90-101618 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-1828 CA OWNER'S NAME GOLF U.S.A. JOB ADDRESS 31R30 PACTFTC HWY S
CONTRACTOR ENGEL INC ADDRESS 15821 208TH AVE NE WOODTNVTT.T.F. WA CONT. PHONE 788-5106
CONT. REG. NO. ENGEL1169NE OWNER'S PHONE 441-1080 OWNER'S ADDRESS 2101 41ST AVE SUITE 2375 SEAT?
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. 092104-9221 LEGAL DESCRIPTION (SHF. ATTACHED)
ISSUED BY JOANNE JOHNSON DATE OF ISSUE l ' -- , (.. _ lc) DATE OF APPLICATION 11-26-90
• BUILDING INFORMATION
ZONE CC OCCUPANCY R7 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 3500
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 24,290
252.00
PERMIT FEE PLANNING DEPT APPROVAL: DB 11-27-90
PLAN CHECK FEE 164.00 BUILDING DEPT APPROVAL: RC 12-17-90
LUMBING FEE
CHANICAL FEE _
OTAL BLDG. FEES
PART P/C FEE / q -L U
SEPA REVIEW J ,,, ___)4..
WATER SERVICE eLe...A.141,
/- 4WATER MAIN CHG.S.B.C.C. FEErr 4.50 /�
OTHER FEES F:0, 12.60 -` 3 /0
AMOUNT DUE 433.10
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 M •
L
OWNER OR AGENT / \ DATE / 2 " 2- ‘z -cr C
17) - to / 6, l''
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-1828 CA OWNER'S NAME GOLF U.S.A. JOB ADDRESS 31830 PACTFTC HWY S
CONTRACTOR ENGEL INC ADDRESS 15821 208TH AVE NE WOODINVTT.T.F. WA CONT. PHONE 788-5106
CONT. REG. NO. ENGEL1169NE OWNER'S PHONE 441-1080 OWNER'S ADDRESS 21 01 41ST AVR STTT-TF-73_75 -SBAT7
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. 092104-9221 LEGAL DESCRIPTION (SEE ATTACHED)
ISSUED BY JOANNE. JOHNSON DATE OF ISSUE �� — , ComC• lcJ DATE OF APPLICATION 11-26-90
• BUILDING INFORMATION
ZONE CC OCCUPANCY 112 TYPE OF CONSTRUCTION VN BLDG. SQ. FT._3-500
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 24,290
252.00
PERMIT FEE PLANNING DEPT APPROVAL: DB 11-27-90
PLAN CHECK FEE 164.00 BUILDING DEPT APPROVAL: KC 12-17-90
PLUMBING FEE
CHANICAL FEE _
OTAL BLDG. FEES
PART P/C FEE \
SEPA REVIEW
J / ..7--% - f‘v
WATER SERVICE //6 `/
WATER MAIN CHG. Vl'`'(-'4-11/4
S.B.C.C. FEE 4.50
OTHER FEES F0. 12.60 -`/J
3 3_ /C..
AMOUNT DUE 433.10
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 if % "-) 2, DATE /2 -- 2 ‘z3 `7 C;
/4 \
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
ONE 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
24,290
VALUATION
652.40 PLANNING DEPT APPROVAL: DB 11-27-90
PERMIT FEE 164.00 BUILDING DEPT APPROVAL:
12-17-9C
PLAN CHECK FEE
PLUMBING FEE
OCHANICAL FEE _
TAL BLDG. FEES
PART P/C FEE
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
•rmit # / — /1-2 e �y
H
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print-
BOX 1 TENANT NAME: -o L F 0 . S . A
OWNER •T ikshcSITE LOCATION 3/83o f)4-c:( -k-A 1 " 4 1�
OWNER'S ADDRESS 4/oi 417^ s/e ot3iCITY qtr}+ - ri PHONE 44 -/obo
DESCRIBE JOB (deo,),
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME E^, CONTRACTOR'S REG. # L L-, /C <( .'
Card MUST be presented
CONTRACTOR'S ADDRESS j.-5-/ et Ave",t)• 7 CITYtJevu,a // PHONE 788,-S' 6 `,
EXPIRATION DATE - _4
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING 0 DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Nc—_ PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST - 06 a• °-` EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 09.),( c.Q - c, 2_2_
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / j 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER 45 .> Nit-3 1„s) 6, $
TOTAL FIXTURES $
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: T DATE: / (- O
ANP-008 3/90
0 F .
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE Of. SETBACKS: FRONT 6 SIDE N iii— REAR HEIGHT LIMIT P 11-
PLANNING DEPARTMENT APPROVAL 1//2-11/0 r
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL r---- C.- DATE A` " 7 ._ 76
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL �� DATE
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 IS `L TYPE OF CONSTRUCTION VA" STORES
KC-+cu I BUILDING SQ. FT. 350a @ 3Y- ? o = / Z/ 9-So
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ 44c'Fre4- = 0- 2--C-
BUILDING
CBUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION 2 1/Z q c
BUILDING DEPARTMENT REMARKS: PERMIT FEE 2S2 • oa
PLAN CHECK FEE 76 9 ` dG
PLUMBING FEE n
MECHANICAL FEE 0
TOTAL BLDG. FEES 9 1 C
PART P/C FEE o
SEPA REVIEW G
S.B.C.C. FEE y` 5
OTHER FEES D €. 1Z.6
AMOUNT DUE L/33, J
ASSIGNED ADDRESS: S` -e— 2.`c (:-.0-1.I
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY ' DATE (? -To ACCEPTED FOR FILING
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