92-101257 9),' ISI ° 1
CIT`• OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD92-2048
• 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/18/92
Federal Way, WA 98003 BY: FLF
661-4000
- Si i E ADDRESS: 30008 23RD AVE SW
PARCEL NO.: 012103-9087
PriOJECT DESCRIPTION: NSF. 8/25/92 deb spoke with contact re: trees and flagging driveway to site. Drive shall
OWNER .p— CONTRACTOR LENDER
DAVID BRUELL G M C CONSTRUCTION, INC
29834 23RD SW 25825 104TH AVE S EAST 277 I
—ill
FEDERAL WAY WA 98023 KENT WA 98031
-2211 631-7785
GMCCOI130PR
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •LDR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1457:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS' •N PLAN CHECK DEPOSIT.* $ 465.00
CENSUS CATEGORY •101 2ND.: 0: 1572:sf HEIGHT • 0.00 ft HAZARD CLASS...:LIT PLUMBING PERMIT/SPK* $ 75.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 1320 gpm SBCC SURCHARGE * $ 4.50
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft FINAL PLAN CHECK...* $ 210.03
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 213519 SIDE • 5.00 ft WATER SERVICE..:FED BUILDING PERMIT....* $ 1038.50
:5N :? :? :? DECK: 0: 500:sf REAR • 5.00:ft SEWER SERVICE..:SEP MEC APPLIANCE FEES.* $ 20.00
OCCUPANT LOAD GAR.: 0: 750:sf RECEIVED.:08/12/92 PUB WORKS-PLAN CHECK $ 35.00
. 0: 0: 0: 0: TOTL: 0: 4279:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1848.03
GAS PIPING.: 101 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 2 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 2 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
SE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 1 LAUN WSHR OUTLTS...: 1
LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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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bld_prmt 1 92 -'/ %�
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATEi...TS _...._>3. BY 11.741.. DATE 1'74"-SL BY DATE BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE Iti `:... _..BY ... 757) ... ..... GAS PIPING Q.K. e/-? Yj DATE ...._.Y3
___BY _ ,12?
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE 2-.1"-°-7'-'1_BY F _ ._ .. DATE ... 4-1'-'2'''4.3 BY . DATE BY_......_....... —._....B
FINAL O.K. TO OCCUPY
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CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD92-2 048
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/18/92
Federal Way, WA 98003 BY: FLF
661-4000 REVISION
SII-c_ ADDRESS: 30008 23RD AVE SW
PARCEL NO.: 012103-9087
PROJECT DESCRIPTION: NSF. 8/25/92 deb spoke with contact re: trees and flagging driveway to site. Drive shall
r OWNER -- CONTRACTOR - LENDER
1 DAVID BRUELL
29834 23RD SW
FEDERAL WAY WA 98023
•2211
1
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 T COMP PLAN •LDR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1457:sf STORIES • 2 I REQUIRED PARKING..: 2 SPRINKLERS? •N PLAN CHECK DEPOSIT.* $ 465.00
CENSUS CATEGORY •101 2ND.: 0: 1572:sf HEIGHT • 0.00 ft HAZARD CLASS...:LIT PLUMBING PERMIT/SPK* $ 75.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 1325 gpm SBCC SURCHARGE * $ 4.50
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft FINAL PLAN CHECK...* $ 210.03
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 218739 SIDE • 5.00 ft WATER SERVICE..:FED BUILDING PERMIT....* $ 1038.50
:5N :? :? :? DECK: 0: 500:sf REAR • 5.00:ft SEWER SERVICE..:SEP MEC APPLIANCE FEES.* $ 20.00
OCCUPANT LOAD GAR.: 0: 750:sf RECEIVED.:08/12/92 PUB WORKS-PLAN CHECK $ 35.00
. 0: 0: 0: 0: TOTL: 0: 4279:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N FINAL PLAN CHECK...* $ 11.37
r — - - BUILDING PERMIT....* $ 17.53
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1876.93
GAS PIPING.: 101 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 2 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 2 DRAINS • 0 1
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0 I
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
R. GE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCEIF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CEriTIFY THAT THE INFORMATION FURNISH B 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 ) _ S " im.— DATE /` _
bld_prmt 10/23/92 -
P 'nit # 6L1) ? 2- 20'-/d
)6_4,2,6„:„._ uca2c„,,,,a_ 6
