91-100901 9J-/Oa9d/
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
• PERMIT NO. 91-855 RA OWNER'S NAME ROSEMARY HUMPHR JOB ADDRESS 911 SW 314TH PL
CONTRACTOR GILLETT COMPANY ADDRESS 3429 S 308 H PL AUBURN CONT. PHONE 946-9297
CONT. REG. NO. GILLEC11OND 5/92 OWNER'S PHONE 946-9297 OWNER'S ADDRESS 911 SW 314TH PL FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 556050-0340-09 LEGAL DESCRIPTION LOT 34 MTRRORWOOD._BEC_ 7 'MN 21N, PGE 45, KING CO
OSUED BY JOANNE JOHNSON DATE OF ISSUE_ /L S !/ DATE OF APPLICATION 6-26-91
BUILDING INFORMATION
ZONE RS 7.2 OCCUPANCYR3/M2 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 275
SET BACKS: FRONT 20 SIDE 5 REAR 5 STORIES_ HEIGHT LIMIT
PLUMBING NO. Na 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 9,892.52 PLANNING DEPT APPROVAL: LS 7-28-91
PERMIT FEE 117.00 FIRE/BUILDING DEPT APPROVAL: KC 7-8-91
AN CHECK FEE** $30.00 +76.00- PUBLIC WORKS DEPT APPROVAL: TC 7-5-91
dr
FEE
MECHANICAL FEE **$30.00 ADDITIONAL PLAN CHECK FEE FOR REVIEW OF REVISION 10-14-91
TOTAL BLDG. FEES MM
PART P/C FEE DATE: /1 - 5
SEPA REVIEW 262.50
WATER SERVICE AMOUNT: $ T
WATER MAIN CHG. `,
S.B.C.C. FEE 4.50 RECEIPT: hi (o
OTHER FEESP WORKS 35.00
AMOUNT DUE ----s-�
262.50
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 RT,
J
OWNER OR AGENT --ip" DATE / _ /1f
4'
CITY OF BUILDING INSPECTION
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. 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 _
.
VALUATION
9.$9 ,S'► it IM DEPT APPPOVAL: K 6r SS 7-2.8Y491
11E/BUILDING DEPT APPROVAL: KC 7-8-91
PERMIT FEE
•PLAN CHECK FEE S ` DEPT APPROVAL: TCr^1.
•UMBING FEE "t,30.00 ADDITIONAL PLAN CHECK
CHANICAL FEE
TOTAL BLDG. FEES _
SATE: •
PART P/C FEE _
262.t0
62•tO.
SEPA REVIEW 4F; TNT: w*.
WATER SERVICE
WATER MAIN CHG. Trisitilikk % 3
S.B.C.C. FEE
OTHER FEES DA
AMOUNT DUE
TB1
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITEXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
N.k.,41
OWNER OR AGENT DATE
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Permit # ' (-1) -37e4
RECEIVED CITY OF FEDERAL WAY �/
o-61--
JuN 2 51991 BUILDING PERMIT APPLICATION &vi__:_ttalc=9,"/0
coy ok }- DeAAL WAY — Please Print—
BuiLpING DEPT
BOX 1 TENANT NAME: 05 mar I 1-4,0v1-1
(11
c`~S��r taJ'� 14-1„ It�h n'LC SITE LOCATION `ot-il -c.
OWNER'S ADDRESS et 11 5'vJ 31 d t„ 1-'L . CITY Fe ti: 14)4,/ PHONE `It6-`/3.`)'7
DESCRIBE JOB gm-1,o 4- Ctc.k. AilcLt'h ,1, 1
THE PROPERTY IS OWNED BY: SINGLE/MARRIED )C PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME C, tl-L-E 7 Com PActi y CONTRACTOR'S REG. # (,W. �~G ' /
/� Card MUST be presented
CONTRACTOR'S ADDRES 3`f,7' �o . 30? PI. CITY 1:14.4 PHONE e 3 y- 01-7(,
EXPIRATION DATE `5 5 t j� c) j. ''$o 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 OI1CtL 1c C. . I ( H' PHONE (Z3411-0176,
BOX 4 SEWER DISTRICT FeAttic.t WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST* /11/erP EXISTING BUILDING VALUATION I/& ; LTZ)
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION Lx-r-- .3`N , c 7 114-W P A NI p i
0 C i& a)
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /1r �` //go f 2ND FLOOR C'
3RD FLOOR_ / BASEMENT / DECK PIC 7 GARAGE /
BOX 8 (*) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ('<) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY Wi ` 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 NITS, SIZE r $
DRINKING FOUNTAINS COMMERCIAL H D $
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 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.
VER/AGENT: DATE:y /
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE .'?, 2- SETBACKS: FRONT -)---e)/3' SIDE ' ' REAR C' HEIGHT LIMIT -.
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL tC.-- -- DATIT-S
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE 7/s/?I
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 , r(3 f M2 TYPE OF CONSTRUCTION VA/ STORES
L ( V 1 w BUILDING SQ. FT. (5 S- @ 7 2- 10 = er$i-(/. 5-
‘C.
‘L BUILDING SQ. FT. [{O @ ( 0 = IYO
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ Mc,[� (�' = - p�
TOTAL SQ. FT. TOTAL VALUATION q8 1 2, 5-
BUILDING
BUILDING DEPARTMENT REMARKS: PERMIT FEE ( (
PLAN CHECK FEE 7 G
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES (9 3
PART P/C FEE
SEPA REVIEW
Is
S.B.C.C. FEE (�S0
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: $L-'Q ( Sf (
RECEIVED
JUN 2 5 1991 PARTIAL PLAN CHECK FEE RECEIVED
CITY OF FEDERAL WAY Amount Date Receipt#
BUILDING DEPT. BUILDING DEPARTMENT APPROVAL q
RECEIVED BY DATE �7` 0 ( ! ACCEPTED FOR FILING
• •