90-100035 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
9O-/b b 035"
PERMIT NO. 90-048 OWNER'S NAME DORENBUSH HOMES, INC JOB ADDRESS 1331 S.W. 347TH PL
CONTRACTOR _ _DORENBUSH HOMES, INC ADDRESS 275 118TH AVENUE S.E. #110 BELLEVUE, WA 980Q�NT. PHONE 451-1994
CONT. REG. NO. DORENI*210M3 OWNER'S PHONE 451-1994 OWNER'S ADDRESS 275 118TH AVENUE SE #110, BELLEVUE WA
TYPE JOB: NEW RESIDENCE XX 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. 192104-9048-39 LEGAL DESCRIPTION LOT 25 PARKLANE ESTATES
ISSUED BY JOANNE JOHNSON. TYPIST DATE OF ISSUE DATE OF APPLICATION 3-2-90
BUILDING INFORMATION
JE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 2346
T BACKS: FRONT 20' SIDE 51 51 REAR 42' STORIES HEIGHT LIMIT 251
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER
RECEIVED __
BATHTUBS 7 LAUNDRY DRAINS 1 COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER _
LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.GAS FURN 10.00
SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 19 UNIT HEATER TOTAL MECHANICAL 20.00 AMOUNT
VALUATION 121,748_44
PERMIT FEE 717.00
PLAN CHECK FEE 466.00
PLUMBING FEE 60.00 t�
MECHANICAL FEE - 20.00 Z�h�
STAL BLDG. FEES \ I
RT P/C FEE ` `�
SEPA REVIEW �0�
WATER SERVICE
WATER MAIN CHG. Vi) 3 �� ��
S.B.C.C. FEE 4.50 ll'
OTHER FEES
AMOUNT DUE - 721113-(jF} oti../te
1,267.50
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 F ' '.HED BY ME IST AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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MAR 01 '90 15: 00 0 MEIERS / FED. WAY P.02 ZOOZ
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CITY OF FEDERAL WAY - 'o `tO
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BUILDING PERMIT APPLICATION `-'5` .
—Please PrInt— 9I-
BOX 1 OWNER f l't(t2(iL hteato r .11/?(. JOB LOCATION 73 3 I 5 W .5 `i7 1-4. 11._k__OWNER'S ADDRESS _A 1,5 f f• 1".=1 /4-tie c(� *---rlv CITY_, x'j.1 ii al PHONE /ggrjl
DESCRIBE JOB `'1 t� c �. -r�_JJ t 4- 'lt%' -4-r`,!r ' _
THE PROPERTY IS OWNED BY: SINGLE/MARRIED _PARTNERSHIP CORPORATION Y�
BOX 2 CONTRACTOR'S NAME /122 2 1,10f.-11. 5.t'' I %r✓I7e 9, --h d CONTRACTOR'S REG. # .000,73\37„ 2 ta-
r� r c---47--- 'j� Card MUST be presented
CONTRACTOR'S ADDRESS /L i4i' ?'L'CITY {"�`C-iI V L/� PHONE _ � �``��+1 1`��q1
EXPIRATION DATE (.4:-.:1-7/' ' 1,
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEF=INITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON /10 c --1-4 lei 1)-1,,i J t, PHONE 4--16-74.2-/q471_
BOX 4 SEWER DISTRICT _ / � y q c{.& IATER DISTRICT r , ': 1-t . t p., . - '.LL
BOX 5 ESTIMATED PROJECT COST It ' + ('vu EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 11." ) )I-' 'I a:'- . �
. ' _,I -
LEGAL DESCRIPTION L- . 1 r f -' 1 ! S 1/` c
(If necessary, please submit a separate page with the legal description.) _
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR!0/1 I 2ND FLOOR '8r/ _ l
3RD FLOOR /v/A- / BASEMENT---- ;=' / DECK / GARAGE '/Sc / _
BOX 8 (X) SINGLE FAMILY (X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SO FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. .3 WATERCLOSETS GAS PIPING, FEET $ 3,S'o
2- BATHTUBS NO. / "`FURNACE, ELEC. GAS `.. $ la.:-.
_ SHOWERS , / GAS HOT WATER HEATER $ _.6. 5.12_
V 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 - $
kz- TOTAL FIXTURES $
X c _- G, , c. .; 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 WH `EEM) PLICATI9N IS ADE. ,n,
OWNER/AGENT: ' / L 7'' -. I DATE: I
AM►-0Of
MAR 01 '90 15: 01 411 MEIERS / FED. WAY • P.01
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE A.___5:1-2-_SETBACKS: FRONT a( SIZF 1 u.(--i,' REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL (F- c ', - 1 L./ .c(
REMARKS: •
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE 3 - /`,/- --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. ROOF OTHER
OCCUPANCY R-27 TYPE OF CONSTRUCTION J Ai STORES
t... , ,....41.1. 9 BUILDING SQ. FT. ( @ 6q . cG - 13C-flet,R<_ �iG
fy04ral ti, BUILDING SQ. FT. L Cc- @ 7- 3v ,_ 7 71 <Sc
BUILDING SQ. FT. @
BUILDING SQ. FT. @
BUILDING SQ. FT. @
BUILDING SQ. FT. @ ;Ceyc0t1A ( /tc(if I4 e( C7- �y
TOTAL SQ. FT. TOTAL VALUATION _ . ..1._-__2:12..q.?.. ''I `I
EBUILDING PERMIT NO. PLAN CHECK FEE RECD -& RECEIPT NO.
PERMIT FEE PLAN CHECK FEE g-fE-6 -L- --4&--42-C—PLUMBING FEE MECH. FEE - 00
TOTAL FEES SBCC SURCHARGE ti,S 0 ENERGY SURCHARGE --Er- AMOUNT DUE f 7•S 0
BUILDING DEPARTMENT APPROVAL DATE
REMARKS: ----
ASSIGNED ADDRESS: 1.3/ k ¶'t) 31 1
RECEIVED ACCEPTED FOR FILING
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