90-100071 CITY OFBUILDING INSPECTION
BUILDING
FEDERAL WAY PERMIT
941-1555
96 . 6b67(
PERMIT NO. 90-0110 OWNER'S NAME NORTH BAY DEVELOPMENT CORP JOB ADDRESS 35115 11 TH PLACE SW
CONTRACTOR NORTH BAY DEVELOPMENT ZegiRs 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
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. 502860-1260-07 LEGAL DESCRIPTION LOT 126 MADRONA MEADOWS
ISSUED BY JOANNE JOHNSON, TYPIST DATE OF ISSUE __. _ DATE OF APPLICATION 3-15-90
BUILDING INFORMATION
NE RS 7_2 OCCUPANCY R3 TYPE OF CONSTRUCTION _VN BLDG. SQ. FT.
SET BACKS: FRONT 20 -_____-__.___ SIDE _ 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. _2.1L0 BOILER
_
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 URINALS FORCED AIR FURNACE 1IlJ0.0 AIR HANDLING UNIT NUMBER
LA\TORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. __6_.5_0 MISC.
SINKS RETURNED
1 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES 13 UNIT HEATER TOTAL MECHANICAL 18_ 50 AMOUNT
VALUATION 116,329
PERMIT FEE 699. 00
PLAN CHECK FEE 454'
PLUMBING FEE 65. 00_
CHANICAL FEE 18. 50
TOTAL BLDG. FEES
DATE:
PART P/C FEE
SEPA REVIEW
WATER SERVICE AMOUNT:
241 ()--;..-----
WATER MAIN CHG. �I ^ ��
S.B.C.C. FEE 4..,50 RECEIPT: (1 J
OTHER FEES
1,241.00
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 g.'--611'-- CAI v
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS 35115 11TH PLACE SW
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
ONE_ OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. 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
TOTAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW AROUNT: _Li__ 1
WATER SERVICE
WATER MAIN CHG. _ .SCRIPT:
S.B.C.0 FEE v
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 �°iti :;� '$,P,
BUILDING PERMIT APPLICATION °cx) kk
— Please Print— 1.' 'Ty
BOX 1 OWNER BTW ewf D&1 -ooMEN7o/t-re JOB LOCATION .35-)15- I(li' R ''-.7FL'-4k
(.,() D- '( U-T l26
OWNER'S ADDRESS (' b M- M tc-Otte ) G., CITY ,t- ' PHONE etco
DESCRIBE JOB - ---)if-lL�c.c (? tvt - IZ a
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION L-----------
BOX 2 CONTRACTOR'S NAME SAt-amu: CONTRACTOR'S REG. # Nng-1l4( D t- --I G/f
Card MUST be presented
CONTRACTOR'S ADDRESSS,�-t-' - CITY .NG
i , PHONE 2-«-- -
EXPIRATION DATE 5 23/go
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ----1;171.7 —� L-i i -- PHONE St-4Z;----''t 400
BOX 4 SEWER DISTRICT re LuA�, WATER DISTRICT fi=r=' G-}..--(
BOX 5 ESTIMATED PROJECT COST 67D cXYw EXISTING BUILDING VALUATION --> --
BOX 6 PROPERTY TAX ACCOUNT NUMBER 502.6400- 12-6o0-ry7
LEGAL DESCRIPTION MADT t4E 't -9E i----r rz-G2
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOROr
/ 2ND FLOOR / -72-
3RD FLOOR /_ BASEMENT / DECK / GARAGE _ 4-
BOX 8 (v-SINGLE FAMILY (`- NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
r5NO. WATERCLOSETS GAS PIPING, FEET > L e'c,
2 BATHTUBS NO. / FURNACE, ELEC. GAS ✓` $ ' b `l '
I SHOWERS 1 GAS HOT WATER HEATER $
4- LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
I DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
I LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
'--L)
TOTAL FI)VES $ _ _
' 9 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 PER-
FORM THE WORK F t/H PERMIT APPLICATION IS MADE.
OWNER/AGENT: 7/ / GJOt DATE: /S TO
ANP-006 2/90
0 •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONES 7.1- SETBACKS: FRONT Lc: ' SIZE ..- ' e-u-c.-1,1 REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL LC 2 b- 4c-
REMARKS: (`�7 % = 2 ( 0
SEPA: EXEMPT 1C- NOT EXEMPT
FIRE DEPARTMENT APPROVAL , 1 ! DATE
REMARKS: A)
/
PUBLIC WORKS DEPARTMENT APPROVAL tGG DATE ` Zg ` gC.)
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 OTHER
OCCUPANCY fe.3 TYPE OF TrICTION SON STORES
BUILDING SQ. FT. @ bel TZ-5t-R
BUILDING SQ. FT. @ C-1
BUILDING SQ. FT. Or_ _ = 132,1
BUILDING SQ .FT. 1 �a "6 ,ivyti ��, •�' =
,K_
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
TOTAL SQ. FT. TOTAL VALUATION
EBUILDING PERMIT N . PLANWE FEE REC'D _ RECEIPT NO.
PERMIT FEE PLAN CHECK FEE -- 15- PLUMBING FEE -- ' MECH. FEE s •
TOTAL FEES arc SBCC SURCHARGE `�' ENERGY SURCHARGE AMOUNT DUE ' 02. 43
BUILDING DEPARTMENT APPROVAL DATE - -
REMARKS: •
ASSIGNED ADDRESS: 357 ( 5 ( ( '' k e"`-_ 5 L,
RECEIVED ACCEPTED FOR FILING