91-100747 X31-- /60 -7 `L7
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-707 CA OWNER'S NAME BASKIN & ROBBINS JOB ADDRESS 2138 SW 336 ST A-3
CONTRACTOR STERLING HOMES ADDRESS 130 ANDOVER PARK TUKWILA CONT. PHONE 946-5116
CONT. REG. NO. STERLHI132R4 12/91 OWNER'S PHONE 952-3342 OWNER'S ADDRESS 5110 NE GALLEON TACOMA
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 COMMERCIAL ALTERATION (T.I. )
TAX ACCOUNT NO._ 132103-9097 LEGAL DESCRIPTION LOT 3 AS DELINEATED ON K.C. SHORT PLAT
NO 1178051 RECORDED UNDER REC NO. 7904230952.
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE to - C " DATE OF APPLICATION 5/29/91
_ipBUILDING INFORMATION
LUNE BN OCCUPANCY B-2 TYPE OF CONSTRUCTION _ 5-N BLDG. SQ. FT. 1 084
SET BACKS: FRONT SIDE REAR_ STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 1 ELEC. HOT WATER HEATER 1 . GAS PIPING __.FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER
LAVATORIES 1 DRINKING FOUNTAINS 1 GAS HOT WATER HTR. MISC.
SINKS 2 MISC. DRAINS 5 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES 11 X $5.00 UNIT HEATER TOTAL MECHANICAL NONE_ AMOUNT NOW
-
VALUATION $13,48 4__lO
PLANNING DEPT APPROVAL = BILL KINGMAN
PERMIT FEE $153-00 -
PLAN CHECK FEE 99. OD-. FIRE DEPT APPROVAL = CHRIS INGRAM
PLUMBING SFEE 55_00_
HANICALFEE "ADD DRY PENDANT SPRINKLER HEAD IN WALK-IN COOLER.
LBLDG. FEES $307.00 CHECK SPRINKLER COVERAGE IN STORAGE ROOM"
PART P/C FEE BLDG DEPT APPROVAL = KEVIN ELLIS
SEPA REVIEW
WATER SERVICE _ "MUST SIGN UBC SECTION 705 AFFADAVIT"
WATER MAIN CHG.
S.B.C.C. FEE4.50
OTHER FEES ��-G.)o-7-1
. 7-65
AMOUNT DUE $319-15 DATE PD ` (-`l/ AMT $319.15 REC'T 3 S' o
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 M R i ND ' •RRECT • EST O MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: %� /� J` ` - iLTE
OWNER OR AGENT �� -.fL /�-S - .� --'3/,!=47
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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
110 JED BY DATE OF ISSUE_ DATE OF APPLICATION
BUILDING INFORMATION
ZONE _ 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.
ieCr� .; RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
Anit
VALUATION ?
PLAN,RING DEPT APPROVAL _ PILL KIW M N
PERMIT FEE
PLAN CHECK FEE FIRE DEPT APPROVAL 2g CHRIS IWGRA
JMBING FEE ---- *ADD DRY PENDANT SPRINKZ ER HEAD IN WAL? -
MECHANICAL FEE
CHECK SPRINKLER COVMRAGE Its STORAGE RO !:
TOTAL BLDG. FEES
PART P/C FEE 131ADG DEPT APPROVAL 2, KEVIa- ELLIS
SEPA REVIEW
WATER SERVICE
¢.L S`i° SIGN UbC SEC'T'ION 7(}5 A-TADA'VIT*
WATER MAIN CHG.
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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RECEIVED CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
` MAY 2 9 1991 -Please Print— '
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OWNER 1 - , A% . 0 . SITE LOCATION - ` -/ _
OWNER'S AD,RESS ITArS` / . CITY • - PHONE s - 3
4-Ot .
DESCRIBE JOB '7e/ ' n e'
.edvme,t7 ce C'ile�t„'e. '-e/ -
e
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP > CORPORATION
BOX 2 CONTRACTOR'S NAME l ,'/i It.(� Ail•-e(t 4-c / CONTRACTOR'S REG. #S�1 )-/ 3 '
•.> V if �� Card MUST be presence
CONTRACTOR'S ADDRESS/ ,d ve/ he CITY Cc t{�}. 4_ PHONE 94's --5- i 6
EXPIRATION DATE / di/9"/ `/31- )902 C)
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY -,,,,. •,i 'TORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATI N. Agri; yo0
�
: IBOX 3 CONTACT PERSON � : r`- c� , � l- , s hC PHONE 1G Si
r /
BOX 4 SEWER DISTRICT ��1. e.. WATER DISTRICT F---eel. L et.x
BOX 5 ESTIMATED PROJECT COST ,/ .e C`)L EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NW BER 3:� '-0 -- ' . _ /
� �r' �-� '���� _ _ • 'I
LEGAL DESCRIPTION -
(If necessary, please submit a separate, page with the legal description.)
K.C. Plat Recording # c?) -7 i
BOX 7 BUILDING SQUARE FOOTAxistoposed) 1ST FLOOR / 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 ✓l 08 5/ SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 1 WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. • GAS $
SHOWERS GAS HO WATER yIEATER $
1 LAVATORIES CONVER•ION B 'NER $
2.- SINKS BOILER, 'IZE BTU $
DISHWASHERS AIR HAND I UNITS $
1 ELECTRIC HOT WATER HEATER HEAT PUM'S, SIZE $
LAUNDRY WASHER OUTLET UNIT HE, :'S $
URINALS AIR COP IN UNITS, SIZE $
1 DRINKING FOUNTAINS COM RCIAL OOD $ -
SUMPS, SPRINKLER VACUUM BREAKERS OTH'R $
DRAINS $
OTHER $
H. TOTAL FIXTURES $
6r- "5” c- 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 F I ERAL WAY, :UT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES P THE AC • V 401V, E INFOR , /iN SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: �`�. .e' �l%% / DATE: '7 3 1.
.___,00Li�'L1r'7_ i
r
ec ) 4'_4 7::p ,' /r1 i• ANP-008 3/90
0 I
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE B YJ SETBACKS: FRONT .'1 tor SIDE NSA REAR N4 HEIGHT LIMIT kit 4 * 4
PLANNING DEPARTMENT APPROVAL 6 .5- II' t r--
REMARKS:
SEPA: EXEMPT * NOT EXEMPT
FIRE DEPARTMENT APPROVALS DATE 6-‘-`l/
REMARKS: AO19 PAY 1'2'14)4944. % 5-Pke(11Kl.11-W /-1d4V /N h/Ad<-!ti ct +c,Z,
.J tvatAll<ce-
Cf//Zc( '‘Covie-Z,e-eref ii STn ff 1a,A4
PUBLIC WORKS DEPARTMENT APPROVAL , j Ar DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT :r NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY ISz TYPE OF CONSTRUCTIONVA/ STORES -
Re)fa,Y C( Gt f- BUILDING SQ. FT. 1 1)15 @ 6 2 . k..- = 7 yzL(, B
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @ Aitod(T(S.17--, = O` ZO
TOTAL SQ. FT. TOTAL VALUATION 13 Y8`/< ' 6
r.
BUILDING DEPARTMENT REMARKS: AAkt5�- �t J ( S��(d6 PERMIT FEE (S3
v v - PLAN CHECK FEE 9<c(
q � �� PLUMBING FEE �S-
6-7-f- ( ( MECHANICAL FEE �_ '
.VPl t e ® F, U .< 117S3 -f-S e�...Jerc- Ca Ved �o TOTAL BLDG. FEES ...40-4--. (\%(,
' / •
PART P/C FEE
Clil6o!/`f.�l �rl < Der / : ` a i- re-- ecri(- )h � SEPA REVIEW
e o Gte ed@ R I-4( s
a vee.r,�-� �- � f c�
w`Q_ <. r---c-- S.B.C.C. FEE 4,r,,
OTHER FEES�D fee <6 S
AMOUNT DUE ,-31 < i s
ASSIGNED ADDRESS: St-Q---- K/�i-f Ay
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
RECEIVED
Amount Date Receipt#
MAY 29 1991
��// BUILDING DEPARTMENT APPROVAL
env BUI1.fEDERAL WAY
9INGIE BY f� DATE b _A-
ACCEPTED FOR FILING