91-101260 CITY OF FEDERAL WAY 91,/o!a(00
33530 First Way South V I L D I N G PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
RENEWAL OF 90— 6
PERMIT NO. 91-1206 RE OWNER'S NAME CHAFFEY CORP SITE ADDRESS 34234 30 AVE SW
CONTRACTOR CHAFFEY CORP ADDRESS POB 560 KIRKLAND CONT.PHONE 822-5981
CONT.REG.NO. CHAFFC*15ONG 7/9 2.xp. OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIA! NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER RENEWAL OF EXISTING PERMIT TO CONSTRUCT HOUSE
TAX ACCOUNT NO.294450-0420 LEGAL DESCRIPTION LOT 42 GROUSEPOINTE
10
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE Lfr DATE OF APPLICATION 9/4/91
BUILDING INFORMATION
ZONE RS 7.2 SET BACKS:FRONT 20' SIDE 5' EACH REAR 5' HEIGHT LIMIT 30' MAX
OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N CENSUS NO. 434 TYPE OF HEAT GAS BLDG.SQ.FT. 2827 STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING FT. XXX GAS LOGS
BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACE XXX DUCT WORK RECEIVED
SHOWERS ____1____ URINALS GAS HOT WATER HTR. XXX AIR HANDLING UNIT NUMBER
LAVATORIES 5 DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS 2 MISC. BBQ BASIC FEE RETURNED
DISHWASHERS _l___ TOTAL FIXTURES 15 I DRYER TOTAL MECHANICAL ,BELOW AMOUNT NONE
a
VALUATION $149,680.0C
PERMIT FEE $407.50 THIS PERMIT EXPIRES 6/20/92 AND CANNOT BE RENEWED AGAIN! !
PLAN CHECK FEE
PLUMBING FEE 37.50
MECHANICAL FEE 10.00
PART P/C FEE
SEPA REVIEW ti(I c
PUBLIC WORKS
S.B.C.C.FEE /
FIRE FEE DATE: `
OTHER FEES AMOUNT: $455.00
AMOUNT DUE $455.00 RECEIPT:
_ _._ .3__3.k/4._
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 INFOR ION FURNISHED BY ME TRUE AND CORK'ECT TO THE B T OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. /
OWNER OR AGENT ` DATE T-5-.1/
'ITY OF FEDERAL WAY
3530 First Way South BIUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. OWNER'S NAME SITE ADDRESS _
CONTRACTOR ADDRESS CONT.PHONE
- CONT.REG.NO. EXP. 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. LEGA! DESCRIPTION
ISSUED BY DATE OF ISSUE _ DATE OF APPLICATION
BUILDING INFORMATION
TONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT _
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. _TYPE OF HEAT BLDG.SQ.FT. STORIES C
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS _ - LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE _
DISHWASHERS TOTAL FIXTURES _ DRYER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
illiPART P/C FEE -
,EPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE: %-i3 �]
OTHER FEES AMOUNT: ill
7 I.
AMOUNT DUE RECEIPT: ' /�
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 _ _ DATE
ti
(i L I�I�IQ
: �r/yD Permit # 91,—� 0-.''
SEP 41991RE-/0
cAtveff FEDERAL.WAY CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print— ac co
BOX 1 TENANT NAME:
OWNER 'u irraf moi - SITE LOCATION �' 2 34 A-t/ES`1/`
OWNER'S ADDRESS d�.��- -"WIPP a ' '' tl D PHONE OZ2 5� /
DESCRIBE JOB i t d • Ralr11 g N --,'
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 7' C'I CONTRACTOR'S REG. # ' S2/&
/��,, aa Card MUST be resented
CONTRACTOR'S ADDRESS FOi CITY n//�pQ (J
K(A7UD PHONE tZ e/
EXPIRATION DATE 7 i IS',9Z__
— 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 /��, l ,C PHONE 822-qf6'/
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER Z C1 4-4 o- c
-z
LEGAL DESCRIPTION G�7- ¢Z , ,27b0TE
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) 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 $
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
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 SUC• CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPL ^ES UPON CURAde-'et
Y • 0OF THE INFO';I I SUPPLIED TO THE CITY ASC�A PART OF THIS APPLICATION.
OWNER/AGENT: 7 i / DATE: 5( Z ` ! /
' l
ANP-008 3/90