91-100489 9 /- ib *
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
434
PERMIT NO. 91-448 RA OWNER'S NAME KEVIN HORSFALL JOB ADDRESS 2809 S 301 LANE
CONTRACTOR RULE CONSTRUCTION ADDRESS 4214 S 284 ST AUBURN 98001 CONT. PHONE 854-8215
CONT. REG. NO. RULECC136DA 3/92 OWNER'S PHONE 941-8643 OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION XXX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER ADDITION TO SFR
TAX ACCOUNT NO. 798380-0060 LEGAL DESCRIPTION LOT 6 STEEL LAKE GLEN ACC TO PLAT THEREOF
RECORDED IN VOL 115 OF PLATS PG 90-91 IN KING CO WASH
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE l; 2i e Cl, / DATE OF APPLICATION 4/15/91
• BUILDING INFORMATION
ZONE_ RS 7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N BLDG. SQ. FT._ 275
SET BACKS: FRONT 20' SIDE 5' EACH _ REAR 5' _ STORIES EXISTING HEIGHT LIMIT 30' MAX
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 NONE UNIT HEATER TOTAL MECHANICALNONE AMOUNT NONE
VALUATION $17,641.00
PERMIT FEE $189.00 PLANNING DEPT APPROVAL = LORI SCHILL "CUL—DE—SAC, UNIMPROVED ROW"
PLAN CHECK FEE 123.00
LUMBING FEE FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS ON 5/15/91
WiECHANICAL FEE
TOTAL BLDG. FEES $312.00 PUBLIC WORKS DEPT APPROVAL = RON GARROW 5/8/91 "SEE PLANS"
PART P/C FEE
strzal P. WORKS 60.00
WATER SERVICE ! Q
WATER MAIN CHG. DATE PD c _ 21' Cf / AMT $376.50 REC'T 30 r 1
S.B.C.C. FEE 4_90
OTHER FEES
AMOUNT DUE $376-50
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 r ' a — DATE \ 1 ? >-'
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
ONE 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
41i .64 . .,JO
PLATTING DEPT. APPROVAL = LORI SCIILL 'CAUL—DE--SAC, � TMPPOVED RC=,-'
PERMIT FEE ...r___.
PLAN CHECK FEE EIRE/
PLUMBING FEE EBLDC _DEP`.T APPROVAL _' KEVIN ESUS Old 5/15/91
0CHANICAL FEE
1TAL BLDG. FEES PUBLIC WORKS DEPT APPROVAL = RON G.AR 5/9/91 'SEE
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. . I /
S.B.C.C. FEE DATE :'D.,.. ___ l ____ _ AMT .%376•rJ 0.� PEC"
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
o m 0 0 0 Ti 0 «
\ �� \ _1 \ \ m CO
, �r : 0 . C : COP �m z n
'\ o o ,�
>
^ \ Do
m m } §
�- m N o
\ \ a > \ m \
x * < -< * e
z . I o
�
ki �
1
i i '
\ \ > > > .x 0,. _., _.,
m \ 7 m m /
XI7
z §m ,\
33
, � % % 0m
\ I 0
2 ƒ ®
�
3 .
z
3 \ . / \
i , G
. . � 1
> > a m > -o
/ % o / { •
\ f_ i Co
> 6 0
1� § > 0
'A, I =
} /
m z
o i 5 1 j k
CO * \ k \ k
« / « «
r .
I
,
! , I
Permit # II — 4
CITY OF FEDERAL WAY q4A-
UILDING PER1eMIPT, PPLICATION �� '6-0BOX 1 TENANT NAM . 'MCC cJe L�
OWNER — V O" . ._ SITE LOCATION
OWNER'S ADDRESS lbs.. ` .. Ilk ' .. CITY PHONE ?'-/I to LJ
DESCRIBE JOB 77 ''MITI
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME LE• C)Ntr.. GaJ . CONTRACTOR'S REG. # '_`LLE CX—) 3 6:0A
c.� / Card MUST be presented
CONTRACTOR'S ADDRESS ! Z/LI ,S--- ?..__ L(-1--(4 CITY AUk..1�I./ PHONE US—‘-f 6Z-/S
EXPIRATION DATE 3/ J cz.-- p e Boo r
— 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 - <\-4SPHONE 5c—`f B.Z.--/ S----
BOX 4 SEWER DISTRICT To' . . ar.r WATER DISTRICT KBD _ P
BOX 5 ESTIMATED PROJECT COST r iil U EXISTING BUILDING VALUATION I
BOX 6 PROPERTY TAX ACCOUNT NUMBER —73 C1*80 - 0D(p i - 06
LEGAL DESCRIPTION LA . . ... al>• moi. ..•R
I2-- -C-' !1- 1 V, II ii'T PSS .' - -"' f , -G._ P-
M necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /2-7 5"-- 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 ,IR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS ,IR 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$EST9F glOWLEDGE
AND RATIER.THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APFIICATION IS
MADEF R .HER 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'ANIS.'EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATIbN.
OWNER/AGENT: _ IL ._ DATE: e' .
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE p .-1,2-_SETBACKS: FRONT 20' SIDE I REAR 5 / HEIGHT LIMIT 210
PLANNING DEPARTMENT APPROVAL ..1 ,. _ 7: :0'.
REMARKS: GVL - . - SA-c-- u.fr�rp,a_o J'-.b �.oz_j
SEPA: EXEMPT L-_'`— J NOT EXEMPT
FIRE DEPARTMENT APPROVAL (--_. DATE `' f S
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL i2_ �a.A.nDATE s'-8-°i/
REMARKS: SC
-C />c_.frvs
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT X NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER -
OCCUPANCY K 3 TYPE OF CONSTRUCTION UN - STORES
Li U t BUILDING SQ. FT. ?7 S- @ ?Z Y0 = 2-O �7r rd
(AlJ BUILDING SQ. FT. @
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ _rr' =
BUILDING SQ. FT. @ oc ( c-`At -` 0•� (c
TOTAL SQ. FT. TOTAL VALUATION 9 oo
BUILDING DEPARTMENT REMARKS: PERMIT FEE fe
(u - )�� _i 4- (c-Ari- - PLAN CHECK FEE -7--l� �J PLUMBING FEE
4-- ' 9( MECHANICAL FEE
TOTAL BLDG. FEES )
PART P/C FEE
SEPA REVIEW
Pu Q.e✓te.,, #' 6,o,a o
S.B.C.C. FEE `1
OTHER FEES
AMOUNT DUE CI 3 e. ct
ASSIGNED ADDRESS: Ste- •e--ZC( S`1 1 Ak.
M cfii�,oi.I g
ik:uPARTIAL PLAN CHECK FEE RECEIVED 00) qr 1,+ ' 0
tl . W c Amount Date Receipt# eV r• '991
iii ate BUILDING DEPARTMENT APPROVAL
/40/4/44,9,
iii -14,�qy
RQJ.
ECEIV 4, BY DATE ACCEPTED FOR FILING
• •