL FEE
$ 20.00
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 HARMLESSTHE 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 CLTY OF FEDERAL WAY, BUTONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOY . UB CTHE A9eURA0f OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:/ .,
3/- �7/ .
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZON Y'L SETBACKS: FRONT SIDE 5r REAR .5/ HEIGHT LIMIT ' 23/
PLANNING DEPARTMENT APPROVAL - -�
REMARKS:
SEPA: EXEMPT `�,' - NOT EXEMPT.
FIRE DEPARTMENT APPROVAL
REMARKS:
DATE
PUBLIC WORKS DEPARTMENT APPROVAL if A DATE / � 6 2
REMARKS: &:s= AKn o o7A5oL%1.o clj 5lv2.r-1q-cr s'H - r-wv
7-7 nix- 4NP0-0' 7 S! m & 7 w conn, ECT7 W 4&0"-I- Tfr AeAo?_yyc9
P - /i -f_- C0A/D I T7esN3
TYPE OF JOB: NEW RESIDENCE X RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY P3 ® ml TYPE OF CONSTRUCTION (keV STORES +.&Jo
to 461%{ BUILDING SQ. FT. -1660 @ - 72.90 = -72, 906.00
2%►yLeof BUILDING SQ. FT. TOP @ 72.90 = (05, f- e3 .60
BUILDING SQ. FT. 600 @ /is .3O = /0.20. 00
ff� BUILDING SQ. FT. 200 @ 16-602; =O 00.00
BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQ. FT.
BUILDING DEPARTMENT REMARKS:
RECEIVED
ZT 00 Sir
@ W►oat �t� k _ �yy.20O.0o
TOTAL VALUATION
PERMIT FEE
73y 00
PLAN CHECK FEEL
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
pccj
3s. ca
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 3450 Z c slo.
ARTIAL PLAN CHECK FEE RECEIVED �r
Amount 0Date 2 ' Receipt # `
BUILDING DEPARTMENT APPROVAL
ACCEPTED FOR FILING