91-100262 0)l- /° o a
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
#437
PERMIT NO. #91-230 CA OWNER'S NAME TERRY LUMSDEN JOB ADDRESS 33516 9TH AVE S #9
CONTRACTOR LUMSDEN CONSTRUCTION ADDRESS 12903 74TH AVE E PUYALLUP CONT. PHONE 531-9462
CONT. REG. NO. LUMSDC110LK OWNER'S PHONE 473-0066 OWNER'S ADDRESS 13007 SHORELINE DR OLALLA WA
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. 926925-0090-09 LEGAL DESCRIPTION (SEE PLANS)
ISUED BY DATE OF ISSUE JOANNE JOHNSON 42-'01197 DATE OF APPLICATION 2-27-91
• BUILDING INFORMATION111
ZONE OP OCCUPANCY B2 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 1500
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 2 ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS 1 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES 2 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHcRS TOTAL FIXTURES 6X5 30_00 UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 15,180 PLANNING DEPT APPROVAL: BK 3-4-91 BK
RMIT FEE 171.00
N CHECK FEE 111.00 BUILDING DEPT APPROVAL: KC 3-6-91
AUMBING FEE 30.00
CHANICAL FEE
TOTAL BLDG. FEES �/�
PART P/C FEE DATE: Q 2g-4 7 i
SEPA REVIEW
WATER SERVICE AMOUNT: $325.05
WATER MAIN CHG.
S.B.C.C. FEE 4.50 RECEIPT: L 0
OTHER FEES F.D. 8.55
AMOUNT DUE 325.05
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 •
AZOWNER OR AGENT moi. L `-� &44' DATE
RECEIVED 00 " /- .) 3d Q A
FEB 2 7 1991 CITY OF FEDERAL WAY
DRY OFEED RALwAY BUILDING PERMIT APPLICATION
BUILDING DEPT. - Please Print—
BOX 1 TENANT NAME: Lq / of:-fCgS of YRI?y c yytC' 9 E N i/AK 9, 5 .
OWNER CA- 4 t-V✓Vl' J: ITE LOCATION 7 7-'4 Al „e, ..s • -
OWNER'S ADDRESS lr' ' h • CITY ) - f' PHONE
DESCRIBE JOB a . " 41 _ I ` `3 `
THE PROPERTY IS OWNED BY: SINGL: 1 AR'ISD PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME t41V YI S O'N (.641 J'Tie VG TloN CONTRACTOR'S REG. #Li)y1J SDC * it 61--f\
Card MUST be presented
CONTRACTOR'S ADDRESS /2'/G 3 74.T71 A "2 E , CITY P tlr9 PHONE 5 31 �C'
EXPIRATION DATE 41i $/7/
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON -Z"1 AO Re, / L 1‘_ PHONE I14 -T127 Z
BOX 4 SEWER DISTRICT e fl. c WATER DISTRICT _.A___ ,----
BOX 5 ESTIMATED PROJECT COST 1- 1/ `j CES EXISTING BUILDING VALUATION I mo,
BOX 6 PROPERTY TAX ACCOUNT NUMBER 'M Co 726 co qt) - C (7
LEGAL DESCRIPTION
(If necessary, please submit a separ page wit the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 65C1 /'/ 2ND FLOOR I
3RD FLOOR 1 BASEMENT 1----"— DECK 7 GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( vf COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBI FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. _ WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
I SHOWERS GAS HOT WATER HEATER $
`2. 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 _ $
b TOTAL FIXTURES $
KC 3c- <-' 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 NFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
7 y _ 4,221/-
FOCOWNER/ E ': J,''�r �- �/ / 4,'7M �r7` D/-A�yT.E:
( o/iI kf_0 -t-ie J.I A e 1pcw/ ;) (' ANP0083190
M N /; .11. m 1. .
IAC ERTIFI CA
.1 .11.OF 0 C CLLP CT*
.,-Tr,
,.,„
Will OM
CITY OF FEDERAL WAY Onifiritie On
sir! or;
.._ia.
Li This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of M.
M, issuance this structure was in general compliance with the various ordinances of the City regulating building construction or use *.
ffp for the following:
illi Oro
lig
#L Occupancy Name: TERRY T.TTMSDFN AddreM: 11515 10TH AVE S #9
IF
���,,�,, Use CIa&sificaI.ion: OFFICE _ Permit. No: 91-0230 CA =•.
Group _ `Type of Con�SfrucLion SN Lyse Zone ,Op cSq. Footage 1500 Occcupanf. Load 15
iiilT;. illi! .,„,..
n Owner of Occupancy: P r „ . , Addre&s: 33515 10 AVF S #9
.0 Owner of Building: MR & MRS TERRY E T,ITMSDEN AddreM: 33515 10 AVE S #9 1,412
iirii VT;
ta! ilig
The priority focus in.the review an d.inspection made by the City prior to issuance of this Certificate was on triose matters which
mr; experience has shown most severely affect the health and safety of the general public.Although the City has made as complete a -Tni
Itreview andinspectionas is reasonably possible(within budgetary time and personnel Limitations),the City neither guarantees nor '
a•
iir warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ■ ■
ordinance or regulation ofthe Cityor the State o-Washington affecting the construction or use of said structure or the Land f upon
,,��,, � f
15 which •__is_si_ ted Such co plianee is the ponsibifity of the owner and/or occupant of the premises.
ITN in
1� //���� _ li`'.�7 12 / / '
Building Officio Date ;,,;
On
tw2 .144!
on Post in a Conspicuous Place '
1441! �t:
11.0
11.0
M
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE OP SETBACKS: FRONT NIA SIDE w(A REAR' NIA HEIGHT LIMIT "Ilk
PLANNING DEPARTMENT APPROVAL 3-(‘'ct\ ' X
REMARKS: :''i
SEPA: EXEMPT k NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 3-1-9 r
REMARKS: C - __-_-_.?"--
PUBLIC
PUBLIC WORKS DEPARTMENT APPROVAL 'Y/ii DATE
REMARKS: ( 1
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 E.2 TYPE OF CONSTRUCTION IR) STORES
Or(=r•c-E- BUILDING SQ. FT. (S':: c @ S • ( O = 7_5-f O O
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ -A4g4C`�( �r-- `� = f) ` 2-U
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION (S( a
BUILDING DEPARTMENT REMARKS: 7
PERMIT FEE it j
PLAN CHECK FEE
PLUMBING FEE 30
MECHANICAL FEE o
TOTAL BLDG. FEES ,I --.-
PART
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE %` 5-C.>
OTHER FEES Fn _ S-SS-
AMOUNT DUE 3 Zt"D S
ASSIGNED ADDRESS: 5€--- --- -----)c(S',---(l
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED .4QQ,�Q'�
FEB 2 7 1991 Amount Date Receipt# wJ�C�
Q.
Q �
Y OFFEDERAL�WAY BUILDING DEPARTMENT APPROVAL * c*$
RECEIVED BY • DATE ACCiffretif FOR ALI NG