91-101409CITY OF
FEDERAL WAY
BUILDING PERMIT
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BUILDING INSPECTION
941-1555
91-1355 OT
BELOIT MANHATTEN 34320 PACIFIC HWY S
PERMIT NO.
OWNER'S NAME JOB ADDRESS
DEMOLITION
MAN INC 8129 OCCIDENTAL S SEATTLE
CONTRACTOR
ADDRESS CONT. PHONE763-3366 _
DEMOLMII78N2
927-2200 POB PARK
CONT. REG. NO.
OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE
�+��1555IVY
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD NEW PUgTGA `�`yyWHMTN%b. PA 18
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER DOMOLITION UNDERGROUND STORAGE TANK
TAX ACCOUNT NO. 202104-9093
LEGAL DESCRIPTION
ISSUED BY JOANNE
JOHNSON DATE OF ISSUE %y - c7l DATE OF APPLICATION 9-30-91
BUILDING INFORMATION
?ONE
OCCUPANCY TYPE OF CONSTRUCTION BLDG.SQ.FT.
ET 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 DEPT APPROVAL: PK KC 10-1-91
VALUATION 2,000
BUILDING DEPT APPROVAL: KC 10-1-91
PERMIT FEE 45-00
_
PLAN CHECK FEE 29-00
PLUMBING FEE
MECHANICAL FEE
'OTAL BLDG. FEES
ART P/C FEE
SEPA REVIEW
DATE:
WATER SERVICE
WATER MAIN CHG.
AMOUNT: $78.50
S.B.C.C. FEE
4.50
OTHER FEES
RECEIPT: yL'
AMOUNT DUE 78.5-0-
8.5OALL
ALLPERMITS 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
�.w
Ell
_ 0 Wermit # 917-
RECEIVED
SEP .- `,) 1991 CITY OF FEDERAL WAY
01TVOFFLDERALVVAV BUILDING PERMIT APPLICATION
BUILDING DEPT - Please Print -
BOX 1 TENANT NAME:
OWNER e Ld T SITE LOCATION 2-) PA-f-tP«- 5
OWNER'S ADDRESS 7>0 i v,/ CITY PHONE d
DESCRIBE JOB V S tu-i,J* C?P,-
THE PROPERTY IS OWNED B : SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Lv Q ",tt -00 k i cy� _. CONTRACTOR'S REG. # DC" OL ---J, k -7Y t ?-2
Card MUST be presented
CONTRACTOR'S ADDRESS _Ts I Zr-i S CITY PHONE --S3
EXPIRATION DATE Co / L az
—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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 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 FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE 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
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
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
$
COMMERCII HOOD
$
OTHER -
$
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AG
DATE:
3- .1 ti
ANP -008 3/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
0 •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT i
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVA
REMARKS:
DA
DA
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 d
OCCUPANCY 4A -z, TYPE OF CONSTRUCTION /v STORES
o BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION Zf�00
BUILDING DEPARTMENT REMARKS:
;Ile
� 1991
11�1NG pT.
'"�iECEIVED
ASSIGNED ADDRESS: Ste e
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE
PERMIT FEE
PLAN CHECK FEE Z
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE L
OTHER FEES
AMOUNT DUE
ACCEPTED FOR FILING
16X14�
1 OVER
HEAD
DOOR
REV Idyl
SEP i 0 1991
1TY OF FEUERAL y
13UILDING DEPT
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RAW MATERIAL
STORAGE
-ASPHALT PAVING
�—X—X—X—
x
EXISTING GATE % MAIN ENTRANCE
30'
5' MIN.-
X -XX X�
PROPOSED CONTAINMENT DRAINAGE SWALE
WALL AND FOUNDATION--/
SEE I AND e ELECTRICAL TRANSFORMER
CPY OF FEDERAL. W SOUTH 344TH ST.
DEPTc: MnnuNi 3 r` Cit 0
PERMIT f�UPViS �"- � ��^ G �p 11 �.U-
ADDREOa 3 y3 ZU %L7� S, NOTE: UNDERGROUND UTILITY LOCATION
IN THIS AREA IS UNKNOWN. CONTRACTOR
PLAo,*� F, "R elfVffc T SHALL FIELD VERIFY PRIOR TO CONSTRUC
OWNER �'t1e,,`RTIAL SITE PLAN
,L"777Su t". _ 1,ta
DATE APPROVED o- (.
I-'R0VED .BY
x BURIED UTILITIES IN AREA
a CALL 48 HOURS BEFORE YOU DIG
a` 1-800-424-5555
FILE
THERE ARE TO BE NO DEVIATIONS
TO THE APPROVED DRAWINGS
UNLESS OTHERWISE APPROVED BY
THE FEDERAL WAY BUILDING DEPT.
-EXIS-EXIST— X-
TING HYDRANT
TING
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EXISTING BOILER HOUSEIM —i
AND MAINTENANCE AREA Q z
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30'
5' MIN.-
X -XX X�
PROPOSED CONTAINMENT DRAINAGE SWALE
WALL AND FOUNDATION--/
SEE I AND e ELECTRICAL TRANSFORMER
CPY OF FEDERAL. W SOUTH 344TH ST.
DEPTc: MnnuNi 3 r` Cit 0
PERMIT f�UPViS �"- � ��^ G �p 11 �.U-
ADDREOa 3 y3 ZU %L7� S, NOTE: UNDERGROUND UTILITY LOCATION
IN THIS AREA IS UNKNOWN. CONTRACTOR
PLAo,*� F, "R elfVffc T SHALL FIELD VERIFY PRIOR TO CONSTRUC
OWNER �'t1e,,`RTIAL SITE PLAN
,L"777Su t". _ 1,ta
DATE APPROVED o- (.
I-'R0VED .BY
x BURIED UTILITIES IN AREA
a CALL 48 HOURS BEFORE YOU DIG
a` 1-800-424-5555
FILE
THERE ARE TO BE NO DEVIATIONS
TO THE APPROVED DRAWINGS
UNLESS OTHERWISE APPROVED BY
THE FEDERAL WAY BUILDING DEPT.
CITY OF
FEDERAL WAY
BUILDING PERMIT
I -1 c� Mccl
BUILDING INSPECTION
941-1555
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.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
JIM t)ER AP iwVi-0: rjl\ ktc
VALUATION
ELDI19G DEPT APPROVAL. Kc 10-1--91
PERMIT FEE
PLAN CHECK FEE
UMBING FEE
ECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
0
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 __— 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
DATE —__ BY _._
INSULATION
DATE ....... BY _ _....._
WALL BOARD AND FIRE WALL
DATE - __ BY
FINAL O.K. TO OCCUPY
Q� 2�
DATE r4 _/ BY - 1
DCD
PSD
FD
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