91-100195CITY OF
FEDERAL WAY
BUILDING PERMIT
BUILDING INSPECTION
941-1555
PERMIT NO. 91-160 MH OWNER'S NAME
DORIS KELLOGG
JOB ADDRESS 1660 S 333
ST #20
CONTRACTOR PETE' S TOWING
ADDRESS 21841 PACIFIC HWY
S SEATTLE
CONT PHONE824-2811 _
CONT. REG. NO. PETERNC243M8 7/91
OWNER'S PHONE 839-0822
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 SET-UP MOBILE HOME
TAX ACCOUNT NO. 797820-0081
LEGAL DESCRIPTION LOT 16
OF STATE PLAT IN SEC 16-21-4
T.F.SS SO 150'
OF W 2001
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE
` DATE OF APPLICATION 9.113191
BUILDING INFORMATION
ZONE RM3600 OCCUPANCY R-3 TYPE OF CONSTRUCTION
BLDG. SQ. FT,_ 679 -
SET 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 FIXTURES
NONE- UNIT HEATER
TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION $2,956. OO
PLANNING DEPT APPROVAL =
CORY SMITH ON 2/19/91
PERMIT FEE _ $534-00
PLAN CHECK FEE Sri _�O
LUMBING FEE
FIRE/BLDG DEPT APPROVAL=
KEVIN ELLIS ON 2/19/91
CHANICAL FEE
TOTAL BLDG. FEES
PART RFEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CEG.
rl
DATE PD ' AMT
REC' T�--
S.B.C.C. FEE 4.50
OTHER FEES
AMOUNT DUE $93 . SO
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:
AGENT
% v7� fZ
OWNER OR
DATE DATE
CI 9 Y OF
FEDERAL WAY
BUILDING
PERMIT
01--ir c.Y-}
BUILDING INSPECTION
%V1140
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----
THER___TAX
TAXACCOUNT 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
7 o
VALUATION
,,,A1'w+4T�Gv DEPT A€'PROVAI CORS: SMTP ON 2/19/91
PERMIT FEE
_
PLAN CHECK FEE
PLUMBING FEE
--
r"IRF/BLDG DEPT APPROVAL- KNIT 3"IS ON 2/1419
9
MECHANICAL FEE
TOTAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
DAT -PD
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
tiL � Ciie41-Kw-, _ iLe//2//^ L
G5
DATE 0-K-1 BY -1-71-1411- -_
F(lI1NDATION WAi i S
DATE 3-/G^�12 BY /Y�_..._
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
QATE 3✓/�" �� � BY
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RECEIVED
FEB 13 1991
E
rmit # 9�-ac / N
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
OWNER ".c t i S .f4 SITE LOCATION
OWNER'S ADDRESS CITY ii %erkaI Lt)e 41K -"PHONE 3z<l -
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG.
x CONTRACTOR'S ADDRESS �l CITY '75 PHONE
EXPIRATION DATE
—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 � L=L -1=i` -•1 - (—�Lt_ PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER C
X LEGAL DESCRIPTION _ Lo -� / ` v V 0S -t
-- i 17 a --
Les s s s -a 1= -t r--7-
(It necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # - e
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR, i7 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (V SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -
N0. ATERCLOSETS
—ATHTUBS
TORIES
SINS
DISH ASHERS
ELECT C HO WATER HEATER
LAUNDR SHER OUTLET
URINALS
_DRINKING 0 T
SUMPS, RINK
DRAT
OTHER
TOTAL FIXTURES
AINS
R VACUUM BREAKERS
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0._ FUR CE, ELEC. GAS
$
GAS T WATER HEA ER
$
CON VE ION BORNE
$
BOILER, IZE BTU
$
AIR HAND ING U TS
$
HEAT PUM , S E
$
UNIT HEATE
$
AIR COOLIN NITS, SIZE
$
COMMERCI L OD
$
OTHER
$
S
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 ACC RACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: -,ti; 7 DATE: �J�— /�� /
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE -BELOW THIS LINE)
ZONE_ . SETBACKS: FRONT N I, SID A REAR HEIGHT LIMIT t✓��
PLANNING DEPARTMENT APPROVAL _ .2 - /lr ~ S/
REMARKS:
SEPA: EXEMPT ,A NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATEr`=��
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL d_1 A
S CSG
DATE
REMARKS:
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT
NEW INDUSTRIAL IND. ADD/ALT
OTHER FEES
NEW COMMERCIAL COMM. ADD/ALT
NEW MULTIFAMILY
(UNITS )
MULTIFAMILY ADD/ALT TENANT IMP.
OTHER
OCCUPANCYTYPE OF CONSTRUCTION
STORES
d BUILDING SQ. FT.
@
S',
336 6)
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
BUILDING SQ. FT.
@
@��
_
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
ECEIVED
F E B 13 1991
Y OF FEDERAL -WAY
BUILDM DEPT
RECEIVED
ASSIGNED ADDRESS: Sem- 42-K (
Amount _
BY
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
S CSG
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
Receipt #
BUILDING DEPARTMENT APPROVAL q
DATE 2- rq - l It
ACCEPTED FOR FILING
S Zn
_... CITY ry: FEDERAL WAY
BUILIANU DEPARTMENT
UMBER ______ -q
p
DATE APPRO EDZ- � / _�
DAI L -- : `ED_2 -j-a-J � I
APPROVED
FILE
Lz�"
THERE ARE TO BE NO
TO T HE APPRCV!FD
UNLE-33 OTHERWIz�• APPRL
THE FEDERAL WAY gUliu.NJ
DEPARTMENT.
FEB 13 199,
.j.V 01�.D NG DEPT AY
gUl
CITY OF FEDERAL WAY
BUILDING DEPARTMENT
NOTICE
ADDRESS 14�' 6 G 5 333 `1h 517- S1/4 CJiyr12C
THIS STRUCTURE/TENANT SPACE IS NOT APPROVED FOR OCCUPANCY
BY PEOPLE OR MERCHANDISE.
coo NOT OCCUPY
YOU MAY CONTACT THE CITY OF FEDERAL WAY BUILDING DEPARTMENT
(PHONE 941-1555) FOR OCCUPANCY REQUIREMENTS.
POSTED THIS % % ' DAY OF j-h.�/� y19 4 jy , 199.2
Building Inspector
DO NOT REMOVE THIS TAG