91-100055 9)-Iaab55—
CITY OFBUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
91-0018 RA MARK SFUNK 2708 SW 305TH ST
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR ADDRESS CONT. PHONE -- _
CONT. REG. NO. OWNER'S PHONE 838-8787 OWNER'S ADDRESS 4809 SW 329TH WAY 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. SIGN GRADING OTHER
TAX ACCOUNT NO. 416660065408 LEGAL DESCRIPTION LEGAL: PARCEL A- LOT 3 K.C. SHORT PLAT #679081
RECORD #8110230443, A PORTION OF THE E 400 ' OF LOT 3, BLOCK 7 LAKOTA, RECORDED VOL 21,
PG 23, KING CO WASHINGTON.
ISSUED BY JOANNE JOHNSON _ DATE OF ISSUE DATE OF APPLICATION 1-7-91
BUILDING INFORMATION
ZONE RS 15.0 OCCUPANCY M2 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 4011 DECK
SET BACKS: FRONT 20 _ SIDE 5 _ REAR 5 _ STORIES HEIGHT LIMIT 30'
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 4,000__ PLANNING DEPT APPROVAL: DB 1-16-91
PERMIT FEE 63.00
PLAN CHECK FEE 400
PLUMBING FEE BUILDING DEPT APPROVAL: KC 1-28-91
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE DATE: / -- J
WATER MAIN CHG.
S.B.C.C. FEE 4. 5(Y, AMOUNT: $108.50
OTHER FEES
108.50
AMOUNT DUE RECEIPT: / -7 4., 3
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
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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 f_z_! 9/ 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
31.S D
VALUATION . , INC DEPT APPR)Vlh'., DB
PERMIT FEE
PLAN CHECK FEE =b'TL DIN DEPT APPPOVAL: int:
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE --
WATER MAIN CHG.
S.B.C.C. FEE �µ•-
OTHER FEES
AMOUNT DUE 5
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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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: ft2a/ 5 , n
OWNER -< s- S l e.-r f2I y. SITE LOCATION e/oC Set/
OWNER'S ADDRESS -Vg'9PP Set>. 32-9 Y - CITY ft'gd Gc>a j PHONE g3$—g787
DESCRIBE JOB dec.-147T
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ><— PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— 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 // uPHONE g5' 3 i.i 2
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION ovt- 3 A cL ../.Q"7 4796g/
(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 ;iota / 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: ', / S, �GGt DATE: /77/9/ IAN / 1991
• • .
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) -
ZONES/S 0 SETBACKS: FRONT ./ _SIDE d REAR -' HEIGHT LIMIT 30
PLANNING DEPARTMENT APPROVAL 7/0M 0-
REMARKS:, " ti-&ed 5i7e) p(Q n LA)/ deck Pixy/print . /191 / 3 ,-Y7 �� - L t%
GUM, C Il h% /1 C l/P O&M PA
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL /A- DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 44, DATE
REMARKS: G
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 TYPE OF CONSTRUCTION VA1 STORES
BUILDING SQ. FT. `/00 @ (0 • J t) _ (-(0. --0
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ Akoj, ( c-oL_Ar = t )°1)
BUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION -55-2'0
BUILDING DEPARTMENT REMARKS: PERMIT FEE t'3
PLAN CHECK FEE 'f /
PLUMBING FEE o
n, _ MECHANICAL FEE 0
®v �� TOTAL BLDG. FEES �U N
�
�1 PART P/C FEE v
Z'
/ &01,1( (hPf O SEPA REVIEW v
ii /42-e,- A,,,,-
7
/-KS.B.C.C. FEE 4`
OTHER FEES 0 _
(h__
q/_c /5: _/1
AMOUNT DUE iu�` S D
604/-71.....n...,'11)
RECEIVED
Amount uaw Receipt#
BUILDING DEPARTMENT APPROVAL
BY DATE (-Z - -(
RECEIVED - ACCEPTED FOR FILING