91-100249 - '` 9) � lop 9
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
91-206 NRGREG HANSEN 738 SW 337TH STREET
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR KERR—BUILT INC ADDRESS 917 PACIFIC AVE #303 TACOMA CONT. PHONE 572-5372
CONT. REG. NO. KERRBI*151PS OWNER'S PHONE 952-3428 OWNER'S ADDRESS 5077 37TH ST NE TACOMA
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 729804-0220-06 LEGAL DESCRIPTION LOT 22 THE RIDGE DIV 5
ISSUED BY JOANNE JOHNSON DATE OF ISSUE AIL /3 F % DATE OF APPLICATION 2-25-91
• BUILDING INFORMATION
ZONE RS 9.6 OCCUPANCY__ R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 3672 S.F.
SET BACKS: FRONT 20' SIDE 15' & 32' REAR 5+ STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER
BATHTUBS 2 LAUNDRY DRAINS 1COMPRESSOR TANK(S) RECEIVED _
SHOWERS 2 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER
LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC. _
SINKS
1 IDRY TRAY 1 CONVERSION BURNER !As`tt`'FZE TOTAL 20.00 RETURNED
DISHWASHERS 1 TOTAL FIXTURES15X5= $75.00 UNIT HEATER TOTAL MECHANICAL AMOUNT
197,213.10
VALUATGN PLANNING DEPT APPROVAL: CS 3-4-91 NO ENCROACHMENT ALLOWED ONTO
PERMIT FEE 983.00 EASEMENT IF ANY.
PLAN CHECK FEE 639-00 BUILDING DEPT APPROVAL: KC 3-28-91
4iUMBING FEE 75_00
CHANICAL FEE _ 20-00 PUBLIC WORKS APPROVAL: PR 3-26-91 DOWNSPOUT AND FOOTING DRAIN
TOTAL BLDG. FEES / SHALL BE PROVIDED AND TIED
PART P/C FEE DATE: -1 i / - INTO DRAINAGE SYSTEM WITHIN
SEPA REVIEW ROW. TEMPORARY EROSION AND
WATER SERVICE AMOUNT: $1,721.50 SOIL CONTROL SHALL BE PROVIDED
WATER MAIN CHG. DURING CONSTRUCTION.
S.B.C.C. FEE 4.50 RECIEPT:
OTHER FEES
AMOUNT DUE 1,721.50
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: l
OWNER OR AGENT "L-V.441/14 DATE 4.1- I 0-- `l 1
Cl.-TY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 7 C 6 OWNER'S NAME /2/7:-C ///%/1/36,i'Ll JOB ADDRESS -7 3 8" 5 4:4"' - 3 $ 7 s f
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. 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.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE - -
SEPA REVIEW
WATER SERVICE
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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CL t OFBUILDING INSPECTION
FEDERAL WAY B I LDI NG 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 -'xsli iron; Y)*`1PROVi .E.,: C 4 ,. ;. . -NCR0?,
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PERMIT FEE
PLAN CHECK FEE _
. 1 ' T ' )TIPT APPROVAL
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PLUMBING FEE
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MECHANICAL FEE
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P/C FEE ' c'' 7kAIIZ I
SEPA REVIEW NY'!. 3 ,c' ",.
WATER SERVICE
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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• rmit #
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: Nc,ve
OWNER &REC It AA/sets/ SITE LOCATION S'w 3 31.-4 -TOWNER'S ADDRESS St?77 3 7 j1+ 5 r CITY T44-camit PHONE `IS 2- -3y t EC
DESCRIBE JOB S;"%3 F �t.s.<I�.etce Tr 4:)•"1
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ivV}rr:-e-fl PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME - Bw<< i.v _ CONTRACTOR'S REG. # Kc 1a&I4 i S i PS
Card MUST be prese tee
CONTRACTOR'S ADDRESS ci 1 ) PtiC.;; .4vz CITY i4' -•t or PHONE S-7 2L 53'7 2 •
-
EXPIRATION DATE `i -1 - I
- 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 G Rr& iI l}.vsei PHONE S 1 2 -Sj 7 2-
BOX 4 SEWER DISTRICT Fe.. TL (4,41 wPrr- -✓ Se t."-r- WATER DISTRICT retw.4a. w.4y w ,'a+- Se wee-
BOX 5 ESTIMATED PROJECT COST $ a 3:%) ti>vo EXISTING BUILDING VALUATION A/k
BOX 6 PROPERTY TAX ACCOUNT NUMBER it •7 2-9 15 -I a22 0
LEGAL DESCRIPTION & ,-r �.�. , 0 kris o.// 5 THE RI Abe
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 1 '17 2ND FLOOR / 14 9
3RD FLOOR / BASEMENT / DECK / GARAGE / $`(b
BOX 8 (X) SINGLE FAMILY (x) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY •+�- 1°, SoC` SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES - BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET $ 5-5
A BATHTUBS NO. ( FURNACE, ELEC. GAS C $ (0- OO
9. SHOWERS 1 GAS HOT WATER HEATER $ G ` U
3M LAVATORIES — CONVERSION BURNER $
i SINKS -- BOILER, SIZE BTU $
i DISHWASHERS - AIR HANDLING UNITS $
- ELECTRIC HOT WATER HEATER - HEAT PUMPS, SIZE $
f LAUNDRY WASHER OUTLET UNIT HEATERS $
- URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS 1 COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
- DRAINS $
1 OTHER lhwye: y
15 TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ -2.4) `.)
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: 114' DATE: Z-Z S- `I J
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE ; y. c SETBACKS: FRONT „,76 / IDE /5 'f 32 REAR 5 / HEIGHT LIMIT 3c
PLANNING DEPARTMENT APPROVAL ,`Z.--,!-- / e _�-4'- 9/
'REMARKS: "::441,,,14. . _,_..iL, 5,4 5-6.,,f-- y,•/.....4,e L Pik,
f ' K....
'
SEPA: EXEMPT X NOT EXEMPT
FIRE DEPARTMENT APPROVAL ' , DATE 3 Zv ?(
REMARKS:
PUBLIC REMARKS:ORKS DE�RnNTT APPROVAL �f Q�., J DATE
_adlok
sectxt-21Yer,
eirilt- it.fin e_4 4..)
TYPE OF JOB: NEW RESIDENCE )c RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT • TENANT IMP. OTHER
OCCUPANCY 12.3 TYPE OF CONSTRUCTION ' STORES
Lf v(h. 1-5T BUILDING SQ. FT. 16/ 7 @ G 9 = /115 73
I L" BUILDING SQ. FT. (D °( y @ (, = 73a
1,0(4\)-s tfk)0(M BUILDING SQ. FT. 3 11 @ 1( = �-7 ZS 5—
1�C
Q0. ke, BUILDING SQ. FT. s6(� @ 17. 30 = q7 ((( T7
JJ JJ BUILDING SQ. FT. @ _ =
BUILDING SQ. FT. @ 44_c/' (f (e(r = o` gls
TOTAL SQ. FT. TOTAL VALUATION /GI 7 z(3
BUILDING DEPARTMENT REMARKS: PERMIT FEE cY63
PLAN CHECK FEE 63 9
PLUMBING FEE 7S,Ov
MECHANICAL FEE ? ,d c)
TOTAL BLDG. FEES 1 -2 ( 7
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE to--0
OTHER FEES
AMOUNT DUE ( 7 24. .Sc1
ASSIGNED ADDRESS: .';< W Yr+115' S
RECEIVED
FEB 2 5 1991 PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
CITY OF FEDERAL WA'
BUILDING DEPT. BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE '---v.-9( ACCEPTED FOR FILING