90-100010 9n -/aD0/0
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-0013 - OWNER'S NAME David & Debra Larson JOB ADDRESS 33618 5 P1 SW
CONTRACTOR D N W000dsi de Deve1 opment ADDRESS POB 548 Graham _ CONT. PHONE 474-2489/381-1447
CONT. REG. NO. DNWOODC159NN 8/15/90 OWNER'S PHONE 661-8906 OWNER'S ADDRESS 123 SW 307 St Federal Way 98003
TYPE JOB: NEW RESIDENCE XXX 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._ 729805-0520-02 LEGAL DESCRIPTION Lot 52 Division #6 The Ridge
ISSUED BY Elizabeth Snyder (Typist) DATE OF ISSUE DATE OF APPLICATION 3/1/90
BUILDING INFORMATION
NE RS9.6 OCCUPANCY R-3 TYPE OF CONSTRUCTION__- 5-N _ BLDG. SQ. FT. 4049 total
SET BACKS FRONT 201 _ SIDE 51 each REAR 51 STORIES 2 _ HEIGHT LIMIT 29[ _
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING _FT. 3.50 BOILER
RECEIVED _
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S)
SHOWERS __I__ URINALS FORCED AIR FURNACE 10_00 AIR HANDLING UNIT _ NUMBER
LAVATORIES DRINKING FOUNTAINS _ GAS HOT WATER HTR. 6.50 MISC.
RETURNED
SINKS 5 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES 1 3 UNIT HEATER TOTAL MECHANICAL _70_00 AMOUNT NONF
VALUATION $707,866_12
PERMIT FEE $1018.00
PLAN CHECK FEE 662.00
PLUMBING FEE C5_00
;FAL
FEE = 20_00 / 5
TAL BLDG. FEES $1]65_00 � �112)--Q
t�(� /. b---b
PART P/C FEE (AA_
SEPA REVIEW
WATER SERVICE D 1 I"LF
14--q
- ��
WATER MAIN CHG.
S.B.C.C. FEE 4.50 liAte� _ 'y / ; _, J
OTHER FEES Ra
AMOUNT DUE $1769.50
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 BE MET: /
OWNER OR AGENT /. _ - . 10' DATE 7 -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
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S 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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41110
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 OWNER DAVI b DEBRA L Ak s o N JOB LOCATION ?Ng' R lt5/.- lit,/Slyly#( Lur _S-;Z
OWNER'S ADDRESS /073 SGVT1-1 UIIST l(n 77* CITY IEtA 1?Ac 14l- / PHONE 66/ - �y0�
DESCRIBE JOB WI-1E
THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 11.1. U100d S)QE DLVELt)/V1E1•Jr (-G . CONTRACTOR'S REG. # DN14/0016 C/S,
Card MUST be presented
CONTRACTOR'S ADDRESS P,D. BOY SS/ CITY&A,4NiArt PHONE hi7V.749/,i/IVY 7
EXPIRATION DATE -/S-`f(?
— 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 Q.Av)4 /Lf t7 i PHONE V7Va)Yfl'13d/-/ 'V7
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST /7 S/SGO,LO EXISTING BUILDING VALUATION t
BOX 6 PROPERTY TAX ACCOUNT NUMBER y 7,2 9Pos" OrS a - D�
LEGAL DESCRIPTION THE /' i 6 G6 D i i S JO N # t Z or .S 1.
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR/44 fr / 2ND FLOOR /60. /
3RD FLOOR / BASEMENT / DECK / GARAGE 4f-3.s--
BOX
JSBOX 8 < SINGLE FAMILY ,(Xj 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. 3 WATERCLOSETS GAS PIPING, FEET $ 3, CO
a. BATHTUBS NO. / FURNACE, ELEC. GAS X $ 10 <60
/ SHOWERS / GAS HOT WATER HEATER $ (✓ S O
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 $
13 TOTAL FIXTURES $
VC - (- 5-700 TOTAL MECHANICAL FEE $ '2-040O
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 PER-
FORM THE WORK FOR W ICH P 'k IT • PP ICATION IS MADE.
