90-101404 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-1631 SP OWNER'S NAME MR & MRS JAMES CHURCH JOB ADDRESS 3620 SW 309TH STREET
CONTRACTOR TRI CITY POOL, INC ADDRESS 1680 NW MALL ISSAQUAH WA CONT. PHONE 392-4280
CONT. REG. NO. TRICIRS142M4 OWNER'S PHONE 874-4579 OWNER'S ADDRESS 3620 SW 309TH STREET 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 _POOL & SPA
TAX ACCOUNT NO. 21287-0410 LEGAL DESCRIPTION LOT 41 BAYVIEW COUNTRY ESTATES
ISSUED BY JOANNE JOHNSON _ _ DATE OF ISSUE 11-2-90 DATE OF APPLICATION 1 0-9-90 _
BUILDING INFORMATION
(PONE RS 9.6 OCCUPANCY M2 _ TYPE OF CONSTRUCTION ._ VN _. 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 92 FT. _.n Q 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 2.00 AMOUNT
VALUATION 8,800 PLANNING DEPT APPROVAL: NO CONSTRUCTION ALLOWED WITHIN 25 FEET OF
216.00 REGULATED SLOPE (40%) CS 11-1-90
PERMIT FEE SEPA EXEMPT
PLAN CHECK FEE 70.00_ BUILDING DEPT APPROVAL: WORK STARTED BEFORE PERMIT ISSUED--DOUBLE FEE
PLUMBING FEE
ANECHANICAL FEE 2.00__
OTAL BLDG. FEES _
PART P/C FEE DATE: /F 2 D
SEPA REVIEW
WATER SERVICE AMOUNT: 9 2_ 5-13
WATER MAIN CHG.
S.B.C.C. FEE 4.50 RECEIPT: 7 y L% C( 1 ( -( 161
OTHER FEES
AMOUNT DUE 292.50
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:
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Permit # q0 /6 3 ( 5 191/4\
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER/ . Ir u . _ .e SITE LOCATION 0 , -oar 7-1 -
OWNER'S ADDRESS ; a , 7/1' - CITY • z PHONE g?y-yS 7g
DESCRIBE JOB S / Q „-- A ,r
THE PROPERTY IS OWNED BY: SINGL AR"IED�__,A( PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 7i--,-/( � .'co j. 9L,-- CONTRACTOR'S REG. #747LI, S/5/.=.2P-)V
/ Card MUST be presented
CONTRACTOR'S ADDRESS /("e D NW/4W/ CITY 7 /ie?/ I.(( PHONE- .4,7 `y
EXPIRATION DATE
— OR9100 2
—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY ONTR TORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
O
)
BOX 3 CONTACT PERSON - '"
y & .6PHONEsg2 y?I
BOX 4 SEWER DISTRICT ' . ' 4 s ./-,nI 43i- , WATER DISTRICT (/ 4i/%,/
BOX 5 ESTIMATED PROJECT COS /6 oro K C-- EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER (,2P ? c?//O
LEGAL DESCRIPTION Le/LW " t--i /LC wi,6,j , --4/e----t
(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 , 'd /.r GARAGE /
BOX 8 ( ) SINGLE FAMILY (j �
<) NEW CONSTRUCTION /1 ;. ir(
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBIN MECHANICAL APPLIANCES — BASIC FEE$
NO. <-4- : GAS PIPING, FEET V $ 2. - 0
NO. FURNACE, ELEC. GAS $
`�� /,_,g GAS HOT WATER HEATER $
GCONVERSION BU' ER $
BOILER, SIZE .7-_sP �E' _i • mss$
C:�!zG L ze- , AIR HANDLING UNITS S+ 1 i
e HEAT PUMPS, SIZE of �$
UNIT HEATERS + r��^ �L $
�'�
C4 - -- AIR COOLING UNITS, SI
— COMMERCIAL HOOD $
�- �-e-e-frtaee-t.. OTHER $
TOTAL MECHANICAL FEE $ Z-bo
I CERTIFY UNDER PENALTY OF PERJURY I MA 1 I FIS tivi ,..,......_fN 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 HE INFORMATION SUPPLIED E CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: / i 4._ / /1 - // /'/ DATE: �%
4 •�/
ANP-008 3/90
I
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE) 06 SETBACKS: FRONT �/� SIDE REAR HEIGHT LIMIT / //1
PLANNING DEPARTMENT APPROVAL _ �« //—/—
REMARKS: `�� 4it,zf.u=c-Z , suite/-t,,,C -„, ,4s"7 a.��../1„(yn i� -.)
SEPA: EXEMPT e/ NOT EXEMPT
FIRE DEPARTMENT APPROVAL 4t44 DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL //i. 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/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @
= O Od0
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ �� �F(t d` �8
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION EZ O O
BUILDING DEPARTMENT REMARKS: too,/k 5+„,,---t-ed 6p f„:„{rPERMIT FEE 2I 6 , bo
jerctit ( f 155lk �t c .. VoutjleFc____e PLAN CHECK FEE -70, d C,
PLUMBING FEE 0
MECHANICAL FEE "2-e G c
TOTAL BLDG. FEES 2Fe'0 0
PART P/C FEE c)
SEPA REVIEW c
S.B.C.C. FEE Y 5-0
OTHER FEES a
AMOUNT DUE __?4l13*--0
ASSIGNED ADDRESS: 5 et_ r S 4-1'71
RECEIVED
PARTIAL PLAN CHECK FEE RECEIVED
OCT 1 0 1990 Amount Date Receipt#
CITY OF FEDERAL WAY
BUILDING DEPT. BUILDING DEPARTMENT APPROVAL
RECEIVED BY ID DATE ACCEPTED FOR FILING
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