91-100155CITY OF
FEDERAL WAY
437
BUILDING PERMIT
BUILDING INSPECTION
941-1555
91-138CA
MATRIXX 33310 PACIFIC HWY S
PERMIT NO.
OWNER'S NAME JOB ADDRESS
BILL'S LANDSCAPE 16816 SE RENTON ISSAQUAH RD RENTON 227-9241
CONTRACTOR ADDRESS CONT. PHONE
BILLSLG186BK 7/91 227-9241 SAME AS CONTRACTOR
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.
TENANT IMPROVEMENT (COMMERCIAL ALTERATION)
NEW MULTI -FAMILY (UNITS
) MULTI. ADD. SIGN GRADING OTHER
797820-0025 TRACTS5-8 AND THE W 130.5' OF THE NO. 335 FT
TAX ACCOUNT NO.
LEGAL DESCRIPTION
OF TRACT 15, ALL IN ST. PLAT IN SEC 16, TWN 21, R 4 EAST
WM AS PER PLAT RECRD IN VOL 41 OF PLATS ON PG 30 KING CO.
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE —) — —) 7 '�Z_ DATE OF APPLICATION 2/6/91
BUILDING INFORMATION
ZONE CC
OCCUPANCY A-3 TYPE OF CONSTRUCTION 5—N BLDG. SO. FT. 4,231 SF
SETBACKS: FRONT 20'
SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 4
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 3
MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS
TOTAL FIXTURES (7) X$5-00
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT —NOME
VALUATION $43.8-4-1.0
PLANNING DEPT APPROVAL=BILL KINGMAN ON 2/7/91
PERMIT FEE $17
6 _ 0-0—
nPLAN
PLAN CHECK FEE gad
_ nn _
(ANY SIGNAGE REQUIRES SEPARATE SIGN PERMIT)
PLUMBING FEE
35 nn __
MECHANICAL FEE
TOTAL BLDG. FEES $ 6
9 n 0_0L_
BLDG/ FIRE DEPT APPROVAL=KEVIN ELLI S ON 2/13/91
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4-50
OTHER FEES FIRE D_ 18-80
')
% `;
DATE PD AMT REC' T
AMOUNT DUE $678-30
_
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 "/ Zi:�
2iL�s2 DATE
or
CITY OF FEDERAL WAY
Permit #�(:)1-3F� �—
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: IT -
OWNER \K-i� amil �� t'uc-2 SITE LOCATION +Pbe,/,e, Hu L(, S.
OWNER'S ADDRESS _ / CITY PHONE
DESCRIBE JOB 'n,jm ey-c-s- "` P__
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNER HIP CORPORATION
BOX 2 CONTRACTOR'S NAME sr cc�P ,Wd�Ka4a/ CONTRACTOR'S REG. # tL "5L <� � �(��i�
Card MUST be presented
CONTRACTOR'S ADDRESS ITY ,,j4,r-�� PHONE V - 27 S'_>LJ /
EXPIRATION DATE 77 la e flAaA 'kd,
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO INITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONE, . 7 %: `/
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION ' -
BOX 6 PROPERTY TAX ACCOUNT UMBER M 7 P -6-2O C7 oaks-_ -, r)
LEGAL DESCRIPTION C J ,
(Ifnecessary, please submit a separate page with the legal description.) p.fccfVo/�Yi v,� /u-� 07"cK.C. Plat Recording # P`` � 3a � °� od )Ctz O 6,
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR -,/Q_4>/ _4>/ / yQ 51 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
SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES
— BASIC FEE $
NO. - WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. FURNACE, ELEC.
