90-100293 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
9) "/o-15g-
PERMIT NO. 90-400 OWNER'S NAME HAROLD CHRISTENSEN JOB ADDRESS 2101 S 332 PL
CONTRACTOR // ALL CUSTOM DECKS ADDRESS 4150 B PL NW #105 AUBURN CONT. PHONE 852-4503 **
CONT. REG. NO. (ELEC. CITY HOME CTR) OWNER'S PHONE 838-2091 OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION XXX 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. 894500-0170 __ LEGAL DESCRIPTION LOT 17 VILLAGE PARK DIV. A SEC. 13 TWP 21
R3E WM
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE — DATE OF APPLICATION 4/24/90
BUILDING INFORMATION
aNE RS7.2 OCCUPANCY M-2 TYPE OF CONSTRUCTION _ 5-N BLDG. SQ. FT. DECK=276 SF
SET BACKS: FRONT 20' — SIDE 5' EACH _ REAR _ 5' STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
Wt-TER 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.
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER - TOTAL MECHANICAL NONE AMOUNT _NONE
VALUATION $2,428.00_ PLANNING DEPT APPROVAL = APPROVED BY TOM SMITH 4/26/90
PERMIT FEE $54.00 ._. . SEPA = EXEMPT
PLAN CHECK FEE 35.00 _ __ FIRE DEPT APPROVAL= NOT REQUIRED
PLUMBING FEE
SCHANICAL FEE — PUBLIC WORKS DEPT APPROVAL = NOT REQUIRED
TAL BLDG. FEES $89-00
BUILDING DEPT APPROVAL = TOM SMITH ON 4/30/90
PART P/C FEE -
SEPA REVIEW WATER SERVICE \ q3r.)
WATER MAIN CHG.
S.B.C.C. FEE 4.50
- I-i9 D
OTHER FEES
AMOUNT DUE $93.50 i - ---
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 e-•-•41¢1 �' s�--f,.d _ __ _ _ DATE- 6/3''7%7e1
CITY OF BUILDING INSPECTION
r7DERALWAY 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
E ___ OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
ET BACKS: FRONT 4411114
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 6.0iJ
PLAN1.4IWG DEPT A_PPROTA, = APPROVED 13Y TO SMITH 4/26i
PERMIT FEE ' - ' SEPA = EXEMPT
C
PLAN CHECK FEE - FIRE DEPT APPROVAL- NOT REQUIRPD
PLUMBING FEE
CHANICAL FEE I� ""IAPPROVAL a NOT =ppm
AL BLDG. FEES PUBLIC WORKS Rt3ILDIOG DEPT .APPROVAL = TON SMITH ON 4/30/90
PART P/C FEE
SEPA REVIEW
WATER SERVICE _ g
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES .
-.5,
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 e-,/,'J fe
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CITY OF FEDERAL WAY 4
40001P
BUILDING PER
1eMIPTtAPPLICATI P�24 d
BOX 1 TENANT NAME: `'\
OWNER ,
/f4R4 G !S/ ei ,�fi' SITE LOCATION
OWNER'S ADDRESS z/di{/�
/' S 33 Z- pc__ Q CITY f.err41vA/ PHONE P38 Z-( 7 j
DESCRIBE JOB (q64-0)---( 4- (
THE PROPERTY IS OWNED SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX ONTRACTOR'S NAME AL L Q uArr°,..., ye Cos CONTRACTOR'S REG. #EL C-CTcJ, /3'2 p CU
t-AVIT V- (C"-r 445";_g-j--1-1(.? Card MUST be presented
CONTRACTOR'S ADDRESS ' Pl /I/( ) /,'S—CITY 4/-4,6L,vriv PHONE ire Z Ys-'1,1
EXPIRATION DATE ./(1f 05
— 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 1 SIA/le 12-0 c -P2 PHONE eS/Z y S"C9S
J
BOX 4 SEWER DISTRICT 171/AZ- (-_,,,n, WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST f 3j0�° EXISTING BUILDING VALUATION J7
BOX 6 PROPERTY TAX ACCOUNT NUMBER er� `$-OceZ7/ 7 C3
LEGAL 6DESCRI TION 0/46- P //1' k I'/ Li/SlcrV A 2-,�r.)r / 7 rerte. /3
^ 1 ' 2v' &/ 2 ;o
(If necessary, please submit a separate pag' v e
with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK 7(n / GARAGE /
BOX 8J)4 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 $
OTHER $
TOTAL FIXTURES $s_6_ ___
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: ______;)- .,'t��--'� DATE:
2: / /9
ANP-008 3/90
S
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE " `.) SETBACKS: FRONT 0 ` SIDE S' ea e-in REAR c / HEIGHT LIMIT 3 t
PLANNING DEPARTMENT APPROVAL %, V, y- 26- 90
REMARKS:
SEPA: EXEMPT - NOT EXEMPT
FIRE DEPARTMENT APPROVAL d/1 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 /1 " TYPE OF CONSTRUCTION V"4) STORES
1\ec..\< BUILDING SQ. FT. a7 (O @ /Jo,.or) =
BUILDING SQ. FT. @ _
BUILDING SQ. FT.
BUILDING SQ. FT. @ rc
BUILDING SQ. FT. ! ' e ( ° / / I1 ' - Q Og
BUILDING SQ. FT.
TOTAL SQ. FT. TOTAL VALUATION. -1 7 �o
BUILDING DEPARTMENT REMARKS: PERMIT FEE may 00
PLAN CHECK FEE
PLUMBING FEE (�
MECHANICAL FEE
TOTAL BLDG. FEES d
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE SIVINNWit
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY • DATE if-- 3D Ivo ACCEPTED FOR FILING