91-101596CITY OF
FEDERAL WAY
BUILDING PERMIT
91-10sc1(0
BUILDING INSPECTION
941-1555
91-1567 RA DON
Orr
ADAMS 2101 S. 324TH STREET X04
PERMIT NO. OWNER'S NAME
JOB ADDRESS
CONTRACTOR SOUND EXTERIORS ADDRESS
4720 112TH STREET E TACOMA CONT. PHONE 537-1027
CONT. REG. NO. SOUND141DR OWNER'S PHONE 661-1799 OWNER'S ADDRESS 2101 S 324TH STREET FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL
NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
CARPORT
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN
GRADING OTHER
TAX ACCOUNT NO. 162104-9037
LEGAL DESCRIPTION SE 1/4 OF NW 1/4 & POINTS OF SW 1±/4 AND POINTS
OF NW 1/4 OF SE 1/4 LINE W OF
INT 5.
SSUED BY JOANNE JOHNSON
DATE OF ISSUE i DATE OF APPLICATION 11-05-91
BUILDING INFORMATION
ZONE RM 3600 OCCUPANCY Ml
TYPE OF CONSTRUCTION_____ VN BLDG. SO, F360
SET BACKS: FRONT 2-51 SIDE 3'/18' REAR_ 40' _ 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
PLANNING DEPT
APPROVAL:THREE FOOT SIDE YARD SETBACK MINIMUM REQUIRED. DRIVE
VALUATION 4,150.OR
SHALL BE PAVED. 11-12-91 DB
72.00
P
PERMIT FEE
LAN CHECK FEE 47.00
BUILDNG DEPT
APPROVAL: KC 11-14-91
PLUMBING FEE
MECHANICAL FEE _
TOTAL BLDG. FEES
PART P/C FEE _
SEPA REVIEW
WATER SERVICE
DATE:
r
WATER MAIN CHG.
S.B.C.C. FEE 4.50
AMOUNT
123.50
OTHER FEES
AMOUNT DUE 123-5D_
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:
�I�" ✓�' �G� /
L �. q
OWNER OR AGENT •f �C
DATE
STAY
CITY OF
FEDERAL WAY
BUILDING PERMIT
ciI-1(,Icnf"
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 HEATER TOTAL MECHANICAL
AMOUNT
A
I CT /iii
., y�y��,�y _y y �a/�y 1 7�y,� � ,moi
:issAi tivix ciL � _i i�Y`L iSts VlliJi 3it�s.G Y'xlitlL allies ara" � ETOACK i�al+3i3 v?4
VALUATION
i
SI ALL TRE PAV�'Is %. 11--12--91
PERMIT FEE
PLAN CHECK FEE
DEPT
DE f' "PRO 700.: K47 11-14--91
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
/
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
REQUIREMENTS WILL BE MET:
OWNER OR AGENT
DATE
SET BACKS AND FOOTINGS �,p
DATE / - 3 "?� BY -1Y}
__
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 BY
DCD
PSD
FD
-
2 — —
Ac -7— zellrw lix)AS
AF
CEIVED
NOV 0 51991
Perm #-,/ / – / � 6: 7 R
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1
TENANT NAME: o tti A f)(Ll
S
$
OWNER PC,r..' AIAMS SITE LOCATION
I • P
GAS HOT WATER HEATER
OWNER'S ADDRESS CITY
PHONE 41 41 -/ Z 97
$
DESCRIBE JOB C P-PoP i
$
AIR HANDLING UNITS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP
CORPORATION(
BOX 2
CONTRACTOR'S NAME 5C' c( ,2D n t LR IQIZS CONTRACTOR'S REG. # CVA- 0 �-,; ) q- l D
$
CONTRACTOR'S ADDRESS. 4 �7 4 I Z='� S>� CITY (. C C �� 1.-
Card MUST be prested
PHONE 5'37 I �'��
COMMERCIAL HOOD
EXPIRATION DATE _3i 9
OTHER
$
—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.
TOTAL MECHANICAL FEE
BOX 3
CONTACT PERSON ;,+t --/
PHONE 537-10-L
BOX 4 SEWER DISTRICT E WATER DISTRICT _ %��L
BOX 5
ESTIMATED PROJECT COST EXISTING BUILDING VALUATION 00 —
BOX 6
PROPERTY TAX ACCOUNT NUMBER ' 61 - CIO -i
LEG4 DESCRIPTION /`f a ) `1-4 4 c"j Of -Sv'�
�J!�. J/ nr)
e) n�
(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
BOX 8
( ) SINGLE FAMILY (,X NEW CONSTRUCTION
1�'1
( ) 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, 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
0 i
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEZ ETBACKS: FRONT �5� SIDE J� A8 REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL %y
REMARKS: 0' .a;A--
SEPA: EXEMPT . NOT EXEMPT
FIRE DEPARTMENT APPROVAL
DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
DATE
REMARKS: 41
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 ,441 TYPE OF CONSTRUCTION
STORES
C0.v` fo r t BUILDING SQ. FT.
@
766
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
BUILDING SQ. FT.@
@
_
�0 0 (T(e-r =
O S
TOTAL SQ. FT.
TOTAL VALUATION
y1 So6 B
BUILDING DEPARTMENT REMARKS:
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
PERMIT FEE Z
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
BUILDING DEPARTMENT APPROVAL
BY Ki� DATE I( - I Y— Ii
ACCEPTED FOR FILING
!ffA�i
01L
Y cql(
�o o
- flinchAwAy...
DEPT. OF COMMUNITY D'EVri-OPMENT
4 .
PERMIT NUMBER L— 7, 1 ,4
ADDRESS 2 C u S 2`/�� Sj�`3v `1� N
PLANS FOR
OWNER 'hA
D P,77- DATE APPn L: 14
:)ROV'"j By
0 0
ly/yo zy 4,1.r
I
1111-Y ec,J -,
-� FILE
THERE ARE TO BE NO DEVIAT4s -�#FCFIVE
D
TO THE APPROVED DRAWINGS
*
NOV 0 5 1991
UNLESS OTHERWISE APPROVED BY
. . . .
THE FEDERAL WAY BUILDING DEPT
070 Of- i;EE)ERAL VvAky
SUILD"oG DEM. ,