90-101443qo - [b) q43
w■.�■ w�&mA ■&00% J%T■Alk■
CITY OF
FEDERAL WAY
BUILDING
PERMIT �UILUII�Iu 11�1,1''CLr11VIV
�� ---�
(4 3 4)
Lola " 0
PERMIT NO. 90-1656
RA OWNER'S NAME POLLY BUSCHE
JOB ADDRESS 2101 S 324 ST (SPACE 217)
CONTRACTOR OWNER
ADDRESS SAME
CONT. PHONE 838-8419
CONT. REG. NO. NA
OWNER'S PHONE SAME
OWNER'S ADDRESS SAME
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 CARPORT
AND STEPS TO MOBILE HOME.
TAX ACCOUNT NO. 162104-9037
LEGAL DESCRIPTION BELMOR
MOBILE HOME PARK SE 1 OF NW A OF AND PORTIONS
OF SW 1 OF NE a AND PORTIONS
OF NW a OF SE I TYING WEST OF T-5
SUED BY ELIZABETH
SNYDER DATE OF ISSUE I A
j
DATE OF APPLICATION 1 n / 1 5 / 9 n
BUILDING INFORMATION
ZONE RM 3600
OCCUPANCY M-1 TYPE OF CONSTRUCTION
5—N CARPORT BLDG. SQ. FT 225 GF
SETBACKS: FRONT 161
SIDE 1' EACH REAR_ 5
STORIES NONE _ HEIGHT LIMIT NONE
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)
SHOOERS
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
$2,790_00
PLANNING DEPT APPROVAL = BILL KINGMAN ON 11/6/90 (SETBACKS ARE FOR
CARPORT AND STEPS ONLY. NOT FOR RESIDENTIAL STRUCTURES.)
PERMIT FEE
54.._10_
N CHECK FEE
35 OO
JMBING FEE
BUILDING DEPT APPROVAL =
KEVIN ELLIS ON 10/29/90
MECHANICAL FEE _
TOTAL BLDG. FEES
$89,00-
89_00PART
PARTP/C FEE
_
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
4.50
Alo-
OTHER FEES
DATE PAID ' ' L�
AMOUNT $93.50 RECEIPT
AMOUNT DUE
93.50
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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE M -ET:
OWNER OR AGENT-1�1 A� /i tJ7—� DATE
a
1
CITY OF
FEDERAL WAY
(434)
BUILDING
BUILDINGTNSPEC,T, LOf4
PERMIT�,_�55
Ir (` 414
PERMIT NO. 90-1656 RA ! OWNER'S NAME PO.LLY BUSCHE JOB ADDRESS 2101 S 324 ST (SPACE 211)
CONTRACTOR OWNER
ADDRESS_ SAME_ CONT. PHONE 838-8419
CONT. REG. NO. Nle.
OWNER'S PHONE— _SAME OWNER'S ADDRESS SAME, _
TYPE JOB: NEW RESIDENCE ADDITION__ NEW INDUSTRIAL____ NEW COMMERCIAL COMMERCIAL ADD._ INDUSTRIAL ADD.___ NEW PUBLIC PUBLIC ADD. ..
NEW MULTIFAMILY (UNITS ) MULTI. ADD.
SIGN GRADING__ OTHER_ CAjRPM_AXD_STf,,PS TO MOBILE. HOME: _
TAX ACCOUNT NO. 1.62104-9037
LEGAL DESCRIPTION BEMOR MOBILE HOPI;__ PARK SE } OF Nt�T � O � AND P�F_TTOi,?;;
OF SW } OF NE__�L_AND_kNS OF lAl OF SSE } LYING WEST OF T-5 _
ISSUED BY ELIZABETH SNYIVER
_ DATE OF ISSUE�
—___ DATE OF APPLICATION
BUILDING INFORMATION
ONE RM 3600 __ OCCUPANCY__ M-"1
_ TYPE OF CONSTRUCTIONi--M (TRP RI __ _ BLDG. SO. FT 225 SE _.
SET BACKS: FRONT 16' SIDE___
1' EACIi REAR 5 � _ STORIES MON_E _ HEIGHT LIMIT NONE _
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 ALONE _
VALOATION 2-129-0-10 0
'
PLANNING DEPT APPROVAL — LILT, KING77ATI ON 11/6/90 (SETBACKS ARE FOR 'r
CARPORT AND STEPS ONLY. NOT FOR RESIDENTIAL STRUCTURES.)
