90-101571 CITY OF SUILDING1$SPECTION
FEaERAL WAY BUILDING PERMIT941-1555
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PERMIT NO. 90-1781 RA OWNER'S NAME PAT LAYHON JOB ADDRESS 29834 11TH AVE SW
CONTRACTOR ELECTRIC CITY HOME CLNTMAESS 4150 'B" PLACE NW AUBURN CONT. PHONE 852-4503
CONT. REG. NO. ELECTH137DW OWNER'S PHONE a OWNER'S ADDRESS 29834 11TH PL SW FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADO. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 195460-0125 LEGAL DESCRIPTION LOT 18 BLOCK 2 A DEMARWOOD ADD LESS E 140' LESS EV
STREET
ISSUED BY JOANNE JOHNSON, DATE OF ISSUE // sw;7 / -- :v DATE OF APPLICATION 11-9-90
BUILDING INFORMATION
ZONE OCCUPANCY M-1 TYPE OF CONSTRUCTION V-N BLDG. SO. FT. 284
SET 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.
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 2,840 FIRE/BUILDING DEPT APPROVAL: MM 11-13-90
PERMIT FEE 54-00
PLAN CHECK FEE 35-00
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE DATE: /(- �1 -7 - 94)
WATER MAIN CHG.
s.B.c.c. FEE 4-50 AMOUNT:
C,1 l
OTHER FEES
AMOUNT DUE 91.50 /�(��
RECEIPT: .1
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 FURNI HED Y GE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: i
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/674:„....„.„.„,...--
OWNER OR AGENT / % = `/ �Yj(/ DATE l ) -? 7 ��1
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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 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 ''IR/BUiLDt G DEPT APPROVAL: Mei I1-13—t:,-
PERMIT
13W--t ^PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
WATER SERVICE },sir;T o .
WATER MAIN CHG.
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S.B.C.C. FEE A,kT{P'?ty'
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
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RECEIVED • •rmit # CO ' 1. -B- I
NOV 0 9 1990 CITY OF FEDERAL WAY
CITY Q� F���FiAL WAY
gutSE -,1- BUILDING PERMIT APPLICATION
E. -
A-1,4-1 — Please Print—
BOX 1 TENANT NE: I14- II A9- ?.._. S lk
OWNER , z 14y`10,7 SITE LOCATION
OWNER'S ADDRESS 'a.9 s'3`7 f/T1i Ave ,Ski CITY i�c/r tbv� PHONE
DESCRIBE JOB //?ccJ4 Corp 57lri c`liEf,f)
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME vi°!- :--: `'='V:.. — - i BNTRVICTOR'S REG. #/5-//7C722 /.3 ? t9ic)
'n -r Card ST be prese 4
CONTRACTOR'S ADDRESS)p& 8 P/}c- d. Al.j,J ��
CITY Okk ✓n PHONE g 5 Z- I ;D 3
EXPIRATION DATE -3 /Y/
— OR —
I HAVE READ CHAPTER 18.27.010 REL NG TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBI S ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON _Jr.24 e._ 14f qtr' PHONEZ_ , " £11 C)
BOX 4 SEWER DISTRICT /9-cl4rA\ w. y WATER DISTRICT '
BOX 5 ESTIMATED PROJECT COST 000)` EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER / ' '117 *-0/26LEGAL DESCRIPTION ,Lot f 4 8 cx'K /9/)Drtk-477 LC-5fi East 19C,' tie,Ss >fvc„ --
(If necessary, please submppardie page with the legal description.)
K.C. Plat Recording # ij
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK I GARAGE /
BOX 8 ()c) SINGLE FAMILY ( ) NEW CONSTRUCTION .
(' ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE , i ,
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERT 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 $
AINS $
OTHER $
' TOTAL FIXTURES $ ....e./--
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 CURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ,: ,, A, ,,,,f1"-
l DATE: // ` 7-_/�/
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT AMAL /t'/,� "
REMARKS: /116CI(Q 7 4Z- �`t„ r C C raC/\._
C
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL /1)'7,/,..,/,-,"/ /maw DATE //--
REMARKS:
1-REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL A/A DATE //'/-' ZZ
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
OCCUPANCY r, TYPE OF CONSTRUCTION A/ STORES
BUILDING SQ. FT. , 111 @ %'� - = Ye
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. r TOTAL VALUATION a qqo
BUILDING DEPARTMENT REMARKS: PERMIT FEE Sy _
PLAN CHECK FEE '75" `�-
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES $�
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE q? su
ASSIGNED ADDRESS: ec `" ' J Urte 3
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY 4-4 1(7 — DATE //-/Y--7 ACCEPTED FOR FILING