91-100370 w, /ao -20
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-326 RA OWNER'S NAME DAN YONKIN JOB ADDRESS 2613 S 304TH STREET
CONTRACTOR D E MILLER ADDRESS 17524 INTERURBAN SNOHOMISH, WA CONT. PHONE 1-481-6969
CONT. REG. NO. DEMILC18809 OWNER'S PHONE 946-2201 OWNER'S ADDRESS 2613 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. SIGNGRADING OTHER ADDN TO CARPORT
TAX ACCOUNT NO. 092104-9079-09 LEGAL DESCRIPTION (SEE ATTACHED)
ISSUED BY JOANNE JOHNSON DATE OF ISSUE _ / ` / S -97 DATE OF APPLICATION 3-22-91
• BUILDING INFORMATION
ZONE RS 7.2 OCCUPANCY Ml TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 242
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.
RETURNED _
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS ___ TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT _
VALUATION 4,186.60 PLANNING DEPT APPROVAL: DB 3-28-91 (UNIMPROVED ROW EXEMPT)
PERMIT FEE 72_00 BUILDING DEPT APPROVAL: MB 4-1-91 REPLACE CARPORT AND WORKSHOP
PLAN CHECK FEE 47-0A_
MROOF WITH TRUSSES.
LUMBING FEE
ECHANICAL FEE
TOTAL BLDG. FEES � /
PART P/C FEE _ DATE: `-/ /S ---C? (
SEPA REVIEW
WATER SERVICE AMOUNT: $123.50
WATER MAIN CHG.
S.B.C.C. FEE 4.50 RECIEPT: ';2L/' L(� .--
OTHER FEES
AMOUNT DUE 123. 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
REQUIREMENTMET:
/ C y
OWNER OR AGENT may' DATE ' / -) - e'" •
' , .+yes.,71174....- .r,.,,--"...- ...-- -r•..,...
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
VALUATION NNINC DEPT APPROVAL: i Y1 J-28—! i (UNIMPROVED ROW =APT)
PERMIT FEE ILTThG DEPT APPROVAL: MB 4-1-91 REPLACE CARPORT AND b` P.X77 ;
PLAN CHECK FEE POOP' WITH TRUSSES•
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE --._..._. _.__------._ -
SEPA REVIEW
WATER SERVICE ':UNT: $123.5
_
WATER MAIN CHG.
S.B.C.C. FEE :CIES:
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
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CITY OFF (TitA
BUILDING PERMPlease P TION
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—
BOX 1 TENANT'NAME:
OWNER I.`, ' `1E'.):v�<r� SITE LOCATION „ 6 /- 5 o . __ I--
.
OWNER'S ADDRESS 613 S . s7,9Y'r-t5-1---- 5-1--- CITY '�a9`l PAP*"4- 4 � PHONE 9't/6 -- �2 0/
DESCRIBE JOB .9DF5 //x2 i'' To &—X t.rri Al (A.2Ave T'o )1 r ,1D,,,,-, <,,,.- 0.9it-fccr-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED x PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 10-.),k.---. /Y1/L 4 Q CONTRACTOR'S REG. # C /''1/L C /F5cg
Card MUST be presented
CONTRACTOR'S ADDRESS/752 Y 777r oh-6*--ci _CITY -SI /J A7/J'/f PHONE 2",f'/`
EXPIRATION DATE 9 - 29- 7,
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING I 0 DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON `'`J'/L'-4---. PHONE %- 6 6%
t 0v; t41-t0ZC
BOX 4 SEWER DISTRICT Ft=_t_.N_L Vsibq WATER DISTRICT `
BOX 5 ESTIMATED PROJECT COST ii.Z ccs c EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 012_104•-q (17q"C:9
LEGAL DESCRIPTION NAINLA-4
(If necessary, please submit a separate page withTle legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR J
3RD FLOOR / BASEMENT / DECK / GARAGE 2 0 / ,UY
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION '1 ��6,C -(� !l
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ..
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) \ MECHANICAL APPLIANC BASIC FEE$
NO. WATERCLOSETS GAS P 'ING, FEET $
BATHTUBS NO. \\ FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEAT R $
LAVATORIES CONVERSION BURNE $
SINKS / :OILER, SIZE BTU $
,,ISHWASHEf Al' HANDLING Lb TS $
E CTRIC ,OT WATER HEATER HEA' PUMPS, E $
LA DRY ASHER OUTLET UNIT ' ATE•: $
URIN : AIR COS I : UNITS, SIZE $
DRIN G FOUNTAINS COMER 'L HOOD $
SUM'S, '•RINKLER VACUUM BREAKERS OTHER $
DR INS $
0 HER $
OTAL FIXTU• S $
\\ TOT' MECHANICAL FE. $
i
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 EM• OYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ' ' y' 43
DATE: 3- Z Z-?)
ANP-008 3/90
WRITE BELOW THIS LINE)
ZONE 1-.1 SETBACKS: FRONT REAR - HEIGHT LIMIT 3O
PLANNING DEPARTMENT APPROVAL ;' ~4.
REMARKS: +h1prt ‘•rca
SEPA: EXEMPT Y 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
OCCUPANCY /4 - TYPE OF CONSTRUCTION - i-.1 STORES
jLv
- J BUILDING SQ. FT. "2 y7-2@ ,1 C� = `� ��- G
BUILDING SQ. FT. @ l'
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION il/ f4,a C
BUILDING DEPARTMENT REMARKS: PERMIT FEE ~',.
Pt", 1 r`/IL,1 , PLAN CHECK FEE z''�-f
��- /I/tf 0.z.! � �^-:opt/� S.� r
PLUMBING FEE
/2G/= pt.,/ 7,4 772 yss'/!.f, MECHANICAL FEE
TOTAL BLDG. FEES it a `c)C.
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE 9-5
OTHER FEES
AMOUNT DUE -'V2 3_ S"z
ASSIGNED ADDRESS:
0 a
W M t PARTIAL PLAN CHECK FEE RECEIVED
ft
W N q Amount Date Receipt#
CV tiff
BUILDING DEPARTMENT APPROVAL
LICREJE IVI ® BY .rp DATE y�/" Pj ACCEPTED FOR FILING
0