91-101057 91-/O/ac7
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
91-1008 RA LITA EDDINGS 2007 S 304TH STREET
PERMIT NO. OWNER'S NAME OB AD RE S
CONTRACTOR CEO CONSTRUCTION CO ADDRESS 22814 13TH S DES�MOI�1E CONT. PHONE 824-/740
CONT. REG. NO. CEOCOC2O1DR OWNER'S PHONE 946-3044 OWNER'S ADDRESS 200U S 304TH STREET 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
TAX ACCOUNT NO. 053700-0006-06 LEGAL DESCRIPTION i/
l
ISSUED BY JOANNE JOHNSON DATE OF ISSUE i DATE OF APPLICATION 7-30-91
BUILDING INFORMATION
ZONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 165
• SET BACKS: FRONT 20' SIDE 5' REAR 5' 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 1,650.00 PLANNING DEPR APPROVAL: DB 8-2-91
PERMIT FEE 35.00 FIRE/BUILDING DEPT APPROVAL:MM 8-9-91 DECK SHALL COMPLY WITH UBC SEC 1710
PLAN CHECK FEE 23.00 FOR GUARDRAILS AND SEC 3306 FOR HAND-
PLUMBING FEE PUBLIC WORKS DEPT APPROVAL: TC 8-7-91 RAILS.
MECHANICAL FEE
TOTAL BLDG. FEES
• PART P/C FEE .,r. �i
SEPA REVIEW DATE: ( 9 F/
WATER SERVICE
WATER MAIN CHG 1 - AMOUNT: $97.50
S.B.C.COTHER. FEE 5.00 1�F
OTHER FEES P WORKS 35.00 RECEIPT: /�JL
AMOUNT DUE 97.50
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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL B .MET.: f-� ��
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OWNER OR AGENT _ �' �� DATE /
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. SO. 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 a 0 00 #LINING DEPR APPI OVAn 1I3 8-2-97:
PERMIT FEE 2E/BUILDING DhloT APPROVAL:MY 6-9-91 DECK S!. a L CONTLY WITH UBC SEC 1.—
PLAN
. .PLAN CHECK FEE FOR GUARDRAILS AND SEC 3306 FOR R.;})
PLUMBING FEE . LIC WORKS DEP* APPROVAL: TC 8.7-91 RAILS.
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW DATE ,.s;L.. 1 .-d __ ! i
WATER SERVICE
tgl SO
WATER MAIN CHG. AMOUNT: .
S.B.C.C. FEE
OTHER FEES *`uCEI
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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is Permit # 7H1N
JUL 3 0 1981 CITY OF FEDERAL WAY CR'IrI-X1
CAN, .OF FEDERAL WAY
BUILDING PERMIT APPLICATION
- Please Print—
BOX 1 TENANT NAME:
OWNER L; 1.0., &lib,/ c SITE LOCATION 5a sy -e
OWNER'S ADDRESS AC07 So 304ith �1--- CITY F'd. /e/ WO/ ref'• PHONE gf'6)o'e j
DESCRIBE JOB Re6.:, (d (Ar/4 i J R,,1Z -t D42G,L 4 S? JA's
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME G• / O Cv--► s7 - , CONTRACTOR'S REG. #(` ' -,5c--w/V/Z.
Card MUST be presen
CONTRACTOR'S ADDRESS x.819 /3 n SZ' CITY - , -" PHONE Y-A V.- 7?v6
EXPIRATION DATE ,3/f /91
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO D FINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON C. kt uc:l C-:5 !Son PHONE Y A-V- 77V O
BOX 4 SEWER DISTRICT I Pdo-Yea. e,ct WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST I a 5e�'--�/ EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 053)Ot. e 0 6 0 C-
LEGAL DESCRIPTION et 7"711.du:,cf •
(If necessary, please submitrate page with the legal description.)
K.C. Plat Recording # ,CJ
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK .' . / r 3 GARAGE /
BOX 8 (..,) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY I� Z--i 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 $
_ D'AINS $
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: L DATE: 7/ 7Z% 761 /
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE riELOW THIS LINE)
ZONES.12-SETBACKS: FRONT Za SII E J REAR 5;( HEIGHT LIMIT 'S
PLANNING DEPARTMENT APPROVAL it-07
REMARKS:
SEPA: EXEMPT I, NOT EXEMPT
FIRE DEPARTMENT APPROVAL /V/,�4 DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 7 Z DATE °7'7( /
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 STORES
DecK BUILDING SQ. FT. /)et' @ /65 �> = /65C
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ , t Left X - =
TOTAL SQ. FT. TOTAL VALUATION l,1/5d 61 .
BUILDING DEPARTMENT REMARKS: PERMIT FEE 3�
e`K S �l Cum ��,fZ yx PLAN CHECK FEE 2 3
PLUMBING FEE
/7/cJ 4 z, uric) 3i6 ,4( MECHANICAL FEE
/{ewl t' ,L4 /4 2 IJ,�3C_ TOTAL BLDG. FEES 5�`"
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE y 3O
OTHER FEES
AMOUNT DUE
/1 ASSIGNED ADDRESS:
p
' PARTIAL PLAN CHECK FEE RECEIVED
4Amount Date Receipt#
(Sy BUILDING DEPARTMENT APPROVAL
RECV BY "-74''1d DATE " /67/f/ ACCEPTED FOR FILING
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