91-100588CITY OF
FEDERAL WAY
BUILDING PERMIT
BUILDING INSPECTION
941-1555
PERMIT NO. 91-558 MH
OWNER'S NAME FRANK BARBATTO JOB ADDRESS 1660 S 333 ST #24
CONTRACTOR SEATAC HOMES ADDRESS POB 68397 SEATTLE 98168 CONT. PHONE 243-1200
CONT. REG. NO.
OWNER'S PHONE 784-1466 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 MOBILE HOME INSTALLATION (COMPT.TANrF. TSSiJF)
TAX ACCOUNT NO. 797820-0081
LEGAL DESCRIPTION CHARWOOD MOBILE HOME PARK SPACE 24
ISSUED BY ELIZABETH
SNYDER DATE OF ISSUE DATE OF APPLICATION 5/1/91
BUILDING INFORMATION
NE RM 3600
OCCUPANCY R-3 TYPE OF CONSTRUCTION S -N _ BLDG. SO. FT. 790
SET BACKS: FRONT 51
SIDE 5' REAR___ 5 _ STORIES ONE HEIGHT LIMIT 30 • MAX _
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
HWASHERS
TOTAL FIXTURES NONE.
UNIT HEATER TOTAL MECHANICAL NONE—
AMOUNT NONE
AQUATIC $3,168
_ on
PLANNING DEPT APPROVAL = BILL KINGMAN ON 5/14/91
PERMIT FEE $6-1
On
PLAN CHECK FEE 41-00
FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS ON 5/20/91
PLUMBING FEE
WCHANICAL FEE
PUBLIC WORKS DEPT APPROVAL = PEARL KRONSTAD ON 5/20/91
AL BLDG. FEES
PART P/C FEE
"PROVIDE MINIMUM SETBACKS PER 1988 UBC TABLE 5 A. THE BUILDING
SEPA REVIEW
INSPECTOR SHALL MAKE ANY CHANGES REQUIRED BY THE 1988 UBC AND RELATED
WATER SERVICE
ORDINANCES "
WATER MAIN CHG.
S.B.C.C. FEE 4.50
OTHER FEES
DATE PD l AMT $108.50 REC' T
AMOUNT DUE 108.50
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:
,/�_
n 4,tf_Le`� .�.+
/ - ��
OWNER OR AGENT
d%' DATE
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN 55ECTION
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.SQ.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
VALUATION
DT. APIW AL 'I T,''_ '- kVWTM>A a' i . c j 1 4 s t; 1
PERMIT FEE
PLAN CHECK FEE
- 1
FEE
�LUMBING
CHANICALFEE
TOTAL BLDG. FEES
PART P/C FEE
` f",��.i3': .�aT S Sr►1.,�I.i' s%!"11
SEPA REVIEW
WATER SERVICE
�7rx
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
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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
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: AC.11 A/ 1 `� /`,'/� %1 �y / ,? n n ?73 Y --
OWNER ' SITE LOCATIONP,
OWNER'S ADDRESS _ CITY /1�_
DESCRIBE JOB , _f,
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP
BOX 2 CONTRACTOR'S NAME �f •'f /�,�L_e
CORPORATION
CONTRACTOR'S REG. #
/� Card MUST be presented
CONTRACTOR'S ADDRESS ►"" C/ / J CS X � % CITY 1 /_/7- 21i f6 HONEj-/ 3 14 6' G
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 C
BOX 4 SEWER DISTRICT `� WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST�T� c 0 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION �` ' C' _
(If necessary, please submit a �e,parate page with the legal description.) `
K.C. Plat Recording # U
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK_ GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION A10 e AZ
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
M •
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
Ll
,_ k •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEZM36M SETBACKS: FRONT SIDE SIDE 5 REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: `yi
SEPA: EXEMPT --'Il- -- NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 5-- 2-5)
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
REMARKS:
DATE -_. -) d
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. OTHERS'
U^
A /nH e4 -A
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. '7a0 @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ ^d A,,A- x , 8;? = 316 S
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. 7a� TOTAL VALUATION 3168
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
63
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
y
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL C(r
BY /0 A6 DATE -
ACCEPTED
y l
ACCEPTED FOR FILING
1' R,
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OM. OF COMMUNITY DEVELOPMENT
PERMIT NUMBER q I-
ADDRESS � G (An 77�3
PLANS FOR, fv�t LL--;
OWNER VI 1,v111 --f
DATE SUBMITTED _LL
APPROVED BY -)n
DATE APPROVED Sr 1b '7(
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