91-101740 CITY OF FEDERAL WAY
33530 First Way South BUILDING INSPECTION
Federal Way, WA 98003 L D I N G PERMIT 661-4140
REVISION TO EXISTING PERMI 1— 69 NR
PERMIT NO. 91-1698 OT OWNER'S NAME CENTEX HOMES SITE ADDRESS 1803 SW 330 ST
CONTRACTOR OWNER—CENTEX ADDRESS 2320 130 AVE NE BELLEVUE CONT.PHONE 622-8288
CONT.REG.NO. CENTEH*1O1QA EXP. 1092 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
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 REVISION TO EXISTING PERMIT TO CONSTRUCT
TAX ACCOUNT NO. 010455-0070 LEGAL DESCRIPTION RESIDENCE
LOT 7 ALDERBROOK c
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE 2 - 1 0 — ( DATE OF APPLICATION 2/12/92
BUILDING INFORMATION
*ZONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY _TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS _ URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
kzAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
bINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION BLDG DEPT APPROVAL = KEVIN ELLIS
PERMIT FEE
PLAN CHECK FEE $30.00 "1 HR PLAN REVIEW FEE @ $30.00 PER HR"
PLUMBING FEE
.ECHANICAL FEE
I-ART P/C FEE
SEPA REVIEW
PUBLIC WORKS - - —
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES AMOUNT: $30.00
AMOUNT DUE $30.00 RECEIPT: by k 3
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF 0 WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATIO D BY - -UE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
OWNER OR AGENT DATE2/26
/z_
CITY OF FEDERAL WAY 9/ -/of 7 YD
33530 Federal Way`, ayWA 8003 BUILDING PERMIT661-4140BUILDING INS ECTION
PERMIT NO.91-1698 NR OWNER'S NAME CENTEX HOMES SITE ADDRESS 1803 SW 330 ST
CONTRACTOR CENTEX HOMES ADDRESS 2320 130 AVE NE E-200 BELLEVUE CONT.PHONE 874-8775
CONT.REG.NO. CENTEH*101QA EXP. 10/92 OWNER'S PHONE 622-8288 OWNER'S ADDRESS SAME
TYPEJOB: 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 AND GARAGE
TAX ACCOUNT NO. 010455-0070 LEGAL DESCRIPTION LOT 7 ALDERBROOK DIVISION 6
Alga
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE .-i DATE OF APPLICATION __12/6/91
BUILDING INFORMATION
ZONE RS 5•0 SET BACKS:FRONT 20'0, SIDE 5,/5, REAR 5, HEIGHT LIMIT 30'
OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5-N CENSUS NO. 101 TYPE OF HEAT GAS BLDG.SQ.FT. 2242dekSTORIES 1
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 2 ELEC.HOT WATER HEATER GAS PIPING 15 FT. 2.00 GAS LOGS
BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACES 10.00 DUCT WORK RECEIVED
SHOWERS 1 URINALS _ GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES 3 DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS 1 MISC. BBQ BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 11 X $5.00 DRYER TOTAL MECHANICAL 18.50 AMOUNT NONE
VALUATION
$124,369 PLANNING DEPT APPROVAL = MIKE THOMAS "SEPA EXEMPT"
FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS
PERMIT FEE $727.00
PLAN CHECK FEE 473.00 $132.50 PUBLIC WKS DEPT APPROVAL = TOM COLLINS
PLUMBING FEE 55.00 "ALL DOWNSPOUTS, FOOTING DRAINS & DRAINS FROM ALL IMPERVIOLS
MECHANICAL FEE 18.50 SURFACES SUCH AS PATIOS & DRIVEWAYS SHALL BE TIGHT-
PART P/C FEE (340.50)----PD 12/6/91 LINED TO THE APPROVED STORM DRAIN-OUTTE TA-OUTLET"
EPA REVIEW #4351
UBLIC WORKS 45.00
S.B.C.C.FEE 4.50
FIRE FEE - DATE:
OTHER FEES AMOUNT: $982.50
--274-ZITit-
AMOUNT DUE $982•50 RECEIPT:
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 FURN HED BY ' - IS TR E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
•CANNER OR AGENT -WA\` Ilk.. DATE /3 A,
.,...„
,. ,„bay,...„
CITY OF FEDERAL WAY
33530 First Way South BUILD 1 N G PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. 91-1698 OT OWNER'S NAME CENTEX HOMES SITE ADDRESS 1803 SW 330 ST
CONTRACTOR CENTEX HOMES ADDRESS 2320 130 AVE NE BELLEVUE CONT.PHONE 622-8288
CONT.REG.NO.CENTEH*101QA EXP. 10/92 OWNER'S PHONE 622-8288 OWNER'S ADDRESS SAME
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 CONSTRUCT (80 SF) DECK ONLY
TAX ACCOUNT NO. 010455-0070 LEGAL DESCRIPTION LOT 7 ALDERBROOK DIV 8
4/q/q2,
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/17/92
BUILDING INFORMATION
