91-101446FEDERAL WAY � BUILDING PERMIT
CITY OF
oil -IDI 00(p
BUILDING INSPECTION
941-1555
91-1406 RA
LOUIS VOELR SR 2101 S 324TH STREET #177
PERMIT NO.
OWNER'S NAME JOB ADDRESS
OWNER
CONTRACTOR
ADDRESSCONT
PHO E
ST1 77 FEDRA]Ix�
CONT. REG. NO.
OWNER'S PHONE 927-0183 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
385061-0043
TAX ACCOUNT NO.
LEGAL DESCRIPTION
SUED BY JOANNE
JOHNSON
DATE OF ISSUE - ` DATE OF APPLICATION
1-0-07-91
BUILDING INFORMATION
ZONE RM 3 - 6
OCCUPANCY
Ml TYPE OF CONSTRUCTION VN
BLDG. SO. FT. 528
SET BACKS: FRONT 20
SIDE 5 REAR_. 5___ __ 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 6,086.78
PLANNING DEPT APPROVAL: CARPORT ADDITION NEEDS TO
HAVE GUTTERS AND DOWN-
SPOUTS TO PROHIBIT RUNOFF
ON TO ADJACENT TRAILER.
PERMIT FEE
90.00
MT 10-14-91
CHECK FEE
59.00
FIRE/BUILDING DEPT APPROVAL: RC 10-15-91
MBING FEE
fCN
HANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
DATE: ( o
WATER MAIN CHG.
S.B.C.C.FEE
4.50
AMOUNT: $153.50
OTHER FEES
AMOUNT DUE
153.50
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:,
(��v
�!`Z
/�
OWNER OR AGENT
DATE
CITY OF
FEDERAL WAY BUILDING PERMIT
'I I — ! r-. I / i cj
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
-.-
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----
IMIT_PLUMBING
PLUMBINGNO.
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
11r.NPPROVAL-
CARPORT ADDITIO-W TO HAWS (9Urk-I ii—S
;U-41) UCr.
VALUATION
SPi ! T TO PROHIBIT .tRTIN(-)Fr M. TO ADxg7
IT TRe1IL;, :
AT 10-14-91
PERMIT FEE
PLAN CHECK FEE
3K.taf l+ulsa:3saii; DEPT APPPOVAT.: KC 10-1.5^g1.
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES _
PART P/C FEE
_
IRED
SEPA REVIEWfl(
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
r,lri3.5 ATc
�,C J?
AMOUNT DUE
V
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:
�pu
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
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 BY
DCD
PSD
FD
`
�/L d G
d l✓
a e-1 i.
� Ve d
RECEIVED
OCT - 7 1991
On OF FEDERAL WAY
QUILDIM oar.
BOX 1 TENANT NAME:
M �
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION //11
— Please Print
OWNER A U'aSITE LOCATION,;—,I
OWNER'S ADDRESS_ U�_So" _3_;z(/7/-/ 5 77 CITY %11�1�- Lc)iiiY PHONE
DESCRIBE JOB -5—,c.�E:
THE PROPERTY IS OWNED : SINGLE/ ARRIEDf��.y�.�'� PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME C961'%1C111___'e ' CONTRACTOR'S REG. #
CONTRACTOR'S ADDRESS
EXPIRATION DATE
CITY
PHONE
Card MUST be presented
—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 A". PHONE `1:,27– C)1o3
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST %Dc'>1>, EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION 4/ ' D t5'
(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 (A SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
:1 •
PLUMBING FIXTURES (including rough -ins)
NO. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
r
UMPS, SPRINKLER VACUUM BREAKERS
RAINS
THER
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, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: UI � ,��i !!!Lk DATE: Z'cq �7" ;7z -
ANP -008 3/90
so
"FICEUSE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE >. • SETBACKS: FRONT 7-0 SIDE REAR S HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL ^-k-
REMARKS: Lcv- o-+ e,4 g ee cis 46 G,vt
4 ccC i
jy u. t ivy ;
SEPA: EXEMPTNOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE /1 REMARKS: -
PUBLIC WORKS DEPARTMENT APPROVAL
REMARKS:
DATE
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: 'Z -
Amount
PARTIAL
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
PERMIT FEE
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
�/�v BUILDING DEPARTMENT APPROVAL
BY 'K DATE �� S
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
OCCUPANCY
/kA, I TYPE OF CONSTRUCTION UN
STORES
BUILDING SQ. FT.
'i Z @
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
TOTAL SQ. FT.
TOTAL VALUATION 6 O t b• M
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: 'Z -
Amount
PARTIAL
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
PERMIT FEE
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
�/�v BUILDING DEPARTMENT APPROVAL
BY 'K DATE �� S
ACCEPTED FOR FILING