91-100915 91-/Do5/b
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
f
PERMIT NO. 91-874 RA OWNER'S NAME MICHAEL DURRENT JOB ADDRESS 2614 SW 332 PL
CONTRACTOR OWNER ADDRESS SAME CONT. PHONE 838-8005
CONT. REG. NO. NA OWNER'S PHONE SAME 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 _ FIRST FLOOR ADDITION
TAX ACCOUNT NO._ 894430-0720 LEGAL DESCRIPTION LOT 72 VILLAGE GREEN #1
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE _ 2--Y/' DATE OF APPLICATION 6/28/91
• BUILDING INFORMATION
ZONE RWS 7.2 OCCUPANCY_ R-3 TYPE OF CONSTRUCTION5N _ _ _ BLDG. SQ. FT. 486
SET BACKS: FRONT 20' _ SIDE ___V EACH REAR _ __ 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 -1.__ 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 1 X $9-00 UNIT HEATER __. TOTAL MECHANICAL _NONE AMOUNT NONE
VALUATION $31,177_00
PERMIT FEE $298_00 _ PLANNING DEPT APPROVAL = LORI SCHILL
PLAN CHECK FEE 1 94.00 FIRE/BLDG DEPT APPROVAL = MIKE MONEN
�LUMBING FEE �J•`-
CHANICAL FEE _
TOTAL BLDG. FEES _1191..___O PUBLIC WKS DEPT APPROVAL = TOM COLLINS
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. DATE PD AMT $546.50 RE'CT
S.B.C.C. FEE 4.50
OTHER FEES P. WKS 45.00
AMOUNT DUE $546.50
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 ,' f
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
PLANNING DEPT APPROVAL •= .LORI SCHILL
PERMIT FEE
PLAN CHECK FEE FIRE/BLDG DEPT APPROVAL ,An MIKE '-O 'EN
PLUMBING FEE FIRE/
MECHANICAL FEE _ P TIBL IC WKS nEPT APPROVAL TOM COLLINS
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. 54
S.B.C.C. FEE
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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Permit # I I
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER N\“.1, r-t,•i SITE LOCATION ok,N�/c's 4d,,,s
OWNER'S ADDRESS oti s 3_14,-1 0- CITY F? 44- 1k/4/ PHONE ' 3 - .6'005
DESCRIBE JOB '`d K1 G - IC•r4,4 cr.; �k/<,�„t,, / r•4n-.. L/ ,e„_ l'e�;,.o.✓
THE PROPERTY IS OWNED BY: SINGLf/NIARRIEB, PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME tit. I( CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— 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 l t k t J rcti 1 PHONE `S ';” - 3' e 5
BOX 4 SEWER DISTRICT Ceto e •�\ y+� WATER DISTRICT Ve
BOX 5 ESTIMATED PROJECT COST'S /-7, 56-D. EXISTING BUILDING VALUATION ( 6- P 0 0
BOX 6 PROPERTY TAX ACCOUNT NUMBER 29 44 3 G
LEGAL DESCRIPTION 1.-c:T rl•3-. U 11 ay 6c-e€_(- -
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # c:)`“-)30
BOX 7 BUILDING SQUARE FOOTAGE: (Existing ro ose } 1ST FLOOR J?( / 2ND FLOOR
3RD FLOOR / BASEME / DECK / GARAGE
BOX 8 (X) 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 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 _ $
X
Y"‘" 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 EMPLOYE S, UPON,'THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY ASA PART OF THIS APPLICATION.
OWNER/AGENT: ri • DATE:
ANP-008 3/90
1111
4.
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE rs SETBACKS: FRONT Zg' SIDE C' REAR Ci HEIGHT LIMIT 3-e-
PLANNING DEPARTMENT APPROVAL 7-i e-9/
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 7/71,01,"
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL / DATE 7- / %-1/
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 R 3 TYPE OF CONSTRUCTION 1./Al STORES 0/1-c
f ��co: BUILDING SQ. FT. 916, @ 701 94 = 3 5 4 2 t•4'O
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ Mce), 4.2- x- _
TOTAL SQ. FT. yy�' TOTAL VALUATION 3 1,117- V7
BUILDING DEPARTMENT REMARKS: PERMIT FEE R`15'
PLAN CHECK FEE f (/17
PLUMBING FEE 5
MECHANICAL FEE
TOTAL BLDG. FEES 1//17't-
PART
q7'tPART P/C FEE
SEPA REVIEW
Pw 4S "o
S.B.C.C. FEE 9
OTHER FEES
AMOUNT DUE �4 Lc•5 c
ASSIGNED ADDRESS: 0/14✓ si•s v
RECEIVED
PARTIAL PLAN CHECK FEE RECEIVED
JUN 2 8 1991 Amount Date Receipt#
CITY 01- FEDERAL WAY
BUILDING DEPT. BUILDING DEPARTMENT APPROVAL
RECEIVED BY /)'r-44I',1 .111fh4A-- DATE 1/.22/'V ACCEPTED FOR FILING