91-100184CITY OF
FEDERAL WAY
BUILDING PERMIT
(�fi I ool'F�lj
BUILDiNu it%,. _ ;TION
941-1555
PERMIT NO. 91-147 OT OWNER'S NAME BELOIT CORPORATION JOB ADDRESS 34320 PACIFIC HWY S
CONTRACTOR HURLEY ENGINEERING ADDRESS
302 E 26 ST TACOMA CONT. PHONE
CONT. REG. NO, HURLEET341LD 7/92 OWNER'S
PHONE 927-2200 OWNER'S ADDRESS SA14E AS SIT}.'',
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 INSTALL 1,000 GALLON OIL TANK
TAX ACCOUNT NO. 122050-0110
LEGAL DESCRIPTION S 380 FT OF THAT POR OF THE SE I OF NE
OF SEC 20 TWP 21 N RANGE 4 E
WM IN KING CO
ISSUED BY ELIZABETH SNYDER
i
DATE OF ISSUE ` DATE OF APPLICATION 2/11/91
BUILDING INFORMATION
'ONE NA OCCUPANCY NA
TYPE OF CONSTRUCTION INSTALL OIL TANK BLDG. SQ. 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 TANK(S)
SHOWERS URINALS
-
FORCED AIR FURNACE _ AIR HANDLING UNIT _
NUMBER _
LAVATORIES DRINKING FOUNTAINS
_
GAS HOT WATER HTR. MISC OIL TANK 50.00
SINKS MISC. _
CONVERSION BURNER BASIC FEE 20.00
RETURNED
DISHWASHERS _ TOTAL FIXTURES NONE
UNIT HEATER TOTAL MECHANICAL Z_0._QQ
AMOUNT NONE
VALUATION $NONE
BLDG DEPT
APPROVAL = KEVIN ELLIS
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE _$%O_r_____ =___OO
TAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
DATE:
WATER SERVICE -_
WATER MAIN CHG. -
AMOUNT:
$70.00
S.B.C.C. FEE
OTHER FEES
RECEIPT:
AMOUNT DUE $70.00
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 B ET
�` `
�/
OWNER OR AGENT`+'
DATE_C
CITY OF
FEDERAL WAY
BUILDING PERMIT BU"°'94 !N55ECTION
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
BLDG DEPT APPRWVA-TT, KvVIN RLLIS
PERMIT FEE
PLAN CHECK FEE
UMBING FEE
'CHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW,
;
WATER SERVICE
WATER MAIN CHG.
n��
>�70.Q�
r
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 FOOTINGSSj
DATE__...._ ,5 BY /�
OX TO POUR FOUNDATION WALLS
DATE `, ZBY
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
i
DATE _ / IV
DCD
PSD
FD
L'
J -D Ormit #
rn i 1991 CITY OF FEDERAL WAY
-04Ya►=Fr:P,RALWABUILDING PERMIT APPLICATION
BUILDING DEPT.
— Please Print —
BOX 1 TENANT NAME:
OWNER ,FLo i T eP. SITE LOCATION
OWNER'S ADDRESS 3o S. CITY 5KA:4c� PHONE 1102 7 - .720
DESCRIBE JOB NST,�c /Ooo 6;,-.y4 . mie T�-Ue
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Z7/ -V -
y ,er✓E eo • CONTRACTOR'S REG. # // 4,P_L EE r 3LQ
Card MUST be presente
CONTRACTOR'S ADDRESS � /� a CITY �� . PHONE
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 /r2,e/ C5 104 /1 S PHONE 56� 7- a D
BOX 4 SEWER DISTRICT U,9AIZ WATER DISTRICT �E17r'�.5� Z. w 4 X
BOX 5 ESTIMATED PROJECT COSTf9 ®®fl EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER / -C
LEGAL DESCRIPTly Sou -TN 3.eo FT
Df SEG o _ PC, / 'f ?/ ') . k*di E
o SD -0 i
pT T 114r
Ei WM .L.0
i O ru
(If necessary, please submit a separate page with the legal description.) 90
K.C. Plat Recording #
5 F'. %u o` N
T4 -le L y o FSTi)Lrr Hwy
f r N-vS 7"11C S, 30 Fa':
" W / J0 C'C? r v/
-ace r s
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = )
( ) COMMERCIAL/INDUSTRIAL
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY
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
$
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 ATTOMEYS'
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 EMPLOYf_ES,jJPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
/y
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
FIRE DEPARTMENT APPROVAL
REMARKS:
Cl 7 rr:
DA
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES.D/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENA 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
BUILDING DEPARTMENT REMARKS:
ECEIVED
'EB 1 1 1991
OF FF_C)E tAL WAY
lUILDING DEPT.
RECEIVED
ASSIGNED ADDRESS: )e --y- S-1 ( 5+
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
t
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE v ` u C�
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE
ACCEPTED FOR FILING