91-100353 ql-1o1)353
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
(434) "RENEWAL OF 90-39"
PERMIT NO. 91-314 RE OWNER'S NAME DORENBUSH HOMES JOB ADDRESS 1403 SW 347 PL
CONTRACTOR OWNER ADDRESS 18000 72 AVE S #206 KENT CONT. PHONE 251-9877
CONT. REG. NO. DORENI*210M3 6/91 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
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 RENEWAL OF 90-39 TO CONSTRUCT NEW RESIDENCE
TAX ACCOUNT NO. 192104-9048 LEGAL DESCRIPTION LOT 24 PARXLANE ESTATES
4/'ID 'q /
4IrUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/20/91
BUILDING INFORMATION
ZONE BS 7-9 OCCUPANCY B-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 2112
SET BACKS: FRONT 20' SIDE 5I EACH REAR 5I/ STORIES 2 HEIGHT LIMIT 10' MAX
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING 0.00 + FT BOILER
RECEIVED
BATHTUBS _1_ LAUNDRY DRAINS 1 COMPRESSOR TANK(S)
SHOWERS 1 URINALS FORCED AIR FURNACE (1) AIR HANDLING UNIT NUMBER
C ATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. (1) MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
-II-
DISHWASHERS 1 TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL RRT.OW AMOUNT
VALUATION $109,496-00
THIS PERMIT WILL EXPIRE ON APRIL 1, 1992
PERMIT FEE $337-50
PLAN CHECK FEE
MBING FEE 27_50 FEES DUE ARE i OF THE AMOUNT COLLECTED ON ORIGINAL PERMIT FOR
ECHANICAL FEE 10_00 THIS PROJECT.
TOTAL BLDG. FEES $375_00
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. DATE PD 4A Q/9/ AMT $375.00 REC'T �®
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE $175_00
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 FUR HED BY ME IS T ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: ODA/
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11W-OWNER OR AGENT DATE
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CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 94141555
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR ADDRESS 6 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
NEOD OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT.
ET 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
•
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
•OTAL BLDG. FEES
PART P/C FEE
: SEPA REVIEW
WATER SERVICE
.WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
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:
OWNER OR AGENT DATE_
•
. % rmit # 1 `f P-f w '
CITY OF FEDERAL WAY
• • BUILDING PERMIT APPLI CATION ��
y � A�
5-'/ i`/ 3°116
—Please Print— c �l`/ V
BOX 1 TENANT NAME:
OWNER D renbus/ i-kfie S SITE LOCATION /V03 .Say 3V7- p'
OWNER'S ADDRESS /Rbop - 7?-»d Ave S. .0Zo(, CITY /<enJ PHONE Ar -25/-9J=7-7
DESCRIBE JOB c nii/' R7/77/xi gesir/ens
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME rQcirnbush /IarieS CONTRACTOR'S REG. # Dot', - 42/0in3
Card MUST be presented
CONTRACTOR'S ADDRESS Some CITY Sjive PHONE J n- e
EXPIRATION DATE • 6 - '/
�_,__ 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 Srn Se%inQj PHONE .5/-9877
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER /q,2'0/- }oyZ
LEGAL DESCRIPTION Lo T ?U i1 on.P ft5T21eT
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /D/5/ 2ND FLOOR 6S9 /
3RD FLOOR / BASEMENT / DECK / GARAGE '//z /
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. 3 WATERCLOSETS GAS PIPING, FEET $
BATHTUBS .. . NO. FURNACE, ELEC. GAS
/ SHOWERS< is k.,;'. $
'3 LAVATORIES � GAS HOT WATER HEATER $
I SINKS •
CONVERSION BURNER $
/ DISHWASHERS BOILER, SIZE BTU $
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 $
I ( TOTAL FIXTURES $
TOTAL MECHANICAL FEEAri
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST giF MY takWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH?.RTAPPLI'GATION,IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES, 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: DATE: