91-101013CITY OF
FEDERAL WAY
BUILDING
PERMIT
oil- lc)lo/-;�
BUILDING INSPECTION
941-1555
PERMIT NO. 91-1032 MH OWNER'S NAME SYBIL BAUER JOB ADDRESS 2101 S 324TH ST #198
CONTRACTOR DETRAYS QUALITY HOMES ADDRESS
3801 PACIFIC AVE OLYMPIA CONT. PHONE 491-9500
CONT. REG. NO. DETRAQH253KIT OWNER'S
PHONE 927-7384 OWNER'S ADDRESS 2500 S 370TH #146 FEDERAL WAY
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 OTHERMOBILE HOME SET UP
TAX ACCOUNT NO. 162104-9037
LEGAL DESCRIPTION TO 198 BELOR PARR GOLF & COUNTRY CLUB
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE 11 DATE OF APPLICATION 7-19-91
BUILDING INFbRMATION
ZONE RM 3600 OCCUPANCY R3
TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 1344 _
SET BACKS: FRONT 10, SIDE
5v REAR 8 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
SINK -S MISC.
CONVERSION BURNER _ BASIC FEE
DISHWASHERS TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
PLANNING DEPT
APPROVAL: RETAIN SIGNIFICANT TREES ON SITE. MOBILE HOME
VALUr"TION 5,913
SET—UP ONLY --DOES NOT INCLUDE CARPORT. XXDB8-7-91
PERMIT FEE 81
88
FIRE/BUILDING
DEPT APPROVAL: MM 8-7-91
PLAN CHECK FEE
UMBING FEE
CHANICAL FEE _
TOTAL BLDG. FEES
PART P/C FEE _
J
SEPA REVIEW —
DATE:
l/ �/
WATER SERVICE
WATER MAIN CHG.
AMOUNT:
$139.50
S.B.C.C. FEE 4.50
OTHER FEES
RECEIPT:
t2r
AMOUNT DUE 138 _ 5O
'L
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 BEM .
c=-d��
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 —
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-----
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 HEATERTOTAL MECHANICAL
MOUNT
AMOUNT
"3
40111Iw:y(z;LJM4
VALUATION
7 ICI
t=Z,a UP CI * DOE NOT
s�si1"V.c V�`iSri'""LNa..J YYiJY i.�Y1..u1,Jui's
G J111j TTM NG DEPT APPROVAL:
a'u.
Cll.PPLi.T+i . CRfi! ` i;7 ,•'I •••t?
PERMIT FEE
PLAN CHECK FEE
LUMBING FEE
_CHANICAL FEE
TOTAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
TE:
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 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
�EOUIREMENTS WILL BE MET:
OWNER OR AGENT
DATE
0 s
SET BACKS AND FOOTINGS
DATE _`/`�13Y_ 43
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 _ —----_-.__-_ BY
INSULATION
DATE — --- BY — ..._
WALL BOARD AND FIRE WALL
DATE -- ... - BY
FINAL O.K. TO OCCUPY
DATE
DCD
PSD
FD
%/t Vo
3 �
1' - / � - `�' � / £,v [� tv ry > 2 j O • c . /L
�� /l, c' � � L L
1'�Il".�v v,
olem
i�pfi7�
U.E '2 C .4e, -7/4 3C.,
%ZiZ
e" L) ) `7 �1
l0-11T-`ojvr
u
n '
rO.w-
G� r
't 1 ` 000
RECEIVED
AUG 0 1 1991
Ir •
0 Mit # "! -- /'v 32- "/,
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
E: _�LiRCt_... 64u?(Z 2/c) 5 3 �c S /
OWNER c L' SITE LOCATION 1,21t04 ort £
OWNER'S ADDR SS 1S00 _Y7 0Tt Tf 14-(P CITY r� K . W u PHONE 97-7— 7F
DESCRIBE JOB N 'w v*I- fg[- 'S Z4 4-14-7-Z:P"
THE PROPERTY IS OWNED BY. ING MARRIED X PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME � i Je L r " 5 CONTRACTOR'S REG. #� 2.4a r- z -Ts 414--
Card MUST be presented
CONTRACTOR'S ADDRESS 31801 _�Acr-Fce_ 4v4. CITY 0" m4r*- PHONE 49(-45_00
EXPIRATION DATE
WE
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 Q(,L- /C 4e4 -N PHONE 533-394-0
BOX 4 SEWER DISTRICT -f) w4u WATER DISTRICT S Gv<!y
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMB
LEGAL DESCRIPTION LvT #
701
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # - fa��
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOORS J 3 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( EW CONSTRUCTIONaS�O�t
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 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
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
$
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, ANO ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNEO,
AND�FI LED 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:
DATE:
ANP -008 3/90
OFFICE USE ONLY (
DO NOT WRITE BELOW THIS LINE)
� r � ...�.
