91-100336 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-307 RA OWNER'S NAME JANICE OLMSTEAD JOB ADDRESS 31054 22ND AVE S
CONTRACTOR OWNER ADDRESS -- CONT. PHONE --
CONT. REG. NO. OWNER'S PHONE 839-7795 ___ OWNER'S ADDRESS 31054 22ND AVE S FEDERAT. 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
TAX ACCOUNT NO. 053700-0652-03 LEGAL DESCRIPTION LOT 126-127 BARKERS STEEL LAKE TRS TTN; REC LOT
OF KC SHORT PLAT NO 875038 RECORDING # 7512Q5 613 SD PLAT
ISSUED BY JOANNE JOHNSON DATE OF ISSUE��7L / /9/ / DATE OF APPLICATION 3-19-91
BUILDING INFORON 4g#
ZONE RS 7-2 OCCUPANCY R3 TYPE OF CONSTRUCTION '/, BLDG. SQ. FT. 91
SET BACKS: FRONT 20 SIDE 5 REAR 5 STORIES HEIGHT LIMIT 30 —
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 1 ELEC. HOT WATER HEATER GAS PIPING FT. BOILER _
RECEIVED
BATHTUBS LAUNDRY DRAINS 1 COMPRESSOR TANK(S)
SHOWERS 1 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _
LAVATORIES 1 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES 4X5=$20-00 UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 4,140_13 PLANNING DEPT APPROVAL: 3-21-91 DB
72.00
PERMIT FEE
PLAN CHECK FEE 47.00 BUILDING DEPT APPROVAL: 4-1-91 MB
PLUMBING FEE 20.00
iliCHANICAL FEE
OTAL BLDG. FEES �4.43
c) /JPART P/C FEE DATE: I
SEPA REVIEW
WATER SERVICE AMOUNT: $143.50
WATER MAIN CHG. -R-
s.B.c.c. FEE 4.50 RECIEPT:
„.....) 4-i0
OTHER FEES
AMOUNT DUE 143.50
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 M /�
OWNER OR AGENT ____eit)
_e� � DATE T /` ./
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
410 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
VALUATION T ts► 1-
'LAMING •;iy' ,• PJ)VAL: 3-21-91
PERMIT FEE -- MILD/MG DEPT APPROVAL: 4-I-9l
PLAN CHECK FEE
LUMBING FEE
ECHANICAL FEE
TOTAL BLDG. FEES - � /
L ! f
PART P/C FEE ' ( �,_.. _..i._. .
SEPia REVIEW _ _rr.-,lam. $ 43o n
WATER SERVICE _ - -----..... -. • -
WATER MAIN CHG. `'s
S.B.C.C. FEE t. - .-._.1_:___
L_
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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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION C biz)
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- Please Print-
BOX 1 TENANT NAME: JANICE OLMSTEAD
OWNER JANICE OLMSTEAD SITE LOCATION 31054 22nd . ave. so.
OWNER'S ADDRESS 31054 22nd . ave. so. CITY federal way PHONE 839-7795
DESCRIBE JOB add a batloom and service room to inside of back of garage .
THE PROPERTY IS OWNED BY: ING /MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME OWNER CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS 31054 22nd . ave. so. CITY federal way PHONE 839-7795
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 _. G-14/141--.'I-- PHONE Y39 - 7 qS-
BOX 4 SEWER DISTRICT T,AKFHAVFN ,FEDFRAT, WATER DISTRICT FFDERAL WAY
BOX 5 ESTIMATED PROJECT COST $1500. 00-$2000 . 00 EXISTING BUILDING VALUATION $94 , 300
BOX 6 PROPERTY TAX ACCOUNT NUMBER 053700-0652-03
LEGAL DESCRIPTION lot 1 26-1 27 barkers steel l akn trs un ; rec lot 1 of kc short
• . • • : 1 i - • • . • 1 1 • • •
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: Existin rroposeedd 1ST FLOOR / 2ND FLOOR
3RD FLOOR / BASEMEN / DECK / GARAGE 91 ' /
BOX 8 (x) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( >) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
1 SHOWERS GAS HOT WATER HEATER $
1 LAVATORIES CONVERSION BURNER $
1" 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 $
y V' 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 INFOR ATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ‘" _ DATE:
ANP-008 3/90
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE Q�I'2'SETBACKS: FRONT 'ACA SIDE �' REAR `_J 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/ALTS NEW INDUSTRIAL IND. AC_
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY ' TYPE OF CONSTRUCTION j/ N STORES
1 ( V( Cq BUILDING SQ. FT. @ a = 117o1 7
1 BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ y(,/ D/%//ijL _ q-5(
TOTAL SQ. FT. TOTAL VALUATION �l `-/C)•/3
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE `/2.06-)
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES / 3`1
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
O ASSIGNED ADDRESS: see x/�S (1
c
J� 1
4/ o� PARTIAL PLAN CHECK FEE RECEIVED
44 5/ Amount Date Receipt#
rt ?
* g BUILDING DEPARTMENT APPROVAL
FEED BY DATE G/-1-9� ACCEPTED FOR FILING