u_Ef/t,, r‘......1 Sp«- CITY OF FEDERAL WAY
0-14_ < Fav-- BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
OWNER '. /\119 Eg/ LL SITE LOCATION Gig 1-:" ' 'D AVE SiV
OWNER'S ADDRESS :-..7M6311. 23g-1) "1-..W•( CITY , 1lVO4Y PHONE (:,6 I-2-2-1 )
DESCRIBE JOB (my/SG'i\t `n et-12w11r - t3LD97-2_p4a
THE PROPERTY IS OWNED BY: SINGL ARRIED V PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 7MC- C.O/y3TgLIG c /iY . CONTRACTOR'S REG. #C2Y�C_c:I- l
. 2-x'7 Card MUST be presented
CONTRACTOR'S ADDRESS '-?- 21.3- I04* AN Z. S CITY KPNT PHONE 63/-77 5
EXPIRATION DATE 12. 4 613
— 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. yE
BOX 3 CONTACT PERSON (,7)/'I (A7 _ PHONE 6:s1---7 785
BOX 4 SEWER DISTRICT �CPT/C WATER DISTRICT rIV ley
BOX 5 ESTIMATED PROJECT COST 1 56)"°U EXISTING BUILDING VALUATION d
BOX 6 PROPERTY TAX ACCOUNT NUMBER 0121D 3 --`-')067
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 0 / 14145-7 2ND FLOOR v /f 617
3RD FLOOR 0 / v BASEMENT 0 / 0 DECK 0 / 643 GARAGE 0 1=79'1
BOX 8 (X) SINGLE FAMILY ("X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 60, OG O SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET 10 1 $
Z BATHTUBS NO. ( FURNACE, ELEC. GAS >C $
7.7 SHOWERS i GAS HOT WATER HEATER $
4 LAVATORIES O CONVERSION BURNER $
Z. SINKS D BOILER, SIZE BTU $
I DISHWASHERS 0 AIR HANDLING UNITS $
0 ELECTRIC HOT WATER HEATER 0 HEAT PUMPS, SIZE $
t LAUNDRY WASHER OUTLET 0 UNIT HEATERS $
0 URINALS O AIR COOLING UNITS, SIZE $
d DRINKING FOUNTAINS 6 COMMERCIAL HOOD $
0 SUMPS, SPRINKLER VACUUM BREAKERS 0 OTHER $
0 DRAINS $
a OTHER $
0 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, 'Ott CCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
'
OWNER/AGENT: . 1' - e714G LUn/'ST= IC= DATE: 12- . I- c`
ANP-008 3/90
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° RECEIVED Permit J0____
AUG � � 1992 � � /�
`—~ ' ~ CITY OF FEDERAL WAY `~--~~
�~, = � NDNNG PERMIT APPLICATION
LwLwvN*DEP�
— Please pr/rt—
BOX 1 TENANT NAME: '�� /�x� �� �"�^ m�� ^� L/�� �� tri
, �� �� c/ ��� " -/ �/- _ � —�
OWNER � ' ' .__ ` SITE LOCATION
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OWNER'S ADDRESS-� _��! /1 �-, ' ` -|! - CITY_Li.'.� o~/`'/ PHONE ' ----
DESCRIBE JOB 'L_'_ �_�_! | I. ` / ��� - L�ED ��/4[��� { -----�--^�'
THE PROPERTY |S8VVNEDBY� S|NGLE/NAHR| PARTNERSHIP -- -------
-- -_ �ORPOR&Ti0N____
BOX 2 CONTRACTORS NAME ; --_, . ,_ -'` .L'` ` :'/^jCONTRACTOR'S REG. # _ •' ' .-
// � �`_ CmVMUST Lmmw�nmd
CONTRACTOR'S ADDRESS r // , t � ` ' / �� �'
_-� _ � /
EXPIRATION DATE - � f'" :1_______`_,____:__L`^ | PHONE--~^-----
-- OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
REGISTRATION.CHAPTER 18�27�11OVVH|CHPROHIBITS /�SU|NGPERKA|TSVV/THOUTPH0OFOF '' '
__' ___ ___- _____- - ' ___-__
B0% 3 CONTACT PERSON ' �/ / ��/` � •'` ' �
� '��«�/ �-�_~-' ` ------ PH0NE_±^�� '_'7 "—,`(
BOX 4 SEWER DISTRICT `- ' -_:___l_ ` �-- ---
� -_-�l _. �i^� HDISTR|CT -_.� _^��� '
�
BOX 5 ESTKXATEDPROJECT COST��.-_��-�_��__� __EX|STNGBU|LD|NGVALUAT|ON ��
�X8 �����XACC0��M�� _ , � > ' 7
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / . ' '..."-) 2ND FLOOR _.1 '' '' '
BOX 8 ( ) SINGLE FAMILY ( ,) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ___ ___) ( ) EXISTING STRUCTURE
/
BOX 9 PLUMBING FIXTURES(including rough-ins 0 Pr. MECHANICAL APPLIANCES — BASIC FEE$
$
4DISHWASHERS, SINKS ` � BOILER, SIZE —UTU k) ��IR
4(41� ANDN
G UNITS
_ - ----
_ __ _ELECTR|CHOTVATERHEATER ____ HEAT PUMPS, SIZE
j LAUNDRY WASHER OUTLETUN|TH�ATERS -- - --------
_-_ • $
__- _URINALS _AIR CO0UNGUNITS, SIZE . � -------
_______DRINKING COMMERCIALHUOD -- -- -
_-____�- $
' __''SUK8PS. SPRINKLER VACUUM BREAKERS _OTHER $ '------'
______ DRAINS
T
` `
-OTHER pr / /! `� ` ' $_
------
-
-_lS_ TOTAL R%TUHES r �� --• _ ^ ' - �� - '-----
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|NSUAHED|N|NVEGT|GATI0NANDDEFENSEOFSUCHCLA/M).VVH|CHK8AYBEK8ADEBYANYPERS0N. |NCLUD|NGTHEUNDERS|GNED
ITSAND FILED AGAINST THE CITY 0FFEDERAL VVAY. BUT ONLY VVHEHESUCH CLA|K0ARISES OUT OFTHE RELIANCE OFTHE CITY, INCLUDING `
1FF|CERSAND EMPLOYEES, UPON THE ACCURACY UFTHE |NFORK8AT|ONSUPPUEDTUTHE CITY ASAPART OFTHIS APPLICATION.
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VVNER/AGBVT. �
'__. _ DATE:
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