90-101034 CITY OF BUILDINGSPECTION
FEDERAL WAY BUILDING PERMIT INSPECTION
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PERMIT NO. 90-1133 OA OWNER'S NAME OLYMPIC VIEW ELEMENTARY JOB ADDRESS 2626 SW :2;/1
CONTRACTOR RUDY SIMONE CONSTRUCTIOI,INDSINC 1880 136TH PL NE BELLEVUE, WA 98005 CONT. PHONE 747-1880 __
CONT. REG. NO. 'RUDYSI373NO � i, OWNER'S PHONE 941-0100 OWNER'S ADDRESS 31405 18 AVE S FEDERAL WAY
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TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. _ INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. XX _
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN . GRADING OTHER PUBLIC ADDITION/ALTERATION (SCHOOL)
TAX ACCOUNT NO. 132103-9008 _ LEGAL DESCRIPTION ATTACHED
ISSUED BY ELIZABETH SNYDER __ DATE OF ISSUE ;f 82- i� / (- DATE OF APPLICATION 7/12/90
BUILDING INFORMATION
ZONE NA OCCUPANCY E-1 TYPE OF CONSTRUCTION 5-N _ --_ BLDG. SQ. FT. NA
SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 1 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 1 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC
SINKS MISC. DRAINS 2 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES 4 X $5.104&HEATER TOTAL MECHANICAL NONE AMOUNT _NONE
VALUATION $12,000.00 PLANNING DEPT APPROVAL: NO CHANGE IN OCCUPANCY OR USE
PERMIT FEE $135_00 _ FIRE DEPT APPROVAL: KEVIN ELLIS ON 7/26/90
PLAN CHECK FEE AR.00 PUBLIC WORKS APPROVAL: NOT APPLICABLE
20
PLUMBING FEE 20.Oil __-
MECHANICAL FEE BUILDING DEPT APPROVAL: KEVIN ELLIS ON 7/26/90
TOTAL BLDG. FEES $243_00_
PART P/C FEE
SEPA REVIEW DATE: / )
WATER SERVICE
WATER MAIN CHG. AMOUNT: $247.50
' ' S.B.C.C. FEE $4.50
OTHER FEES RECEIPT:
AMOUNT DUE $247.50
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 FURNI HED BY ME IS T' ' AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: /J - -/
R AGENT / O
DATE / 4/7
0
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS 3
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 ADDS
NEW MULTI-FAMILY (UNITS ) MULTI ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. _ LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE _ DATE OF APPLICATION
BUILDING INFORMATION
liNE OCCUPANCY _ TYPE OF CONSTRUCTION BLDG. SQ. FT._
ET BACKS: FRONT _ SIDE REARSTORIES 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 4.4.1:+l iiia i t i !ia`�r'ROV .; NO CHANGE N OCCUPANCY G uS
PERMIT FEE PIRE DEPT APPRO3VAL: CEVIN ELLIS ON 7/2619()
PLAN CHECK FEE PUBLIC WORKS APPROVAL: NOT APPLICABLE
PLUMBING FEE /
MECHANICAL FEE BUILDING DEPT APPROVAL: KEVIN ELLIS ON 7/26/ 90
•TAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW DATE. -
WATER SERVICE . ' -.- . ...
WATER MAIN CHG. - ,r# ^igyre. $247.50
S.B.C.C. FEE
OTHER FEES : X++rn•
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
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Permit # e -8.3.3 C'.
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: a-W / , �// 6./. /ilT,d4<r 50/00/-
OWN
C1/C0/-
� �� _.
OWNER Ft ilii� 0G� /2/..SX/G7 a�'L!D SITE LOCATION S S3S
OWNER'S ADDRESS 3/405" /8 fv,4tg. S. CITY �. --,• PHONE '/4/—e/8o
DESCRIBE JOB ‘44)44/04/ 0--61(67: J./WipYC//I a &7 z, 5 4P-- ES7X00t7.
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 6V , 767 (/,(J7 CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS
ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON S7-151/16A1 L66- it, 9U0 A45.06, . PHONE 44,6"961j/D
BOX 4 SEWER DISTRICT fAce-pitio-L 4417 WATER DISTRICT tr‘04y 4....61r
BOX 5 ESTIMATED PROJECT COST i 2 ,9O ' '" EXISTING BUILDING VALUATION1 3/ 7v —
BOX 6 PROPERTY TAX ACCOUNT NUMBER _ ,G '2/b3- 9008-ACP
LEGAL DESCRIPTION
0r(1/4-77.4 c7
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # /t/A"
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLO0R4,711./ 9 2ND FLOOR A� / Ali-
3RD FLOOR A/A / it/.4"- BASEMENT /tom J gfr' DECK MI- / /#"-- GARAGE gio / 44-
BOX 8 ( ) SINGLE FAMILY ( NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL OTAL AREA OF PROPERTY 2-71/ 27/2/ SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. / WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS ,
SHOWERS GAS HOT WATER HEATER $
/ LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BT $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLI . NITS, SIZE $
DRINKING FOUNTAINS COMM • IAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OT '• $
2- DRAINS 1 ' $
OTHER $
'/iigii TOTAL FIXTURES $
It )1- "2-0 , 4)0 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 INVESTIG a TION AND I.FENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CIT 0 D. ' a WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYE), U'I ! ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: J�Z DATE: 1 I z D
/ ANP-008 3/90
r
OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL e�
REMARKS: A) ,i 0 (i�Gi�L U ( (A. u-c e c) r 6 CC cT em C
" 1
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DA 2e/9 0
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 TYPE OF CONSTRUCTION I14 STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION aG
BUILDING DEPARTMENT REMARKS: PERMIT FEE /33- , a�
PLAN CHECK FEE c'
PLUMBING FEE z `0 0
MECHANICAL FEE
TOTAL BLDG. FEES ZY3 0 0
PART P/C FEE d
SEPA REVIEW U
S.B.C.C. FEE c/` G
OTHER FEES
AMOUNT DUE 2-Y7- Sc;
ASSIGNED ADDRESS: Sl°e Q's /'( (Ai
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING