90-101634CITY OF
FEDERAL WAY BUILDING
ELECTRIC CITY HOME CTR ADDRESS 4150 B PLACE #105 AUBURN CONT. PHONE 852-4503
PERMIT
BUILDING INSPECTION
941-1555
(4341
TAX ACCOUNT NO. -19600-3410 LEGAL DESCRIPTION LOT 1 THRU7BLOC 31 PLAT BUENNA ADDN LESS SO 15'
INSPECTION REQUEST LINE -946-6794
PERMIT NO. 90-1847 RA OWNER'S NAME GLENN & SHERRY NUTTER JOB ADDRESS 29411 1 AVE S
ELECTRIC CITY HOME CTR ADDRESS 4150 B PLACE #105 AUBURN CONT. PHONE 852-4503
CONTRACTOR
CONT. REG. NO. ELECTCH137DW 3/91 OWNER'S PHONE OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN _ GRADING OTHER RESIDENTIAL ALTERATION/ CONSTRUCT DECK
TAX ACCOUNT NO. -19600-3410 LEGAL DESCRIPTION LOT 1 THRU7BLOC 31 PLAT BUENNA ADDN LESS SO 15'
ESS NO T.
ISSUED BY ELIZABETH SNYDER _ DATE OF ISSUE t bf t i DATE OF APPLICATION 11/30/90
BUILDING NFORMATI N
ZONE _ NA OCCUPANCY M-1 TYPE OF CONSTRUCTION 5-N CR) BLDG. SO. FT. DECK = 1215 SF
ET BACKS: FRONT NA SIDE NA REAR__ NA.___ __ STORIES NA _ HEIGHT LIMIT 30' MAX
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 NONE
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION $ 12, 150.00
PLANNING DEPT APPROVAL: NA
BUILDING DEPT APPROVAL: MIKE MONEN ON 12/06/90
PERMIT FEE $ 144.00___
PLAN CHECK FEE 94.00----
4.00____PLUMBING
PLUMBINGFEE -___
FIRE DEPT APPROVAL: n n n
MECHANICAL FEE
TOTAL BLDG. FEES $ 238.00
PUBLIC WORKS DEPT APPROVAL: NA
ART PIC FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE $4.50
r
�� 1.
'A
OTHER FEES
DATE PAID AMOUNT $242.50 RECEIPT
AMOUNT DUE $ 242.50
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 PPRNI ED BY ME Iq TRUE A CORK TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
>l%
OWNER OR AGENT DATE
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN SSECTION
PERMIT NO.OWNER'S NAME
JOB ADDRESS
LES t+ 4'C
Com"
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------
PPLICATION_ __BUILDING
BUILDINGINFORMATION
ONE _
OCCUPANCY TYPE OF CONSTRUCTION
BLDG. SQ. FT--------
T.—__--_ET
ETBACKS: 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
APPROVAd,
UILDING DFP'i APPFAM : Mitat
vi0ogn ON 12/06/90
PERMIT FEE _
PLAN CHECK FEE
PLUMBING FEE
IRRE DEPT APPROVAL:
MECHANICAL FEE
TOTAL BLDG. FEES
C WORX5 VIE" AL:
NUN
ART P/C FEE
_
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S. B.C.C. FEE
t,,
�R
o' 1,,•%.-...���(iW
�a+{2.tJt%M
OTHER FEES
.%T3.%T3p�ii
__.-.._...�_II_i...
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
DATEBY _ _-......._--._--
OX TO POUR FOUNDATION WALLS
DATE .. BY _-_ -_-._
PLUMBING GROUNDWORK
DATE - _- _ . BY --
PLUMBING ROUGH IN
DATE - BY ------....
WATERLINE 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
DATE J_� �__�_�._-BY ���� __
DCD
PSD
FD
A2�• _ Wermit # d /
7a� CITY OF FEDERAL WAY
��.. ® �A
�� BUI DI G PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: S �% e., �. , A yi _ _ I n n
OWNER r SITE LOCATION S � !� I I t `t'J V `(_L _
OWNER'S ADDRESS Ls-r CITY PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED carr/`gd PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Fledy,c i' CONTRACTOR'S REG. # 4-Iec tc.fl 13 ? DW
Q1
j Card MUST be presented
CONTRACTOR'S ADDRESS 7% S� IRCe �D CITYLLe-1 PHONE'RSR-
EXPIRATION
SR -G/5TJ
EXPIRATION DATE pic_-A
—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 /19e ); SsLA_- Ro55 PHONE g 52 'Z5_6_) 3
BOX 4 SEWER DISTRICT tg Gj4LT 15t*,y,✓ WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST TEXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMB
LEGAL DESCRIPTION Zn�_
(If necessary, please submit a separ to 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 PROPERT 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
RAINS
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
$
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, OPON CURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
•
J
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE 124-W
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
OCCUPANCY
/77 TYPE
OF CONSTRUCTION
Gam' STORES
BUILDING SQ. FT.
�d �S
@
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
_
TOTAL SQ. FT.
�S
TOTAL VALUATION 4-f O
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: SCC_ o4-"-✓ si 0-4e_
Amount
1:37
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
DATE
PERMIT FEE y
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ACCEPTED FOR FILING