92-100235CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
C� <-D- - I a5
BUILDING INSPECTION
661-4140
PERMIT NO. 92-181 FSS OWNER'S NAME MOON'S
TERIYAKI/DELI SITE ADDRESS 33501 PACIFIC HWY S
CONTRACTOR THE
SAFETY TEAM ADDRESS
670 S LUCILE ST SEATTLE CONT. PHONE 762-1450
CONT. REG. NO. SAFETTI11OR6 EXP11/92 OWNER'S PHONE NA OWNER'S ADDRESS SAME AS SITE
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL
NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD._
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN
GRADING OTHER INSTALL FIRE SYSTEM IN KITCHEN HOOD
926503-0010
TAX ACCOUNT NO.
LEGAL
DESCRIPTION
ISSUED BY ELIZABETH SNYDER __
DATE OF ISSUE DATE OF APPLICATION 2/5/92
BUILDING INFORMATION
ZONE NA
SET BACKS: FRONT
SIDE REAR HEIGHT LIMIT
CCUPANCY
TYPE OF CONSTRUCTION 5-N
CENSUS NO. O/►S TYPE OF HEAT BLDG. SQ. FT. STORIES
PLUMBING
NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
_ DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS
MISC.
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES NONE
DRYER TOTAL MECHANICAL NONE
AMOUNT NONE
$750.00
VALUATION
_
FIRE DEPT
APPROVAL = KEVIN ELLIS/PAT KETTENRING
$21.00
PERMIT FEE
14.00
BLDG DEPT APPROVAL = KEVIN ELLIS
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
PART P/C FEE
PA REVIEW
PUBLIC WORKS
4.50
S.B.C.C. FEE
17.50
FIRE FEE
DATE:
$57.00
OTHER FEES
$57.00
AMOUNT:
AMOUNT DUE
RECEIPT:
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-
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO.
OWNER'S NAME
SITE ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER's ADDRESS
TYPEJOB: 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
NE
SET BACKS: FRONT SIDE
REAR HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT
BLDG. SQ. FT. STORIES
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT.
AMT. BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT.
GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE
DUCT WORK
SHOWERS
URINALS
GAS HOT WATER HTR.
AIR HANDLING UNIT NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER
MISC.
RETURNED
SINKS
MISC.
BBQ
BASIC FEE
DISHWASHERS
TOTAL FIXTURES
DRYER
TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
CHANICAL FEE
ART P/C FEE
SEPA REVIEW
PUBLIC WORKS
ul
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:!
DATE
AMOUNT DUE
RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ON EAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND THE APP ICABLE 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 _ _....._ BY _..-.____..-......
WATER LINE O.K. _... .... _...-___..... ..-_.
GAS PIPING O.K. -_..__
MECHANICAL INSPECTION
DATE
O.K. TO ENCLOSE FRAMING
DATE _ __ BY .. _
INSULATION
DATE _ BY -.._
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE�r�j
� �..1 (...Y BY C � _____
DCD
PSD
FD
RECEIVED
FEB 0 5 1992
OM OF FEUeRAs. wAv
WILDW IQEPT.
aermit # 9" -- /'�-/ FS 5
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: I V \)(0 I j I S lls(ZI`; NC -1 I ,,
OWNER SITE LOCATION 3'_-S Sid 1 YID l
OWNER'S ADDRESS CI Y P E
DESCRIBE JOB I C C S MnI t�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP__ CORPORATION
CONTRACTOR'S ADDRESS
EXPIRATION DATE
CITY S(SATTlG_ PHON
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. r
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 91Z(o
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
:1 •
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
$
COMMERCIAL HOOD
$
THER
$
nr rfq
va'- $
i) W - TL.
ISYu Hwo
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 FEDERAU AY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UP N THE CCU ACY OF THE INFORMATION SUPPLIED TO TH CITY S A PART OF THIS APPLICATION.
OWNER/AGENT: DATE:
2 � Z
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LfiVE)'"'`
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: 1 �dl
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL �� -" _: DATE Z
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
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 LvA cL `ILP—S G
OCCUPANCY TYPE OF CONSTRUCTION V Al MTORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION �y
BUILDING DEPARTMENT REMARKS:
what've
RECEIVED
ASSIGNED ADDRESS: St_, C, e_
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
PERMIT FEE Z(
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE C
OTHER FEES -D Fe-' 7• Sa
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL Q
BY DATE
ACCEPTED FOR FILING