91-101813 CITY OF FEDERAL WAY 3
33530 First Way South BUILDING PERMIT BUILDING INSPECTI�.r.'�'
Federal Way, WA 98003 661-4140
PERMIT NO. 91-1790 NR OWNER'S NAME FINELINE DESIGN SITE ADDRESS 3118 SW 346 PL
CONTRACTOR TED PEDERSON ADDRESS 446 BURNETT AVE N RENTON CONT.PHONE 228-2572
CONT.REG.NO.FINELD*110DL EXP. 1/93 _ OWNER'S PHONE SAME _ OWNER'S ADDRESS SAME
TYPEJOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL__ NEW COMMERCIAL _COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD._ _ SIGN GRADING OTHER • .AND GARAGE
TAX ACCOUNT NO. 788878-0010 LEGAL DESCRIPTION LOT 10 SOUTHAMPTON COURT
<Y11-49/
ISSUED BY __ ELIZABETH SNYDER DATE OF ISSUE c). --_ _ _DATE OF APPLICATION 12/31/91
BUILDING INFORMATION
ZONE RS 7.2 SET BACKS:FRONT 20' SIDE 5' /5' _ REAR 5' _ HEIGHT LIMIT 30' MAX
. .•CCUPANCY R3/M1 TYPE OF CONSTRUCTION 5—N CENSUS NO. 101 TYPE OF HEAT_ GAS BLDG.SQ.FT. 2453 STORIES 2
LUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING FT. 3.50 GAS LOGS
BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACEGAS 10.00 DUCT WORK RECEIVED
SHOWERS URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS S MISC. BBQ BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 12 X $5.00 DRYER TOTAL MECHANICAL 20.00 AMOUNT NONE
VALUATION 4130,_650 PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $748.00 "GRADING & CONSTRUCTION OF FENCING NOT ALLOWED WITHIN DRAINAGE
PLAN CHECK FEE $136.50 486.00
PLUMBING FEE
60.00 EASEMENTS UNLESS APPROVED BY CITY PER PLAT NOTES"
MECHANICAL FEE 20.00 FIRE DEPT APPROVAL = KEVIN ELLIS
PART P/C FEE (349.50)
IIPA REVIEW
12/31/91 PUBLIC WKS DEPT APPROVAL = RON GARROW
JBLICWORKS 35.00 "ALL DOWNSPOUTS & IMPERVIOUS SURFACE AREAS SHALL DRAIN TO THE
S.B.C.C.FEE 4.50 APPROVED STORMWATER CONNECTION POINT PER THE APPROVED PLAT"
FIRE FEE - - DATE:
OTHER FEES AMOUNT: $1004.00 BLDG DEPT APPROVAL = MIKE MONEN
AMOUNT DUE $1004.00 RECEIPT:
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 INFORM O FU SHED BY , IS T' .. 'ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
OWNER OR AGENT
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Pft�ft/ec, CITY OF FEDERAL WAY N) ---
0 � 41 19gg BUILDING PERMIT APPLICATION
0Ul� 'RAL G nab. rV — Please Print—
BOX 1 TENANT NAME:
OWNER :z--irVe-e_i;/ds >[�S/hiss SITE LOCATION
OWNER'S ADDRESS el*. /31elz/✓L# /47/i% Ar CITY RO-A•1t7,-) PHONE 22--cf--z-S72-
DESCRIBE JOB AlSI} $/ir16 .. t.4f/i/
THE PROPERTY IS OWNED BY: Vat/MARRIED ?C' PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME TEL' ,.c-Dae",S a") CONTRACTOR'S REG. #/9/veL/-*/1064
Card MUST be presented
CONTRACTOR'S ADDRESS y�/6 - ,elc) 4 5%
CITY , " PHONE Z_2 - S
Z, 72_
EXPIRATION DATE /^ 2. —9 z. f
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING T' (FINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUI PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 'j E' /1, ---22 '.7z scyc) PHONE 7-2-&"7 s7 Z
