90-100238 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
gti -/(36,435
PERMIT NO. 90-325 OWNER'S NAME THE VIDEO PLACE JOB ADDRESS 29011 MILITARY RD S _
CONTRACTOR WOODMAN CONSTRUCTION ADDRESS 3 LAKE BELLEVUE BELLEVUE
CONT. PHONE 454-3621
CONT. REG. NO. WOODMCI167O6 1/91 OWNER'S PHONE 524-1072 OWNER'S ADDRESS 5156 48 AVE NE SEATTLE
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 COMMERCIAL ALTERATION (TENANT IMPROVEMENT)
TAX ACCOUNT NO.042104-9037 LEGAL DESCRIPTION SEE ATTACHED
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE_ DATE OF APPLICATION 4/16/90
BUILDING INFORMATION
ONE NA OCCUPANCYB-2 TYPE OF CONSTRUCTION 5-E__ .___ BLDG. SO. FT. RETATTr=56
SET BACKS: FRONT _ NA _ SIDE NA REARNA 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
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL _NONE_ AMOUNT NONE ---_
VALUATION $4043-00 NO CHANGE IN USE OR OCCUPANCY.
PERMIT FEE $73-00 PLANNING, PUBLIC WORKS, FIRE DEPT APPROVALS NOT NECESSARY FOR THIS
PLAN CHECK FEE 15-00 ____ PROJECT.
PLUMBING FEE — - the following described real estate,situated in the County of King State of
CHANICAL FEE _ Washington:
Beginning 565 feet south of the northwest corner of gov'rrren lc_
STAL BLDG. FEES $3 8.0 0
5.-/-
I Dw nL/. 2, section 4, township 21 north, range 4 east, GI.M.; thence east
420 feet, more or less, to a point on tate canter line of he
PART P/C FEE DATE PAID
Coenty Toad commonly known as the ?:ilitary Road, 567 feet soutner=r
SEPA REVIEW of the idtersection of the north line of said government lot 2, w•;:
WATER SERVICE AMOUNT PAID AZ��/ the cantor line of said road; thence rsnnine southeastarIy aloe;
said center line, 497 feet; thence west 460 feet, more or less, t, the
WATER MAIN CHG. _ ^ vest lint of said government loo Z; trance notch 493 feet to e i er ne
/ ^� FaCCP? the east 40 feet thereof for road; .i w Beginning at USe rete^.;est
S.B.C.C. FEE 4.50 RECEIPT �f/ scorner•of the northeast21
quarter of said sect/on 4, township nor:-. range
OTHER FEES 4 east, k'.M.; thence running east 182 feet; thence south 245 tett; =ecce
east 195 feet to the center line of the Military Road; thence s ut.-.e;.,_::iy
AMOUNT DUE $42.50 !along the center line of said county road, 312 feet; thence west a3C. feet,
more or les:, to the'west line of the northeast quarter of sa-d sect;
thence north.565 feet to the place- of boginnine J.ACI.PT the east 1.2
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AN and north 30 feet thereof for roads. ANL LXCEPT any portion tae-ref _reg
within that certain tract of land conveyed to the Steel lace 3r:.n_-_ i¢. 835
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BES- _by deed recorded under Auditor's File y1957584
REQUIREMENTS WILL BE M T: / /
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
TN c Video t/CLc
BOX 1 OWNEFi 'L ' L C �, i 1_l�1 __ JOB LOCATION 90//
OWNER'S ADDRESSf ,`7 p 4 4116- _.__-CITY $ PHOr`t /Q76
(DESCRIBE
WALL.PROPERT I OE
WD Y: SINGLE,I��IAI�RIE PAR NE SHI�P���
THECORPORATION
BOX 2 CONTRACTOR'S NAME (AJOODM4A C-QNSTI deriDA) CONTRACTOR'S REG. .k2-OD-I4& /fv7O
_ Card MUST be presented
CONTRACTOR'S ADDRESS 3 L.A-Kt_ Vd617IZCITY I.711.-V141 PHONE 44.5754-3L42/
EXPIRATION DATE / .6--9/
— 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 VI C ra TA'%g S-l) PHONE 9V/-
BOX
'2-BOX 4 SEWER DISTRICT Ft() WATER DISTRICT r--4.)
BOX 5 ESTIMATED PROJECT COST$3 V *+'4Gt) EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 0 4 a l Iw Q'4- ?f 37
LEGAL DESCRIPTION SEE- 4-7771C H e
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FL00 7 / 06t,' 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (X) EXISTING STRUCTURE
() ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY (06 00 SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
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 PER-
FORM THE WORK F WH'y�HH PERMIT AP' .ATION IS MADE.
OWNER/AGENT: I ,.e.�. IY7 �' / DATE: 47-16 - 90
ANP-006 2/90
9v3TT-
0
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
i(//k /6 c4 k (Ov ,k.S c,r— a C=C c (t1q k C
SEPA: EXEMPT NOT EXEMPT_
FIRE DEPARTMENT APPROVAL DATE Lf- / - Fe)
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: /011t
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. ROOF OTHER
OCCUPAN 6"a- TYPE OF CONSTRUCTION V4) STORES
/"ear ( BUILDING SQ. FT. @ 3 Lr 7 O = ice,
BUILDING SQ. FT. @ iAtf r =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ - = 110'13 r Zv
BUILDING SQ. FT. @ IK9G((`rr e_6--z- 0 - Z0
BUILDING SQ. FT. @
TOTAL SQ. FT. TOTAL VALUATION e, .. C e-/
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE y3 r --"C> PLAN CHECK FEE -/- -- -- -- -- PLUMBING FEE MECH. FEE O
TOTAL FEES 3$ -CO SBCC SURCHARGE yr 7-0 ENERGY SURCHARGE AMOUNT DUE Yz --So
BUILDING DEPARTMENT APPROVAL DATE Li``C$ — Fc)
REMARKS:
7c
ASSIGNED ADDRESS: C e-- - R.--X f.5rf
RECEIVED ACCEPTED FOR FILING