91-101015CITY OF
FEDERAL WAY
BUILDING PERMIT
ql- I CIO is
BUILDING INSPECTION
941-1555
PERMIT NO. 91-961 CA OWNER'S NAME
WINDERMERE REAL ESTATE JOB ADDRESS 33438 1 WAY S
CONTRACTOR J E CUMMING CORP
ADDRESS POB 658 REDMOND 98073 CONT. PHONE
CONT. REG. NO. JECUMC148JH 4/1/92
OWNER'S PHONE 824-3883 OWNER'S ADDRESS 242 SW 193 PL SEATTLE 98166
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 TENANT IMPROVEMENT
TAX ACCOUNT NO.
926500-0350
LEGAL DESCRIPTION LOT 35 OF KCSP # 475010 RECORDED 750609382
UED BY ELIZABETH SNYDER
DATE OF ISSUE / / DATE OF APPLICATION 7/19191
BUILDING INFORMATION
ZONE OP
OCCUPANCY B-2 TYPE OF CONSTRUCTION ___ -5 -N _ BLDG. SQ. FT 16661
SET BACKS: FRONT
NA SIDE
NA REAR NA _ STORIES NA _ HEIGHT LIMIT NA
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
NONE UNIT HEATER TOTAL MECHANICANONF__
AMOUNT
$17,792.00
VALUATION
PLANNING DEPT APPROVAL = BILL KINGMAN
PERMIT FEE $189.00
AN CHECK FEE
123.00
UMBING FEE
FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS
MECHANICAL FEE
_
$312.00
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
4.50
DATE PD AMT 325.95 RE' CT 37
OTHER FEES FIRE
D. 9.45
$325.95
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 INFORMAT)ON FURNISHED BY ME
IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET
f �' "� L--
��� %
OWNER OR AGENT
DATE
CITY OF
FEDERAL WAY
BUILDINGPERMIT BUILDI941 � SSSECTION
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.------
DD.______NEW
NEWMULTI -FAMILY (UNITS
) MULTI ADD. SIGN GRADING _ OTHER
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY
_._ DATE OF ISSUE
DATE OF APPLICATION
BUILDING INFORMATION
NE
OCCUPANCY_ TYPE OF CONSTRUCTION
BLDG. SQ. 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
ILASNINC DL, a H,''i'f GVAL
BILL KI 4AN
RMIT FEE
AN CHECK FEE
:UMBING
IR3Fli3u�= BEET .,'iPPROVP.L =
", VI i ELLIS
FEE _
CHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
—
y
ZAri i2a 325.95 .c..Ci
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 - -
OX TO POUR FOUNDATION WALLS
DATE .._ _ ._.BY ....- .... _.
PLUMBING GROUNDWORK
DATE _..- - - _ BY
PLUMBING ROUGH IN
........--........BY
__... .... -__.._...
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE _..... - ___BY
O.K. TO EN LOS FRAMING
„ . J
DATE _'�' L�BY .��.._
INSULATION
DATE _..-_ BY _..._- ....._.-....._
WALL BOARD AND FIRE WALL
DATE � L� L__.. BY
FINAL O.K. TO OC UPY
DATE __ ! y, BY
DCD
PSD
FD
i
mit#gl- 241 rt
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: tom; r=7MC,i`—,Zug ( � {- _ �5' r (-4 — C
OWNER N c I t✓(SITE LOCATION 334 3 r, l s; Feu�ftlyk ?.4
OWNER'S ADDRESS l -t3 j CITYS,�fi##is:. "; iP, ► PHONE_ F;
DESCRIBE JOB Tt-1s^np,ti%�*-, i\&c_-rt-.5
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP X CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS
EXPIRATION DATE
CITY
CONTRACTOR'S REG. #
111
Card MUST be presented
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 117(\ 3 h3 E::�;bc--PHONE
BOX 4 SEWER DISTRICT f - 4 WATER DISTRICT h W ,
BOX 5 ESTIMATED PROJECT COST -t% 2 15 00C,
it BOX 6 PROPERTY TAX ACCOUNT NUMBER
f LEGAL DESCRIPTION Le T 35 <
e F (O i' 34 I %A. &# e► c W
2.4500 — O
EXISTING BUILDING VALUATIONS 330,0oo
SO - O '7
Q.15�
(If necessary, please submit a separate page with the legal description.) 7 6 - i S- - 0 73 WeZT%
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 14,66/ 2ND FLOOR ZEC
3RD FLOOR / BASEMENT /� �C / DECK " vc- GARAGE `L -P-- /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
'1
PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
ISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
V URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES -
BASIC FEE $
GAS PIPING, FEET
$
NO. 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
$
e
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 ASTO 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.
OWN Ef� GENT -�y1 DATE: -j-A
V ANP -008 3/90
OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW LINE)
ZONE SETBACKS: FRONT -*J SIDE CJI#"' REAR NIS HEIGHT LIMIT AOf
PLANNING DEPARTMENT APPROVAL 1"3o
REMARKS: �y
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
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. OTHER
OCCUPA,� TYPE OF CONSTRUCTION STORES
C C� BUILDING SQ. FT.@ 3 , �� _6 Eq Cr
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
TOTAL SQ. FT. TOTAL VALUATION 1 772
BUILDING DEPARTMENT REMARKS:
RECEIVF-D
J U l 19 1991
Psr o r e ,l- 1617-1
RECEIVED
ASSIGNED ADDRESS: �
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
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 Fee -
AMOUNT DUE
// BUILDING DEPARTMENT APPROVAL �7
BYDATE �J
Z
_s_G
ACCEPTED FOR FILING