90-100929 CITY OF BUILDING INSPECTION
FEDERAL WAY B I LD I N G 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
PERMIT FEE
PLAN CHECK FEE .PLAN REVIEW FEB $244.00 + ADDITIONAL PLAN REVIEW TTME AT 2 HRS 4 i 30.O f',
.'LUMBING FEE
MECHANICAL FEE _
TOTAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
. FEE
OTHERFEES DATE PAID ) AMOUNT $604.50 rRECEIP
OTHER ._.._.�...__...._... ...
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 BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT
(o/s)
vart..p
PERMIT NO. 90-0522 OT OWNER'S NAME PEOPLES SELF STORAGE JOB ADDRESS 34202 16 AVE S
CONTRACTOR COMMERCIAL SPRINKLER ADDRESS POB 2764 RENTON CONT. PHONE 747-3623
CONT. REG. NO. COMMESC123LO 8/27/91 OWNER'S PHONE OWNER'S ADDRESS 2520 39 PL S KENT 98032
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 INSTALL UNDERGROUND FIRE MAINS
TAX ACCOUNT NO. 212104-9017 LEGAL DESCRIPTION NW-21-21-4
ISSUED BY ET.T ZARF.TA SNYDER DATE OF ISSUE 2 — / 3 -t/ DATE OF APPLICATION 5/4/90
BUILDING INFORMATION
ZONE NA OCCUPANCY NA _ TYPE OF CONSTRUCTION U/G FIRE LINE _ BLDG. SQ. FT. NA
SET BACKS: FRONT NA SIDE NA REAR NA _ STORIES NA HEIGHT LIMIT NA
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 NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT _ NONE
VALUATION 44,000.00
PERMIT FEE 376.00
PLAN CHECK FEE 304_00 --._. . . .PLAN REVIEW FEE $244.00 + ADDITIONAL PLAN REVIEW TIME AT 2 HRS @ #30.00 HR
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES $680.00
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4.50
OTHER FEES DATE PAID e:: — / 3 - 47/ AMOUNT $684.50 RECEIPT
AMOUNT DUE $684.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE z172....___06, _
' ,...)/
`�
OWNER OR AGENT = „4--0 '�''NDATE �/
Permit # 9 5 .Q -
•
CITY OF FEDERAL WAY (6)
BUILDING PERMIT APPLICATION
OS) - Please Print—
BOX 1 TENANT NAME: Pr,opt-iaS jL��Lt- -�I tr>I�yL-7,i' 17- _4, La. i-./
OWNER `3N T C-I-toi.:G1. SITE LOCATION s' Z01 )(;j' 4,.j `, F L.,,, •-,/
OWNER'S ADDRESS ZS-Z-.0 `'+a ., CITY `//l'�'T PHONE `/Pc. 12--
DESCRIBE JOB IN STvi_.. ()rub)n_A12400,:.ryF-�r2 14.r tics
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME (-0t'Y1tal1Ze i/1L- SFFZlitvt-t..tz.IL Ccs CONTRACTOR'S REG. # C'AliVI.SC. i2346
Po Card MUST be presented
CONTRACTOR'S ADDRESS I_ - 1 :1. Z. _.r--,(_)_, _ ( CITYR JTv1v PHONE"
EXPIRATION DATE Ji,, 1 T4' Ai1 � -']-
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON t Rz. 2 Al. ►t rt_ PHONE2-7-1-
BOX 4 SEWER DISTRICT '% LSA Y WATER DISTRICT _t/is) 4-1,4Y -"42 -..1G-2 -
BOX 5 ESTIMATED PROJECT COST'*5O,C)cD 0 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 4-0 1b4--- (1 , /
LEGAL DESCRIPTION ..:.`)#1/4-; PL.Aus � l
Lk t ,-) 1 --__)--(- 4
1
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ✓'NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
(.4'COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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 MYKNOWLEDGE
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 CLAIMOCLUDING 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 0T OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO T E CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: / GJ7'9 DATE: 5/ j/_. —
ANP0083/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: 4A-
SEPA:
EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL (�/^ A DATE
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 TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _ ,SCSI oo o
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @ /AGO(( c e_V = 0 - S2
BUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION 1'9 I ®° o
BUILDING DEPARTMENT REMARKS: fl‘eVrs ta/,LS Ada UA.t` ti3 ?.6. Oo
PERMIT FEE
t C3-'-L6 to 7 t 0-S /1'1 (.v d (]�"(ti ,cct I PLAN CHECK FEE 2 yeG` O o
f 1&t&\ re V i€_t,/ P-- .e. el 55e-55 LU RANI FEE 0 r ^`r4
� ® �' ECHANICAL FEE
TOTAL BLDG. FEES 6-2_0 ob %,( j
PART P/C FEE 40
SEPA REVIEW o
S.B.C.C. FEE y` o
OTHER FEES U
AMOUNT DUE G f`(' So
ASSIGNED ADDRESS: S e_ C.K (S /-(I'V
RECEIVED-
MAY 41990 PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
PERMIT 41 =_S
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE 9- S 'FO ACCEPTED FOR FILING