ZONE h GC SETBACKS: FRONT I SIDE REAR HEIGHT LIMIT r_-'sVer I..x w .
PLANNING DEPARTMENT APPROVAL
REMARKS: �! fiY� aY, v�iZe ,iii 'e l
AM A - . /A-0- H _e i -W /l j-:0,9 /�t.c/J�wrf � an 111 tra
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL % '1 DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVA
REMARKS:
DA
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 TYPE OF CONSTRUCTIONSTORES ewe
fi'.wBUILDING SQ. FT. / 3 Sid! @ J� = 6 l20
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION 1 3
BUILDING DEPARTMENT REMARKS:
IECF,IVED
AUG 01 1991
or, "o 0E� AY
RECEIVED
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
BY &i ,C-Z..AZ /WOU DATE
ACCEPTED FOR FILING
l
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
d'
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
y;v
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL
BY &i ,C-Z..AZ /WOU DATE
ACCEPTED FOR FILING
CIT F FEDERAL WAY
( BU DING DEPARTMENT
ERSONS ARE HEREBY ORDERED TO AT ONCE
STOP WORK
PERTAINING TO CONSTRUCTION, ALTERATIONS, REPAIRS
GRADING OR REGULATED EQUIPMENT
On these Premises at
This order is issued because!
IdAjb s�rf'Fi►r-rizr� zry �a�s�si�
'7C1/ -1'6-32A411 f�'2 /yry /y/I
Sec. 2021e► U.B.C. Office of Building Official
(�o
Posted �U 'C P.M. �'_/ Cf 19GG//_Z By ff-O-Z. AIA/ '
The failure to stop work, the resuming of work without permission from the
WARNING Building Official, or the removal, mutilation, destruction or concealment of
this Notice is punishable by fine and imprisonmerA,.
ANP -005 2/90
l.lty or reueral way
31 130 28th Ave. So.
Federal Way, WA 98003-0
06 PERMIT#
Phone ( 206) 941-1555
Reinspection of Inspection Date
1
Site Address f ��'1 Project
�
J
Contractor � 1 b Phone
Address Zip Code
Applicant (signature) Date
(Print Name) Phone X13 531%
OFFICIAL USE ONLY
Receipt # -3911
PM
Reinspection fee S __($30.00 minimum)
Date Received ( �1 J Reinspection Date
City of Federal Way REINSPECTION APPLICATION
31130 28th Ave. So.
Federal Way, WA 98003-5006 PERMIT#
Phone (206) 941-1555
Reinspection of ����=���"` 7%/i�.�`-''�� Inspection Date
Site Address =?/G/ S.. 3J� �i5' Project
Contractor Atl"I/ S Phone
Address3 �'d ',cir�� /{��iyt Yip �'�� Zip Code
Applicant (signature) a` Date
(Pr int Name) ��CG���r-���v�, Phone �?%e/ - 0,)1 U
OFFICIAL USE ONLY
Reinspection fee $ 3-c's ($30.00 minimum) Receipt #
:7q3,3 -
Date Received l Reinspection Date AM PM
M
;
1'
I _ `C) /
RF-CEIVED
AUG 01 iggi
0jj-y SU
FEL)EFIAL VVA*f
ILDINC, 0EPT
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_
OF F'
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I WAY
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RF-CEIVED
AUG 01 iggi
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ILDINC, 0EPT
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� r9 (
FW—
( -.Li (\.i L
i
At! To M No
p P R,O V E L) D P. K,',
APPRCN�-,�
WAY SUILW►44
1. The mobile home shall display a permane*
affixed Dept of L&I. or H.U.D. insi)edori label.
2. Installation of the mobile home shall be per
manufacturer's recommendations.
3. Provide a)ob ob M of N wida*erer'
§@4 Mwt
FILE
OF F'
'DER "
"SER
I WAY
DEPT
M,
':ITY Y L
"ITY
ENT]
PMENT
/0301
MIA
PERF'
(3-�eL
6vft
10A e
A D UP,
PLA,
OWN"
DATESUBMi—E.D
DATE
PPR0VED
APnRc))VES By
FW—
( -.Li (\.i L
i
At! To M No
p P R,O V E L) D P. K,',
APPRCN�-,�
WAY SUILW►44
1. The mobile home shall display a permane*
affixed Dept of L&I. or H.U.D. insi)edori label.
2. Installation of the mobile home shall be per
manufacturer's recommendations.
3. Provide a)ob ob M of N wida*erer'
§@4 Mwt
FILE
•
0
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
�I,'�Ct1NST M�ONT, ,GE�IEFtAL .,.< s=.�
El bATF
VE;DATE
STATE OF WASHINGTON
1�
DET RAY'
LIT,Y,- HOMES INC=
801 PACIFIC. AVE
L
0 YMPIA 966
F625-052-000 (6-89)