91-101451 CITY OF FEDERAL WAY 9) - /01 y 5" /
33530 First Way South B lJ I L D I N G PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
91-1413 OTCURTIS SMITH 451 S 304 ST
PERMIT NO. OWNER'S NAME SITE ADDRESS
TEDRIC'S ROOFING 29211 158 AVE SE KENT 726-1366
CONTRACTOR AD4RESS CONT.PHONE
CONT.REG.NO. TEDRIRI121NC EXP. 7/ 92 OWNER'S PHONE 927-6929 OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER RE—ROOF HOUSE
TAX ACCOUNT NO. 232950-0080 LEGAL DESCRIPTION NA
t D/..)
ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE I
DATE OF APPLICATION 10/8/91
BUILDING INFO MATION
ONE"'
BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY M-2 TYPE OF CONSTRUCTION 5—N CENSUS NO.O/S TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHi:ASHERS _ TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $3,7 7 O
PERMIT FEE
$63_00 BLDG DEPT APPROVAL = KEVIN ELLIS
PLAN CHECK FEE 41 _00
"SEE ATTACHED"
PLUMBING FEE _-
MECHANICAL FEE
("ART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE 4 50
FIRE FEE DATE:
OTHER FEES AMOUNT: %108.50
AMOUNT DUE _ $108_50 RECEIPT: i_ Ak
41, -'
•
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STAR7ED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMAT ON FURNISHED BY - IS TR .ND C aRRECT ,0 TH :EST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDE-AL WA REQUIREMENTS WILL
BE MET.
; OWNE R AGEN 4/- i .. DATE/!d , - \ i
CITY OF FEDERAL WAY
33530Way South
Federal FIrst Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION
661-4140
PERMIT NO. OWNER'S NAME _ SITE ADDRESS
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. EXP. 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
1D
ISSUED BY _ _ - DATE OF ISSUE 1 /9 ' DATE OF APPLICATION
BUILDING INFORMATION
ZONE - SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. _. _TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER - GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS _ FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS _ GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION _
PERMIT FEE
PLAN CHECK FEE -
PLUMBING FEE
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS EXPIRED-
S.B.C.C.FEE -
FIRE FEE -- DATE: iC
OTHER FEES - AMOUNT: DATE '�'
....................4Li ....
AMOUNT DUE RECEIPT: —14B-ISI---
! BY
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 d"
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 OCCUPY
DCD PSD FD
DATE BY
4a ,A) ,a,b, /-..6
3 (3-1'I
mit # I, ( 4 ) 3
RECEIVED
CITY OF FEDERAL WAY
OCT - 8 1991 BUILDING PERMIT APPLICATION
CITY OF FEDER; wAY — Please Print—
BUILDING DEPT
II
1 TENANT NAME: .
OWNER /Me.-�1�. dLi 7j f7n'72 SITE LOCATION
OWNER'S ADDRESS 9-s,—r0 36914,_f - CITY,. PHONE 9-27- 6-,9,2-9
DESCRIBE JOB `4__-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
d
BOX 2 CONTRACTOR'S NAME /�ir.L'J �r�Uf,i.�> CONTRACTOR'S REG. #1��1,6k//-zirrZCag 6"9 y
Card MUST be prese
CONTRACTOR'S ADDRES 9.// / 7817 -.- Jf CITY /e, -/r/1- PHONE 9401' .
EXPIRATION DATE / -9z
— 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. f < %ieq��)
'BOX 3 CONTACT PERSON --1-7,77 �.e�r/c' PHON '2��-1-�
BOX 4 SEWER DISTRICT WATER DISTRICT /?J "'Ex,vi- -.,.. ..4)4,€'2
BOX 5 ESTIMATED PROJECT COST 1,377!'. `6 EXISTING BUILDING VALUATION
'BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION _,Z3.2.9 17)—00,!U D,2-
(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 SINGLE FAMILY ( ) 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 $
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 C AIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY HERE UCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OFT INFO' ATION SUPPLIED TO TH CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT / DATE:/° ,'9(
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THiLI _ {
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
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 ( eA"'00 f
OCCUPANCY /4 Z.- TYPE OF CONSTRUCTION V N STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION 3 7 • 0
BUILDING DEPARTMENT REMARKS: S eLQ_ - 1/ c—t`Q op( PERMIT FEE w 3
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE °
OTHER FEES }�
AMOUNT DUE Ig
ASSIGNED ADDRESS: S , 1
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL TY- I (
RECEIVED BY ` DATE 16 v I ( ACCEPTED FOR FILING