OWNER/AGENT: j� DATE: 3— /— Yb
ANP-006 2/90
/ 1
0 . •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEAS -` SETBACKS: FRONT 'u SIZES e-u REAR $ r HEIGHT LIMIT 30
PLANNING DEPARTMENT APPROVAL r----C 3 ( 2, - qo
REMARKS: 7---Cr ke (yIc` " 0 r_
o `g 4,4_9 ( f.-0 I— (U L.' cry t ; 2 fa rrr-- ---r `�-�J (--ct 5 /(1;r(( c 'C4<vt _
SEPA: EXEMPT - NOT EXEMPT �/ - - -
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE 3--/2 _ qn
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. ROOF OTHER
OCCUPANQY /c 3 TYPE OF CONSTRUCTION V STORES
1-(-\JI BUILDING SQ. FT. 32.,Y @ bq' - 0O = ZZ1766.°O
GoIV& 42- BiUILDING SQ. FT. v, S" @ j'7, 3 0 = 1 `{ tit 15 , so_
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ - '
BUILDING SQ. FT. @ --', - -
BUILDING SQ. FT. L ( i :': (1 i� 0 , ,
TOTAL SQ. FT. TOTAL VALUATION _ 2_O 7666 ( 1 -
EBUILDING PERMIT NO. 40- a 1 3 PLAN CHECK FEE REC'D -E-' RECEIPT NO.
PERMIT FEE (0(e .00 PLAN CHECK FEE — -2;-‘..4— PLUMBING FEE --- --. — MECH. FEE 2-C - o 0
TOTAL FEES SBCC SURCHARGE ENERGY SURCHARGE L{•SC- AMOUNT DUE
BUILDING DEPARTMENT APPROVAL DATE
REMARKS:
ASSIGNED ADDRESS: 33 61 S 5-4* r .e," 5` (✓r -:
RECEIVED
MAR 0 1 1990
CITY OF i"EDSFAAL WAY
BUILDING DEPT.
RECEIVED ACCEPTED FOR FILING
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RECEIVED
MAR 0 1 1990
CITY OF FEDERAL WAY
BUILDING DEPT.
SCALE ORN CKD API"),
ACS BUILDING DESIGNS r-- ' I'�- c .�.
ENERGY ANALYSIS DATED-2.1-1L.-
b1
I�� SHEET I of
GEORGE BELMORE PERMIT SERVICES
T
841 3388 ./ .�",c. , t L h. )� J 1 e_c_
11,
This certificate provideshe , , . . 1110
, ..,. ,
Department of Health and Please return to:
Building & Land Development � y ; BUILDING & LAND DEVELOPMENT
with information necessary to ,
<a D
y b t 450 Administration Building
evaluate development proposals .
Seattle, Washington 98104
206-3447900
KING COUNTY CERTIFICATE OF WATER AVAILABILITY
Do not write in this box
number name
❑ Building Permit ❑ Preliminary Plat or PUD
❑ Short Subdivision ❑ Rezone orother 1 1
t-
APPLICANT'S NAME U 3 10 f\ i 1--A'�q,\ at,a 6 . k`
,,, , ti._S ,,,
PROPOSED USE St l)51 (2ll�
i\pn\Ur "?'5 i t'i1Ce
LOCAT ION � 1C, i`1 USe Vi 6C L0 Z_,
(Attach map & legal description if necessary)
# # # # # # # # # # # # # # # #
WATER PURVEYOR INFORMATION
1. a. Water will be provided by service connection only to an existing
water main 2.N44,41 4.1_ kD f. a f- ►the site. size
OR
b. I I Water service will require an improvement to the water system of:
❑ (1) feet of water main to reach the site; and/or
❑ (2) the construction of a distribution system on the site; and/or
❑ (3) other (describe)
2. a. rgThe water system is in conformance with a County approved water comprehensive plan.
OR
b. r- 1 The water system improvement will require a water comprehensive plan amendment.