GAS $
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
3 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
$
XS 39- G 2
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/AGENT:
DATE:
ANP -008 3/90
s -
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE (,L, SETBACKS: FRONT AOS SIDE S��REAR rd HEIGHT LIMIT 3dr
PLANNING DEPARTMENT APPROVAL .2-'7 ' 91" 0!5�IC-'
REMARKS: RNY SI4NA46- P�f u- .E5 SEPtTP-*q?5 f 'Is14/j P��inlT�•
SEPA: EXEMPT— NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE Z
REMARKS: , '_
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: 66,
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
37C
NEW COMMERCIAL COMM. ADD/ALTS. NEW MULTIFAMILY
(UNITS )
PLUMBING FEE
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
MECHANICAL FEE
o
TOTAL BLDG. FEES
OCCUPANCY TYPE OF CONSTRUCTION
I/Al
STORES
SEPA REVIEW
tdrI caw. BUILDING SQ. FT. �iZ. 3 (
@
S(� �� O =
Z ( C -S—''50
" BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
L-0
BUILDING SQ. FT.
@
teaT-q_
0
TOTAL SQ. FT.
TOTAL VALUATION
Y3 ° 3 3, (c,
BUILDING DEPARTMENT REMARKS:
vo
ASSIGNED ADDRESS: Ste- X t
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
37C
PLAN CHECK FEE
2 -
PLUMBING FEE
MECHANICAL FEE
o
TOTAL BLDG. FEES
6 T
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
' SG
OTHER FEES FC
/ z - $ o
AMOUNT DUE
618, 30
C-7S.3f
Receipt #
BUILDING DEPARTMENT APPROVAL
BY w DATE 0—
o�,� 51991
ACCEPTED FOR FILING
rolm
�M�=
40
7
Sao
S. 333RD. ST
o
VIW
!�
0
I
Q
s
0
Z
r
LLA
n
8603024
0 l
z
-27L_S
U
2
�
v
�
lye � R. so v 6
U
gQ5 s>s
Q
5
00
�
h
3
¢
/*j
�M�=
40
7
Sao
S. 333RD. ST
o
NO/c.• Th/;1 �rio� /s 6gscd orj �uI7/`y Ers9. fs%s �.
0
r
LLA
n
8603024
0 l
,Gg\200n5
-27L_S
2
lye � R. so v 6
gQ5 s>s
9
jO�J 90030
5
00
3
¢
/*j
CIOpcdQ �
v 8y.410
r
0050
a
o
n
v ;54/
B-Ao ,a
�
a
\
r
Z W
v9�,i0 a Q
g7.4)0
0
0 N.
\
N
�
0
N /O N
0�
0096°
9o�10 1�Byglo
�1eo//O,
SO LS zS /OD. SO
1310.70—
NO/c.• Th/;1 �rio� /s 6gscd orj �uI7/`y Ers9. fs%s �.
CITY OF
FEDERAL WAY
BUILDING IN 55ECTION
BUILDING PERMIT
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 % i
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
DEPT APPROVA -RI ,L KINGMAN 014 42/7/91
PERMIT FEE
PLAN CHECK FEE
ANY -SIGNAGE REQUIRES SEPARATE Sri CM PENT -
PLUMBING FEE
MECHANICAL FEE _
TOTAL BLDG. FEES
R� 1 /j• e?z' "T" APPR.MvA1mv"'t?Trx rLLIS 01 2/13/91
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 ._ _----__.._-.-_BY _—..-
OX TO POUR FOUNDATION WALLS
DATE ...... ........ .—..__....BY
PLUMBING GROUNDWORK
DATE _--_
PLUMBING ROUGH IN
DAT E..-3_ra I( BY 1�_ ._ ...
WATER LINE O.K. _.... ... _
GAS PIPING O.K._-._..__... .... —_..._.._
MECHANICAL INSPECTION
DATE _ __BY
O.K. TO ENCLOSEFRAMING
j
DATE ..-��(/BY %�"' —
INSULATION
DATE _ BY __—....._
WALL BOARD AND F RE WALL
DATE BY __��_
FINAL O.K. TO OCCUPY
DATE /J1BY
DCD JPSD
FD
3 ra- N61 �I
kn .fie