92-100096 9a /O0 69(P
CITY OF FEDERAL WAY
33530
Federal FIWay, WA 98003 rst Way South BUILDING PERMIT BUILDING INSPECTION661-4140
PERMIT NO. 92-0037 RA OWNER'S NAME SIMON YOUNG SITE ADDRESS 31003 39 AVE SW
CONTRACTOR C & B MASONRY CONST ADDRESS_ 4205 BROWNSPOINT BLVD NE TACOMA CONT.PHONE 838-3746
CONT.REG.NO. CBMASC1107L6 EXP. 6/92 OWNER'S PHONE 874-3691 OWNER'S ADDRESS SAME AS SITE
TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL_ COMMERCIAL ADD INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER ADDITION OF GARAGE/DECK/AND LIVING AREA
TAX ACCOUNT NO. 758200-0130 LEGAL DESCRIPTION LOT 13 SCHADE PALISADE BEACH ESTATE VOL 68 OF
PLATS PGS 51/52 IN KING CO WASH 1
e9/4
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE l DATE OF APPLICATION - 1/10/92
BUILDING INFORMATION
ZONE RS 15 -SET BACKS:FRONT 20' SIDE5 /51 REAR 5' -HEIGHT LIMIT 30' MAX
OCCUPANCY R3 _ _TYPE OF CONSTRUCTION 5-N CENSUS NO.434 TYPE OF HEAT EXISTING BLDG.SO.FT. 1308 STORIES NA
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 NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $41,403 - PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $363.00
PLAN CHECK FEE
236.00 FIRE DEPT APPROVAL = NA
LUMBING FEE PUBLIC WKS DEPT APPROVAL = RON GARROW
ECHANICAL FEE
PART P/C FEE - "RUNOFF FROM THE ADDITION SHALL BE DIRECTED TOWARD THE STREET AND
SEPA REVIEW 35.00 NOT TOWARD THE BACK YARD"
PUBLIC WORKS 4.50 BLDG DEPT APPROVAL = KEVIN ELLIS
S.B.C.C.FEE
FIRE FEE - DATE:
OTHER FEES AMOUNT: $638.50
AMOUNT DUE $638.50 RECEIPT: flE1-
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 C RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
r.
OWNER OR AGENT Ok_diLrt- C9-sC-9-o DATE_ - - •)
CITY OF FEDERAL WAY
33530 First
Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION
Federal 661-4140
IPERMIT NO. _ OWNER'S NAME _ SITE ADDRESS j
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
IllNESET 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 y� TOTAL MECHANICAL AMOUNT
VALUATION r
PERMIT FEE
PLAN CHECK FEE _
PLUMBING FEE
MECHANICAL FEE
SAT P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES AMOUNT:
AMOUNT DUE RECEIPT:
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
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE 3 30 BY DATE BY DATE BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE BY GAS PIPING O.K. DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE 5/2"/A13Y 672/ DATE 522E1'24.7:By DATE 4,Z5.-/,6BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE "2 .BY /75
AZ5
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fr 5411F. -
,9Ae,A.0,-•6Sci 1 s' ‘012
• • ,
• Perm # / 2 —�11� -s7 A
RECEIVED
JAN 1 J 1992 CITY OF FEDERAL WAY
0MOFFEDERAL WAY BUILDING PERMIT APPLICATION
BUILDING DEPT. —Please Print-
BOX 1 TENANT NAME:
OWNER /i<-fes' )/ SITE LOCATION ,3/0(.23h 3 391 ' AW S c&)
//2
OWNER'S ADDRESS - ,?- 33'7 APE- 571i) CITY r4LLd4-v PHONE 53 -
DESCRIBE JOB 1-OD<r-40W -/D ECI N/ t'E7374t e
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME I -t fh DSwN f'v/ LoN ST- /4c . CONTRACTOR'S REG. #
/` A/£ Card MUST be presented
CONTRACTOR'S ADDRESS `7 2v s /5'�4"5,4,nTi« CITY 7Ae " PHONE -"3"7 4'c
EXPIRATION DATE - 3 -92_
- 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. et�%�i4Sc: /i��L(n
BOX 3 CONTACT PERSON (/0'-Tok_ GAVANQLe-6 PHONE7.�`$-3 7`/cp
BOX 4 SEWER DISTRICT F OL---A 4-r- WATER DISTRICT �+
BOX 5 ESTIMATED PROJECT COST 4d,oa-a. - EXISTING BUILDING VALUATION c:: C--29/ewe, a
BOX 6 PROPERTY TAX ACCOUNT NUMBER 7S 20D - p l 3 0 -- 04.
