90-101187 9 — )O l/g7
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
(434) INSPECTION REQUEST LINE-946-6794
PERMIT NO. 90-1405 RA OWNER'S NAME BRADFORD WHITMAN JOB ADDRESS 3018 SW 339 ST
CONTRACTOR BENCO GEN CONST UCT ON ADDRESS 1750 S 327 ST #A-8 FEDERAL WAY CONT. PHONE 874-6149
CONT. REG. NO. BENCOGC121OF 8/91) OWNER'S PHONE 874-6149 OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER RESIDENTIAL ALTERATION
TAX ACCOUNT NO. 873216-0140 LEGAL DESCRIPTION LOT 14 TWIN LAKES PARK ACCORDING TO PLAT THEREOF
RECORDED IN VOL 119, OF PLATS, PAGES 61/62 IN KING CO WASH
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE_ 100 DATE OF APPLICATION 8/23/90
BUILDING INFORMA ION
WE NA OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 352 (ADDN)
T BACKS: ,FRONT NA SIDE NA REAR NA _ STORIES NA 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 MECHANICAL NONE AMOUNT NONE
VALUATION $ 21,373.00 PLANNING DEPT APPROVAL: NA
PERMIT FEE $ 225.00 BUILDING DEPT APPROVAL: KEVIN ELLIS ON 9/7/90
PLAN CHECK FEE 146.00
PLUMBING FEE FIRE DEPT APPROVAL: NA
MECHANICAL FEE
/TAL BLDG. FEES _ $ 371 _01) PUBLIC WORKS DEPT APPROVAL: NA
ART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE $4.501 -
OTHER FEES DATE PAID AMOUNT $375.50 RECEIPT a..--- 2,----"/
AMOUNT DUE $ 375.50
ALL PERMITS EXPIRE 180 DAYS AFT ISSUA E IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATIP URN' ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS •--=•- -�
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4
OWNER OR A( N j� /�� �� 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
•NE _ 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 •
113-- . S-4 1
PERMIT FEE :, LDIN r DEPT APPROVAL: KEVIN ELLIS OW 9/7/9t
PLAN CHECK FEE
PLUMBING FEE _. IRE DEPT APPROVAL: rte"
ECHANICAL FEE
TAL BLDG. FEES — 1BLIC WORKS DEPT APPROVAL: NA
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE -� "' -
A PAID `,OUNT $375.50 ]RSCSIP`Y t -f
OTHER FEES _. _,_ __.__ '). Y. -- t _ . l _`a
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
0
SET BACKS AND FFOTINGS O.K TO POUR FOU DATION WALLSLSPLUMBING GROUNDWORK
DATE_...__[ ✓/� BY_ox DATE r .. , 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
lf l
DATE 11 -_ '96 BY -Y�f, -. DATE a C Z......BY O DATE 1//`/ �) BY .‘,2/5
L
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE 0-3 7BY ,
/, r, ` iz, ,rne gisie .e.(-34 -i6--4s' v ,c ` ,' e //-*54 0* 400-
64-ii
- -C0-N4TAkr1 0
125-0
•rmit #
RA
CITY OF FEDERAL WAY 6:6(147,73,Z,,,
BUILDING PERMIT APPLICATION
— Please Print—
cs. O .
BOX 1 TENANT NAME:
OWNER --CO/O FC iOtc(.'1117 rrm D' SITE LOCATION ***--3_ / �- 5 "c 3
OWNER'S ADDRESS 34I ? 3 CITY PHONE Jy6/4/V
DESCRIBE JOB 'RDS/ rii a`'
THE PROPERTY IS OWNED BY: SINGLE/MARRIED D7i ,? -0 PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME )e C E"1 J. Cevt b'' CONTRACTOR'S REG. # ;'t A)e0 C e-1-71 uF
A
` Card MUST be presented
CONTRACTOR'S ADDRESS ( 7' c� •3 7 ,4- CITY Ft0 PHONE `-7 + ‘-*/tie?
EXPIRATION DATE j
— 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 �'4) PHONE ;7`-(6./4119
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST I / EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER S'2 3 / e- "-c' l ge,
LEGAL DESCRIPTION i-c i `f; =rev i-g k 3 ff �/ r4C o1241l y c* ,9/47 77/4-e&-ex tP&cn,eoi t /A,5
(iv I• I f`/ C i,/firs ; I�.AG�3 6/4(6.21 /N K A-` `/ e' «.'.g s 1-f five() vo
(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 ( l'rINGLE 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 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 CCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
II
OWNER/AGENT. :i11i21111 DATE: (4P- S
ANP-008 3/90
0 .
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT ' SIDE_, REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTME 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
OCCUNNCY� I TYPE OF CONSTRUCTION V N STORES
ti (u c (r•-C4 °)-51- BUILDING SQ. FT. i 7 � @ q cr..- = /2-( (f y
( J 2u" BUILDING SQ. FT. 1 7 L @ v `T , oU = / 2---( 1i V
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ ��,/ =
BUILDING SQ. FT. @ �Cd(F(.6L- '` 0- 8Z
BUILDING SQ. FT. @ _ _ -
TOTAL SQ. FT. TOTAL VALUATION 213 7 4 eligiti
BUILDING DEPARTMENT REMARKS: PERMIT FEE c.c
PLAN CHECK FEE /i16_ a�
PLUMBING FEE
MECHANICAL FEE _ `..
TOTAL BLDG. FEES7 < c t
PART P/C FEE
SEPA REVIEW U
S.B.C.C. FEE (-1 -S 0
OTHER FEES v
AMOUNT DUE ;IS"' S "
ASSIGNED ADDRESS: t( <S�f' 1,tq
J
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY \Z-,C__\Z-,C__ DATE 1 - /G
c:' ACCEPTED FOR FILING
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CITY OF FEDERAL WAY
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