91-100849 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
c3 / o vii? 4-/ ,
PERMIT NO. 91-797 NR OWNER'S NAME COUSINS CONSTRUCTION JOB ADDRESS 506 SW 336 ST
CONTRACTOR COUSINS CONST ADDRESS 739 SW 337 ST FEDERAL WAY 98023 CONT. PHONE 661-7150
CONT. REG. NO. COUSICI132MS 7/92 OWNER'S PHONE 626-1359 OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER . . .AND GARAGE/DECK
TAX ACCOUNT NO. 729805-0070 LEGAL DESCRIPTION LOT 7 DIVISION 6 THE RIDGE
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE 2 -2 --'1 DATE OF APPLICATION 6/17/91
BUILDING INFORMATION
*NE RS 9.6 OCCUPANCY R-3/M-1 _ TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 4141 w
SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' STORIES _ HEIGHT LIMIT 30' MAX
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND '
WATER CLOSETS 4 ELEC. HOT WATER HEATER GAS PIPING FT 3.50 BOILER
BATHTUBS 2 LAUNDRY DRAINS 1COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 URINALS FORCED AIR FURNACE2 GAS 20.00 AIR HANDLING UNIT NUMBER
LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR.2 13.00 MISC.
_
SINKS 3 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 17 X $5.00 UNIT HEATER _ TOTAL MECHANICAL 36.50 AMOUNT NONE
VALUATION $215,596. 00
PERMIT FEE $1046.00 PLANNING DEPT APPROVAL = DEB BARKER
PLAN CHECK FEE 680.00 203.00 "LANDSCAPING/TREE RETENTION PLAN ACCEPTED 7/25/91.
PLUMBING FEE 85.00 PILLARS ARE NOT PERMITTED UNDER FWZC 115.115. NO BUILDING
•TAL
CHANICAL FEE
BLDG. FEES84
$1847.50 SHALL ENCROACH ONTO ANY BUILDING SETBACK LINE SHOWN OR
/
PART P/C FEE (47 7.0 0) PD 6/17/91 NOT SHOWN"
SEPA REVIEW FIRE DEPT APPROVAL = KEVIN ELLIS DATE PD s2 — -q-/
WATER SERVICE 1 /
WATER MAIN CHG. PUBLIC WKS DEPT APPROVAL = TOM COLLINS AMT ! �( U 00
SB.00 FEE 4.50 # 3 CE5'
OTHER FEES P. WKS. 35.00 BLDG DEPT APPROVAL = MIKE MONEN
AMOUNT DUE $1410.00
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 THEFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WI BEI4ET:
OWNER OR AGENT CLI j DATE ~ . _ i
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
•UED
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 = DEP RARK1`R
PERMIT FEE
PLAN CHECK FEE 03 00 ;'
"LANDSCAPING/TREE RETENTION PLAN ACCEPTED i/i.5/ : .
UMBING FEE . PLuJ pS ARE WV? PERMITTED ui-of ?WZC 115. 115. i'.1(. fia
ECHANICAL FEE - SHALL ENCROACH ONTO A± Y BUILDING SETBACK ;.-Tia:.F S r ;.t.r .-.,
TOTAL BLDG. FEES NOT s i()y+j ,`P 6/17/91 ,*
PART P/C FEE
SEPA REVIEW FIFE DEPT APPROVAL 7NVIM Ey.LIS DATE Pt)
•WATER SERVICE F;
WATER MAIN CHG. PUBLIC WKS [ PT A.r.' a .3vA.a - TC7-..' r''f4� P 7" _.... ..._._.._.._
S.B.C.C. FEE
OTHER FEES
;MOUNT 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 OF FEDERAL WAY ' ✓7 7 Cly
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: NirA
OWNER _CLCuS\ \ CG NST SITE LOCATION INO+ " r4 • . •. •
OWNER'S ADDRESS 9-39- Sw" 3S-1-\\„. sT CITY 1-ext Wctua PHONE 4
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION )\
BOX 2 CONTRACTOR'S NAME CouGn
5%n 5 as+Puck cm Inc. _ CONTRACTOR'S REG. # .• _ 1C\ \ - m
Card MUST be press XA
CONTRACTOR'S ADDRESS ci Sly - 33 J -L St CITY 1-C.c.ero.\ 11.0.) PHONE low % - I • Ill'' A
EXPIRATION DATE �/1 — OR — loZta -t3Sy PAi ,
,-.)- 9
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.
'14Q,-E•
r
BOX 3 CONTACT PERSON Oen1\1. . ,� C o..r4.t.o�ne,v� . PHONE (0 9.(41,-* 3Sci
BOX 4 SEWER DISTRICT t ecl V341. WATER DISTRICT .
