92-101212 CITY OF FEDERAL WAY BUILDING PERM I mT PERMIT NO.: 92-1118
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/11/92
Federal Way, WA 98003 BY: AJ
661-4000
SITE ADDRESS: 2108 S 314TH ST
PARCEL NO.: 092104-9053
PROJECT DESCRIPTION: TI
'- OWNER .- CONTRACTOR — LENDER
ROBINS COUNTRY COTTAGE DODSON PATTISON INC
2108 S. 314TH 12304 31ST AVE NE
FEDERAL WAY WA 98003 SEATTLE WA 98125
454-6108 361-2989
Alk DODSOPI101JB
BLD?:X NEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' .' FINAL PLAN CHECK...* $ 40.95
CENSUS CATEGORY •437 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 63.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:B2 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft PLCK-FIR comm only* $ 3.15
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 4000 SIDE • 0.00 ft WATER SERVICE..:?
:5N :? :? :? DECK: 0: 0:sf REAR • O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/10/92
0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 111.60
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUA JCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORM ON FURN H'D BY ME 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///1_,
� l� �---
bld_prmt 07/31/92 (J
0 S
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE__....- _..._ BY DATE ....- BY DATE .-_-.. ---_._ BY
PLUMBING ROUGH IN WATER LINE O.K. _.._. MECHANICAL INSPECTION
DATE BY GAS PIPING O.K. DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY --_ DATE .... BY .... - ....._ DATE - BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
LY l ci 2 /n�ro ,2. ,e // <2:-$ s o 4-Q-- .�7y Caif 6- Civ
�C_ a - 2-- Fr Grq / d 4 F7 /--IS #----3q 4 . /,meq v e _c
arm it # < 2' / l t C A
RECEIVED
- J iJ L 21 1992 CITY OF FEDERAL WAY
Lucy OF AY BUILDING PERMIT APPLICATION
BUIL - Please Print—
BOX 1 TENANT NAME: •Li t,i S GO-Ui-r� C___Q- -~ e—
OWNER _ The- I SITE LOCATION 4-4 t -&-si'p L. '�1 -'— - 2 109 `5.31 4`
OWNER'S ADDRESS- 11)L..�5— lam' ' ' - -707 CITY ' .c,Jt PHONE —Col 05(
DESCRIBE JOB 17 b 'WALLS -1).cra-RS
THE PROPERTY IS OWNED BY: SINGLE/MA RIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME LDa% .7,.-_,. -- — .. KZ.. CONTRACTOR'S REG. #tD_ 1ID15r
Card MUST be presented
CONTRACTOR'S ADDRESS 12o4- 3l /.•`re- ►J CITY :42:A.Tiet-- PHONE - 4ii
EXPIRATION DATE S- 2(0—c't� `,
— 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 t PHONE 36 I'2-9 S9
BOX 4 SEWER DISTRICTWATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 4 D iC
! - EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 092 t 0'°I a 5 3 09
LEGAL DESCRIPTION • ■ _ `.itroV1
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
V) 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 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 INVESTIGATI IN AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST H CITY0' EDERA/WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EM• 1/E S, U rI THE/CCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
/ ,
OWNER/AGENT: - I DATE: Or 7/9--VV----•
ANP-008 3/90
•
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
p1
ZONE C % SETBACKS: FRONT YE t SIDE 0REAR ( HEIGHT LIMIT ``�-
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT C/ NOT EXEMPT
FIRE DEPARTMENT APPROVAL 1= C- DATE 7- ZZ `� Z
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL )f,q� DATE
REMARKS: lt//�'�
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 13 TYPE OF CONSTRUCTION VA/ STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION YC C%
BUILDING DEPARTMENT REMARKS: PERMIT FEE 6 3
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE Y-CC'
OTHER FEES FD dee 3 I (S_
AMOUNT DUE
ASSIGNED ADDRESS: SCC
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE 7-ZZ ACCEPTED FOR FILING
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CERTIFICATE OFOCCUPANCytam PT;Ng
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_ ' CITY OF FEDERAL WAY
11 Certificate This Certate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of Tr
A: issuance this structure was in general compliance with the various ordinances of the City regulating Gull-ding construction or use
• 4Lilti for the following: -
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9 Occupancy Name: ROBINS COUNTRY COTTAGE Addrem: 2108 S 314TH ST at:
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� u�sc Oac $II1Cil,ion: RETAIL/STORE Dci'nll( No: BLD 92-1118
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Group B2 `Iypc or ConAnicLion ,ALL LI8e Zone CC (Sq. I'ooIn8c 928 Occcupanl, I,oad 16tuf
9 Owner of Occupancy: RM1TNS CDTINTRY Addl'Cm: 2108 S 314TH ST .��■,,
:„: B C & E DEV C/O JSH 'TT:
� Owner of f�uildin /lddre��ti: 1Q.655 NE 4TH 1707 BELLEVUE, WA 9800 :
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The priority focus in the review and inspection made Gy the City prior to issuance of this Certificate was on those matters which IF
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exxpericrrce Gas sfunvn most severel7TrEy affect the health analsafety of the geriennf public. Although the City has made as complete a 9F
•' review andinspectionas is reasonably possible(within budgetary time analpersonnel limitations),the City neither guarantees nor
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warrants to the owner/occupant or to any otherperson that this Certificate evidences strict con fiance with each and every %f
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%u: ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the(anal upon
2 which . _'__si . ed. Such. compliance is the r ponsibifity of the owner and/or occupant of the premises. , 1
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Building Official Date :7t:
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