91-100250t
CITY OF
FEDERAL WAY
BUILDING PERMIT
ci- I[)iba
BUILDING INSPECTION
941-1555
91-212 MH
DETRAY' S PACIFIC HOUSING
2101 S 324TH STREET
PERMIT NO.
OWNER'S NAME
JOB ADDRESS
DETRAY S
PACIFIC HOUSIA9`IESS 3801 PACIFIC AVENUE
OLYMPIA 491-9500
CONTRACTOR
CONT. PHONE
DETRAQH253KH
833-3940
3205 AUBURN WAY N AUBURN WA
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 MOBILE HOME SETUP
TAX ACCOUNT NO. 162104-9037
LEGAL DESCRIPTION LOT 128
BELMOR MOBILE HOME PARK
ISSUED BY JOANNE
JOHNSON DATE OF ISSUE
DATE OF APPLICATION 2-25-91
BUILDING INFORMATION
ZONE RM 3600
OCCUPANCY R3 TYPE OF CONSTRUCTION
VN BLDG. SQ. FT. 1404 SF
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
6,177.60
PLANNING DEPT APPROVAL: C.S.
BUILDING DEPT APPROVAL: K.C.
2-28-91
3-1-91
PERMIT FEE 90._"
LAN CHECK FEE
59.0
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
DATE:
SEPA REVIEW
WATER SERVICE
AMOUNT: $153.50
WATER MAIN CHG.
S.B.C.C. FEE
4.50
RECEIPT:
OTHER FEES
AMOUNT DUE
153.50
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 INFOR
TION FU D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE M T:
\ \
3 IS(i
OWNER OR AGENT
DATE
CITY OF
FEDERAL WAY
BUILDING PERMIT
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
SSUED 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
177.641
ANNING
DEPT APPAL: co so
2-28-93
VALUATION
� .u�M;
t'i;T"T A�1ii P� K.C.
3--1-912
C!
PERMIT FEE
LAN CHECK FEE
LUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
j t
PART P/C FEE
SEPA REVIEW
"'N JIM
3 3
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 PERMIT'S 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 F '" t - -d,-vj_5
DATE 3 �_10--`2 / — BY _hZL,0[__
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 --BY
O.K. TO ENCLOSE FRAMING
DATE
INSULATION
DATE . .....
. ... ...
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE- BY —
DCD
PSD
FD
iif- A10 7- - 17
tl,,J-wyl 1Y7 .4 n
0
O Gc R
o C c—
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: - r O !�>
OWNER - '�r�11� t4Q 1 e�; 7��� SITE LOCATION 1, r , i'�
OWNER'S ADDRESS S^�+. f u.,v tC,' h; CITY P H 0 N -3� 7596
DESCRIBE JOB 6 0 ;A'
!z
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME -
CONTRACTOR'S REG. #
Card AAI IST be presented
CONTRACTOR'S ADDRESS �t)A L 'Z, CITY ' t ` PHONE 4 '1
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 1� ; i t L '\ L
PHONE
BOX 4 SEWER DISTRICT
WATER DISTRICT �Fl tJA�x
BOX 5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6
PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION 1 COE f `•,2 F
t�j til, la . 04 010 4
tv 41zi
(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
(�—Y-11VE—W CONSTRUCTION j C t
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE ' `
tL
( ) COMMERCIAL/INDUSTRIAL
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 ASTO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
FEES INCURRED IN INVEST_ GATION AND DEFENSE OF -SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE Cl Y OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEEF, UPON TH ACCURACY.OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE&4 uoc SETBACKS: FRONT_
PLANNING D PARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT,,�� NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
REMARKS:_
E_ 9- REAR ?✓/1-7- HEIGHT LIMIT A , '
u�-� -2 - -2 F - f/
DATE 3--f— 97
DAT
BUILDING DEPARTMENT REMARKS:
?CWED
,SSIGNED ADDRESS: " ` (S
,mount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
IY DATE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES 14 q
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE O
ACCEPTED FOR FILING
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
OCCUPANC ��
TYPE
OF CONSTRUCTION 1I i(.�
STORES
` CO—(o
BUILDING SQ. FT.
@
S`y
8 Z r=
BUILDING SQ. FT.
@
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BUILDING SQ. FT.
@
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BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
BUILDING SQ. FT.
@_
@
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d wu
TOTAL SQ. FT.
TOTAL VALUATION
1 7 7 ` d
BUILDING DEPARTMENT REMARKS:
?CWED
,SSIGNED ADDRESS: " ` (S
,mount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
IY DATE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES 14 q
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE O
ACCEPTED FOR FILING
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