91-100815 9)-loo 8/,;-
CITY
/5CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-779 NR OWNER'S NAME MICHAEL PARK JOB ADDRESS 4609 SW 328 PL
CONTRACTOR OWNER ADDRESS 22727 HWY 99 #205 EDMONDS CONT. PHONE 774-4190
CONT. REG. NO. NA OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. _ NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER . . .AND GARAGE AND DECK
TAX ACCOUNT NO. 802950-0090 LEGAL DESCRIPTION _LOT 9 STONEBROOK
S(6/9 I
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 6/11/91
eBUILDING INFORMATION
ZONE RS 9.6 OCCUPANCY R-3/M-1 TYPE OF CONSTRUCTION57N _ BLDG. SQ. FT.-1$86
SET BACKS: FRONT 20' SIDE 5' EACH REAR - 5_' _ STORIES 3 HEIGHT LIMIT 30' MAX
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. 2�0Q BOILER
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR _TANK(S) RECEIVED
SHOWERS 1 _ URINALS FORCED AIR FURNACE 1.Q_._Q0 AIR HANDLING UNIT _ NUMBER _
LkVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. __6_,,5_0 MISC.
-
SINKS 1 MISC. _ CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 14 X $5.00 UNIT HEATER TOTAL MECHANICAL 18-50 AMOUNT _NONE__
_.
VALUATION $205,946.00
PERMIT FEE $1011.00 PLANNING DEPT APPROVAL = LORI SCHILL
PLAN CHECK FEE 657.00
UMBINGFEE 70.00 "REQUESTED & RECEIVED TOPO MAP, 6/18/91
HANICAL FEE 18.50
TOTAL BLDG. FEES $1756.50 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS •
PART P/C FEE (402.00)
SEPA REVIEW PUBLIC WKS APPROVAL = TOM COLLINS
WATER SERVICE
f
WATER MAIN CHG. / J-1--4-'
4.50 DATE PD2/4 ( AMT $1394. 00 RE CT ,
S.B.C.C. FEE REI
CT
FEES P. WKS. 35.00
AMOUNT DUE $1394.00
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:
- {\ ' r 'f'`- DATE /t G / c_
OWNER OR AGENT 1 1 ) / /
f
LPERAL
. ,
WAY B ILDING PERMIT
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BUILDING INSPECTION
55
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR CONT. REG. NO. ADDRESS CONT. PHONE
OWNER'S PHONE
��Z��-3''�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 0 __ 1 Li 1 n _' A A � 3 • 4
.�✓La. ���.�( 4 4,1 .i(/v�J�,("[i64-G4r . —
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 ' 2°5') 1 al I
'
PERMIT FEE 'r;k: DEi- _ riPPROVAL = t ORI S TI>.. .
PLAN CHECK FEE
UMBING FEE " EQUE STER & RECE 11t 'OPO k A f, 6,18i
W.CHANICAL FEE
TOTAL BLDG. FEES .s i'..j ✓<.. 1-.) ! P a: " A « ''`,pi. 3;. `V T f R?.'.'.i.S
PART P/C FEE '1.. :. IC! N
TO (:(ii,i., .15
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE i
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.
r
• 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:
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•mit # 9' 1- 77 ,' /ve
CITY OF FEDERAL WAY / / 0 2 c��
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BUILDING PERMIT APPLICATION Wi'l-t47/— q/
35 .
