90-101703 9b-fib i l03
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
IPSO
PERMIT NO. 90-1924 FSS OWNER'S NAME BENEFICIAL LIFE JOB ADDRESS le° S 336TH ST
CONTRACTOR GRINNELL FIRE SYSTEMS ADDRESS 1106 54TH AVE E TACOMA CONT. PHONE 922-6644
CONT. REG. NO. GRINNFP 137 LE OWNER'S PHONE 808 836-26) ER'S ADDRESS P 0 ROY 3110 HONOLULU
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 ETRE SPRINKLER SYSTEM
TAX ACCOUNT NO. 77031-0820 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 3 ( g/ DATE OF APPLICATION 12-27-90
• 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 3,024.12 FIRE/BUILDING DEPT APPROVAL: RC 1-9-91
PERMIT FEE 63.00
PLAN CHECK FEE 41.00
•UMBING FEE
CHANICAL FEE _ .
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE AMOUNT: 160.50
WATER MAIN CHG.
4.50
S.B.C.C. FEE DATE: 3 -1- / /
OTHER FEES FD 52.00
AMOUNT DUE 160.50 RECEIPT: r5 3 d
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 M7 .,..,
OWNER OR AGENT 62,,LAV DATE 3/1/9/
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RECEIVED • rmit # 0 - ,. .2L(Fs-3
DEC z ���� CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
"'CITY OF FEDERAL WAS' —Please Print—
BUILDING DEPT
BOA 1 TENANT NAME: BENE F(C(q L. (---( FE PI C
OWNER ASA P k o PERM E S SITE LOCATION 1 lan S • 336 '4 ST
OWNER'S ADDRESS P. 0 , Bog 3 t ID _CITY HON OU)LU PHONEII
DESCRIBE JOB REV ISE .s Pk INr.LE S FOE- N Et.t/ "TEN ANCT'
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ( R i" N E LL 1 RE SYSTE/14S CONTRACTOR'S REG. # - z NN 371_
Card MUST be presen'?
CONTRACTOR'S ADDRESS I I D S 4 a E CITY TA C OMA PHONE 9 2 Z- , C 44
EXPIRATION DATE 6, - 9 I
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO D FINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PALAL LOSE PHONE .9 22- Co C44
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST it 807 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 770 53 I C) .0
LEGAL DESCRIPTION 5 e FtTst-rc ue-r s rTE p LA kJ ,
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
IIIIX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /22 91 r"2ND FLOOR /
3RD FLOOR / BASEMENT / DECK_ / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (x) EXISTING STRUCTURE
Or ) 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 x OTHER FI( SPRI N KtEIaS $
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
ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
S INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
D 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: ,i.tCc c J♦ DATE: I ) _ 2-- 7 Zr
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: iin
w
r
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL r--C" DATE0"-9.-?(
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: 41/4"
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
f�( f --/ S BUILDING SQ. FT. LZR i @ faro = -3 3C-SO
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ rr t =
BUILDING SQ. FT. @ ~A( r( €c = , 5$
BUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION 30 27`' / 2--
BUILDING
BUILDING DEPARTMENT REMARKS: PERMIT FEE A 3 . co
PLAN CHECK FEE Lf/•oe
PLUMBING FEE v
MECHANICAL FEE CJ
TOTAL BLDG. FEES /04-/` oa
PART P/C FEE 0
SEPA REVIEW v
S.B.C.C. FEE Ll r0
OTHER FEESD FQ-e- 5 'mac
AMOUNT DUE /,h f? . S ci
ASSIGNED ADDRESS: 5e-- - P (S�< ("
RECEIVED
PARTIAL PLAN CHECK FEE RECEIVED
DEC 2 7 1990 Amount Date Receipt#
CITY OF FEDERAL WAN
BUILDING DEPT BUILDING DEPARTMENT APPROVAL
RECEIVED BYill)Y---- DATE i - I c ACCEPTED FOR FILING