90-101348 CITY OFBUILDING INSPECTION
FEDERAL WAY U I
LD I N G PERMIT 941-1555
#434 9t-l0l3V 3
PERMIT NO. 90-1673 RA OWNER'S NAME DONNALD HALL JOB ADDRESS 1617 SW 351ST
CONTRACTOR ARBAUGH CONSTRUCTION C( DDRESS 512 E 84TH ST TACOMA CONT. PHONE 536-8478
CONT. REG. NO. ARBAUCC1O1KQ OWNER'S PHONE 927-1592 OWNER'S ADDRESS 1617 SW 351ST FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGNGRADING OTHER
TAX ACCOUNT NO. 920200-0090-08 LEGAL DESCRIPTION LOT 9, WAYFAIR, ACCORDING TO THE PLAT THEREOF
RECORDED IN VOL 73 OF PLATS, PAGE 4, IN KING CO WASH.
ISSUED BY JOANNE JOHNSON _ DATE OF ISSUE _ I DATE OF APPLICATION 9-25-90
BUILDING INFORMATION �.
•NE OCCUPANCY TYPE OF CONSTRUCTION or
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
I-/'VATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC
SIN`- MISC. CONVERSION BURNER BASIC FEE RETURNED
DI HWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 500 BUILDING DEPT APPROVAL: KC10-23-90
PERMIT FEE 15.00
PLAN CHECK FEE 10-00
PLUMBING FEE
ECHANICAL FEE
1/74,i C-D
AI
BLDG. FEES DATE: /
PART P/C FEE = AMOUNT: ____24,5]-(=-1
SEPA REVIEW
WATER SERVICE 14(
RECEIPT:
WATER MAIN CHG.
S.B.C.C. FEE 4.50
OTHER FEES
AMOUNT DUE 29. 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:
OWNER OR AGENT01%
DATE
//— 2. - 6,
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT941-1555
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. 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
% ILDIN-G EPT APPROVAL; rC10--2J_,u
PERMIT FEE
PLAN CHECK alkUMBING FEE
CHANICAL FEE t ` #
tiffrt
TOTAL BLDG. FEES
PART P/C FEE '
` "7, j i,
SEPA REVIEW . -.__....._.-Z...-.' ., -
.
WATER SERVICE . " 19I' i
WATER MAIN CHG. �..-.� l.c_...i
___ .._ _
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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RECEIVED ` ermit # v , /C -73 �°,�-
00T 1 61990 CITY OF ,,'Y
CITY
BUIILDINIGDEPT.WAYDERAL BUILDING PERM 7 APPLICATION
— Please Print—
BOX 1 TENANT NAME: /-4 ((
OWNER `)n,. /Gf h"t (( SITE LOCATION__/�/ $ ' f
OWNER'S ADDRESS /) SW '?S
- / 5-F CITY es •/ 1 9
PHONE ��7—/S- tz
DESCRIBE JOB /4-2 746 SGi. .�� 2a.+.w,i �.-.��a� e`�57�-,i� /--, o''w
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME fr- 6a u-j 4 c lie-,47 ' C• . CONTRACTOR'S REG. # � � U C/c /f Q
Card MUST be presented
CONTRACTOR'S ADDRESS 4-7a CITY Tajo PHONE 37-?6" ?8�
EXPIRATION DATE 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 PHONE S �� >'Y
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COSTC - EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER qA-0 00 9c' —C7g
LEGAL DESCRIPTION S-P� J4' A s
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /OO / /5—a''2 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 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: ," , DATE: _
ANP-008 3/90
•
OFFICE USE 0 WRITE BELOW THIS LINE) •
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT t
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 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/I TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION 31--O
BUILDING DEPARTMENT REMARKS: PERMIT FEE `�° o c
PLAN CHECK FEE /0 ,c)U
PLUMBING FEE c,
MECHANICAL FEE c.)
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE {`S U
OTHER FEES 4
AMOUNT DUE . s-0
ASSIGNED ADDRESS: See - e-X(S r(
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY .)DATE
v- 3 o ACCEPTED FOR FILING