91-101143CITY OF �VILDING
C; I - 11 17y -7) (FEDERAL WAY
PERMIT
BUILDING INSPECTION
941-1555
CT
PANTHER LAKE APTS 33731 1 PL S (UNITS B & D)
PERMIT NO. OWNER'S NAME JOB ADDRESS
BRIDGEWAY CONST 3826 WOODLAND AVE N SEATTLE 632-0800
CONTRACTOR
ADDRESS CONT. PHONE
BRIDGCC 8683 7/92
1136 KAHULAI ST HONOLULU HAWAII
CONT. REG. NO.
OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION
NEWINDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN GRADING OTHER FIRE DAMAGE REPAIR TO APT BLDG
TAX ACCOUNT NO. 132202-0670
LEGAL DESCRIPTION LOT 69 PLAT CAMPUS U DIVISION 3
UED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 8116191
BUILDING INFORMATION
ZONE NA _ OCCUPANCY
NA TYPE OF CONSTRUCTION _ 5-N BLDG. SO. FT. NA
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. MIScFIREPLACE 6.50
RETURNED
SINKS MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS _ TOTAL FIXTURES NONE
UNIT HEATER TOTAL MECHANICALG. 50
AMOUNT NONE
VALUATION $1,700.00
FIRE DEPT APPROVAL = MIKE MONEN
$39.00
PERMIT FEE
PLAN CHECK FEE
BLDG DEPT APPROVAL = MIKE MONEN
MBING FEE
CHANICAL FEE _ 6.50
"REPLACE HEADER AND ANY OTHER WOOD WHICH HAS BEEN CHARRED FROM
TOTAL BLDG. FEES
FIRE"
PART P/C FEE
"SMOKE SEAL REQUIRED. TYPE 5-1 HR FIRE RESISTIVE
SEPA REVIEW
DATE: -,-2-U- 516 CONSTRUCTION REQUIRED AT NEW CONSTRUCTION (5/8"
WATER SERVICE
TYPE X GWB TYPICAL"
WATER MAIN CHG.
AMOUNT: $50.00
S.B.C.C. FEE 4.50
OTHER FEES
RECEIPT:
AMOUNT DUE $50.00
T'
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND PRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURN
Y ME IS TRUE AN ECT TO T BEST OF MY KNOWLEDGE AND THE APP CABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT
DATE/
l/
FCITY OF EDERAL WAY BUILDING PERMIT BUILDI94 IN SSECTION
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
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
FIRE DEPT APPROVAL, = MIM 40"
PERMIT FEE
PLAN CHECK FEE
141MG DEPT APPROVAL, - MIKE 3 ONT-:i1
PLUMBING FEE
MECHANICAL FEE _
OREPLACE' HEADER AhD ANY GTHEl? WOOL) WHICH HAS BEEN CHARRED
TOTAL BLDG. FEES
FIRE"
PART P/C FEE
_
wwSMOICiE SEAL REQUIRED. TYPE 5-1 HR FIRE RESIS-riv.,
CONSTRUCTION REQUIRED AT NEW CONSTRUCTION 5/ 8"
SEPA REVIEW
{
x .GNIB TICAL"
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
y
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
O.K 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
DATEBY %�J3
- _
INSULATION
DATE / - _ BY _p�T� --
WALL BOARD AND FIRE CAI 4�
/A,171A 7'
DATE : �' � _- _ _ BY /06- _
FINAL O.K. TO O CUPY
DATE _��� _BY
DCD
PSD
FD
•
CITY OF FEDERAL WAY
perit #
(00
BUILDING PERMIT APPLICATION
— Please Print — -, �_ -2 .
&T-
BOX 1 TENANT NAME: ��j - �tit,z,ar. ' 7>'��_
OWNER SITE LOCATION o
OWNER'S ADDRESS _ CITY 1116MVI,11 0 IVII'PHONE
DESCRIBE JOB '- _� 17 lvt/�- '--�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME— 1E + CONTRACTOR'S REG. # ?/
17 Card MUST be presented
CONTRACTOR'S ADDRESS y��5 U,�1°C?l�d�>A�l%II1TY l PHONE��i����
0 ■.
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 « PHON
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST I : % 67f), EXISTING BUILDING VALUATION
PROPERTY TAX ACCOUNT NUMBER
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 FLOOR2ND FLOOR --T
3RD FLOORS i - BASEMENT __ DECK - GARAGE '
BOX 8 ( ) E FAMILY ( ) NEW CONSTRUCTION
(` MULTIFAMILY (NO. OF UNITS = % ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
THTUBS
_SM WEBS
LAV TORIES /
SINK
—DISH W H S
ELECTRI OT WATER HEATER
LAUNDRY SHER OUTLET
URI LS
D KING FOUN
LIMPS, SPRINKL
DRAINS
OTHER
TOTAL FIXTURES
INS
R VACUUM BREAKERS
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
$
_I�THER ,// fY��, 7;-,��
/' !r/' $
-
$
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, AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH
�NLYYCLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
OFFICERS AND MP
LO WP THE ACC_UAF(ACY AND FILED AGAINST THE CITY OF FEJ)ERAL W,T oOF�I/N FORMHERESUCON SUIPPL EID TO THEHq,�AM ARSES OUTOCyTY AS AI
IPART OF TH SF THE RELANCE OF THECAPPLICAT ONNG ITS
cj�-/
OWNER/AGENT: � DATE:
ANP -008 3/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
OF , USE ONLY (PEASE D•0 NOT WRITE BELOWAS LINE)
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL A?i -tL hq& i4�'— DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT ,X NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS—
MULTIFAMILY
UNITS MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
n
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
ug aflc'R
RECEIVED
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUI DIING DEPARTMENT APPROVAL
BY DATE r�- I j- 7/
ACCEPTED FOR FILING
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
sv
TOTAL BLDG. FEES
tiS s'
PART P/C FEE
SEPA REVIEW
��sc
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
D
Receipt #
BUI DIING DEPARTMENT APPROVAL
BY DATE r�- I j- 7/
ACCEPTED FOR FILING