3. a. ^ _ The proposed project is within the corporate limits of the district, or has been
1>>h granted Boundary Review Board approval for extension of service outside the district
or city, or is within the County approved service area of a private •water purveyor.
OR
b. r 1 Annexation or BRB approval will be necessary to provide service.
4. a. r-1 Water is/or will be available at the rate of flowiand duration indicated below at
1 1 no less than 20 psi measured at the nearest fire hydrant feet from the
building/property (or as marked on the attached map) :
Rate of Flow Duration
❑ less than 500 gpm (approx. gpm) ❑ less than 1 hour
❑ 500 to 999 gpm11
❑ 1 hour to 2 hours
1000 gpm or more FOR2 hours or more
flow test of gpm ❑ other
❑ calculation of gpm (Commercial Building Permits require flow
OR test or calculation)
b. Water system is not capable of providing fire 'flow. lj 1
COMMENTS/CONDITIONS
C1cl51-1>J tJ2W 1 A�' 1A)� S ..AJ O1�►tl-P C
-o ISA\ �c'' c
I hereby certify that the above water purveyor information is true . This
certification shall be valid for one year from date of signature.
CaALILa A \f)(X1 c2J.,.)- 'L-t?1 c----k-k ka-0
Agency N N Signator t• me
'Title '.ignature Date
F 278
6/R0 () L ( 3 •
_n,(„.. B3g- 048• 03
• „. LT, ,.. 4111 , C�l — . IUCP(Ii)
'his certificate provides the .
Department of Health and
" '?' � Please return to : ,
Building & Land Development r` , '"1 1 BUILDING & LAND DEVELOPMENT
with information necessary to '4
evaluate development proposals . ",•
i. t, 450 Administration Building
?„6.` ", ie.3ttle, Washington 98104
:, 206-3447900
KING COUNTY CERTIFICATE OF SEWER AVAILABILITY
o no wri e in this box — -.
number name
.a Building Permit ❑ Preliminary Plat or PUD
0 Short ,Subdivision ❑ Rezone or other
APPLICANT'S NAME v 1f'Iv tO i) 1.---1`\14cJn I Y'ON L-01( e'
PROPOSED USE r : . (r{• C-IA ��Sl ()A n4- V —
)
LOCATION < 1 1(`3 C OW V l� 1—of tp-- 33x�C �j fi a�L_ V.�
(Attach map & legal description if ne essary)
# # # # # # if # it if # # . # # # #
SEWER AGFNCY INFORMATION
1 . a. Sewer service will be provided by sl_de sewer connection only to
N e.n existing size sewer , 4'.e' ��-� -
� �-rvnr the site
and the sewer system has the capacity to serve the proposed use .
OR
b. ( Sewer service will require an improvement to the sewer system of :
I
❑ (1) feet of sewer trunk or latteral to reach the site ;
and/or
❑ (2) the construction of a collection system on the site ;
and/or
❑ ( 3) other (describe)
a. M, The sewer system improvement is in conformance with a County approved sewer
comprehensive plan. V
OR
b. ( The sewer Jystem improvement will require a sewer comprer sive
I
plan amendment.
a./ l The proposed project is within the corporate limits of the district ,`!� or has been granted Boundary Review Board approval i;or extension
of service outside the district or city.
OR
1. b. I 1 Annexation or BRB approval will be necessary to provide service .
4 . Service is subject to the following :
a. Connection charge : 4 bk, C-AACIt s21
b. Easement (s) : jj-'
c. Other : C�c t S') k.Q.t�,. p' b OA-Le/1 CtkreA
D Q 0l CA .
I hereby certify that the above sewer agency information is true . This
.certification shall be valid for one year from elate of signature.
.Q121/1-.44 \-A), A Ni 014-Q_Y-A c-in)Qi- "--.0 cIniva awtzu___ _
Agency Name - m
ak�)(-ear \ • 1 ,... 11,A-- -. i I `_ 3.-
Title Signature Date
F279
c7 L C (..' .