LEGAL DESCRIPTION "--or /3Se-0-64-19-6- t 7E4-cam -,A-tc , Vij L 6$'op-PLA-1,
PA4Es s/ 4' r2 KIN/ AP_ WA- _
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR//90 / — 2ND FLOOR /?73 /
--
3RD FLOOR • / -- BASEMENT o / — DECK /��/ •= ,/e., Z
GARAGE 40 /
BOX 8 (x) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY / �,14's'0 SQ FT 6T1-t .E.
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES- BASIC FEE$
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 ; IPATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDINO'THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE aITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT `� � = DATE: (uI'u /0 /y? '
ANP-008 3/90
0 •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE-j: '1' -(-SETBACKS: FRONT `1 SIDE 5 ' REAR 51 HEIGHT LIMIT 3o (
PLANNING DEPARTMENT APPROVAL 1/049/F)-- 025
REMARKS:
SEPA: EXEMPT V NOT EXEMPT
FIRE DEPARTMENT APPROVAL ,J/ DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 2, DATE I`/6/9 Z
REMARKS: vft,,f„,- �� tr-014,..i- ..t __*.wpoak��,•e� n ,�
Alc- _ R.:,C[vf ?-.t.On 71te- *Q 0+Pc,I 9(b4- AC
D;2t-c-,Z---J "Tr,.-M4O 71t-E ; rie((- ,F Kp ,vc r Tr X4-,2 D floe t3/IC K Y 4 D
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT A' NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION U/1/ STORES
LAO, 4 e BUILDING SQ. FT. 5 46 @ ii.- 30 _ `NI /. °
De K. BUILDING SQ. FT. ,' @ (0 - 0 = zit-lo
(1VUIt BUILDING SQ. FT. `'{ A @ 7Z - c(0 = 3'1 /l7' W
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ ,JJ =
BUILDING SQ. FT. @ A400400� (flex' _` = 0, g$
TOTAL SQ. FT. TOTAL VALUATION 9 ( '10 3 c 1 Z
BUILDING DEPARTMENT REMARKS: PERMIT FEE X63
PLAN CHECK FEE Z-)b
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
,°v Fe 33-.Go
S.B.C.C. FEE q` ,So
OTHER FEES ! ,r
AMOUNT DUE l�
ASSIGNED ADDRESS: SCr- C-1(( S ntk q
PARTIAL PLAN CHECK FEE RECEIVED
RECEIVED
Amount Date Receipt#
JAN 1 0 1992 BUILDING DEPARTMENT APPROVAL q
OF FWAY BY ZO DATE l 7 ACCEPTED FOR FILING
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.4 4+ ` IN HEIGHT REQUIRE ENGI a:"I DESIGN
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CONFORMING TO SOIL CONDITI�+NS FOUND
Z (- ON SITE.
DESIGN TO HAVE REGISTE �NGINEER'S
• STAMP,SIGNATURE&CALC�'
ARCHITECTIDESIGNER M DESIGN
P-- I
DIRECTLY ON PLANS.
3
\ ONTRACTOR SHALL VERIFY THE PROPERTY
IE
I `� UES AND SETBACKS FOR THE PLACEMENT OF
d- 1/ .11,
-'— -' J Z THE STRUCTURE AUTHORIZED BY THIS PERMIT.
..n-CID_____ -i- — —-I-IF I t ,. E
..„ -------4-\\‘
,�� I Z-� THERE ARE TO BE NO DEVIATIONS
I -� TO THE APPROVED DRAWINGS
FIECE
UNLESS C�1'ME IWIS{r APPROVED BY
' � THE FERE A6 WAY SIT ING DEPT.
JAN 101992 t
., �Y