90-100305CITY OF
FEDERAL WAY
BUILDING
PERMIT
L 16 c
BUILDING INSPECTION
941-1555
90-416
WHITTALL MANAGEMENT 720 S 333 ST
PERMIT NO. OWNER'S NAME
JOB ADDRESS
CONTRACTOR SUPERIOR BUILDERS
ADDRESS 1750 S 327 ST UNIT C-1 FEDERAL WAY CONT. PHONE 874-3647**
CONT. REG. NO. SUPERBILL2D2 3/91
JJOWNER'S PHONE 682-0666 OWNER'S ADDRESS 999 3 AVE SEATTLE
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 "TENANT IMPROVEMENT"
TAX ACCOUNT NO. 926500-0170-05
LEGAL DESCRIPTION LOT 1 OF PROPOSED SHORT PLAT #884049, WHICH IS A
PORTION OF LOT 17 WEST
CAMPUS OFFICE PARK DIVISION 1, AS RECORDED IN VOL 97 OF PLATS PAGES
55-58 INCLUSIVE RECORDED IN ICING CO. _
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 4/23/90
BUILDING INFORMATION
NE NA OCCUPANCY_ B-2
TYPE OF CONSTRUCTION 5-N BLDG. SO. FT._ 1123 OFFICE
T BACKS: FRONT NA -_ SIDE
NA REAR__ __NA_ _ STORIES NA HEIGHT LIMIT NA
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 FIXTURESO�
NE
UNIT HEATER TOTAL MECHANICAL -6--5-0-
AMOUNT NONE
CHANGING DUCTWORK = 6.50
VALUATION $11,364
-EHANG+NG-B9EAT+9N-9F-B+FFHSBRS---6-58
PERMIT FEE $135_00
PLANNINGDEPT APPROVAL = KEVIN ELLIS ON 4/30/90 (NO CHANGE IN OCCUPANCY
PLAN CHECK FEE 88-00
OR USE,
PLUMBING FEE
CHANICAL FEE _ 6-50 _
FIRE DEPT APPROVAL = KEVIN ELLIS ON 4/30/90
TALBLDG. FEES _ $229.5 -0 ---PUBLIC
WORKS DEPT APPROVAL = NOT NECESSARY PER KEVIN ELLIS ON 4/30/90
TP/C FEE
BUILDING DEPT APPROVAL = KEVIN ELLIS ON 4/30/90
SEPA REVIEW
DATE PAID 5 21-U2
WATER SERVICE
WATER MAIN CHG.
AMOUNT PAID
S.B.C.C. FEE 4.50
#
OTHER FEES
RECEIPT
AMOUNT DUE $234.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISS NCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT -S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNI H D BY
REQUIREMENTS WILL�T:
` S 1 I
E IS' TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLIC BLE CITY OF FEDERAL WAY
r
OWNER OR AGENT
DATE" ,
`J
CITY OF
FEDERAL WAY
BUILDING PERMIT BU"°'94 �N55ECTION
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
ONE
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 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 D * J
AMOUNT
VALUATION
•
PERMIT FEE .t.s9-
PtANNIMMEPt APPROVAL - XS9 X ELLIS ON 4/30/90 (NO, CH&M-GE IN CUP ANC
PLAN CHECK FEE
""""'" """ ""!""'
OR USB
PLUMBING FEE
MECHANICAL FEE
r
P=RE DEPT APPROVAL = KMN ELLIS 'f R +4/30) 90
OTAL BLDG. FEES
PUBLIC WOO KS DkPT "PROVAL s Oft Ri.ECEWA.RY PEa REVIV4 &LLIS Ode 4/3C°/90
RT P/C FEE�
LUNG DEPT APPWVAL - MaN ELLIS ON 4/30/90
SEPA REVIEW
TH PAID
WATER SERVICE
*
WATER MAIN CHG.
_
"u PIAID ,;
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
DATE_..
PLUMBING ROUGH IN
DATE -, __ BY - ...
O.K. TO/ENCLOSE FRAMING
DATE (2-��BY GJ
FINAL O.K. T OCCUPY
DATE _ ot BY
a
0
O.K TO POUR FOUNDATION WALLS
DATE ......-- ._.__...._.BY
WATER LINE O.K.
GAS PIPING O.K.___
INSULATION
DATE - .... _ _ BY
DCD PSD
•
PLUMBING GROUNDWORK
DATE - - - - BY
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
DATE �/ BY
FD
CITY OF
FEDERAL WAY
REVISION
BUILDING
PBUILDING INSPECTION
ERM IT 941-1555
TENANT: WHITTALL
PERMIT NO. 90-416 CA OWNER'S NAME WHITTALL MGMT/CllgHMAN & WAIXEkUELD 720 S. 333RD ST
CONTRACTOR SUPERIOR BUILDERS
INC ADDRESS 1750 S. 327TH FEDERAL WAY - CONT. PHONE 874-3647
CONT. REG. NO. SUPERBILL2D2
OWNER'S PHONE 682-0666 OWNER'S ADDRESS 999 THIRD AVE SEATTLE
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. 926500-0170-05 LEGAL DESCRIPTION LOT 1 OF PROPOSED SHORT PLAT #884049 WHICH IS A
PORTION OF LOT 17 WEST
CAMPUS OFFICE PARK DIVISION I AS RECORDED IN VOL 87 OF PLATS; PGS 55-58.
