90-100200 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
96--- /0 0206
PERMIT NO. 90-271 OWNER'S NAME JEFF HALLSTROM CONST JOB ADDRESS 541 SW 336 ST
CONTRACTOR OWNER ADDRESS 10020-A MAIN ST #159 BELLEVUE CONT. PHONE 641-1237 **
CONT REG. NO. JEFFHC*187DR 6/90 OWNER'S PHONE SAME 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
TAX ACCOUNT NO. 729805-0120-06 LEGAL DESCRIPTION LOT 12 THE RIDGE 6
(WATER & SEWER IS AVAILABLE)
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/4/90
BUILDING INFORMATION
*NE RS9.6 OCCUPANCY_ R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 3492+764=4256 TOTL,
SET BACKS: FRONT 20' SIDE 5' EACH _ REAR 51 ___ STORIES 2 HEIGHT LIMIT 30' MAX
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING AO_FT. 2.00 BOILER
RECEIVED _
BATHTUBS ___-1- LAUNDRY DRAINS 1 COMPRESSOR _ TANK(S)
SHOWERS 1 _ URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT _ _ NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC -
RETURNED
SINKS 3 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS _l__ TOTAL FIXTURES 14X5_00 UNIT HEATER TOTAL MECHANICAL 1R_ 50 AMOUNT NONE
VALUATION $223,665.00 PER PLANNING DEPT, 50% LOT COVERAGE MAXIMUM. MINIMUM 2 PARKING STALLS
PERMIT FEE $1074-00 _ REQUIRED.
PLAN CHECK FEE 698.0D-__ PLANNING DEPT APPROVAL=KEVIN ELLIS ON 4/17/90
PLUMBING FEE 70 OH____
CHANICAL FEE _ 1 8-5 0
TALBLDG. FEES $1860.50 SEPA=EXEMPT PUBLIC WORKS DEPT APPROVAL=SKIP GREESON ON 4/10/90
PART P/C FEE FIRE DEPT APPROVAL= NOT NEEDED PER KEVIN ELLIS ON 4/17/90
SEPA REVIEW DATE PAID $--lb- u
WATER SERVICE
WATER MAIN CHG. AMOUNT PAID (g�7c.
S.B.C.C. FEE 4.50
OTHER FEES RECEIPT #
AMOUNT DUE $1R65_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 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
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 SIDEREAR - _ 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 - k'j.1%, zax'Li..maa+v �ye1 r�A,
�iL-1�-1 JVb L�1� d... i±.uYT .fZi dsfld.i3 • A.Yi.N1F-:ai.�. a:
REQUIRED.
PERMIT FEE
PLAN CHECK FEE PLANNING DEPT PPOVAKEVIN ELLIS ON 4/17/90
PLUMBING FEE -- ..._._..._...,.-,___
CHANICAL FEE - - -EPA=EX .P " PUBLIC WORKS DEPTAPP AL SK P _......::.>.,.;._ ..;. .r
OTAL BLDG. FEES _-._____ .__.-_.,...._-_---.-__..__ -_.._ ___- ...._ -- __
PART P/C FEE FIRE DEPT" AFFROVALA NOT :ED PER KEVIN ELLIS ON 4117190
SEPA REVIEW DATE PAID 1 J% ,- L
WATER SERVICE
WATER MAIN CHG. _ A iOU? A. L• i,.:..----
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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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print-
BOX 1 OWNER :S.E.F 14A-LLsrizoi C!j^'c 1 C, JOB LOCATION LOT 12. The 121e...,
J 2
OWNER'S ADDRESS I 04"04"2C-Pi tC- 47v% cr it- lam( CITY Re./idv,3e= PHO E 64t1-0-.C.7
DESCRIBE JOB S a 01id fix i 1y refid ecic,e-•
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME Se .c-c 144iti‘ fro viA CONTRACTOR'S REG. #'fEFFHC t/ 'IDC
Card MUST be presented
CONTRACTOR'S ADDRESS ibt)iC-A /4-44`i 4 S 111 C 1 CITY Re 1Iey+%t- PHONE "12 7
EXPIRATION DATE !G t2.-7/�"/V
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CO TRA T RS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. 4
BOX 3 CONTACT PERSON Sc cc t-A a a S'CY?0" PHONE eq-1 I2.s7r7
BOX 4 SEWER DISTRICTUe WATER DISTRICT F e
BOX 5 ESTIMATED PROJECT COST 36,0) v EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER "T 29 g O S- 0/2. 0 -0 6
LEGAL DESCRIPTION L'f" 12 ' IC-: 'i4p
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / Ig—P4 2ND FLOOR / /gig
3RD FLOOR / BASEMENT / DECK / GARAGE 74,q/
BOX 8 ()j SINGLE FAMILY (›F NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 1C, `-C C SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $ z o0
NO. ., WATERCLOSETS GAS PIPING, FEET 4C $
t BATHTUBS NO. I FURNACE, ELEC. GAS )C $ I O.ts
f SHOWERS I GAS HOT WATER HEATER $ 4,, `1"
4 LAVATORIES CONVERSION BURNER $
1 SINKS BOILER, SIZE BTU $
I DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
1 LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
' 70 TOTAL MECHANICAL FEE $ -=---
I
=
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 WHICH PERMIT APPLICATION IS MADE.
OWNER/AGENT: DATE: 1 -Lf'--GC
/ ANP-006 2/90
• 110
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE$S `fc k, SETBACKS: FRONT 2-" SIZES r-ct-C. I REAR S r HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL 'Ic-C '1- (7` To
REMARKS: jr-C._tilt t = 3-t.
i-0;4 /(ck.K ( c3 Co v e_r-R L f ,-1 f t v1 Ay-kJ' �cj ,f/'/�j-
SEPA: EXEMPT x NOT EXEMPT �J
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE 4 be. /'io
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
OCCUPANCY TYPE OF CONSTRUCTION V.i) STORES
SF • BUILDING SQ. FT. 5411 @ -i61.952 - = -2-1i14/1-4
1 14
. � BUILDING SQ. FT. 7194 @ 11. _
BUILDING SQ. FT. - @ _ 'f, 14 .
BUILDING SQ. FT. @ _ •
BUILDING SQ. FT. bkia<L -Movira -88 =
BUILDING SQ. FT. @ _ _
TOTAL SQ. FT. N��,� TOTAL VALUATION Z2.3Lh '
EBUILDING PEWIT N . PLAN- -CK FEE REC'D RECEIPT NO.
PERMIT FEE 10 PLAN CHECK FEE -"WI ----/-qty PLUMBING FEE --7,04V-- MECH. FEE MAC-(-)
TOTAL FEES 12.4,0• SBCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE Ig(2 .�
BUILDING DEPARTMENT APPROVAL DATE
REMARKS:
ASSIGNED ADDRESS: S'11 S '-ti 336 t-k 5. --
RECEIVED
ECEIVED
FSPR U 6 1990
CITY OF FEDERAL WAY
BUILDING DEPT.
RECEIVED ACCEPTED FOR FILING