91-100776 91,/06.77'.
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
434
91-737 RAWILSEY ALLGIRE 32820 20TH S. #60
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR SELF 874-3536
ADDRESS CONT. PHONE
CONT. REG. NO. SELF OWNER'S PHONE 874-3536 OWNER'S ADDRESS 32820 20TH AVE S 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._ 144170-0600 LEGAL DESCRIPTION Co
/iiJci
ISSUED BY_ JOANNE JOHNSON DATE OF ISSUE 1 DATE OF APPLICATION 6-5-91
BUILDING INFORMATION
ZONE RS 7.2 OCCUPANCY Ml TYPE OF CONSTRUCTION VN - _ BLDG. SQ. FT. 416
SET BACKS: FRONT 8 1 SIDE 5' /23 1 REAR 101 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
a
VALUATION 6,699.26 PLANNING DEPT APPROVAL: DRAINS SHALL NOT BE COVERED BY GARAGE PAD OR
POURED DRIVEWAY, LANL?.SCAPING TO SOUTH SIDE OF SITE
90.00 SHALL BE CONDUCTED PER APPROVED SITE PLAN.
PERMIT FEE
PLAN CHECK FEE 5j9_,_,QQ DB 6-11-91
PLUMBING FEE BUILDING/FIRE DEPT APPROVAL: KC 6-12-91
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE DATE:
SEPA REVIEW
WATER SERVICE AMOUNT: $153.50
WATER MAIN CHG.
S.B.C.C. FEE 4.50 RECEIPT: _..,e_32.--" ?
OTHER FEES
AMOUNT DUE 153.50
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 WILL BE MET:
1 .7/OWNER OR AGENT ( f'- v-1 DATE 1k ��
,)
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS _ 6
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
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 ANN
UNIT HEATER pp�� 7�( Milli
TOTAL MECHANICAL s AMOUNT
Y3C N 3.:' ? d%.% A 1'u w +y::d AL: 3..l�:dd NS �Milli ,,,.,.: 3Jh♦ ....kJ 4.A.:i' .a z .Ji1E:4;.,..A4 I:.:1 ..... _.
VALUATION . . POURED DRIVEWAY, LANDSCAPING TO SOUTH SID?
10 SHALL BE CONDUCTEN PER APRROWP SITE PLIt -
PERMIT FEE DP 6-11-91
PLAN CHECK FEE
PLUMBING FEE 7ILDING/PIKE UEPT APPRROVA_: KC 6-12--31
to.
MECHANICAL FEE
.)
TOTAL BLDG. FEES
I -' V .
_.. .
PART P/C FEE --
SEPA REVIEW
.'.,.T_ '133.50
3.50
WATER SERVICE . __......._....___..__._*.. --
WATER MAIN CHG. _ " - K/,......4....,„,,...
S.B.C.C. FEE ,...,a L.-1
*T„ !
OTHER FEES
AMOUNT DUE .. --
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:
OWNER OR AGENT DATE
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RECEIVEDPermit # 11 / 1,r37-
JUN U 5199 ;-
CITY OF FEDERAL WAY CITY OF FEDERAL WAY
u Derl BUILDING PERMIT APPLICATION
- Please Print—
B
BOX 1 TENANT NAME: , 2 2.-T' 7� c „D
OWNER _- -1 _ 'l •I -, • = SITE LOCATION , K�1-*�---- _ _ �`
OWNER'S ADDRESS _'f,- C)-,`C' '' ''r <<G: • CITY /----e-7• ('617 PHONE 'x ` -31-L=
DESCRIBE JOB r 4 R-A (-7
/
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ,ii,-:- PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME L 11sc'`j ) //6, -c 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(„5,,:-L-r h ,(6-4/4)._,_- PHONE 7 V73 C3.-
BOX
-3-BOX 4 SEWER DISTRICT --- WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST Z.67,0:6- EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1441 1 C� c(y,)(12)
LEGAL DESCRIPTIONLlATh
'\--- (_ D e/A ,4,,( ()_-(y_-- 1,c..43_1 ( e.
(If necessary, please submit a separate page with the legal description.) 4(C-4\4-
0
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_ $
'RAINS $
ETHER $
OTAL 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 KNQWLEDGE
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: �.,c Cidk DATE: :, •-��
I
ANP-008 3/90
7C S-7'Z- OFFICE USE ONLY (PLEASE DO NOT WRITE y3ELOW THIS LINE) tee' ? fl III('i
ZONE t S /7-3
SETBACKS: FRONT de' SIDE' / REAR /C, ' HEIGHT LIMIT IN/Cie 1=
PLANNING DEPARTMENT APPROVAL �D �/ Ti='' . ..,fiK116133
REMARKS: f 1 I hz S S/z f2 Df CDV 02
2 4.4_4 4..evel 40427-*
rit 4,--e_ ,I,v7,-e -c."-f-/>al
10--l ii 4 . _�',f L-C++(-e PJB icie„. �l �� —7 .
SEPA: EXEMPT �� NOT EXEMPT / /
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: //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 M ( TYPE OF CONSTRUCTION VA) . STORES
49C1.rc ( BUILDING SQ. FT. li ( 6, @ . / 8- �C _ ��o ( Zi I,O
tiJ BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @rr� _
BUILDING SQ. FT. @ rUO c F -z--
r= 0 ` % E
TOTAL SQ. FT. — TOTAL VALUATION 6 C, 5 . -...-6,
BUILDING DEPARTMENT REMARKS: PERMIT FEE qC
PLAN CHECK FEE _VI
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES M`4 q
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE (e-r-d
OTHER FEES
AMOUNT DUE
�O
ASSIGNED ADDRESS: Se-e- Qkc(S T7!/)
klk 47.0
G 4) qt PARTIAL PLAN CHECK FEE RECEIVED
'Ill''')�0Si lir Amount Date Receipt#
CO* BUILDING DEPARTMENT APPROVAL
fiECEIVED BY v DATE �— Z �1 ACCEPTED FOR FILING