ONE RS 5.0
SET BACKS:FRONT 20' SIDE 51 /5' - REAR 5' - HEIGHT LIMIT 30
OCCUPANCY M-2 TYPE OF CONSTRUCTION 5—N CENSUS NO. 434 - TYPE OF HEAT_. NA BLDG.SQ.FT. 80 _ STORIES NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED _
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE - - DUCT WORK
SHOWERS URINALS _ _. GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES _ DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS - MISC. _ BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $800.00
PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $21.00 BLDG DEPT APPROVAL = KEVIN ELLIS
PLAN CHECK FEE 14.00
PLUMBING FEE
MECHANICAL FEE
•RT P/C FEE
-
SEPA REVIEW -
PUBLIC WORKS
S.B.C.C.FEE 4_.50
FIRE FEE DATE:
OTHER FEES AMOUNT: $39.50
AMOUNT DUE $39_ 90 RECEIPT:
0(4- ' l?q-C)/
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 INFO ATION FURNISHED BY ME,-S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. I/ /
OWNER OR AGENT � � � DATE g/9/9
a.
CITY OF FEDERAL WAY
33530 First Way South N
FedealWay, W 98003 BUILDING PERMIT BUILDING INS66C41O0
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR - ADDRESS _ _ CONT.PHONE _
CONT.REG.NO. _ EXP. _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_ _ SET BACKS:FRONT - SIDE REAR _- HEIGHT LIMIT _
OCCUPANCY TYPE OF CONSTRUCTION - CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS _
RECEIVED
BATHTUBS LAUNDRY DRAINS - FORCED AIR FURNACE _ DUCT WORK
SHOWERS URINALS - GAS HOT WATER HTR. AIR HANDLING UNIT - NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS - MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER __ TOTAL MECHANICAL - AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE -.
FIRE FEE - DATE:
OTHER FEES - AMOUNT:
AMOUNT DUE - - RECEIPT:
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
CITY-OF FEDERAL WAY
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. EXP. 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 SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS _ ELEC.HOT WATER HEATER GAS PIPING FT. _ GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION BLD? DEPT APPROVAL = KE IN FLUS
PERMIT FEE al HR PLAN REVIEW FEE 4 $30.00 PE!. —
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES AMOUNT:
AMOUNT DUE RECEIPT:
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
I
• CITY OF FEDERAL WAY
First
Way, W 98003 BUILDING PERMIT BUILDING INS 661 41
FederalON
140
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. EXP. 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 SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY _ TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT _ BLDG.SO.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS -_ ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT _ NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE _
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS -
S.B.C.C.FEE
FIRE FEE - DATE:
OTHER FEES AMOUNT:
AMOUNT DUE __ RECEIPT:
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__ -_
/V/j6 "ocr2 e/A/017tz.F.iciciie f 2 2- 92 64''
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE /-/y 92 BY /175 DATE.... _ DATE ...._ BY -__ DATE .__ BY
PLUMBING ROUGH IN WATER LINE O.K. _. - ._ __.. MECHANICAL INSPECTION
DATE 2'/G^ BY /13 _—__ _ GAS PIPING O.K.-_-272 _. DATE 2� " �__....__BY 73
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
2 �2
DATE'_2•-••2- BY BY /2S _-.. DATE ... -7-- y_ .....BY _ DATE BY
FINAL O.K. TO OCCUPY
`///,�,, DCD PSD FD
DATE /I/..Z.BY 2-/O" -9 2
'
• k
. - a c_F k.)tStGJ Pilnit
CITY OF FEDERAL WAY c I - ' 48
BUILDING PERMIT APPLICATION C
—Please Print— r+ /�
k-
e-P-tt)
BOX 1 TENANT NAME:
OWNER SITE LOCATION 1: • S .w' - —
OWNER'S ADDRESS 7..12..r>,_, UZ, f e.— E2bt CITY U► v.tu,e_ PHONE (oZ�— ZHic
DESCRIBE JOB K tzT-‘.v._ -1)(1 tz. i �K
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION )(
BOX 2 CONTRACTOR'S NAME rit..v_ ..,.QS Gcz.c) CONTRACTOR'S REG. #C .,3'i'G 1-\*-10► adk
(� Card MUST be presented
CONTRACTOR'S ADDRESS 7-kZn 1 & yeJ CITY l s.fl L— PHONE b22—VIZI
EXPIRATION DATE t0� ?
