90-100070 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT941-1555
qt. 460.070
PERMIT NO. 90-0109 OWNER'S NAME NORTH BAY DEVELOPMENT CORP JOB ADDRESS 35122 11TH PL S.W. FED WAY
CONTRACTOR NORTH BAY DEVELOPMENT Cji, SS 633 N. MILDRED SUITE G TACOMA CONT. PHONE 565-9400
CONT. REG. NO. NORTHBD151CH OWNER'S PHONE 565-9400 OWNER'S ADDRESS 633 N. MILDRED SUITE G TACOMA
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. 502860-1280-03 LEGAL DESCRIPTION LOT 128 MADRONA MEADOWS
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 3-15-90
BUILDING INFORMATION
E RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 2355
SET BACKS: FRONT 20 SIDE 5 REAR 5 STORIES HEIGHT LIMIT 30
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING 32 FT. 2.00 BOILER
BATHTUBS LAUNDRY DRAINS __1_ COMPRESSOR TANK(S) RECEIVED _
SHOWERS URINALS FORCED AIR FURNACE 10. 00 AIR HANDLING UNIT NUMBER _
LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.
SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED
Ce\HWASHERS _l____ TOTAL FIXTURES 13 UNIT HEATER TOTAL MECHANICAL 18.50 AMOUNT
VALUATION 195,070-17
PERMIT FEE 731.00
PLAN CHECK FEE 475_00 DATE: / C7
PLUMBING FEE 65_0012_9Ii
AICHANICAL FEE 18_50 AMOUNT: '1
TAP BLDG. FEES 9/'\ /1 rpN.,0PART P/C FEERECEIPT: /�-(J`isf�-
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4.50
OTHER FEES
AMOUNT DUE 1 ,994-00
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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
' 4 - 1 _
OWNER OR AGENT " ei.- 64- - DATE
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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. SO. 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 1 AMOUNT
1)-t? 11 ,
VALUATION :17"-.,.
eiPERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL 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
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CITY OF FEDERAL WAY �Q0'44
BUILDING PERMIT APPLICATION Fprh4
— Please Print—
BOX 1 OWNER NorTIAG° 4 e� JOB LOCATION 351 ZZ 1111''R-' re-1)-Go“ -1- t2-�'j
OWNER'S ADDRESS ( N._ J/,Idre(Ih e+G CITY T( CD PHONE' S — 'Du
DESCRIBE JOB Ji Kik- Fa/1 /C/ /4 e5 l
THE PROPERTY IS OWN BY: SINGLE/MARIMED PARTNERSHIP CORPORATION___L./
BOX 2 CONTRACTOR'S NAME - ine--, CONTRACTOR'S REG. # N°0-71/ I Si '
Card MUS be presented
CONTRACTOR'S ADDRESS .5a411 CITY PHONE '--0/1-82---
EXPIRATIONEXPIRATION DATE P.3 l 0
— 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. c
BOX 3 CONTACT PERSON PO'/ i `-• i'PHONE 5 "6
BOX 4 SEWER DISTRICT -?deP? litii.Z , WATER DISTRICT YfPIR:L.n t'tJ
BOX 5 ESTIMATED PROJECT COST,4 0 COO ti L Q EXISTING BUILDING VALUATION 6
BOX 6 PROPERTY TAX ACCOUNT NUMBER O 2,4S(,O .- t2 DC7--C23
LEGAL DESCRIPTION Mia aru)1-+4. M I-0,0oc_,-)s LT t28
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / ? 2ND FLOOR / a,
3RD FLOOR / BASEMENT / DECK / GARAGE / . t�
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION /
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMB i FIXTURES(including rough-ins) MECHANIC A/ PLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET v l $ Z ' c O
s. BATHTUBS NO. / FURNACE, ELEC. GAS (. $ (0 -vo
SHOWERS ( GAS HOT WATER HEATER $ 6-c 0
Al 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 $
S C.C; d 4 TOTAL MECHANICAL FEE $ IF -S-O
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 PER-
FORM THE WORK F I RMIT APPLICATION IS MADE. #4,7/(...._25"OWNER/AGENT: _____
DATE: YC)
/ ANP-006 2/90
• ' . .
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE I" 7« SETBACKS: FRONT 2-4- SIZE eAc,in REAR HEIGHT LIMIT .)C
PLANNING DEP RTME T APPROVAL �-C-- .> - -2-g- q O
REMARKS: nlyiltT " 2-k,- C7 '
so r6 liv ( o-1- c 0 e_v-9 e- , z. ( v. Park-(try s to ((s
SEPA: EXEMPT ( NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: AIM-
PUBLIC WORKS DEPARTMENT APPROVAL le-- c DATE 3 Z- . y l
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. ROOF QTH R
OCCUPANCY (k3 TYPE OF CQNSTRIJCTION V Al STORES
(-t v( BUILDING SQ. FT. ((``�� ff @ 6 Q - 80 = OS-3o Qo 0
foCtirre BUILDING SQ. FT. Say @ 17 - 30 = 6c,?) (6Z—O
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ AA `�(e- r _ ° - g S
BUILDING SQ. FT. @ �` `
TOTAL SQ. FT. TOTAL VALUATION I - O 7 L 1 ( 7
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE 13( . 00 PLAN CHECK FEE -h�LI-- PLUMBING FEE --QC---- MECH. FEE • - 0
TOTAL FEES I Z ;q-S E: SBCC SURCHARGE -E- ENERGY SURCHARGE ..-C7. AMOUNT DUE 4 £ u G
BUILDING DEPARTMENT APPROVAL DATE - Z
REMARKS:
ASSIGNED ADDRESS: 3 5 ( Z Z ! If ` p`r-fi S . W,
RECEIVED ACCEPTED FOR FILING