91-100586 ' 9),/o055 4
CITY OF BUILDING INSPECTION
FEDERAL WAY ' BUILDING PERT 941-1555
PERMIT NO. 91-555 OT OWNER'S NAME DANIEL & HELENA ALLEN JOB ADDRESS 5017 SW 310TH
CONTRACTOR OWNER ADDRESS CONT. PHONE
CONT. REG. NO. OWNER'S PHONE 874-6633 OWNER'S ADDRESS 5017 SW 310TH FEDERAL WAY
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 ROCKERY
TAX ACCOUNT NO._ 184090-0055-07 LEGAL DESCRIPTION LOT 11 BLK 1 CRESTVIEW SHORES CLUB DIV #2, VOL 58
• P 20 KING CO PLAT RECORDS STATE OF WASHINGTON
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-1-91
BUILDING INFORMATION
ZONE RS 9.6 OCCUPANCY M2 TYPE OF CONSTRUCTION _ VN BLDG. SQ. FT.
fhbBACKS: FRONT20 SIDE 5 REAR 5 STORIES_ HEIGHT LIMIT
MBING 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 12,000 PLANNING DEPT APPROVAL: CS 5-10-91 NOTE: RETAINING WALL FOR SLOPE STABILITY
UNDER SEPARATE PERMIT--BEING REVIEWEI
PERMIT FEE 135.00 UNDER SEPA.
PLAN CHECK FEE 88.00
PLUMBING FEE PUBLIC WORKS DEPT APPROVAL: INSTALLATION OF SILTATION FENCING REQUIRED
MECHANICAL FEE BEFORE START OF CONSTRUCTION. TC 8-1-'91
TOTAL BLDG. FEES — - BUILDING DEPT APPROVAL: KC 5-16-91
ediT P/C FEE �(
A REVIEW DATE: II �c1
WATER SERVICE V J ///
WATER MAIN CHG. AMOUNT:
S.B.C.C. FEE 4.50 $542.50
OTHER FEES P WORKS 315.00 RECEIPT: 0.3
AMOUNT DUE 542.50
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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILc r 3E MET:�j
OWNER OR AGENT X�-� ��`� DATE �S / I 1
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
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 _ _
4, 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 jj ,��i1 UNIT HEATER'] l:{ y(� (� (T�OTAyL MECHANICAL y/� + AMOUNTylei VALUATION
- ii4lL&, t&e, .t �tl�Pp Root .e: c .'..)-1O-91 �S OA:i : r3i. .r'. itr IUG W.A. 1Lw Tao; ;.)-.NX..1,b, a.,T144,:,i ,.1, e
•.:iNDLR SEPARATE PTSRI! IT--"B IN('. 1"V l'W .
PERMIT FEE
UNDER SFiPAs
PLAN CHECK FEE
UMBING FEE JI3LIC WORKS DEPT APPROVAL: INSTALLATION OP SILTATION F iCI:NG REQUIRE!)
ipCHANICAL FEE BEFORE STARR. OF COAST Ci:r"IW. TC 6-1-9x
TOTAL BLDG. FEES _ IILDING DEPT APPROVAL: KC S-16-91
PART P/C FEE -
SEPA REVIEW
WATER SERVICE f
WATER MAIN CHG. p-;3.0uN,�: $542.50
S.B.C.C. FEE
OTHER FEES _;7,,;{~',";.I + `\
AMOUNT DUE ..
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
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• • Permit #
RECEIVED CITY OF FEDERAL WAY
MAY 0 1 1991 BUILDING PERMIT APPLICATION
CITY OF FE-,D PCU }Ay — Please Print—
Ft)iti OL Ci
BOX 1 TENANT NAME:
OWNER DAL,. NZ-'kip, t'R (L<< iy SITE LOCATION kdJ",- ki- Ot') S c1
OWNER'S ADDRESS ,S'" ( �✓ 3 r c1 CITY PHONE
DESCRIBE JOB �.L r-: c:x•szi„y4 kerr—AcK S
THE PROPERTY IS OWNED BY: SINGLE/MARRIED \ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME '&f CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
�
BOX 3 CONTACT PERSON I- t-.'&. -� 3S
iN r`\ /k L �'ti-J PHONE I� ' �{ • L 3 "
S� S
BOX 4 SEWER DISTRICT WATER DISTRICT - 9 3 i - 9 ( 3
BOX 5 ESTIMATED PROJECT COSTt)i•Z, EXISTING BUILDING VALUATION k)( A- 74} 3S/ /5626
BOX 6 PROPERTY TAX ACCOUNT NUMBER N I `( 0 )c -UC S ST= C'7
LEGAL DESCRIPTION I 01"" I' , RL I( l C-R-z CLQ :S b i til°. L UOL S)
Lll l IZ L A%Ca `i4 IZ I CJ\-b S s?Ac C`F `4A S 1;; (S-i-ov._)
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR ti / J' 2ND FLOOR /
3RD FLOOR / BASEMENT —' DECK I GARAGE -'�--
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ('EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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 0— 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: „SI c k
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE/NS 9 6, SETBACKS: FRONT -2G SIDEVII - REAR___z1 -5— HEIGHT LIMIT .✓/4
PLANNING DEPARTMENT APPROVAL 2�G fru 5 —'a— 9/
REMARKS "It
jo}�5[ci.LJJ . Q.L/QJA t roti _ t L N1 �"tvr.�ttider sea (// /
SEPA: EXEMPT A NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE (6
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL_ Te-- DATE
REMARKS: _ . . NST/ •itrio/./
Or S/GTAT Pd ,cE 'c'-'4 REQ uifZEO BeopeE c,-, r- Co../sne cTieeJ,
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT )C NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION \I/✓ STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT.
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION I '(-' G
BUILDING DEPARTMENT REMARKS: PERMIT FEE 135-
PLAN
3sPLAN CHECK FEE P.)5
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES 2-V 3, oc
PART P/C FEE
SEPA REVIEW
Pr,) -1?' 3/5;00
S.B.C.C. FEE Ve 5 C
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: )Lam, e?r(Sf(.1
RECEIVED
PARTIAL PLAN CHECK FEE RECEIVED
Q1 t191 Amount Date Receipt#
kAO-p WA's •
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE - `16 l / ACCEPTED FOR FILING
1