BOX 4 SEWER DISTRICT Al.--'0' lc./*/ WATER DISTRICT 1 if-4 aft *-
BOX 5 ESTIMATED PROJECT COST 7S. 000- ° EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 4974 !O in,/74-A4 tiy,i6es Ceor,«,-IL-
L E G A L
-LEGAL DESCRIPTION 3-- ` -v .ijr4 010 al __._�Am
(If necessary, please submit a separate page with the legal description.) `-----4.{TT -q___Iy. f-,-� C\ 1 ,�
K .C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /0324 2ND FLOOR g6 /
3RD FLOOR / BASEMENT / DECK / GARAGESSt' /
BOX 8 (x) SINGLE FAMILY NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY -7866 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET $ 3.5
Z BATHTUBS NO. I FURNACE, ELEC. GAS $ I ) 06
SHOWERS I GAS HOT WATER HEATER $ (o.SO
LAVATORIES CONVERSION BURNER $
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 BREAKERSOTHER $
DRAINS OAST ` $
OTHER $
i ' TOTAL FIXTURES $
X S = (0 . 0 0 TOTAL MECHANICAL FEE $ 2d.cc•
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 •F FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEE./ •ON TH CC CY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
/
OWNER/AGENT: I/
DATE: 72 - 3/ - s'/
ANP-008 3/90
1
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OFFICEIPE ONLY (PLEASE DO NOT WRITE BELOW THISOE)
ZONE] 1•Z- SETBACKS: FRONT 20' SIDE S( REAR HEIGHT LIMIT 11)C
PLANNING DEPARTMENT APPROVAL -210/99-86
REMARKS: 6 2117 .1 11-0/7 . �e el l h-t-a-6601.- Ce c,</n azaii aa,7-a'T
SEPA: EXEMPT I/ NOT EXEMPT
FIRE DEPARTMENT APPROVAL '� DATE Z�L g z'
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL /ei. DATE I/MZ,
REMARKS: /41- d c vs.Nisi ec".I fl-r413 Q a ri Pc,atv10 v1 SuftC 4eF- A—«/ cP k n.e.hw
Ta 71142- AseeritG.162 STz2,n pit ?,& c cin. 12c ,i P9.r,tT P6-4—— Tim Av!°g.,vco
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TYPE OF JOB: NEW RESIDENCE or RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY R3 /Me TYPE OF CONSTRUCTION VN STORES fwG
Com' �Loer BUILDING SQ. FT. 103 2 @ 72. 9b = 7S. 237.. .9
2+4 4'Loof - BUILDING SQ. FT. $4.5. @ 72. 90 = 43 • b58 .So
evg.v Q•- - BUILDING SQ. FT. SS @ 1 'ir. 30 = 10 , v • SC
4517AWM BUILDING SQ. FT. ebert5ETZTIS @ f =
BUILDING SQ. FT. @ = 14-18. 4/44. 10
BUILDING SQ. FT. @ WW1,O4114t/ X. Qt =
TOTAL SQ. FT. 2 ' r3 SQ 4 • TOTAL VALUATION 120, 4So. 1Z
BUILDING DEPARTMENT REMARKS: PERMIT FEE (0 7 VS .00
PLAN CHECK FEE131 5 984.6a
PLUMBING FEE 60.00
MECHANICAL FEE j 20.00
TOTAL BLDG. FEES P4 r 1 • 0
PART P/C FEE 4 .7 , 5�
SEPA REVIEW
P 1.,r Fc-c- 3S.o o
S.B.C.C. FEE y 50
OTHER FEES t �O
AMOUNT DUE
ASSIGNED ADDRESS: 3 118 5.W) 3 46 file PL
PARTIAL PLAN CHECK FEE RECEIVED
Amount 3441, Si- Date '1 44--- I/ Receipt# "i4TI
BUILDING DEPARTMENT APPROVAL
RECEIVED BY YAN.t. t‘.1,..!: DATE 11141ql ACCEPTED FOR FILING