PERMIT FEE 554-00
PLAN CHECK FEE 35.00
PLUMBING FEE
BUILDING DEPT APPROVAL = KEVIN EL.LIS ON 10/29/90
CHANICAL FEE _ _
OTAL BLDG. FEES $139.00
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4.50
OTHER FEES
J_
DATE PAID _'� AMOUNT $93.50 I2EDEIPT_ 1
AMOUNT DUE $93.50
_ — _
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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
If
OWNER OR AGENT `�_`
' ' DATE
OF
BUILDING
OWNER'S NAME JOB ADDRESS :Y'd t. 11
PERMIT
BUILDING
941 �N 55EC4TION
FCITY
EDERAL WAY
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.
ESCRIPTION_
LEGAL DESCRIPTION---
ISSUED BY
ISSUED
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
NE
PERMIT NO.
OWNER'S NAME JOB ADDRESS :Y'd t. 11
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.
ESCRIPTION_
LEGAL DESCRIPTION---
ISSUED BY
ISSUED
DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
NE
OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT
T BACKS: FRONT
SIDE REAR_ STORIES HEIGHT LIMIT
— -
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATERGAS
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
.'19t%.lzi
IANNIA�v DZPT APM..,VAL - DILL RINGWM ON 11f61/90 WRTRAMS ARE TOF
CAIM16R ' AND STEPS OW.Y . Mn MR RESIDENTIAL STRUC UPtE. S . j
.
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
- -
BUILDING ULT APPPM'AL .= KEVIN EL,LIS ON 10/29/90
MECHANICAL FEE
10TAL BLDG. FEES
RT P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
-
¢ '
DAMP PATI), li �` .. .,/ ( �l �/ . 8 RMR'c� t .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 _
a a
SET BACKS AND FOOTINGS
DATE _%' Lf BY _
O.K TO POUR FOUNDATION WALLS
DATEBY
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
DATE BY
DCD
PSD 7FD
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LA 1ZP
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RECEIVED
Perm #U
OCT 15 1990 CITY OF FEDERAL WAY
CITY OFF'EDt^HALWAY BUILDING PERi1AiFT APPLICATION
BUILDING DEPT. — Please Print —
OWNER t2-//Vche, SITE LOCATION
OWNER'S ADDR S§,,Ai �_ -324 — S f . CITY t (era / rr PHONE 4354
DESCRIBE JOB ', t; :7
THE PROPERTY IS OWNED BYFSINGL E
ARHID PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME C, C I , r, Q JL 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 Pe )1 . A. iizie,4 ,
GAS PIPING, FEET
PHONE 'L3L J Y/ X
BOX 4 SEWER DISTRICT f 7,1z r,� % lav
WATER DISTRICT l cd w
GAS HOT WATER HEATER
BOX 5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
OPP
BOX 6
PROPERTY TAX ACCOUNT NUMBER 6% ` G3'
$
HEAT PUMPS, SIZE
$
LEGAL DESCRIPTION , ~� 6 r✓ c in e–
rk S E- Z/ r f A0) /c' 4 sync
'9-r �1j) o'f'N�
$
COMMERCIAL HOOD
$
OTHER
$
(If necessary, please submit a separate page wi h he legal description.)
K.C. Plat Recording #
BOX 7
BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST
FLOOR to 2ND
F
3RD FLOOR / BASEMENT /
DECK
BOX 8
( ) SINGLE FAMILY ( )
NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( )
EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY
SQ FT
:w -
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, 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:
DATE:
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE ., '}' REAR S HEIGHT LIMIT
PLANNING DEPARTMENT APPROVA ks — -T"
REMARKS: _ V.CTO2E
►i_/_-qf)- j2l_,
SEPA: EXEMPT - NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
30(
DA
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALTNEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION �S� /✓ STORES
BUILDING SO. FT. ZZS @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @h
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION Z SS, -2-
BUILDING
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: S %-7—e e?C ( S '- f
PERMIT FEE
S ` ev
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
o
SEPA REVIEW
G
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL q
BY DATE ��� —7
ACCEPTED FOR FILING