90-101235 90')0/ „23 b
CITY OF BUILDING INSPECTION
FEDERAL WAY ' BUILDING PERMIT 941-1555
#4504 .
PERMIT NO. 90-1444 RA OWNER'S NAME RODNEY R & JILL L NUSS JOB ADDRESS 1203 SW 325TH PL
CONTRACTOR OWNER ADDRESS CONT. PHONE
CONT. REG. NO. OWNER'S PHONE 838-9593 OWNER'S ADDRESS 1203 SW 325TH PL
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 DECK
TAX ACCOUNT NO. 926494-0270-02 LEGAL DESCRIPTION LOT 27 WEST CAMPUS DIV #5, ACCORDING TO PLAT
RECORDED IN VOL 117 OF PLATS
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 9-4-90
BUILDING INFORMATION
NE01) OCCUPANCY ME2 TYPE OF CONSTRUCTION - VN BLDG. SO. FT. 505
ET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING . FT.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
r
VALUATION --------4,--4-4-4----
4 4
PERMIT FEE 72_-0-0
PLAN CHECK FEE 47.00
lePLUMBING FEE
MECHANICAL FEE
TAL BLDG. FEES DATE' q_ ( - 70
PART P/C FEE
SEPA REVIEW AMOUNT: 173, 5-c
WATER SERVICE
WATER MAIN CHG. RECEIPT: Z O
S.B.C.C. FEE 4_ 90
OTHER FEES
AMOUNT DUE 173_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 BE MET:/
OWNER OR AGENT- . ZAA_,,,,' DATE O •)- I - q
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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
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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL 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
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Permit # qQ / L( L/ L/ f&A-
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER f-24',1"lilt-4- IC . t 1 ii L . Nit,SS SITE LOCATION Stt,1t'u, ii S itArC1 e5 S
OWNER'S ADDRESS i P-)1.-; SL.) -2) -`-)t`' •P 1.4Ce- CITY F--ete_i-t ! 1ke PHONE 1 .c/ 3
DESCRIBE JOB OeLV et+A-c_I tt Vie- VCR `7 SC T3
THE PROPERTY IS OWNED BY: SINGLE ARRIED/Ccs`Ie_ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME A /A , CONTRACTOR'S REG. # ,i� / A
L
.,k, c_ A 7L/1 l tt-I F Card MUST be presented
CONTRACTOR'S ADDRESS
J� :%A CITY --- PHONE
EXPIRATION DATE / v
— 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. N
BOX 3 CONTACT PERSON Re' Cl' JD I I N L Y`-; PHONE S. 2 —`1(5 cl 3
BOX 4 SEWER DISTRICT c.... N.. "'e Vl' t'..' e atif r- WATER DISTRICT Fr-kital IAJ I./Oa-kr 4SCw v
BOX 5 ESTIMATED PROJECT COST �tt EXISTING BUILDING VALUATION ' 11 1 (:) -\'
BOX 6 PROPERTY TAX ACCOUNT NUMBER czr e,1 *: CI 6 494.—, d 7 U ----,q.--
LEGAL DESCRIPTION See, Cl` Qt 1/5-4 ., z7..41 3 �ee
\J
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # K ( G1
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOO' / : FLOOR /
3RD FLOOR / BASEMENT / DECK C'1f't RAGE /
BOX 8 SINGLE FAMILY RU NEW :� TRUCTION 'y `"-f-- i l i �,e_ '3�lJ ff
(MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRI r ,�v /
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY c '5 SQ FT J �
BOX 9 PLUMBING FIXTURES (including rough-ins) 'N MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FELT $
BATHTUBS NO. FURNACE, ELEC. GAS $
' SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISNVASHERS AIR HANWLING UNITS $
ELECfi UC HOT WATER HEATER HEAT RUMPS/SIZE $
LAUNIII Y WASHER OUTLET
UNIT/ EATERS $
URIN'LSA, AIR COOLING UNIT, SIZE $
DRI„KINGOUNTAINS COMERCIAL HOOD $
S. PS, SPP JNKLER VACUUM BREAKERS 01-HER $
(RAINS / $
OTHER $
V 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 ACCUR, ', OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
} �
/ DAr, 9 G�VOWNER/AGE '1.4! .z�� � 1 _ DATE:
,Z, ANP-008 3/90
�
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
Aid c ✓ e_ ( r^ tAS- mV c,_-cccrco. Cs/
. _
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: /V/A
PUBLIC WORKS DEPARTMENT APPROVAL /UM-
TYPEREMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT X NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY Z TYPE OF CONSTRUCTION VA/ STORES
BUILDING SQ. FT. = TCS-
BUILDING
CSBUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ (A( �)
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION L( L ./ L/
BUILDING DEPARTMENT REMARKS: 7 Z -cC.,
PERMIT FEE
PLAN CHECK FEE y7 -0 0
PLUMBING FEE , U
MECHANICAL FEE 0
TOTAL BLDG. FEES i i `t e O G
PART P/C FEE
SEPA REVIEW •
S.B.C.C. FEE y ,_s—c.
OTHER FEES 0
AMOUNT DUE t 2-3 - S"0
ASSIGNED ADDRESS: See— QK( S
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
SEP 4 1990 Amount Date Receipt#
CITY OF FEDERAL WAY BUILDING DEPARTMENT APPROVAL
BUIL�ENG DpPT, BY DATE
ACCEPTED FOR FILING