90-101598CITY OF
FEDERAL WAY BUILDING PERMIT
c 7 c — I L� l's c"i?
BUILDING INSPECTION
941-1555
PERMIT NO. 90-1900 OT
OWNER'S NAME ROBERT L. WRIGHT JOB ADDRESS 34839 PACIFIC HWY S.
CONTRACTOR .TOE. HALT,
CONSTRUCTION ADDRESS 5303 PACIFIC HWY E. #276 FIFE CONT. PHONE 922-6815
CONT. REG. NO. .T0F.HAC259RT
OWNER'S PHONE 838-9141 OWNER'S ADDRESS 34839 PACIFIC HWY S FEDERAL W
TYPE JOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. _
NEW MULTIFAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER REMOVAL OF UNDERGROUND TANKS
TAX ACCOUNT NO. 902104
-9141 -OR LEGAL DESCRIPTION
��
ISSUED BY JOANNE
JOHNSON DATE OF ISSUE DATE OF APPLICATION 11-20-90
BUILDING INFORMATION
ZONE
OCCUPANCY? TYPE OF CONSTRUCTION_ VN 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
FIRE/BUILDING DEPT APPROVAL: KC 12-31-90
VALUATION
_
PERMIT FEE
15
PLAN CHECK FEE
10
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
f
DATE: f - -51 1
WATER SERVICE
WATER MAIN CHG.-1
AMOUNT: 5
4.50
S.B.C.C. FEE
OTHER FEES
RECEIPT:
29.50
AMOUNT DUE
L 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:
-)WNER OR AGENT -`t-�
DATE _12- ZF/
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN 55ECTION
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
ED 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
/
PERMIT FEE
PLAN CHECK FEE
MBING FEEHANICAL
t
FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
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 ---
PLUMBING ROUGH IN
DATE _ -. _BY ----......
O.K. TO ENCLOSE FRAMING
DATE.. - -_... _.-- BY
FINAL O.K. TO OCCUPY
DATE _/
-2/ 0,r_ BY
OX TO POUR FOUNDATION WALLS
DATE _._-. __BY ..-
WATER LINE O.K.
GAS PIPING O.K.
INSULATION
DATE _-. - BY _... ...
Im
L
PSD
•
PLUMBING GROUNDWORK
DATE _- _--._- ___BY
MECHANICAL INSPECTION
DATE _ ____BY _-
WALL BOARD AND FIRE WALL
DATE _ _ ___ __"BY
im
Permit ##REAIVED o,44_t,�-a
CITY OF FEDERAL WAYa� (�
S
DEC 17 1990 BUILDING PERMIT APPLICATION
CITY OF FERE-RAL WAY - Please Print -
R1 III DINGDEPT
BOX 1 TENANT NAME:
OWNER 6 mio L SITE LOCATION
OWNER'S ADDRESS -ti- CITY/ i / HONE F_ -
DESCRIBE JOB — -I `r' t'
THE PROPERTY IS OWNED BY: SINGLE ARR1CDf PARTNERSF}IP CORPORATION
BOX 2 CONTRACTOR'S NAME -�Z C Onoi S al t,"ONTRACTOR'S REG. # -TO Z
Card MUST beresented
CONTRACTOR'S ADDRESS _�G'�/T �' .CITY /� /L- PHONE�C
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 Z -L - L PHONE 27 Z -6
BOX 4 SEWER DISTRICT
WATER DISTRICT
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # .i
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /_ 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
8 (j) SINGLE FAMILY
(�) MULTIFAMILY (NO. OF UNITS = )
( ) COMMERCIAL/INDUSTRIAL
BOX 9
PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ FT
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
$
OTHER
$
' -
$
L%LC i 2tiS�
$
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 AND EMPk6'YE)£SAPIR THEACURACY OF THE INFOWATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
ANP -008 3/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS: A
I
OFFICE USE ONLY (PLEASE DO• NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LIMIT
T
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT AP
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
OC UPANCY Z 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
BUILDING DEPARTMENT REMARKS:
RECEIVED
D E D 17 1990
ITY OF FEUE RAI WAY
BUILDING DEPT
RECEIVED
DATE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
z S
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
y` L
OTHER FEESAMW
AMOUNT DUE
ASSIGNED ADDRESS:- --
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY f DATE
ACCEPTED FOR FILING