90-100747CITY OF
FEDERAL WAY
BUILDING
PERMIT
Cl p- Iob 1y-�--
BUILDING INSPECTION
941-1555
INSPECTION REQUEST LINE - 946-6794
PERMIT NO. 90-1110 CA OWNER'S NAME ZENGER/MILLER JOB ADDRESS 33801 1 WAY S #211
CONTRACTOR MMI
ADDRESS 14907 NE 40 ST REDMOND CONT. PHONE 882-3034
CONT. REG. NO. MMI ****101BT ( �
�T ) OWNER'S PHONE 646-6065 OWNER'S ADDRESS 10500 NE 8 ST #1950 BELLEVUE
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 COMMERCIAL ALTERATION (TENANT IMPROVEMENT)
TAX ACCOUNT NO. 926504-0130,0140,0150
LEGAL DESCRIPTION LOTS 13-17 WEST CAMPUS OFFICE PARK DIV 5 ACCORDING
0160,0170
TO THE PLAT THEREOF RECORDED IN VOL 116, OF PLATS PGS 63 IN KING CO.
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 7/10/90
BUILDING I FORMATIO
ZONE NA OCCUPANCY_
B-2 _ TYPE OF CONSTRUCTION._ III 1 HR 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 _ TANKS) _
SHOWERS URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER
L:AATORIES DRINKING FOUNTAINS
_
GAS HOT WATER HTR. MISC.
SINKS JL MISC.
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS TOTAL FIXTURES 1 X $5-0
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NONE _
VALUATION $23,000-0
BUILDING DEPT APPROVAL: KEVIN ELLIS ON 7/26/90
PERMIT FEE $ 234-100,__
PLAN CHECK FEE 152-00
PLANNING DEPT APPROVAL: NOT APPLICABLE
PLUMBING FEE 5 _
MECHANICAL FEE
FIRE DEPT APPROVAL: KEVIN ELLIS ON 7/26/90
ibOTAL BLDG. FEES $ 391-0
ART P/C FEE
COPY TO FIRE DEPT
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE $4.50 _
OTHER FEES
DATE PAID f`� AMOUNT $395.50 RECEIPT /
N
AMOUNT DUE $ 395_50
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
Q�
tel/ DATE C� - ��
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG INSPECTION
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
ISSUED BY
DATE OF ISSUE
DATE OF APPLICATION
BUILDING INFORMATION
ZONE
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
BUTJ.DING EMPT K"RO.:.
x ELS_ +26190
PERMIT FEE
PLAN CHECK FEE
Pl"NI G DEPT APNIM-AL:
NOT "PLL( u"
PLUMBING FEE
MECHANICAL FEE
FIRE DEPT APPROVAL:
K"iN E"rs (W 7/26190
TOTAL BLDG. FEES
_
ropy To ii w.DLPT
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE;'
OTHER FEES
"AT "Ai ANOM-1+4"T
$395.50 RECEIPT
AMOUNT DUE
t
4 r
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 ... 1�_ ......BY
WATER LINE O.K. .__......-_..-
GAS PIPING O.K.__.__-_.... -__-.._..- .... .
MECHANICAL INSPECTION
DATE __- __BY
O.K. TO EN LOSE FRAMING
DATE _... _... BY �.., -_
INSULATION
DATE _- - _..BY --...._
WALL BOARD AND FIRE WALL
DATE __... - -_BY
FINAL O.K. TO O UPY
�
DATEBY -%� ' _-----
DCD
PSD
FD
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0
qermit # 2cl) — / / / 0 (05�t_
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1
TENANT NAME: f_= M I L_L
Ste.
( ) MULTIFAMILY (NO. OF UNITS = )
OWNER oft w 0.9jSITE
LOCATION a
( ) COMMERCIAL/INDUSTRIAL
OWNER'S ADDRESS I DSD ` Ll S'a
CITY aA—L" ` = PHONE d b -
BOX 9 PLUMBING FIXTURES (including rough -ins)
DESCRIBE JOB wL--
BASIC FEE $
N0. WATERCLOSETS
THE PROPERTY IS OWNED BY: SIN LE/MARRIED
PARTNERSHIP CORPORATION
BOX 2
CONTRACTOR'S NAME ti
CONTRACTOR'S REG. # (01111`
SHOWERS
GAS HOT WATER HEATER
Card WST be resented_
LAVATORIES
CONTRACTOR'S ADDRESS
CITY PHONES L}
_ 1 SINKS
EXPIRATION DATE
$
DISHWASHERS
AIR HANDLING UNITS
OR
ELECTRIC HOT WATER HEATER
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
CONTACT PERSON I. w.-Ga--1Fl- F -I0
PHONE6
BOX 4 SEWER DISTRICT
WATER DISTRICT �0 W
BOX 5 ESTIMATED PROJECT COST 'I23 M " -C
EXISTING BUILDING VALUATION ?, Zbor oe a
BOX 6
PROPERTY TAX ACCOUNT NUMBER`1 `5t)q _b `0D
bljo-off 6 -b ^ ay^ of X03 p—b(
$
LEGAL DESCRIPTION Lvr6l lb
a npcwb
$
7 NKA Off— `I�u r� ow►��
o n,�� 6 6'.) �v v6 l�Js>r
$
(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 ft 5F [7qa0s16-
3RD FLOOR 0, >-� BASEMENT / DECK / GARAGE
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
EXISTING STRUCTURE _
( ) COMMERCIAL/INDUSTRIAL
fOTAL AREA OF PROPERTY 222 0
�3 SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES —
BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. FURNACE, ELEC. GAS
$
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
_ 1 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
$
OTHER
$
TOTAL FIXTURES
$
�. ;.
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 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 AWEMf WYEES, UPON THEAGQURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/
DATE:
ANP -008 3/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
OFFICE USE ONLY (PLEA, -,E DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE %' O
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
REMARKS:
DATE
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 TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION z3 Oyd
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: Sem QK <
Amount
am
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
7-3 q, o
PLAN CHECK FEE
/ Z -� d
PLUMBING FEE
� 0 0
MECHANICAL FEE
n
TOTAL BLDG. FEES
0 L
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
�S
OTHER FEES
0
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL
DATE -Z
ACCEPTED FOR FILING