—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 PERSONS- 1� Lin. I> PHONE I7L1—177S
BOX 4 SEWER DISTRICT FlAU-S WATER DISTRICT Ft.JpOS
BOX 5 ESTIMATED PROJECT COST '0' 0 0 EXISTING BUILDING VALUATION ' cV,S;000
BOX 6 PROPERTY TAX ACCOUNT NUMBER 01 GEISS--0 O7
LEGAL DESCRIPTION 1..4% -7 IptLcQsteoolL li J Y
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # $T-O k21,p? 11
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / 10 p' GARAGE /
BOX 8 TA.,SINGLE FAMILY NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
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 AN 1 P ENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FE 1 RAL Y,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMP t U'1 TH .CC "ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ����OIlk . DATE: Z
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE 'L1 SETBACKS: FRONT SIDE T� f REAR HEIGHT LIMIT �c--'
PLANNING DEPARTMENT APPROVAL ��f h
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL ) /J DATE
REMARKS: /1/
PUBLIC WORKS DEPARTMENT APPROVAL i DATE
REMARKS: q /(A-
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 /1/1 Z V TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. e>C) @ I 0 = 86c.
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION 00
BUILDING DEPARTMENT REMARKS: PERMIT FEE Z�
PLAN CHECK FEE Y
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE �' S
OTHER FEES 7�/ (c)
AMOUNT DUE `►
ASSIGNED ADDRESS: Sem
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
r_cBUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE_3 `30 ?a ACCEPTED FOR FILING
LT 7
'v • •ermit #
e• .., .-, imp (1 t --1 via _kw--
OEC ' 6 t,:.:1 CITY OF FEDERAL WAY
c:in� . BUILDING PERMIT APPLICATION
"Er'4 —Please Print—
BOX 1 TENANT NAME:
OWNER .. SITE LOCATION `a_ S to S. - " .. _- _ ,.'ty_)
OWNER'S ADDRESS ?3 t °P,.A_nY� ,£ c, CITY usuu>L PHONE L,22--$Z$$ 14;r-
DESCRIBE JOB S
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION Y
BOX 2 CONTRACTOR'S NAME -rem - \-r *S CONTRACTOR'S REG. #Ce.i l--ce.N 1- ICA G_IN
Card MUST be presented
CONTRACTOR'S ADDRESS -237_4 tom ' Puy E-2_0r,CITY 1STLi_t kU1c_ PHONE 62 '2?
, EXPIRATION DATE to/L AZ '''b- . . , ,
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DE S OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON S.T Is nioAals PHONE V7' -'7?