—Please Print—
BOX 1 TENANT NAME:
OWNER M Chrkel f4rL SITE LOCATION STOat ccK. btt-i L LOT 9
OWNER'S ADDRESS 27171 hz3koak, en t,2c5 CITY Ejw+e,,d PHONE 114 4t'
DESCRIBE JOB NEW t�
THE PROPERTY IS OWNED BY: S -1/MARRIED ice,„ F PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME g1 c WNFK M 1 C►'Lt'F I r i-V-7,tK CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS '^1 -71 NIGj-10.1—`Ict '' ft.,VA CITY t"n--' .N0:: PHONE T7 — u 19r^
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 M t Jiaa_l ;y k. / S eanel - rk. PHONE 7T7q.— Ci
BOX 4 SEWER DISTRICT 'PS WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST f Imo; COO EXISTING BUILDING VALUATION - --
BOX 6 PROPERTY TAX ACCOUNT NUMBER b b `15C CO'?C
LEGAL DESCRIPTION :Sri:s-rbkiP gt2.c Ok . t c=T—telS[=?-N9 (, �I f1G\ v,-
'to 1
`tot V ( RE_ :S b —1 1-1,C
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 13/3/ 2ND FLOOR /
3RD FLOOR / BASEMENT c4 / DECK / GARAGE /
BOX 8 (�.) SINGLE FAMILY ( --4 NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) 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 2.?.0 $ Z- 00
a BATHTUBS NO. FURNACE, ELEC. GAS $ (0 - (.)a
i SHOWERS GAS HOT WATER HEATER $ 6 -S O
5 LAVATORIES CONVERSION BURNER $
I SINKS BOILER, SIZE BTU $
/ DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
1 LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
!Q TOTAL FIXTURES $ _
/A/c 7t)- Oe, TOTAL MECHANICAL FEE $ (i5- 7 C
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.
7- )
OWNER/AGENT: DATE: f-�7
t ANP-008 3/90
IIIP
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW TAINE)
ZONE gS`l., SETBACKS: FRONT ao' SIDE REAR I HEIGHT LIMIT e
PLANNING DEPARTMENT APPROVAL
REMARKS: r�czuC--C--r --6 fr. 2E.dE-J 72t Po /to 4-p, 6 -i €-9 I
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 7 - g - /
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE ;:,/2-7/?l
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 rkTYPE OF CONSTRUCTION VA/ STORES
j)r f(Gor f i✓ftcq BUILDING SQ. FT. (3 I 3 @ 7z ' ctC) /5- 7 /7. 7a
2, L4 F(dcr IiVt. BUILDING SQ. FT. (6 � ci @ tr 80 ( / 7, /0
6 a v �JJ/ BUILDING SQ. FT. 6 cZ ( @ N. 3 0 = /Z ,6 Z, 30
6 e-- BUILDING SQ. FT. f R 7- @ /® - co = / c 7-0
j ctse.. --ievfi BUILDING SQ. FT. (2 0 ( @ /2- - q _ 17/ 3s/ Z • fO
BUILDING SQ. FT. @ ��? !tc<er- = 0- .0..
TOTAL SQ. FT. .3,i-r1.0 TOTAL VALUATION 2_03-et q6, y
BUILDING DEPARTMENT REMARKS: PERMIT FEE S°9 (D(
IT
PLAN CHECK FEE Z5 los-
PLUMBING FEE 70
MECHANICAL FEE IZ- SU
TOTAL BLDG. FEES 1756 • y o
PART P/C FEE r' ?: ' Cr!.?
SEPA REVIEW
3S.- .
S.B.C.C. FEE 4.5-0
TQ
OTHER FEES
AMOUNT DUE a'14 •D
ASSIGNED ADDRESS: 116 0 1 S. (n) • 3 ZS (2--1
PARTIAL PLAN CHECK FEE RECEIVED
D " f
Amount 7 ? Date Receipt# 77
BUILDING DEPARTMENT APPROVAL
RECEIVED BY / C-- q DATE 7 - l ! ACCEPTED FOR FILING
SW 3,287E-1 PL f2 r ; G'Pi'I`` i ,�,{,,, kJO.
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SW 329TH 1"1H`(
4. SITE r--)D6y = i" _e.0' -
fAtInEA wvENPE
t TUt�AL L1611-11-1 A1�E,A MAII'! FLOOR l313 SO FT
MAIN FLOOf \ ??4-1117.067: U 1 N FLOON lob` SCS FT
UPPER FLoOn 14711' 13,3520 TOTAL 24-E So FT
EMENT `181 I`1,i9 7 C.�fAC E 681 SQFT'
[ONC. 1 vekY 166 S�.FT iSEt1rNT
cUNF'INI511ED) 601 SFT
I-IALk.1sitlY ccoric.) 8g sg.V-T VISION
RECEIVED
FILE JUN 181991
PERMIT# — 7 J
2
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