ISSUED BY JOANNE JOHNSON
DATE OF ISSUEDATE OF APPLICATION 5-14-90
BUILDING INFORMATION
NE OCCUPANCY
B2 TYPE OF CONSTRUCTION VN BLDG. SQ. FT.
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)
SHOWER -,i URINALS
_
FORCED AIR FURNACE AIR HANDLING UNIT
NUMBER _
LAVATORILS DRINKING FOUNTAINS
GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC.
CONVERSION BURNER BASIC FEE _
DISHWASHERS TOTAL FIXTURES
UNIT HEATER _._._._. TOTAL MECHANICAL
AMOUNT
VALUATION 9,600
APPROVAL TO EXISTING TENANT IMPROVEMENT PERMIT #90-416 CA
PERMIT FEE _
PLAN CHECK FEE iri _ n(i_
PLUMBING FEE
MECHANICAL FEE
TAL BLDG. FEES
_
T P/C FEE
SEPA REVIEW
WATER SERVICE
DATE: I �'
WATER MAIN CHG.
S.B.C.C. FEE
i
AMOUNT:
OTHER FEES
AMOUNT DUE 35_0_0__
RECEIPT:
CC: FD
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 INFORMATIOPJ FURNISffD ,BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WI L MET--
OWNER OR AGENT
DATE
–:.�,,,�f.�,•.,+�r++r .��..�..:... �5'+�" n.-�.tgsvarev–" �-� . :m,::.�,?®�4pr•s+�::.wA. ..y� ,s•t.�... _�... �...-. •-,..�--.-----�-—�':---..�
FCITY OF
EDERAL WAY BUILDING PERMIT BUILDING 941!N SSECTION
PERMIT NO.
OWNER'S NAME JOB AvDRESS
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
ONE
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 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
APNOVAL TO MXISTENG TXXAIVT IMPANEMENT PI3R1UT
#99-416 CA
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
OTAL BLDG. FEES
RT P/C FEE
�j
SEPA REVIEW
f
WATER SERVICE
DATE1
WATER MAIN CHG.
—� .
S.B.C.C. FEE
—
40i=: ^'�4 r
OTHER FEES
t
AMOUNT DUE
,"I
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
DCD
PSD
PLUMBING GROUNDWORK
DATE BY
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
M
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG. #
' Card MUST be presented
CONTRACTOR'S ADDRES '7 SO � , 3 27 t�Sf CtN' I -<<=Z CITY � ' � �•� PHONE 06
EXPIRATION DATE 3 L/
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SF
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
CONTRACTORS AND
BOX 3 CONTACT PERSON �I cAtO M, S l� �r �` � �` PHONE S`
BOX 4 SEWER DISTRICT r7edCPP-n-( (X3/4v WATER DISTRICT h
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER I - U S
LEGAL DESCRIPTION 1,04 1
Cq I re ccQ iN V�P_7
(If necessary, please submit a separate page with the legal d scription.)sS-SS ;A_jks%fir. KcorJrj
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOORIZN SIG tjSND FLOOR
3RD FLOOR BASEMENT --- / - DECK / GARAGE /cam.
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (`x) EXISTING STRUCTURE a�
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
Ni
0--DISHWASHERS
LAVATORIES
SINKS
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
$
AV
l
RECEIVED
10
~
$
5
CONVERSION BURNER
l
APR 2 19�ss,
$
AIR HANDLING UNITS
CITY OF FEDEPIAL WAY
HEAT PUMPS, SIZE
CITY OF FEDERAL WAY
BUILDINtW; DEPT.
UNIT HEATERS
$
BUILDING PERMIT APPLICATION
AIR COOLING UNITS, SIZE
$
—Please Print
$
BOX 1
OWNER L
fO JOB LOCATION LO 'S
S +�ee
OWNER'S ADDRESS
i.irtA A CITY eh e
PHONE
DESCRIBE JOB
r-UQA12
$
THE PROPERTY IS OWNED BY: SINGLE/ ARRIED PARTNERSHIP
CORPORATION X
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG. #
' Card MUST be presented
CONTRACTOR'S ADDRES '7 SO � , 3 27 t�Sf CtN' I -<<=Z CITY � ' � �•� PHONE 06
EXPIRATION DATE 3 L/
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SF
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
CONTRACTORS AND
BOX 3 CONTACT PERSON �I cAtO M, S l� �r �` � �` PHONE S`
BOX 4 SEWER DISTRICT r7edCPP-n-( (X3/4v WATER DISTRICT h
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER I - U S
LEGAL DESCRIPTION 1,04 1
Cq I re ccQ iN V�P_7
(If necessary, please submit a separate page with the legal d scription.)sS-SS ;A_jks%fir. KcorJrj
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOORIZN SIG tjSND FLOOR
3RD FLOOR BASEMENT --- / - DECK / GARAGE /cam.