BOX 4 SEWER DISTRICT � FWU .-S WATER DISTRICT N EL., t."-‘,_S
BOX 5 ESTIMATED PROJECT COST YopoC EXISTING BUILDING VALUATION til iN
BOX 6 PROPERTY TAX ACCOUNT NUMBER n t 4 4. S- O 3-10 — Oa t l
LEGAL DESCRIPTION LST 7 RIuo c,._ CI\,1 u
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # Tir a t z bol g°
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 11--7 / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE iiia.S- /
BOX 8 -SINGLE FAMILY 1><NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY X01 T-, SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$;
NO. Z WATERCLOSETS GAS PIPING, FEET 1.5 $ 2 , 00
Z BATHTUBS NO. 1 FURNACE, ELEC. GAS X $ /d, G_C
_SHOWERS I' GAS HOT WATER HEATER $ 6 - ) 0
3 LAVATORIES CONVERSION BURNER $
I SINKS BOILER, SIZE BTU $
I 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 --="i-Vf $
11 TOTAL FIXTURES $ _
S c j TOTAL MECHANICAL FEE $ /0.50
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 FED ;ALY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPL:g IS, tH N TH. ACCI RACY OF THE INFORMATION SUPPLIED TO THE CIT ASA PART OF THIS APPLICATION.
OWNER/AGENT: �� �1. /1111 . _Al DATE: 11t,
_--- ANP-008 3/90
S . a
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEric, co• SETBACKS: FRONT 2-c).b ` SIE 5•D REAR 5-0 ' HEIGHT LIMIT ;016t1/PLANNING DEPARTMENT APPROVAL )14.- ( 1� `4 /0-/.1.-:'://
REMARKS: C:7\i 116.-
SEPA:
CSEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE i43Di1 f
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 7? DATE /z..--23-41
REMARKS:A'L DoIA1A/SPOµrS4, FOOr,✓C. pg,¢t./S /WO Aft"h✓S rgopof 4j . TAx i'Qti4Ga-S
c tr',a4e#$ SµCti AS ., . pAri o 5 ,4^4P ,DA/de r,.iil'^S' Smithe_ R
7)4-#4-1 NE/2 7o Ti( A,oeot4 7 /d,E, c04A/0 Air Srr •afri ),9,24t/A1 arum Lc17
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 I j TYPE OF CONSTRUCTION 1/4 STORES
(/ (A-V BUILDING SQ. FT. / 8 7 @ •7?r C) = f 33Y ( 7. 3 0
0 i !,I if ' BUILDING SQ. FT. i'0 C @ t ..30 = 7 I i/t s
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @r =
BUILDING SQ. FT. .. @ bd C •Fl 0 - '5'gTOTAL SQ. FT. a TOTAL VALUATION 1 2-14 3 6 R, 3 1
BUILDING DEPARTMENT REMARKS: PERMIT FEE 7 Z
PLAN CHECK FEE 13.I.$ ``! 7 3
PLUMBING FEE 55-
MECHANICAL FEE IS -S o
TOTAL BLDG. FEES
PART P/C FEE �ett ,S()�
SEPA REVIEW
P 'A*/ -e.4 5— -
S.B.C.C. FEE 11.)
OTHER FEES [�� ` � s��l
AMOUNT DUE T o�
ASSIGNED ADDRESS: l b ci j SS lit) 33O ' S r,
PARTIAL PLAN CHECK FEE RECEIVED '
Amount 4 S L Date X24111 Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE I -2- - 3D—q l I ACCEPTED FOR FILING
• PeOit # g. li - I VII
REVISION
RECEIVED CITY OF FEDERAL WAY
FEB 1 21992 BUILDING PERMIT APPLICATION (2.._..sai______\
/N,b° — Please Print— J
BOX 1 TENANT NAME:
OWNER i,--V3 - SITE LOCATION 4 • • S _ .-°z1 S'"'
OWNER'S ADDRESS 7-3 • I k - - 24.1s.)____CITY L_ ___ PHONE 62.2-7.6"
DESCRIBE JOB 1t %Su!)A b P3A.1AT
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ( _ CONTRACTOR'S REG. #CANIAa tu. Gs._A
Card MUST be presented
CONTRACTOR'S ADDRESS z-3-z� cam, tiv_ CITY u_ (Q-2.:7_—.13-2..nL4. PHONE
/
EXPIRATION DATE ►0 i
— 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 '- Cr Lc.c,.1 ar�: PHONE.M-1-1-77..c-
BOX
7` -b77i S-
BOX 4 SEWER DISTRICT Pk41.4 j WATER DISTRICT Ei.Aa S
BOX 5 ESTIMATED PROJECT COST i EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 0►O , S•-00-7 0
.T
LEGAL DESCRIPTION L 7 IA.^v^Aagt::o I z
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 9oo 2 c LA1 \
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 11-37/ 1G37 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 FE P • ' WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND E 4 ' I ' , I•I T Al URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: �, iii..._ DATE: 2- 12=
ANP-008 3/90
• .. .
