91-101419 g1-/oJ Y/CITY OF FEDERAL WAY
33530 First Way South BUILDING P BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. 91-1360 RA OWNER'S NAME J R HERSHEY SITE ADDRESS 1208 SW 312TH STREET
CONTRACTOR OWNER ADDRESS ---
CONT.PHONE ---
CONT.REG.NO. --- EXP. OWNER'S PHONE 941-2715 OWNER'S ADDRESS 1208 SW 312TH STREET FEDERAL WAY
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. 072104-9188-09 _LEGAL DESCRIPTION SEC 07 TWP 21 RG 04 POR GL 2 IN NW 1/4 DAF - S 159 FT
W 100 FT E 200 FT LESS CO RD
a
ISSUED BY JOANNE JOHNSON DATE OF ISSUE • ( DATE OF APPLICATION 10-1-91
BUILDING INFORM.TIO
°ONE RS 7.2 _SET BACKS:FRONT 20' -_ SIDE _5 ' REAR 5' HEIGHT LIMIT 30' _
OCCUPANCY R3 TYPE OF CONSTRUCTION VN -CENSUS NO. TYPE OF HEAT. GAS - - _BLDG.SQ.FT. 468 STORIES -
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING - FT. _ GAS LOGS
RECEIVED _
BATHT'JBS LAUNDRY DRAINS 1 FORCED AIR FURNACE _ DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES _ DRINKING FOUNTAINS CONVERSION BURNER MISC. _ -_—
RETURNED
SINKS - 1 MISC. _ BBQ BASIC FEE
DISHWASHERS 1 _ TOTAL FIXTURES 3X5 _1.5-0-0 DRYER TOTAL MECHANICAL AMOUNT
\ PLANNING DEPT APPROVAL: SIDE YARD SETBACK ON EAST SIDE DOES NOT COMPLY
VALUATION ' �� 1 WITH FEDERAL WAY CODE 115. 115. VALUATION OF
etlf' IMPROVEMENT DOES NOT WARRANT COMPLIANCE AT THIS
PERMIT FEE 1 pp 0�� TIME. UNIMPROVED RIGHT OF WAY. DB 10-7-91
PLAN CHECK FEE o^
PLUMBING FEE _15.00 PU LIC WORKS DEPT APPROVAL: RIGHT OF WAY IMPROVMENTS NOT REQUIRED NOR
0CHANICAL FEE ON SITE INFILTRATION PROVISIONS FOR ADDITIONAL
PART P/C FEE --_ STORM WATER RUNOFF. SAC 11-15-91
SEPA REVIEW
PUBLIC WORKS 20.00 BUILDING DEPT APPROVAL: KC 10-15-91
S.B.C.C.FEE 4. 50
FIRE FEE DATE:
OTHER FEES - AMOUNT: $519.50
AMOUNT DUE54'
l nrT 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 INFORMATION FURNISH'D 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 _ ,moi li/✓,..
DATE,116t/
Y
CITY OF FEDERAL WAY
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. OWNER'S NAME - SITE ADDRESS
CONTRACTOR ADDRESS - - CONT.PHONE
CONT.REG.NO. _ EXP. OWNER'S PHONE _ OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCF 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 SET BACKS:FRONT _ __.SIDE __ __ REAR - HEIGHT LIMIT - -
OCCUPANCY . TYPE OF CONSTRUCTION CENSUS NO. . TYPE OF HEAT . _BLDG.SQ.FT._ STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER _ _ GAS PIPING _ FT. _ GAS LOGS
RECEIVED - -
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER - TOTAL MECHANICAL AMOUNT
VALUATION r t rt \ '!,r+ /�'f�..._ ' FEDERAL WAY CODE
. .
115.115. VALUATION OF
_ } II F. '? Th1T DORS NOT WARRANT CO}PLIA Ct:, AT TF IS
PERMIT FEE - -P'!! r jS TIME. UNIMPROVED RIGHT OF WAY. DB /0-7-91
PLAN CHECK FEE
PLUMBING FEE jUilLIC WORKS DEPT APPROVAL: RIGHT OF WAY I1VROVIMITS NOT ".s.dtrrr.;- :_n+
MECHANICAL FEE ON SITE INFILTRATION PROVISIONS
STORM WATEr c.,.
