91-100987 9/-160 9&7
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-952 RA OWNER'S NAME CENTEX HOMES JOB ADDRESS 1809 SW 330TH STREET
CONTRACTOR CENTEX HOMES ADDRESS 2320 130TH AVE NE #E-200 BELLEVUE CONT. PHONE 622-8288
CONT. REG. NO. CNETEH*nQA OWNER'S PHONE 622-8288 OWNER'S ADDRESS 2320 130TH AVE NE #E-200 BELLEVUE
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 DECK
TAX ACCOUNT NO. 010455-0060 LEGAL DESCRIPTION LOT 6 ALDERBROOK DIV 6
4V..
'SUED BY JOANNE JOHNSON DATE OF ISSUE • 1...� DATE OF APPLICATION 7-16-91
BUILDING INFORMATIO
ZONE RS 5.0 OCCUPANCY M2 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 80
SET BACKS: FRONT 20 SIDE 5 REAR 5 STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING _FT. BOILER
RECEIVED
BATPTUBS 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 704-00 PLANNING DEPT APPROVAL: LS 7-23-91
PERMIT FEE 42.00 PUBLIC WORKS APPROVAL: TC 7-24-91
PLAN CHECK FEE 14.00
UMBING FEE FIRE/BUILDING DEPT APPROVAL: KC 7-25-91
ECHANICAL FEE
TOTAL BLDG. FEES DOUBLE FEES ASSESSED AS DECK HAS ALREADY BEEN CONSTRUCTED WITHOUT A PERMIT .
PART P/C FEE
SEPA REVIEW
WATER SERVICE DATE: L/'-]
-9)
WATER MAIN CHG.
S.B.C.C. FEE 4.50 AMOUNT: $95.50
OTHER FEES 35.00 •---- -
AMOUNT DUE 95.50 RECEIPT: -
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED B 1 E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: -�
OWNER OR AGENT. DATE 7 -iL 1
• p•nit # ' ' " gsze,
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION )1
— Please Print— `t I g D n 322) 5�
BOX 1 TENANT NAME: yl �l,L�'/
OWNER 13z ._ 5 SITE LOCATION - -
OWNER'S ADDRESS 7.320 V3 Puz r4 ..-7.1• CITYi�2..uii_: ...i— PHONE 622-`67
DESCRIBE JOB ' X i t: SV___
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME C-- -411-- \ .i_S CONTRACTOR'S REG. #C�,.'t`�ii4_jL1_:► c.R
Card MUST be presented
CONTRACTOR'S ADDRESS -2:7;2_.C_-; U 1vE.._ E24c.CITY ai.aai uu,L. PHONE (1_,27..:,-Y?.._
EXPIRATION DATE ci
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINI ONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON S ti La,�.J FSW> PHONE Y.7 171
BOX 4 SEWER DISTRICT cLa.--. WATER DISTRICT \--i,:r 1.-IS
BOX 5 ESTIMATED PROJECT COST �C>G EXISTING BUILDING VALUATION i--c:,) Cbl
BOX 6 PROPERTY TAX ACCOUNT NUMBER 01 c 1-LSS— O tQG
LEGAL DESCRIPTION i tc., 1��ZctM�eo ,.)
`'x cz'k3 v �T
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # WO t 2 C 7 \
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / ya1r GARAGE /
BOX 8 ><LSINGLE FAMILY ( ) NEW CONSTRUCTION . _Lr __
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE /-----
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 1 J-: - SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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 $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
(RAINS $
OTHER $
TOTAL FIXTURES $
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 FEDERA i AY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYE' UPS 1 A RAC OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
_---._.n.. rik
OWNER/AGENT: 10 ; DATE: -7/t; X\
ANP008 3%90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW!LINE)
ZONE tp ' S,o SETBACKS: FRONT 96 ' SIDE - / REAR t) I HEIGHT LIMIT :4€ 1
PLANNING DEPARTMENT APPROVAL , '// .,-._' '-2,..". - 7-
REMARKS: /t7 ._,-__„(e..._
REMARKS: °Li- A.Ci-e.4e,oar =x._-r<<-e__Z`-cw !
SEPA: EXEMPT i.----- NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: It,
PUBLIC WORKS DEPARTMENT APPROVAL �Ci DATE 7-2-4-`r/
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 0 . . . TYPE OF CONSTRUCTION u/ti STORES
f_Jec ._, BUILDING SQ. FT. C.> ' @ f cam` = per,
i
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ / (i`" I e' -------= ad`
TOTAL SQ. FT. TOTAL VALUATION 75Y
BUILDING DEPARTMENT REMARKS: PERMIT FEE X12
`70f; /�,a _ st''l� Jb PLAN CHECK FEE r
�' t �== PLUMBING FEE
• _J K 2-- I/.- MECHANICAL FEE •
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE t,"%--CO
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 3Q-.Q �-- ( 51LI N`q
RECEWED PARTIAL PLAN CHECK FEE RECEIVED
JUI. 1 7 1991 Amount Date _ Receipt#
CITY OF FEDERAL WAY
BUII DING DEPT. / c BUILDING DEPARTMENT APPROVAL
RECEIVED BY ( - DATE ACCEPTED FOR FILING
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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
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 _
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.0 FEE
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'R SIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORREC 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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