90-100428 CITY OF BUILDING INSPECTION
gI L D I N
FEDERAL WAY U G PERMIT 941-1555
PERMIT NO. 90-593 OWNER'S NAME NORTH BAY DEVELOPMENT _ JOB ADDRESS 1138 SW 352 ST
CONTRACTOR OWNER ADDRESS 633 N MILDRED STE G TACOMA CONT. PHONE 565-9400
CONT. REG. NO. NORTHBD151CH 5/90 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XX 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. 502860-1300-09 LEGAL DESCRIPTION LOT 130 MADRONA MEADOWS
ISSUED BY ELIZABETH SNYDER _ DATE OF ISSUE DATE OF APPLICATION 5/16/90
BUILDING INFORMATION
ONE RS7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N BLDG. SQ. FT. 188+394=2282 TOT.
T BACKS. FRONT 20' SIDE 5' EACH REAR5' _ STORIES 2 _ HEIGHT LIMIT 30' MAX
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING 32 __FT. ___2_�1/1) BOILER
RECEIVED _
BATHTUBS 2 LAUNDRY DRAINS _lCOMPRESSOR _ TANK(S)
SHOWERS 1 URINALS FORCED AIR FURNACE 1Q-0_Q__ AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. _6-50_ MISC
RETURNED
SINKS _.1 _ MISC. CONVERSION BURNER _ BASIC FEE
DISHWASHERS Z TOTAL FIXTURES 13X5-00 UNIT HEATER TOTAL MECHANICAL 1 A_50 AMOUNT NONE
VALUATION 120,637_00 PLANNING DEPT APPROVAL = BILL KINGMAN ON 6/14/90
PERMIT FEE $713_00_. _
PLAN CHECK FEE 463.00 _ _ SEPA = EXEMPT
PLUMBING FEE _ 65.00
MECHANICAL FEE 1R 50 FIRE DEPT APPROVAL = KEVIN ELLIS ON 6/16/90
AL BLDG. FEES
TS $1759.50
T P/C FEE PUBLIC WORKS APPROVAL = " n n
SEPA REVIEW
WATER SERVICE BUILDING DEPT APPROVAL = n n n
WATER MAIN CHG.
S.B.C.C. FEE 4.50 _ i /i
OTHER FEES DATE PAID (, . ,Z c) - j 1 AMOUNT PAID ,� 3 L `II. RECEIPT # ' V I 77
AMOUNT DUE $1264.00
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 HE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
2� /1'7d
OWNER OR AGENT _i/i6 -� r ac y1 DATE (j I
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 Na 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
AMOUNT
VALUATION
PLANNING ORPT APPROVAL = BILL KINGMAN KINGON 6/14/9":,
PERMIT FEE
PLAN CHECK FEE SEPA = EXEMPT
PLUMBING FEE
MECHANICAL FEE FIRE DEPT APPROVAL = KEVIN ELLIS ON r/16/90
TOTAL BLDG. FEES
PUBLIC WORKS APPROVAL = * yr
PART P/C FEE
SEPA REVIEW qU1 i D1 G 112T "1101"."T T = #
WATER SERVICE -
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES DATFPail i? 10 ,!' 5 .) AOT i'AL I 2. (o Lf. 1 i/ q/75
AMOUNT DUE
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:
IOWNER OR AGENT DATE
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Permit # 9O - S Y-3
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
OWNER ► ' •T �.A E L'" SITE LOCATION I
OWNER'S ADDRESS [i • 14lLL I2L47 .'5.:)i-re-"e4 a' CITY /J,c..E>-4A PHONE 14a)
DESCRIBE JOB gLLi,
THE PROPERTY IS OWNED BY: SINGLE/MARRIED . _ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME -M t; CONTRACTOR'S REG. # -Ta P,17I 51 G i-k
Card MUST be presented
CONTRACTOR'S ADDRESS SA,t-'ice CITY PHONE -5A k---1
EXPIRATION DATE 5 lz-3
— 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 ---17._-.4717 L_d it- PHONE S -1 46
BOX 4 SEWER DISTRICT r27. 1 WATER DISTRICT -F2C)•
BOX 5 ESTIMATED PROJECT COST (_,69 eVO EXISTING BUILDING VALUATION -e9'-
BOX 6 PROPERTY TAX ACCOUNT NUMBER "5-07.- ?( O- 13GZ-- d
LEGAL DESCRIPTION Mx1)12-c:-NA Mt✓=-A-Onc3 L. r / o
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / l 2ND FLOOR / 7Z
3RD FLOOR / BASEMENT / DECK / GARAGE / 3'4
BOX 8 (SINGLE FAMILY ( i.)-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. 3 WATERCLOSETS GAS PIPING, FEET 3 Z $ cryo
2. BATHTUBS NO._ I FURNACE, ELEC. GAS ✓ $ i 2.er()
I SHOWERS I GAS HOT WATER HEATER $ E0
4 LAVATORIES CONVERSION BURNER $
I SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
I LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS
OTHER
$
j ') TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ / .ç7
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: C �i� � er frI DATE: /u / 7'1
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE5'7.2- SETBACKS: FRONT 2_1t. . SIDE 5 ' REAR S ' HEIGHT LIMIT S
PLANNING DEPARTMENT APPROVAL 6. 1A,- 90- c6V--f
REMARKS: /
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL 'v!- DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL r..-L DATE 6 -is-- - To
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
OCCpPANCY - -3 TYPE OF CONSTRUCTION v /U STORES
/ e� BUILDING SQ. FT. /4/�i @ Z F.0/0 = 76 JO: (t) 0
,2" (eloo<- BUILDING SQ. FT. `g7 @ A?. B C = �C,0/ 6e,o n
, Garccy -c BUILDING SQ. FT. `-4q� @ / 7. 3° = 6� el6, .7(3
J BUILDING SQ. FT. @
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @
TOTAL SQ. FT. 2 TOTAL VALUATIO /oW) 6, 3 7. 6
BUILDING DEPARTMENT REMARKS:j-_ 7 _ 90 -7,--,5 f PERMIT FEE 7/g, 9r)
PLAN CHECK FEE 963,3, n
PLUMBING FEE 5--, 0(-)
MECHANICAL FEE h / V' -0
TOTAL BLDG. FEES /7 J 'ZS 9.-C-0
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE 41.S-0
OTHER FEES ,�/
AMOUNT DUE /f" j,W6V. CK)
ASSIGNED ADDRESS: 113a S • A-), 3 5 LA-=-4 S ,
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY AD DATEV_c ACCEPTED FOR FILING