90-100197 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
9a-106/97
PERMIT NO. 90-267TI OWNER'S NAME SLIM CENTER JOB ADDRESS 2112 S 314 ST
CONTRACTOR RTVER CITY CONST ADDRESS POB 6315 FEDERAL WAY CONT. PHONE 939-4545**
CONT. REG. NO. RIVERCC117OB 9/90 OWNER'S PHONE 932-4750 OWNER'S ADDRESS 8980 WESTWOOD MALL 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 TENANT IMPROVEMENT
TAX ACCOUNT NO. 362403-9009-09 _ LEGAL DESCRIPTION LOT 2 OF RING CO LOT LINE ADJUSTMENT #8611006
FILED AS A SURVEY IN VOL 52 OF SURVEYS PAGE 220 RECORDED UNDER #8612129019
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE S / Com' _ DATE OF APPLICATION 4/5/90
—
BUILDING INFORMATION
*NE NA _ OCCUPANCY R-7 TYPE OF CONSTRUCTION _.._._5-N__ BLDG. SQ. FT. 72.OFFICE
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)
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 NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $7286.40
PERMIT FEE $99.00
PLAN CHECK FEE 64.00
PLUMBING FEE
CHANICAL FEE
)TAL BLDG. FEES $163.00
PART P/C FEE
SEPA REVIEW AMOUNT PAID /6, 7. '
WATER SERVICE
WATER MAIN CHG. 4.50 - DATE PAID (- ?CT
S.B.C.C. FEE /
OTHER FEES RECEIPT # 6 6 2 c/7--(
AMOUNT DUE $167.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 OWNER 0 - , • .I . 2 JOB LOCATION .. I ID- So 8
OWNER'S ADDRESS 8 9 gt) Lk)@ s--f"Loo• Vi I./14/41 TY Se-q,ft Je,,, W/ PHONE 93 2"SF750
DESCRIBE JOB T.Y.
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION '—
BOX 2 CONTRACTOR'S NAME . C ill ( 1ISt'L. C.1 7
6 1IncCONTRACTOR'S REG. # VG gC.C. 11708
Card MUST be presented
CONTRACTOR'S ADDRESS O. _6O ( to 3 IS CITY 4. LL)ct.y PHONE 939-4/.5
EXPIRATION DATE 9/. 151f)
Q
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Cie n Fez/eon Tuc- '/ IJD C.LJ/1 PHONE 93S-45<L5"
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST'f'7[�7 /6TZ). °° EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 3( a -6 3 - `] e)0 9 --D cI
LEGAL DESCRIPTION LQ?' /(,n C o . L LTf' L r n eel t)<tin eifi 44. .W oti
Pi led) A-S S Ur\e 1 n VO O. 5 o-f SUr XeyS, pa_ e Zan 4P crir dee/ Ung
(If necessary, please submit a separate page with the legal description.) (2Pc,or.cptrt5 n, 9 D/9
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /'79-O 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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 $
DRAINS $
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 PER-
FORM THE WORK FOR HIGH E MIT APPLICATION IS [MADE. 1//5/
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OWNER/AGENT: i(�(,l�� DATE: I/
ANP-006 2/90
9 7 —/T
0 0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: A/7
SEPA: EXEMPT NOT EXEMPT -
FIREDEPARTMENTAPPROVAL ' DATE V`6 l(O
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. ROOF OTHER
OCCUPANCY 6 Z TYPE OF CONSTRUCTION C..-!../ STORES
0 '1+-((€ BUILDING SQ. FT. @ SO 6 0 = 3L y 12-
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ ,��I( Cr ` = --�c �->
BUILDING SQ. FT. @ ' =
TOTAL SQ. FT. TOTAL VALUATION 7 a G& ' Ye)
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE Rg. 00 PLAN CHECK FEE - 4-= Q- PLUMBING FEE `1-- MECH. FEE 0
TOTAL FEES r 6 3 ° Oo SBCC SURCHARGE 11 c TO ENERGY SURCHARGE AMOUNT DUE (6 7, SO
BUILDING DEPARTMENT APPROVAL DATE (-1.-- 6 - T O
REMARKS:
1,
ASSIGNED ADDRESS: Se-Q-- (Sn ("/
RECEIVED ACCEPTED FOR FILING