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (`x) EXISTING STRUCTURE a�
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
Ni
0--DISHWASHERS
LAVATORIES
SINKS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
ST OF MY KNOWLEDGE AND FU.PTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER -
RM THE WORK FPR WHICP4 PEOMITAPR4-ICATION IS MADE.
/NER/AGENT:
�r!®
ANP -008 2/90
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
$
-%
$
4
--
$
TOTAL MECHANICAL FEE
$
ERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
ST OF MY KNOWLEDGE AND FU.PTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER -
RM THE WORK FPR WHICP4 PEOMITAPR4-ICATION IS MADE.
/NER/AGENT:
�r!®
ANP -008 2/90
N
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS,. FHOW) SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: _
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
ASSIGNED ADDRESS:
RECEIVED
ACCEPTED FOR FILING
PUBLIC WORKS DEPARTMENT APPROVAL
DATE
REMARKS:
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.
- ROOF OTHEfi
OCCUPANCY YS
TYPE OF CONSTRUCTION t ! STORES
D Er— Cf
BUILDING SQ. FT.
(/ Z 3 @ S O . e; 3. G
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ _
BUILDING SQ. FT.
@ r
BUILDING SQ. FT.
0w
@
TOTAL SQ. FT.
7.6
TOTAL VALUATION f ( 3 K272,6
EBUILDING PERMIT N0.
PLAN CHECK FE RECD RECEIPT N0.
PERMIT FEE t 3 S� o
PLAN CHECK FEE - 82. --- PLUMBING FEE - - - - - - - MECH. FEE to SO
TOTAL FEES Z -
v SBCC SURCHARGE Y - 5' ENERGY SURCHARGE AMOUNT DE 'Z3 Y oa
BUILDING DEPARTMENT APPROVAL -------=---------------------
D- +- 3o - 9�
REMARKS:
ASSIGNED ADDRESS:
RECEIVED
ACCEPTED FOR FILING
0 aermit #
CITY OF FEDERAL WAY A cFsI0N
v
BUILDING PERM IT APPLICATION .4/* 1 "F°
— Please Print — PERMTj"�✓tl
BOX 1 TENANT NAME: C,, N j +-` A_ j j li ti c, I r 6--
OWNER
r
OWNER SITE LOCATION
OWNER'SADDRESS 99ci `I`UtA 14,t- CITY_
DESCRIBE JOB Ti .I
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP
'7 Ze
cJ+ PHONE
BOX 2 CONTRACTOR'S NAME
CORPORATION
S t r C t r1-1 t c( c e- r -S - I w C, CONTRACTOR'S REG. #
CONTRACTOR'S ADDRESS 7 �0 S 3 2 7 f� CITY_ �''? 7 PHON
EXPIRATION DATE_�ylq 1
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIA
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. T
k'r(i(!Z_B-Z_
Card MUST be presented
79-1 9-7
CONTRACTORS AND
BOX 3 CONTACT PERSON �H� 113 Z-' e PHONE S 7 `1' 'SC- Y 7
BOX 4 SEWER DISTRICTWATER DISTRICT
BOX 5 ESTIMATED PROJECT COST(3, Obc EXISTING BUILDING VALUATION ' 0, C1V0 , 0 0
BOX 6 PROPERTY TAX ACCOUNT NUMBER 'IZ(-
LEGAL DESCRIPTION LL !e 1L ca(A- -W 128 e) i`s A O- t0A] C (1b
1 7 .�I Cgr�a�S D IFi cc (��r� to �� si.:�� 1- 14s AIS syg�$e< Ss=SB
(If necessary, please submit a separate page with the legal description.) j#J.J ts..'o<,I e -e C_ -c(e o t 4" �.j
K.C. Plat Recording # 5'6'!c`1 `I
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR Z S'C.r /'SS?-' f 2ND FLOOR
3RD FLOORS=_BASEMENT - DEeK=7:=jGARAGE,==�--
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY %0 ComSQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
NO. _ WATERCLOSETS
+_--�BATHTUBS
LAVATORIES
---------SINKS
__.____—DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET /
URINALS "
DRINKING FOUNTTW
SUMPS SPRINKLER VACUUM BREAKERS
[1RAW
OTHER
-____-- TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER --' "
$
CONVERSION�NEf�
$
B0 L€R; "SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE _
$
IT HEATERS
$
AIR UNITS, SIZE
$
COMMERCIAL
$
_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 EMkLOYjFES, UPON T E ACCRACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: I DATE: f `1
ANP -008 3/90
• 6
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE -1 SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVA
REMARKS:
SIDE _,!REAR HEIGHT LIMIT
DA
DATE
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 CONSTRUCTION STORES
BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION 26 o 0
BUILDING DEPARTMENT REMARKS:
ASSIGNED ADDRESS:
Amount
K(s
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
BY DA
PERMIT FEE
PLAN CHECK FEE <'
PLUMBING FEE 6
MECHANICAL FEE U
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ACCEPTED FOR FILING