91-100388 9)40-03a a
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. __ 91-148 RA OWNER'S NAME GLORIA BAGNUR JOB ADDRESS 3305 SW 327TH
CONTRACTOR FOUR SEASONS/ALL CUSTOMAIT,D4-:$ 4150 "B" PLACE NW #105 AUBURN CONT. PHONE 852-4503
CONT. REG. NO. FOURSACO99CO OWNER'S PHONE 927-5426 OWNER'S ADDRESS 3305 SW 377TH 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 PATIO ROOM
TAX ACCOUNT NO. 991090-0170-0 LEGAL DESCRIPTION j LOT 1 7 WOODVALE
ISSUED BY JOANNE: 1DNNSON DATE OF ISSUE ' I DATE OF APPLICATION 3-28-91
el BUILDING INFORMATION
ZONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 120
SET BACKS: FRONT 20 SIDE 5 REAR 5 STORIES HEIGHT LIMIT 30
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.
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 7,286.40 PLANNING DEPT APPROVAL: DB 4-1-91
PERMIT FEE 99„00 BUILDING DEPT APPROVAL: KC 4-3-91
PLAN CHECK FEE 64.00
,LUMBING
FEE _
ECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE 4/k1
SEPA REVIEW /� qqWATER SERVICE L
WATER MAIN CHG. DATE:
S.B.C.C. FEE 4.50
OTHER FEES AMOUNT: $167.50
AMOUNT DUE 167.50
RECIEP :
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANC- I- NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATIO FU'N .. ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE M . r
OWNER OR AGF , / _ _ , / DATE 9 -I is' r.-7/
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
LLVALUATION
. 7.PERMIT FEE -- 4�T.�!NG DEPT APPROVAL KC 4.3-9!
PLAN CHECK FEE
UMBING FEE
CHANICAL FEE _ _.
TOTAL BLDG. FEES
PART P/C FEE /+ / Iiiiiiill
SEPA REVIEW WATER SERVICE i.Vil.w.. .)WATER MAIN CHG. _ DATE
S.B.C.C. FEE ^t
OTHER FEES •••"......4141.1.1.11.8.
-x J w4 �Y
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. n
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 ✓2
REQUIREMENTS WILL BE MET: J
OWNER OR AGENT DATE ���
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MAR 2 8 1991 CITY OF FEDERAL WAY
c;TYOFFFUciLALWAY BUILDING PERMIT APPLICATION
BUaLDING DEPT. —Please Print—
BOX 1 TENANT NAME: Gro-c'z,/4 .73,f4,i/,i'C
OWNER c 7-3Ac n/u>i<_ SITE LOCATION
OWNER'S ADDRESS 3306' yr 32 i-''' CITY k/4 y PHONE Y 7'
DESCRIBE JOB -PATIc
THE PROPERTY IS OWNED BY:SINGLE/MARRIED /C PARTNERSHIP CORPORATION
(,t r , S ' �r,t
BOX 2 CONTRACTOR'S NAMEA 4Lc ('zA5,z,-' CONTRACTOR'S REG. # tc'Li(5.tc'.c- 9c rc'
Card MUST be present
CONTRACTOR'S ADDRESS 4/.57) :1`3 7'L f/IL) /c.b5 CITY Air4—c,c:✓ PHONE .SC
EXPIRATION DATE r-/ yj
— 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 /1 U h PHONE L5'..5- ' - 1-5-c "s
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST '7Z, 3co EXISTING BUILDING VALUATION 4f j 2c,•,n-c
BOX 6 PROPERTY TAX ACCOUNT NUMBER f.j"/e c - (i/c -c=
LEGAL DESCRIPTION Lar /7 i^/C'i't7l�i{LL�
(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 / GARAGE /
BOX 8 >4 SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rougtt'ins) MECHANICAL APPLIANCES — SIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. $
SH6WERS AS HOT WATER HEATS $
LAVA1TO,RIES C VERSION BURN $
SINKS \\ BOIL , SIZE BTU $
DISHWASHERS AIR HA LIN NITS $
ELECTRIC HO'\WATER HEATER HEAT PUM $, SIZE $
LAUNDRY WAS R OUTLET UNIT HEATER $
URINALS AIR COOLING UNI - SIZE $
DRINKING FOUNTAI COMMERCIAL HOOD $
$LIMPS, SPRINKLER V UUM 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.
OWNER/AGENT: DATE: -3/E/y/
ANP-008 3/90
OFFIUSE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE ;1.2.- SETBACKS: FRONT SIDE 5 REAR HEIGHT LIMIT 3(.10
PLANNING DEPARTMENT APPROVAL ®1/r7
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL /t/i#_ DATE
REMARKS: /
PUBLIC WORKS DEPARTMENT APPROVAL /l/k DATE
REMARKS:
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 TYPE OF CONSTRUCTION 1/ti STORES
-it/t (n-C� BUILDING SQ. FT. 7-0 @ 6f, c'r _ d
J BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ rr =
BUILDING SQ. FT. @ A•tod
TOTAL SQ. FT. TOTAL VALUATION 77-2 6` y0
BUILDING DEPARTMENT REMARKS: PERMIT FEE q q
PLAN CHECK FEE `f
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES (6 3
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE Y` C
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: `' 6 e-X S *1-1 ltiC�
PARTIAL PLAN CHECK FEE RECEIVED
Amount _ Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE - ACCEPTED FOR FILING
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