91-100554 9/-lao5sy
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91--0514 NR OWNER'S NAME DORENBUSH HOMES JOB ADDRESS 1206 SW 347 PL
CONTRACTOR OWNER ADDRESS 18000 72 AVE S KENT CONT. PHONE 251-9877
CONT. REG. NO. DORENI*21 OM3 6/91 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XXXADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD NEW PUBLIC PUBLIC ADD
NEW MULTI-FAMILY (UNITSMULTI.ADD. SIGN GRADING OTHER AND GARAGE
TAX ACCOUNT NO. 666490-0360 LEGAL DESCRIPTION LOT 36 PARKLANE ESTATES 1
•
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE ` 2 v _ 9/ DATE OF APPLICATION 4/25/91
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BUILDING INFORMATION 0
V4PNE RS 7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG SQ. FT. 2203
SET BACKS: FRONT 20' SIDE 5' REAR 5' STORIES 2 HEIGHT LIMIT 30' MAX
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC HOT WATER HEATER GAS PIPING FT 2.00 BOILER
BATHTUBS 1 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT _ NUMBER
LAVATORIES 3 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC
SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 11 X $5.00 UNIT HEATER TOTAL MECHANICAL 18.50 AMOUNT NONE
VALUATION -014780-121 ,018
PLANNING DEPT APPROVAL = DEB BARKER ON 5/7/91
PERMIT FEE $717.00 "DRIVEWAY SHALL NOT ENCROACH ONTO SIDE YARD SETBACK. NO
PLAN CHECK FEE 466.00 ----130.50 BUILDING SHALL ENCROACH ONTO ANY BUILDING SETBACK LINE,
PLUMBING FEE 55.00 SHOWN OR NOT SHOWN.
0HANICAL FEE 18.50
AL BLDG. FEES $1256.50 FIRE DEPT APPROVAL = KEVIN ELLIS ON 5/23/91
PART P/C FEE (335.50)---PD 4/25/91 PUBLIC WKS APPROVAL = TOM COLLINS
SEPA REVIEW
WATER SERVICE BLDG DEPT APPROVAL = MIKE MONEN
WATER MAIN CHG.
S.B.C.C. FEE 4.50
OTHER FEES PUB- WKS 35.00 DATE PD 2u j AMT $960.50 RE'CT 3 q q 5-
AMOUNT DUE $960.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL
OWNER OR AGENT DATE_.. 6-Zo "P/
• „sr emit # `1 I- 4 P12--
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
OWNER Do,.e w 64. 6vvu2-7 SITE LOCATION
OWNER'S ADDRESS 1000v - . "1"2-‘447 Arm ,CITY gen_ j i Li At PHONE a 57-118 7 ?
DESCRIBE JOB ..Sv+-11 t 46,144-4
THE PROPERTY IS OW ED BY: SINGLE/1 ARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME"-e' CONTRACTOR'S REG. #00-1-e h- 2-I0 01 3
Card MUST be presented
CONTRACTOR'S ADDRESS ! ri--t- CITY PHONE
EXPIRATION DATE (o -4 I
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON -1--1-tvvk Se,iti,v✓t Z PHONE .S(_ 377
BOX 4 SEWER DISTRICT Ceti Ln A-1 WATER DISTRICT ____(Q W A-H
BOX 5 ESTIMATED PROJECT COST r2_72-,t ODi) EXISTING BUILDING VALUATION —BOX 6 PROPERTY TAX ACCOUNT NUMBER “6"(19 0 d 36 o —o q
LEGAL DESCRIPTION
L 7 3 '`3 -�
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR/no`7 / 2ND FLOOR 677 /
3RD FLOOR / BASEMENT / DECK / GARAGE '/2-0/
BOX 8 ()j SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. -3 WATERCLOSETS GAS PIPING, FEET <•/ ' $ 07'
BATHTUBS . NO. f FURNACE, ELEC. GAS v $ /()"
I SHOWERS / GAS HOT WATER HEATER $ 6
- LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
1 LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
I f TOTAL FIXTURES
1C S``= = 31S('` TOTAL MECHANICAL FEE $ 'C5`
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 WHICI-I 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 EMP e ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE Cif AS A PART OF THIS APPLICATION. •
OWNER/AGENT: 14-'' __i' ,i/ DATE: V
_ - / ANP-008 3/90
• •
OFFICE USE ONLY(PLEAS< RITE BELOW THIS LINE)
ZONE16-142- SETBACKS: FRONT r SIDE Cf REAR 51 HEIGHT LIMIT _. 30/
PLANNING DEPTRTMENT APPROVAL Wit M 'v
REMARKS: Gf/1151 (J /LayaxID 4 d1 .�4z%r�i�s.��` , M 41.441Z1
� � 1-wto �ij , .51,44%%., X 5 z_
SEPA: EXEMPT V NOT EXEMPT
FIRE DEPARTMENT APPROVAL r----C-- DATE S-2---3 `i/
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL ie.- DATE, 5--/4 - 7/
REMARKS:
TYPE OF JOB: NEWRESIDENCE )( RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY_ (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY (R3 TYPE OF CONSTRUCTION J/4/ STORES
BUILDING SQ. FT. //0 if @ 76,1 4 = 56 1l`d of
BUILDING SQ. FT. 6 7 7 @ -2(7,..94. - e/Q 3.53
BUILDING SQ. FT. 4'&) @ P73° -- = 7 64'6
BUILDING SQ. FT. @ = /.3 7,5P- l
BUILDING SQ. FT. @ r ?edr jut X, gg =
BUILDING SQ. FT. @ =
TOTAL SQ. FT. a Q 03 TOTAL VALUATION /a It D/f'
BUILDING DEPARTMENT REMARKS: PERMIT FEE 7/ 7
PLAN CHECK FEE ty.S� 6h
PLUMBING FEE 55 C4
MECHANICAL FEE / i(.Sd
TOTAL BLDG. FEES �r�„5O
PART P/C FEE C3-5. 50)
SEPA REVIEW
pw 3 5:00
S.B.C.C. FEE y,
OTHER FEES ^
AMOUNT DUE 11.0r). Si-)
ASSIGNED ADDRESS: 1 _0 6 S.W < 3`-( 7 1"4" n,
e
g., s.. 41
PARTIAL PLAN CHECK FEE RECEIVED !It( S P
LU G Amount. -5,5D Date 4-is--9) Receipt#
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Z 62 - BUILDING DEPARTMENT APPROVAL
CC REffIV e
BY A \N\-6".&,` DATE 5-3-a--9.1 ACCEPTED FOR FILING
APR 23 '91 15:01 TO 20 19361 FROM C J DESIGN,
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CITY OF BUILDING INSPECTION,
FEDERAL WAY BUILDING PERMIT 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. 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 'T ?iar :91*}u.; Dr:PT APP#P011`.;"'_, :,c Dv.
PERMIT FEE ..L,nz17_VO AY `;HAL`. ?'Yi ±. 'lCrd( ACII ' 1 -
PLAN CHECK FEE —_ li.U:L. x:i TALL FC:.rni'M ','i'17 *_. r.
PLUMBING FEE ,_- '_iQ.4".wA (en dl..'?`3.. .1'-„t),v1,,
MECHANICAL FEE _
TOTAL BLDG. FEES ar ? rr w” Ai)11T,IC V,.'.., = .+rc.IP: �..r.... C {"'
PART P/C FEE _ € 4,i C' 'r;T ,,
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
yr
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE 2 BY_ __ DATE �� � BY X73 __ DATE --- - BY _
PLUMBING ROUGH IN// DI's WATER LINE O.K. _. _ [_ _ MECHANICAL INSPECTION
DATE LZ (q :'1( BY __ GAS PIPING O K. .J zP 7? _ DATE _/_ '2 -BY /23
O.K TOS J���94E,v7 MM , /INSULATION WALL BOARD AND FIRE WALL
DATE _ - - BY DATE 2.24/-9'2 BY _Z1-5 - _ DATE 2=3`7 z BY -_
FINAL O.K TO OCCUPY
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