BOX 5 ESTIMATED PROJECT COST a'.000 EXISTING BUILDING VALUATION ,9OO •000 -
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1- — ' 0 50 C . 0 '
LEGAL DESCRIPTION y.ok-- 0- \�\v L \ 14E \flC—1,
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR '3 121/ 2ND FLOOR t4A• • /
3RD FLOOR / BASEMENT / D�CK 1,O / GARAGE ' LS /
BOX 8 ( yo SINGLE FAMILY ( X) NEW CONSTRUCTION 3( 72,. 177
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY ILA)C.)00 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ ��
NO. ` .l WATERCLOSETS GAS PIPING, FEET $ -3
n BATHTUBS NO. a FURNACE, ELEC. -- GAS X r $ .3C'
I SHOWERS a GAS HOT WATER HEATER ( 'c $ 13`;
S" LAVATORIES 6 CONVERSION BURNER $
3 SINKS C BOILER, SIZE . BTU $
I DISHWASHERS 0 AIR HANDLING UNITS $
6 ELECTRIC HOT WATER HEATER 0 HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET 0 UNIT HEATERS $
O URINALS 0 AIR COOLING UNITS, SIZE $
O DRINKING FOUNTAINS 0 COMMERCIAL HOOD $
O SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
1'11— TOTAL FIXTURES $
X .g S. .e ' TOTAL MECHANICAL FEE $ .3L . Sc
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 ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:(1.-ii v.�n Q.) DATE: t., - `': • 1 i
ANP-008 3/90
w
OFFI SE ONLY (PLEASE DO NOT WRITE BELOW THJE)
ZONEISg4% SETBACKS: FRONT 2O ' SIDE �S' REAR 5 i HEIGHT LIMIT 30 1
PLANNING DEPARTMENT APPROVAL PGwv/.. iH bon+ 'd 'te4.—
REMARKS: Ia / TYe_e, ...-C -fii. j2.(1 �
nOt Glyl� 125/fr. //4,t5, 44.z.,m.[{ki ( nda,✓ Fu>7� !lb . !/�'. Ao 1G a;,cl: ),r-Aa�( 0.0(5
ALLitba-a �,;►,-` yr .2i�iio- �al, tu-t �441,4".„
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL (i(,_, DATE 7 ` b "�R(
REMARKS:
lik PUBLIC WORKS DEPARTMENT APPROVAL "72:;-- DATE 6/26/
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 R3 TYPE OF CONSTRUCTION STORES 6/ie_
(yi ,A. f krat BUILDING SQ. FT. 3l a.a- @ 7t.9d = aa7 593 ..g0
64v -fie_ BUILDING SQ. FT. 84,`l' @ I8, ' / 3c762. 70
Oec.l. BUILDING SQ. FT. /3d @ JO JD = / Sap . 6 0
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ = a 9 91 gq --CO
BUILDING SQ. FT. @ I'19C1 iSic2 X ,, l'S =
TOTAL SQ. FT. Li/q/ cE TOTAL VALUATION at ?.394, 71-
BUILDING
LBUILDING DEPARTMENT REMARKS: 6�.
PERMIT FEE C, 1 64
PLAN CHECK FEEabs ( 8O '
PLUMBING FEE 85°C
MECHANICAL FEE -96 s"
TOTAL BLDG. FEES 'Y7`k'
N,
PART P/C FEE (1.17. )f_
SEPA REVIEW )l
S.B.C.C. FEE '` £`
OTHER FEES
AMOUNT DUE )4I DJ)(
ASSIGNED ADDRESS: SO G S. 'Al • 33( fi'l S 1,2y2TIAL PLAN CHECK FEE RECEIVED
Amount 477 Date 7.y s9 Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY /A M 7 bq DATE - 1 ( ACCEPTED FOR FILING
F 1 LE
• ' /NN---N 77
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5
RECEIVEDN tip,.
y JUL 2 5 1991 s0',,
i I
CITY OF FEDERAL WAY ', /v
BUILDING DEPT. # *. 111111IN42.
r
4.L. DE • 0
N.h
,0
A710
O 7
o.O
%? RESDENCE
'`VAPp
GARAGE '10, �
R..275.00' 7????4
L-92.85'
Se
''''''N\..// r/AN
4 / ,.119'22.27"
O
's,NL.,
\ R.25.001
L-35.1 5' /
.fie x50'34'04" / DATA:
-,,,, ei? TOTAL LOT AREA-10735.3 S.F. X 50
ST M? ( ALLOWED 05387.65 S.F.
/ BLDG. AREA.-3884 S.F.
DRIVE AREA- 884 S.F.
\ / WALK AREA-139 S.F.
PATIO AREAx358 S.F.
/ TOTAL AREA-508!5 S.F.
�ermk:t- � \ " 1-c\ ll THIS SITE PLAN IS FOR PRELIMINARY
N.O{ WOCICURVONLY. VERIFY HS,
ES, AND RADIUS LPRIOR BEARINGS,
PERMIT TFROM
A COMPLETE RECORDED PLOT PLAN.
" - - ��1k moo,
a T DATE.
4/9/91
PROJ[CTc r
COUSINS CONST.
V DRAWN BYi
RIDGE LOT 7 , . 119
' � •
K.S. I l
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