90-100790 96- /00790
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-1212 RA OWNER'S NAME DORENBUSH HOMES JOB ADDRESS 4627 SW 327 PL
CONTRACTOR OWNER ADDRESS 275 118 AVE SE 4710 BELLEVUE CONT. PHONE 641-0922
CONT. REG. NO. DORENI*210M3 6/91 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
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. 189020-0120 LEGAL DESCRIPTION T.OT 1 7 DASH POTNT GLEN
ISSUED BY F.T.TZARRTH. SNYDER DATE OF ISSUE ey3 DATE OF APPLICATION 7/20/90
• BUILDING INFORMATION
ZONE NA OCCUPANCY M-2 TYPE OF CONSTRUCTION 5-N BLDG. SO. FT. 1 70
SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
A
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 r
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. _
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $1200_00
BUILDING DEPT APPROVAL: KEVIN ELLIS ON 7/30/90
PERMIT FEE $29_00
PLAN CHECK FEE 19_00
iiikUMBING FEE
IMPCHANICAL FEE
TOTAL BLDG. FEES $40_00
PART P/C FEE
SEPA REVIEW
WATER SERVICE
MAIN CHG. 2 6„,„/"..590./........--
WATER ���S.B.C.C. FEE 4_50 DATE PAID J AMOUNT RECEIPT /
OTHER FEES
AMOUNT DUE $52-50
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 INFO A N F RNIS ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE T.
OWNER OR AGENT e4./ DATE f -- D
CITY OFBUILDING 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. SIGNGRADING 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
BUILDING DEPT APPROVAL: KEVIN RLLIS ON 7/30/90
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE _ '
WATER MAIN CHG. i - ;`
S B.c.c. FEE
OAT AID _ __ �- _._ �►E+�zC)C3�?`1' '• :'_ RF. TPTJ / / I .� 1
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
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE BY DATE BY DATE BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE BY GAS PIPING O.K. DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY DATE BY DATE BY
FINAL O.K. TO OCC PY
DCD PSD FD
DATE_,,,/.7 5 l./By/1E9
_..,
Permit # 0 - /-2 / 2 SVA
RECEIVED CITY OF FEDERAL WAY )( ))&_10C O�
JU- 2 01990 BUILDING PERMIT APPLICATIONlixr
CITY OF FEDERAL WAY — Please Print—
BUILDING DEPT.
BOX 1 TENANT NAME:
OWNER -.i! . ._ /4,•fc'_ SITE LOCATION a. - .5l,( t�G
OWNER'S ADDRESS E : / .5' . A CITY i, C -... C- PHONE 6`//-DP.2,Z
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION z------
BOX 2 CONTRACTOR'S NAME 1>oki tJeWSvl A i _ CONTRACTOR'S REG. #_ ,2rjirizI a/2r13
Card MUST be presented
CONTRACTOR'S ADDRESS 02 //FA'r . . / CITY grLCtitPHONE Cp iil-6,Z2
EXPIRATION DATE Cr /7/
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.1j0 W CH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ' _ s °'•2 PHONE 6 S'/ a
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST _ C' EXISTING BUILDING VALUATION .4 .---- , CSr,€
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1 C9 �
LEGAL DESCRIPTION Lam` / As ' '' -,v-i gLCA '
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK /02J/ e7 GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ,Q<) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 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 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 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 ITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLO / S PO ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
ii
OWNER/AGENT: -
.LLlL.i _ DATE: ".... 11?.. 11?
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:
SEPA: EXEMPT • NOT EXEMPT
FIRE DEPARTMENT APPROVALDATE
REMARKS: 7'
PUBLIC WORKS DEPARTMENT ROVAL 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 - )1/11 STORES
BUILDING SQ. FT. iy 3 @ • Cd =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION f Z 0 v
BUILDING DEPARTMENT REMARKS: PERMIT FEE �� G
PLAN CHECK FEE (c7, o
PLUMBING FEE �'
MECHANICAL FEE
TOTAL BLDG. FEES i(R .- n
PART P/C FEE U
SEPA REVIEW 0
S.B.C.C. FEE �� C
OTHER FEES 0
AMOUNT DUE S z "5-0
ASSIGNED ADDRESS: 5 _Q --tc ( S�i (A)
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
u z 01990 Amount Date _ Receipt#
CATV OF FEDERAL WAYBUILDING DEPARTMENT APPROVAL
Ramat* DEPT By
DATE ACCEPTED FOR FILING
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