90-100295 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
9110-j000)9,5
PERMIT NO. 90-403 OWNER'S NAME GODFATHERS PIZZA JOB ADDRESS 2301 SW 336 ST
CONTRACTOR HILBERS INC ADDRESS 2601 151 PL NE REDMOND 98052 CONT. PHONE 869-7683
CONT. REG. NO. HILBEI*11OLR 1/90 ESOWNER'S PHONE 682-3100 OWNER'S ADDRESS SUITE 400 SECURITIES BLDG SEATTLE
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 ALTER/REMODEL EXISTING COMMERCIAL BLDG (RESTAURANT)
TAX ACCOUNT NO. 873217-0050-08 LEGAL DESCRIPTION LOT 5 THE PLAT OF TWIN LAKES SHOPPING CENTER
ACCORDING TO THE PLAT RECORDED IN VOL 105 OF PLATS PAGES 34/35 KING CO WA
ISSUED BY ELIZABETH SNYDER _ DATE OF ISSUE DATE OF APPLICATION 4/24/90
BUILDING INFORMATION
aNE- NA OCCUPANCY A-3 TYPE OF CONSTRUCTION 5-N _ BLDG. SO. FT REST=1232 SF
SET BACKS: FRONT NA SIDE NA REAR NA _ STORIES NA HEIGHT LIMIT NA
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)
SHOW=RS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISCCOMM HOOD 6 5_0
SINKS MISC. DRAIN _l _. CONVERSION BURNER - '-F-EEVAjKE-UP A RETURNED
DISHW,CHERS TOTAL FIXTURES 1X5.1).0 UNIT HEATER TOTAL MECHANICAL 4 AMOUNT NONE
11 _0000
VALUATION $14,512.96 PLANNING DEPT APPROVAL = KEVIN ELLIS ON 5/1/90 (NO CHANGE IN USE OR
OCCUPANCY)
PERMIT FEE $162_00
PLAN CHECK FEE 10 5.0 0 FIRE DEPT APPROVAL = KEVIN ELLIS ON 5/1/90
PLUMBING FEE _5_1111____
CHANICAL FEE _ 11 _00
PUBLIC WORKS DEPT = NOT NECESSARY PER KEVIN ELLIS ON 5/1/90
allIE
WTAL BLDG. FEES $783.00 BUILDING DEPT APPROVAL = KEVIN ELLIS ON 5/1/90
PART P/C FEE DATE: c-le-' [ 0
SEPA REVIEW
WATER SERVICE AMOUNT: „)4 E, sO
WATER MAIN CHG.
S.B.C.C. FEE 4.50 RECEIPT:
OTHER FEES
AMOUNT DUE $287.50
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: 9 �+q
OWNER OR AGENT /3et SL DATE I J `! /6,1
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
*NEOCCUPANCY 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 ON.:.
VALUATION PLANNING DEPT - i 7V = KEVIN N E . ,IS ON 5/1/90 (NO MANGE Iii USE OR
PERMIT FEELI)
$14.7 _"__._._•___. _. .. OCCUPANCY)
PLAN CHECK FEE it FIRE P itllZVIN ELLIS ON 5/1/90
PLUMBING FEE '2,.„:;.. PUBLIC WORKS ?SEPT ss HOT NECESSARY PER KEVIN ELLIS ON 5/1/90
ECHANICAL FEE _ /?R
TAL BLDG. FEES BUILDING DEPT APPRO . . VIN EELS ON 5/1/90
PART P/C FEE DATE: ....,.... v'
SEPA REVIEW l ' t
A�'OfNT
WATER SERVICE ---�-f� . .,t� ',.,-...-
WATER MAIN CHG.
S.B.C.C.FEE RECEIPT: _�` 1 i
I OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
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CITY OF FEDERAL WAY1)$.14(4),
BUILDIN PERMIT APPLICATION
0 b6\i--
i_11 � lease Print— L /
V1L/, , A- 1'1 10
• BOX 1 OWNER ,. I G a i ac ' . _ JOB LOCATION •3 CI 510 _ , -. 2 trat Wuc
OWNER'S ADDRESS s1, mod [cars rt's 13 ,5. CITY cf//e PHONEi a-3/oO W
DESCRIBE JOB I r7�« Pilot Gc 1 Cr ft'tr's (9,774-1
THE PROPERTY IS OWNED BY: SINGLRRIE r— PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 41i b.t( ,:T_OC. CONTRACTOR'S REG. # ' ,4.41./.11/4.6/5'0,./e2.1
Card MUST be presented
CONTRACTOR'S ADDRESS A1PO 1 154>t
PI l! CITY Rr ,timevr, PHONE 6,%- 76 g3
EXPIRATION DATE 11 11M o OS L
- 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. )6-
BOX 3 CONTACT PERSON3 Ib So,6/tr PHONE,v 'b -62/4'
BOX 4 SEWER DISTRICT �dt car. /NVu WATER DISTRICT —
BOX 5 ESTIMATED PROJECT COST ,r 400 EXISTING BUILDING VALUATION ASC:,a
BOX 6 PROPERTY TAX ACCOUNT NUMBER ' A.1 - OOS,' r
LEGAL DESCRIPTION 40f`(7- )`i,. ph ti' 114,C, L. .e - .ppir+b c<o-!:'r i' ucu'r' 1;,,j h ' ��-t-
i t cd di it W/wry, e /O1/ , flit fri is 344333-) ki.�J f,+r,„Yb 4' , n
(If necessary, please submit a separate page with the legal description.) p f,)-- -(tp•-
io
BOX 7 BUILDING SQUARE FOOTAGE: existing/Proposed) 1ST FLOOR /a 4 2ND FLOOR /
3RD FLOOR / `BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (/) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL itOTAL 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 ,StiS eh-� $ • 5-0
SUMPS, RINKLER VACUUM BREAKERS OTHER ti-f ,Ar .47"(V' fl" $ , t-v
DRAINS /7 $
OTHER - • $
/ TOTAL FIXTURES $
c t 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 PER-
FORM THE WORK FOR W I PERMIT APPLICATION IS MADE. u
OWNER/AGENT: DATE: //VA"
ANP-006 2i90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: •1//4- Aja rJ&CtL&r_ f l c tk_S e.. al QCCc y9 c
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL 16--C- DATE 5 `/ q c'
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL a////- 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. k ROOF OTHER
OCCUPANCY Alp A TYPE OF CONSTRUCTION 1/A/ STORES
ke s 4-aA.,UV-ot fr.f BUILDING SQ. FT. ( v3 @ s_E 9v =
BUILDING SQ. FT. @ • _
BUILDING SQ. FT. @ _
BUILDING SQ. FT.
BUILDING SQ. FT. @ /L(�('�` = U � O
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION _ / Y 57 z 9'6
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE /6z. 00 PLAN CHECK FEEPLUMBING FEE MECH. FEE (( d G
TOTAL FEES 7..—t,.O d SBCC SURCHARGE yENERGY SURCHARGE AMOUNT DUE 07 f SD
BUILDING DEPARTMENT APPROVAL DATE
REMARKS:
ASSIGNED ADDRESS:
RECEIVED ACCEPTED FOR FILING