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91-101798
gI,/o) 79 8 CITY OF FEDERAL WAY BUILDING PERIVI I T PERMIT NO.: 91=1778 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/30/92 Federal Way, WA 98003 BY: MH 661-4000 SITE ADDRESS: 28615 9 AVE S PARCEL NO.: 5152960170 PROJECT DESCRIPTION: IOWNER CONTRACTOR — LENDER DAVID CHAMPION • BLD?: NEC?: PLM?: FLR EXIST PROP - DWELLING UNITS: 0 COMP PLAN.....°...:SR FEES: TYPE OF WORK:RA USE: 1ST.: 0: O:sf STORIES.....,,.: 0 REQUIRED PARKING..: 2 SPRINKLERS?.....,:? FINAL PLAN CHECK°.°* $ 30.00 CENSUS CATEGORY 434 2ND.: 0: 0:sf HEIGHT 0.00 ft HAZARD CLASS...:? OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm OTHR: 0: O:sf EXIST..$: 0 FRONT • 20.00 ft TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 12000 SIDE • 5.00 ft WATER SERVICE..:FED DECK: 0: O:sf REAR........... 5.00:ft SEWER SERVICE..:FED OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:12/24/91 . 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N FUEL TYPES.: FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS ° 0 URINALS • 0 TOTAL FEES $ 30.00 GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS..............: 0 DRAINS • 0 BBQ • 0 MISC • 0 5+ HP.......: 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 S 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 118A I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE •PLICABLE C • • EQUI EMENTS WILL BE . Ili OW OWNER OR AGENT DATE ` '.015-c • bld_prmt 07/31/92 . li la DATE 5 i 5%1( "\:1.1\11 "...".."......... • REVISION Pest # 9/- /77.:: WIVE • S /044 A D CITY OF FEDERAL WAY FE �� G 2 0 1992 BUILDING PERMIT APPLICATIONeh • z'i i, - Please Print— BOX 1 TENT NAbfv)tk C.\kfaM.)ICS\; OWNER 'Of-V)% C AA,V/1?10 SITE LOCATION OWNER'S ADDRESS 1-'iLl' "(}" AvevwAL c . .:t1,. CITY F,\02.ic�. V,;Ac`1 PHONE S'Iri.-L,2.11-1 DESCRIBE JOB Rev\ %c•1 fic3 /--\\cc c:z re.- w1-; ` 0...v NA,, THE PROPERTY IS OWNED BY: SINGLE/MARRIED `-c=4NC-41- PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME ' , \.) -> Lt-tfvm 1v ;v CONTRACTOR'S REG. # C1tt\fKi'krO `54 Gni, Card MUST be presented CONTRACTOR'S ADDRESS ;2`6(...1-- `r‘ 1�\)•cv1ve_ CITY �_- .‘ e+.'1- PHONE `+5?i-y21y EXPIRATION DATE 12. - 0 % - 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. LtSt- l`t(,c% BOX 3 CONTACT PERSON I3C A c3.L.L. c 11)\\ c_.\f,c,,,, ��c. , PHONE ,?3`i - \2.0-t BOX 4 SEWER DISTRICT 1--e-. A,--\ LL.:.),-..--\ WATER DISTRICT r Q-- -�c2-\ L-5---c-9 BOX 5 ESTIMATED PROJECT COST '�,oc.x c)cv EXISTING BUILDING VALUATION Z,(-:ci v�.G : " BOX 6 PROPERTY TAX ACCOUNT NUMBER i 5 296 -(7) ► 4c: •— 0'q LEGAL DESCRIPTION Lo 1-1 V'`4v�a1€ t�,&1,S {E C vo\1+.w+►sZ `l\c. A 9 ',.,, '- _ 71(i, c;r,�� -7+- 'Vc k`n ckk L:li1.-NA.. L9✓,''$r1'��t.�.(,D !.-i (If necessary, please submit a separate page with the legal desdription.) `\V K.C. Plat Recording # •;;;%- (-3 y24; - IC.--,CC BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR i 1 i l / 2ND FLOOR til-1 / 3RD FLOOR / BASEMENT / DECK J '-i(,:". GARAGE '-16S / BOX 8 ('14 SINGLE FAMILY ( .) NEW CONSTRUCTION ( - ) MULTIFAMILY(NO. OF UNITS = ). (V) EXISTING STRUCTURE __ ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY , L. .C' SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins)- MECHANICAL APPLIANCES— BASIC FEE$ 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 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: _ Abb._ DATE: =� � :`� I`tq2_ ANP-DOB MOO CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT 91-jo) -79g BUILDING INSPECTION 661-4140 PERMIT NO. 91-1778 RA OWNER'S NAME DAVID CHAMPION SITE ADDRESS 28615 9 AVE S CONTRACTOR OWNER ADDRESS SAME CONT. PHONE 451-1960 _ CONT. REG. NO. NA EXP. OWNER'S PHONE 850-7835 OWNER'S ADDRESS SAME TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD._ NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER REMODEL EXISTING HOUSE ( INTERIOR) TAX ACCOUNT NO. 515296-0170 LEGAL DESCRIPTION LOT 17 MARINE HILLS EAST, VOLUME PLATS 97 OF PLATS PGS 76/77 RING CO WASH ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION I2/24/91 BUILDING INFORMATION RS 9.6 20 51/51 51 30' MAX ZONE _ SET BACKS: FRONT _ SIDE REAR HEIGHT LIMIT OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N _ CENSUS NO. 434 TYPE OF HEAT EXISTING BLDG. SO. FT. NA STORIES EXISTING PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 1 ELEC. HOT WATER HEATER GAS PIPING__ __FT. GAS LOGS BATHTUBS 2 LAUNDRY DRAINS 1- _ FORCED AIR FURNACE _ DUCT WORK RECEIVED SHOWERS 1 URINALS GAS HOT WATER HTR. AIR HANDLING UNIT _ NUMBER LAVATORIES 1 DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS 1 _ MISC. _ - BBQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES 7 X $5.00 DRYER TOTAL MECHANICAL ] NONE AMOUNT NONE $12,000 VALUATION PLANNING DEPT APPROVAL = DEB BARKER "SEPA EXEMPT" PERMIT FEE $135.00 88.00 BLDG DEPT APPROVAL = KEVIN ELLIS PLAN CHECK FEE FEE 35.00 "CALL 661-4140 FOR ALL REQUIRED INSPECTIONS" MECHANICAL FEE rSLUMBING PART P/C FEE EPA REVIEW PUBLIC WORKS 4.50 S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: $262.50 $262.50 AMOUNT DUE RECEIPT: ALL PERMITS EXPIRE 180 ER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFOY NISHE ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. TAtN7FU OWNER OR AGENT _ _ _ _ _ _ DATE-Z4v // v CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. w 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. _ LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE _ DATE OF APPLICATION BUILDING INFORMATION ZONE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. __TYPE OF HEAT_ BLDG. SQ. FT. STORIES 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 ,ry Onn VALUATION PLANNING DEPT APPROVAL= DEB PARKER `SLPA EXEMPT` 3LDG DEPT APPROVAL s KEVIN ELLIS PERMIT FEE PLAN CHECK FEE PLUMBING FEE "GALT. 661-4140 FVT 3T T. pr,TT � MECHANICAL FEE PART P/C FEE SEPA REVIEW GJ PUBLIC WORKS S.B.C.C. FEE 2/ FIRE FEE DATE: OTHER FEES AMOUNT DUE OA� AMOUNT: 2 RECEIPT: AlL 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 ATE__ _ _ DATE--,-- w SET BACKS AND FOOTINGS DATE -_- --- _—BY _ OX TO POUR FOUNDATION WALLS DATE _.._ ___.__BY _ ... PLUMBING GROUNDWORK DATE __.... .. __._— _ BY PLUMBING ROUGH IN DATE . _2 -77 ._.....BY WATERLINE O.K. GAS PIPING O.K. MECHANICAL INSPECTION DATE O.K. TO ENCLOSE FRAMING DATE ._ Lf BY . INSULATION DATE WALL BOARD AND FIRE WALL O DATE �' ---__BY FINAL O.K. TO OCCUPY DATE _._._ .___......._—BY ._._..__. DCD PSD FD 3 - 20 62 �at572-5 2- j /2v9�r /.v !� C d �iJ /7c c/i S �//'J5 i2 / `LUU2 BALL CjL/L N` /vs e/i%/6/v CN Z Ii/!/ON O- jZ_ 4, mac' 6�K c.J lZc dis/d.J t�-�n} P. BUILDING DEPARTMENT CITY OF FEDERAL WAY . . . Correction Notice Job Located at �K� l 5 � 4�. 5 I have this day inspected this structure and these premises and have found the following violations of City and/or State laws governing same: /Y�ItiJ S 117�'t� You are hereby notified that no more work shall be approved upon these premises until the above violations are corrected. When corrections have been made, call for inspection. Date Inspector for Building Dept. DO NOT REMOVE THIS TAG ANP -007 3/03/90 BUILDING DEPARTMENT CITY OF FEDERAL WAY Correction Notice Job Located at 0%i5 ' '14re- S I have this day inspected this structure and these premises and have found the following violations of City and/or State laws governing same: is'4c �l�c �s 51.G v 5e5�E� IA) d L L_ IV/4-1 c. l l�, C5 d/3/ i You are hereby notified that no more work shall be approved upon these premises until the above violations are corrected. When corrections have been made, call for inspection. Date //-/3 --Y2- Inspector for Building Dept. DO NOT REMOVE THIS TAG •wv-007 3/05/90 + 8CPI /' Oero# 11- I _ D DEC 2 07v ll; 4 � CITY OF FEDERAL WAY eU�o, T�'pY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER CtWWkcw SITE LOCATION ND.4e. A -,W. V-3 -- �$3 OWNER'S ADDRESS Z U A 5 'A' Noenm_ CITY nL&m, . wh4 PHONE !}S1 lgcc�, DESCRIBE JOB nvt:"14^ �** �zJ U o THE PROPERTY IS OWNED BY: INGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE —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 PHONE %4 $ S •- V9 6a BOX 4 SEWER DISTRICT WATER DISTRICTS-`. W `t BOX 5 ESTIMATED PROJECT COST R EXISTING BUILDING VALUATION 600t0,ov BOX 6 PROPERTY TAX ACCOUNT NUMBER S 15 2�,g6 •-©LA LEGAL DESCRIPTION I..ot 1-7 May -v— A_ -,Ski. Sq,"( '\��v►�, ?\�� c,�� R'%1 Rq:EeL '46- crLLAf (If necessary, please submit a separate page with the Igal descripti .) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR _ 2ND FLOOR 'I5 3RD FLOOR / BASEMENT / DECKMOW GARAGE- E BOX 8 (V) 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. I WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. GAS $ i SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ I SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ 1 LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER AS rc-T- $ ——TOTAL FIXTURES $ X - Z j ., r:, L' 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, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: 1--; w ;w t:,wr Q.6 ^ ✓ ANP -008 3/90 •0 •0 �t OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZON q& SETBACKS: FRONT 20' SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL 3 Z REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT APPROVAI REMARKS: DA DAT TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT J' NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY n TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: S Amount 10 PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE 135 - PLAN CHECK FEE 15 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE U' OTHER FEES ✓` AMOUNT DUE BUILDING DEPARTMENT APPROVAL DATE Z ACCEPTED FOR FILING