90-101365 9b-loJ3(a,
CITY OF BUILDING INSPEC a'ON
FEDERAL WAY BUILDING PERMIT 941-1555
(434)
PERMIT NO. 90-1624 RA OWNER'S NAME THOMAS FOSTER/MARY BURRUSS JOB ADDRESS 27913 21 AVE S
CONTRACTOR STEVE BRUNO G.C. -/ ADDRESS 6841 N 11 ST TACOMA CONT. PHONE 752-3597
,1
CONT. REG. NO. BRUNO*124CQ -j( OWNER'S PHONE 946-3412 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 CONSTRUCT DECK
TAX ACCOUNT NO. 757562-0540 LEGAL DESCRIPTION LOT 54 SCARBOROUGH DIVISION NO 3 ACCRDING TO THE
PLAT THEREOF RECORDED IN VOL 135 OF PLATS, PGS 14 AND 15 IN KING CO WASH
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE /'- 2 V-q v DATE OF APPLICATION 9/28/90
BUILDING INFORMATION
•NE NA OCCUPANCY M-2 TYPE OF CONSTRUCTION 5—N DECK BLDG. SQ. FT. 650 SF
SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA _ HEIGHT LIMIT NA
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 NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $5,720.00
PLANNING DEPT APPROVAL = NOT APPLICABLE
PERMIT FEE $81.00
PLAN CHECK FEE 53.00 FIRE DEPT/PUBLIC WORKS = NOT APPLICABLE
PLUMBING FEE _.
AlliCHANICAL FEE _ BUILDING DEPT APPROVAL = KEVIN ELLIS ON 10/8/90
IIIIIT BLDG. FEES $134.00
PART P/C FEE
SEPA REVIEW
WATER SERVICE 3 / S /3 7(1
WATER MAIN CHG.
S.B.C.C. FEE DATE PAID /c., qo AMOUNT /3 Sr, " ----a RECEIPT ,. `�
OTHER FEES 4.50
AMOUNT DUE $138.50
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:
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OWNER OR AGENT -'. .C•-'. .C•4 LT.:74+ I / 1���-+----�'t' DATE !6 4I '-iC/7
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
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
'..ANNING AkrMOVAL NOT i-A ACAr,
PERMIT FEE /
PLAN CHECK FEE FIRE D P'r PURLIC WORKS -- NOT APPLICkB.
PLUMBING FEE
MECHANICAL FEE UUILT)ING DEPT APPROVAL =r KEVIN ELLIS OA 10/PP,o
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
=.,.,f' #'AL . AMOUNT
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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RECEIVED Permit # q 11Z4
SEP 2 8 1990 CITY OF'FEDERAL WAY ( 1 ')
-
CITYFFEDC�E EP WAY BUILDING PERMIT APPLICATION
��� - Please Print—
BOX 1 TENANT NAME: L Ot a S Fe S-6A__, �(7�
7PrievtjYL.�-s S
OWNER T ow'-c.,S Po,-��/ SITE L CATION
OWNER'S ADDRESS 21l t 3 2/,f-4,e- S , 'rµ.55 CITY , de -/ e--,k7 • PHONE `l t`6,- 3 /-7-.._
DESCRIBE JOB Co,.3f67.er `/c-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED S.-,,/e PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME S-(-2re__ $r,,,..v,cj (�_ L , CONTRACTOR'S REG. #erZuND44 i2-'WG Q
Card MUST be presented
CONTRACTOR'S ADDRESS 610Y/ 4///fl. CITY /G.eofrt--c- , PHONE 7S2 -3s-97
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. (G- F.
BOX 3 CONTACT PERSON log.,. FFesk-e., / S fe�e 6 l'•A. A p 751-- 3-s-9' 7 PHONE '6'3y/L
BOX 4 SEWER DISTRICT ..-_"— WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST Si(3 EXISTING BUILDING VALUATION 1Z(rl COO
BOX 6 PROPERTY TAX ACCOUNT NUMBER 7.-7.5�2_ - D.S� - 02-
LEGAL DESCRIPTION L.ot s'1) SC. c # Dt,3LsIiv\ 1\1a, 3j Acce.reLt 1c .-ae`0-42._ eIA -it,>,. ,,4 remckid
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‘ Oak , 13_5—O i V- to , tN 5 I, 1 "4 IS _1*-. kk:,-,,N (..•,-)4. i , Wits IlA A 1''oµ
(If necessary, please submit a separate page with the legal description.) '"} .VVLL
K.C. Plat Recording # l]1
BOX 7 BUILDING SQUARE FOOTAGE: n •roposes') 1ST FLOOR / 2kID FLOOR /
3RD FLOOR / :, EN / DECK '5V I ry f. GARAGE /
BOX 8 ( 4 SINGLE FAMILY ( VI NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 21f, CD SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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: ,s y� ...c, DATE: _� 2�--- )���
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HES MIT
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 X NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY /Vt ' TYPE OF CONSTRUCTION STORES
�P (---, BUILDING SQ. FT. C 5b @ = 5-o o
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ /VO k( 1( r= 8 P
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION 5-7 Zd, OC)
BUILDING DEPARTMENT REMARKS: PERMIT FEE gr, c a
PLAN CHECK FEE }3°c)d
PLUMBING FEE d
MECHANICAL FEE D
TOTAL BLDG. FEES 13/ , 00
PART P/C FEE
SEPA REVIEW 0
S.B.C.C. FEE V ' 5-b
OTHER FEES
AMOUNT DUE 1 3 A.
ASSIGNED ADDRESS: - ` P K ( S 'f/ KJ
RECEIVED
SEp 28 1990 PARTIAL PLAN CHECK FEE RECEIVED
ED�RAI.WAY Amount Date Receipt#
coO DING DEPT.
BUILDING DEPARTMENT APPROVAL
RECEIVED BY . DATE ACCEPTED FOR FILING
SEP-25—'90 11:41 ID: KING CO BALD TEL NO:296-6698 14874 P03
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