RED
PART P/C FEE
SEPA REVIEW r--"r4G DEPT APPROVAL: EC I0-15-91
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES AMOUNT:
AMOUNT DUE RECEIPT: �� /7
A r 'TE, ,�
MI
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS E •I•E • 'E 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 REQUIREMENT'S WILL
BE MET.
OWNER OR AGENT DATE
SET BACKS AND FOOTINGS 1( O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE_t. ./%/ BY /791 n1 DATE -....4 /../ ....BY ...mlm DATE _.._ ...—.....BY -
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION - '4
DATE... BY . /9221)) GAS PIPING O.K. /V" DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE.../v2�Otf 9I _ BY
FINAL O.K. TO OCCUPY ///
BY DATE ._b_2 3/ff BY .._ _ DATE :0-‘,11 .
DCD PSD FD
DATE —._—____BY —...
MA/9/ //drool "4214./:: l 717.) f✓L ,e 4e41-4 0 - S+e.e-L- rh cree4S �+'�
RECEIVED Perm# 6) / 13-G D
1991 CITY OF FEDERAL WAY
CITY OFFEDERAL WAY BUILDING PERMIT APPLICATION
BUILDING DEPT. — Please Print—
BOX 1 TENANT NAME: —
OWNER :T SITE LOCATION /10A s1 3I2n''.Si
OWNER'S ADDRESS I ZDV 5 r,U 2/Z n'cr CITY `i1 Q1 . Ll1AY PHONE 941/-27i
DESCRIBE JOB ADD n 'rU i.XiSritiLp "ZCSii itll..I
THE PROPERTY IS OWNED BY: E/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ()1 1Alc=- CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— 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 tC/ZSiit y PHONE 234--5930
BOX 4 SEWER DISTRICT % c72AC. k)AY C6-Q /t_- WATER DISTRICT Feb i`. 4.1.4y
BOX 5 ESTIMATED PROJECT COST-,BO ) EXISTING BUILDING VALUATION efeto
BOX 6 PROPERTY TAX ACCOUNT NUMBER 072 i9i P,6--09
LEGAL DESCRIPTION S.=aria% C"7 'flA/P 21 RC, -Fbi . CLL a i t.i lout/ i/4 DAF —S i ltL FT
v./ i u i-i E zc e—r t._css
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR/6 Fit' / 2/2. 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK , 7 GARAGE 441 /
BOX 8 (X) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ()() EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY I )63D- 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 $
I LAUNDRY WASHER OUTLET UNIT HEATERS
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER _ $
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 KNO LEDGE
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: � /l DATE:
ANP-008 3/90
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BEL•THIS LINE)
ZONE SV•L SETBACKS: FRONT 2,0' SIDE 5` REAR 5( HEIGHT LIMIT 30'
PLANNING DEPARTMENT�/� APPR�gVAL /15 V/ R60.14-1-._.i / -1
REMARKS: Side �YG/ Z (7Yt ..-eget 5 * G�� f
Zypx-' O1, Qom` Ike.; 75 . ani"jD A90' �J
LtT► 1 Y, 6
EXEMPT 1� NOT EXEMPT t-
SEPA:
FIRE DEPARTMENT APPROVAL ! /� DATE
REMARKS: NI
PUBLIC WORKS DEPARTMENT APPROVAL OA- DATE i//thi
REMARKS: " 7_10i/44.0;w/is £"1 /2g(?L?/Iz5 A/O# ON=Siff- lAj i..rRA?id,(J/
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 4s 4/ STORES
1-[1401 BUILDING SQ. FT. •-?C�7 44 --- @ 11 -�cC-' =.l BUILDING SQ. FT. @ = I s, 4c4
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ rr _
BUILDING SQ. FT. @ add t r(�fr = ` c d " S o
TOTAL SQ. FT. TOTAL VALUATION
---3°j:"4-+4t--
3)1,700
BUILDING DEPARTMENT REMARKS: PERMIT FEE i- 1 Jc 3
PLAN CHECK FEE 4-4/— ! q
PLUMBING FEE t c
MECHANICAL FEE 0
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
P Alor,(
S.B.C.C. FEE Li f ci
OTHER FEES
AMOUNT DUE t,
ASSIGNED ADDRESS: Se—k-- v..K(S ( ij
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL p
RECEIVED BY f C DATE /C- i s r / ACCEPTED FOR FILING