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE —REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL , DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE R . 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. @ _
BUILDING SQ. FT. @ _
,........7
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
( kr p(k m‘J l 'e.Q- ® 30()=-(4,- PLAN CHECK PLUMBING EEFEE
30. o
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE 30. 00
ASSIGNED ADDRESS: See- e-K( S ft
( t
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY VC-- DATE Z-! -7 z` ACCEPTED FOR FILING
CITY OF FEDERAL WAY 91—/°r) `'a
33530 First Way South
Federal Way, WA 8003 BUILDING PERMIT BUILDING INSPECTION661-4140
RENEWAL OF 90-1719MH
PERMIT NO. 91-1698 RE OWNER'S NAME WARREN/RUBY GORDON JR SITE ADDRESS 37118 3 AVE SW
CONTRACTOR OWNER ADDRESS SAME838-3769
CONT.PHONE
CONT.REG.NO. NA EXP. OWNER'S PHONE SAME OWNER'S ADDRESS SAME
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 RENEWAL OF EXISTING PERMIT TO INSTALL
TAX ACCOUNT NO. 218820-9995 __ LEGAL DESCRIPTION __- MOBILE HOME
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE ._ _- - DATE OF APPLICATION 12/6/91
BUILDING INFORMATION
ZONE __SET BACKS:FRONT - _ SIDE - REAR - HEIGHT LIMIT
•CCUPANCY TYPE OF CONSTRUCTION _ _ CENSUS NO. 0/S - - TYPE OF HEAT BLDG.SQ.FT. _. _ _ _ _STORIES_
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS - FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT -_ NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS - MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES NONE DRYER _ TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION
$7,400. 00
THIS PERMIT EXPIRES 12/3/92 AND CANNOT BE RENEWED AGAIN.
PERMIT FEE $49.50
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE PLS CALL 661-4140 FOR A FINAL INSPECTION WHEN WORK IS COMPLETE.
eiRT P/C FEE
PA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE - DATE: 12/6/91
OTHER FEES AMOUNT: $49.50
AMOUNT DUE $49_50 RECEIPT: #4354
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
CITY OF FEDERAL WAY
33530 First Way BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. S ______ OWNER' NAME SITE ADDRESS
CONTRACTOR 1--3-03 ADDRESS CONT.PHONE
CONT.REG.NO. _ EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEWINDUSTRIAI 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 _
0 BUILDING INFORMATION
ZONE SET BACKS:FRONT SIDE REAR_ HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. _ _ TYPE OF HEAT _ BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING _ FT. GAS LOGS
RECEIVED
BATHTUBS _- LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS _ URINALS GAS HOT WATER HTR. AIR HANDLING UNIT _ NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
iiikLUMBING FEE
CHANICAL FEE
PART P/C FEE
SEPA REVIEW -
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES AMOUNT:
AMOUNT DUE -- RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
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
v Oil
i
*,�1/ e
•rmit #
9)/-7a Ti /ZL
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print— 9 0 7/9,4
BOX 1 TENANT NAME: 10,4e1,/ 4 � ,/
OWNER S A AA SITE LOCATION 37//,-r 4Lt) 4 k-j S. tv'•
OWNER'S ADDRESS SAME CITY Feb /PHONE ie4 P-.37E1
DESCRIBE JOB , ►J G W k't- j4'4- /vlo t3:La f-t&AtE. /i•/s r�L�A r���•I
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME SEL- ,I- 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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(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 / 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: /cc).-
ANP0083/90
OFFICE SE ONLY (PLEASE DO NOT WRITE BELOW THI NE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
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/ALT 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
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES _
AMOUNT DUE `0' ' S D
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount 4 • 5--64 Date 0— G —f( Receipt# 413 S y
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING