91-100714 91- 1007 y
CITY OF B BUILDING INSPECTION
I L D I
FEDERAL WAY u N G PERMIT 941-1555
PERMIT NO. 91-651 NR OWNER'S NAME DORENBUSH HOMES JOB ADDRESS 1203 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 RESIDENCEXXX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD_ NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY ) MULTI. ADD. SIGNGRADING OTHER AND GARAGE
TAX ACCOUNT NO._ 66490-0380 LEGAL DESCRIPTION LOT 38 PARRLANE ESTATES DIV I
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE_ . ` ,� (..) a/ DATE OF APPLICATION 5/20/91
• BUILDING INFORMATION
ZONE RS 7.2 OCCUPANCY R-2/M-1 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 2342
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. 3.50 BOILER
_
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT _ NUMBER
LAVATORIES 4 DRINKING FOUNTAINS _ GAS HOT WATER HTR. 6.50 MISC
SINKS 1 MISC. @ CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 13 Z $5.00 UNIT HEATER TOTAL MECHANICAL 20.00 AMOUNT NONE
VALUATION 125,643.00
PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $731.00
PLAN CHECK FEE 475.00 ----134.50 DRIVEWAY MAY NOT ENCROACH INTO SIDE YARD SETBACK.
PLUMBING FEE 65.00 FIRE DEPT APPROVAL = KEVIN ELLIS
•HANICALFEE
20.00AL BLDG. FEES $1291.00 PUBLIC WKS APPROVAL= TOM COLLINS
PART P/C FEE (340.50)====PD ON 5/20/91
BLDG DEPT APPROVAL = MIKE MONEN
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4.50
OTHER FEES P. WKS 35.00 DATE PD AMT $990.00 REC'T
AMOUNT DUE $990.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE T:
I- /
OWNER OR AGENT / _� DATE 6- 2-6 '?/
RECEIVED •mit #
M4yz �' 1991 • A
CITY 01- rc,`cRAL WAY CITY Or FEDERAL WAY
B"I`DIN"°Epr BUILDING PERMIT APPLICATION
— Please Print
'Zr)(-)
BOX 1 TENANT NAME:
005-AOWN J$/1 Alt roes SITE LOCATION
OWNER'S ADDRESS /Soca n 7 nc Ate' : CITY / c-/ti[ PHONE as/-0-7 7 -
DESCRIBE JOB S 1 Y e_ F7 rn(/
THE PROPERTY IS OWE-lb BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Sf J— CONTRACTOR'S REG. #_LD'/Z(%✓',7-1---2-I rV1 3
Card MUST be presented
CONTRACTOR'S ADDRESS 5-,/-71-2C CITY PHONE
EXPIRATION DATE , -'1 /
— 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 -)t 5 112I77MA---II2- PHONE -47 7
BOX 4 SEWER DISTRICT _,/=-&-/7 LTJ WATER DISTRICT L
BOX 5 ESTIMATED PROJECT COST I !� L) EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER )OCac, ` rp
LEGAL DESCRIPTION Lb r Ede /— fiJe E'er t
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 9/ 7/ 2ND FLOOR /
3RD FLOOR / _ BASEMENT / DECK / GARAGE s7
BOX 8 ( SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY ! 6 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. ' WATERCLOSETS GAS PIPING, FEET $ 350
'7- BATHTUBS NO._ / FURNACE, ELEC. GAS $ /'"
I SHOWERS / GAS HOT WATER HEATER
LAVATORIES CONVERSION BURNER $
I SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
I LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
X _ �o 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/AGE • 4 '- . /19 ...,,f / DATE: S 2
ANP-008 3/90
• eL3V;3j----11-1
OFFICE USE ONLY (PLEASE DO JOT WRITE BELOW THOME) ,-
ZONES 2- SETBACKS: FRONT 2()' SIDE 5 ( REAR- 5 1 HEIGHT LIMIT -36(
PLANNING D PARTMENT APPROVAL 4 9/ ,L41' `
REMARKS:. / .ct1Pi ! ,;(21-0/,;(21-0/ //7 I 3j/ ' ,/ A,,AW
f
SEPA: EXEMPT Gv-'- NOT EXEMPT - - ,
FIRE DEPARTMENT APPROVAL L - DATE 6- /r`q7
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL %-- DATE a-sIQ/
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. OTHER
OCCUPANCY R3 TYPE OF CONSTRUCTION VA/ STORES 0
/)4 ,-140a, BUILDING SQ. FT. cm/ @ 702 4v = (40C.,63
,2"d .Ilov/ BUILDING SQ. FT. 9/C - @ 2.1 Ta = 66 77
-cfceof.k_ BUILDING SQ. FT. Tia @ /g"6 = 93 C,
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ = l ya77g
BUILDING SQ. FT. @ h1l�1 d ( X.5-5`.4. =
TOTAL SQ. FT. a3 ya TOTAL VALUATION /°-S 6y 3
DOBUILDING DEPARTMENT REMARKS: PERMIT FEE o -73e S-7�1
PLAN CHECK FEE!3ra•S41-1 eC,
PLUMBING FEE / 76'3
MECHANICAL FEE "O
TOTAL BLDG. FEES i2- 11- -
PART P/C FEE ---(4417.57`)—
SEPA
( 57`)—SEPA REVIEW
i„✓ 937o0
so
S.B.C.C. FEE 7 "
OTHER FEES
AMOUNT DUE Ilid,P6>
ASSIGNED ADDRESS: , ZD 3 C,W, 3 Li 7 F.JC.
PARTIAL PLAN CHECK FEE RECEIVED
Amount.5(:) Date 5i21)'q' Receipt#
BUILDING DEPARTMENT APPROVAL Q
RECEIVED BY �``S\'&- dww"`' DATE kr(t- -\ \ ACCEPTED FOR FILING
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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. 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
VALUATION
::°..!AWNING DEPT APPR<:3VA _.-7:c1 HARKER
PERMIT FEE DRIVEWAY NAY NOT ENCROACH INTO SIDE ....,..A.4.; .
R r rt
PLAN CHECK FEE
PLUMBING FEE FIRE DEPT APPROVAL int KEVIN ELLIS
MECHANICAL FEE PU}LIC WKS APPROVALsr TOM COLLINS
TOTAL BLDG. FEES
PART P/C FEE D ON 5/20/91 RLAC DEFT APPROVAL ss MIKE MOWEN
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
IATE PD -- ”90.'- ..7 a e„
OTHER FEES _ ---- - -
AMOUNTDUE
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
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