91-101822 9)-to i gD)
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
#101
PERMIT NO. 91-0052 NR OWNER'S NAME DARREN & JUDI JONES JOB ADDRESS 432 SW 316TH STREET
CONTRACTOR OWNER ADDRESS CONT. PHONE
CONT. REG. NO. OWNER'S PHONE 941-1119 OWNER'S ADDRESS 429 SW 216TH STREET FEDERAL WAY
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. 555920-0225 LEGAL DESCRIPTION LOT 45 MIRROR LAKE
ISSUED BY JOANNE JOHNSON DATE OF ISSUE • �' DATE OF APPLICATION 1-14-91
BUILDING INFORMATION
ZONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION _ VN _ BLDG. SQ. FT. 3354
SET BACKS: iRONT 20 SIDE 5 REAR 5 STORIES HEIGHT LIMIT 30
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 4 ELEC. HOT WATER HEATER 2 GAS PIPING __FT. 3.50 BOILER
_
BATHTUBS - 3 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. MISC
SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES"6X5= 80.00 UNIT HEATER TOTAL MECHANICAL 13.50 AMOUNT
VALUATION 175,265.38 PLANNING DEPT APPROVAL: NO BUILDING SHALL ENCROACH ONTO ANY BUILDING SETBACK
906.00 LINE OR EASEMENT SHOWN OR NOT SHOWN. APPLICANT
PERMIT FEE MUST TAKE OUT DEMOLITION OR HOUSE MOVING PERMIT
PLAN CHECK FEE 589.00 1 ( . ;"4- FOR EXISTING STRUCTURE REMOVAL. DB 3-13-91
PLUMBING FEE R0.00 FIRE/BUILDING DEPT APPROVAL: KC 2-26-91
MECHANICAL FEE _ 13.50
TOTAL BLDG. FEES PUBLIC WORKS DEPT ,APPROVAL: RG 2-26-91
PART P/C FEE (421.00) DATE: L- - C
SEPA REVIEW
WATER SERVICE AMOUNT: $1,207.00
WATER MAIN CHG.
S.B.C.C. FEE 4.50 RECEIPT: - 3
OTHER FEES 35.00
AMOUNT DUE 1,207.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
J.
I CERTIFY THAT THE INFORMATION FURN'I ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WI "I§E MET:
4,61,1
OWNER OR AGENT 'Zig ,_ ' DATE
CITY OF FEDERAL WAY
33530 First Way South BUILDING INSPECTION
Federal Way, WA 98003 DING PERMIT 661-4140
REVISION TO EXISTING PLAN F 9 —5
PERMIT NO. 91-0052 OT OWNER'S NAME DARREN JONES SITE ADDRESS 432 SW 316 ST
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. EXP. OWNER'S PHONE 141-- 1115 OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER REVISION TO EXISTING PLANS TO CONSTRUCT
TAX ACCOUNT NO. 555920-0225 LEGAL DESCRIPTION �j RESIDENCE
i /_ �r
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE - DATE OF APPLICATION 2/7/92
BUILDING INFORMATION
ONE SET 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 ON 91-52 DRYER TOTAL MECHANICAL 91-52 AMOUNT NONE
VALUATION _ BLDG DEPT APPROVAL = REVIN ELLIS
PERMIT FEE "2 HRS PLAN REVIEW OF REVISIONS @ $30.00 PER HR"
PLAN CHECK FEE $60.00
PLUMBING FEE
isliECHANICAL FEE
IRT P/C FEE
SEPA REVIEW - -
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES AMOUNT: $60.00
AMOUNT DUE $60.00 RECEIPT:
r
ALL PERMITS EXPIRE 180 DAYS AFTER ISSU• E IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT TH I •7MATION FURNISH-• BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. (Qj
OWNER OR AGENT F-16 0 i /�
f
fs tai`-- • DATE
Pipit # q/ ` cos- a_ .Vx
CITY OF FEDERAL WAYip,
to
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: ,t
OWNER IT, 41 SITE LOCATION
OWNER'S ADDRESS CITY PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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 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 ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE:
ANP-008 3/90
ICE USE ONLY (PLEASE DO NOT WRITE BELOW IS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
,/
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 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
:UILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
7i DS /9(4 /2e JI+ ,,J o lc /2eJf f'O - s ® 30 moo PLAN CHECK FEE 6Do0
oa PLUMBING FEE
f�Q.Y� 4 r 6oMECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: Se-R.— t.--K (S 7'at/
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE �` — Z
ACCEPTED FOR FILING
1
r Permit # �I l ' L �>�—'
RECEIVED r I-3 (
JAN 1 4 1991 CITY OF FEDERAL WAY
CITYQFFEDERAL WAY BU DING PERMIT APPLICATION
BUILD NG "'" ^
DEPT. ' i t - Please Print-
BOX 1 TENANT NAME:
OWNER 17/ F4Li11. 1J/ Jt&g 1 NbAk#44 SITE LOCATION 4r - ••1.0/t"ti 7
OWNER'S ADDRESS 1' �1 � I(O ` S 1CITY PHONE I/ L'i-
DESCRIBE JOB 101ftit00 S rK. ,_ .e- - YY ' L - ' - : -v
THE PROPERTY IS OWNED BY: SINGLE BRIE PARTNERSHIP CORPORATION % ti zctr;
BOX 2 CONTRACTOR'S NAME 41,t/KA°44.. - CONTRACTOR'S REG. # '
Card MUST be presented
CONTRACTOR'S ADDRESS 4 " *, CITY PHONE
EXPIRATION DATE
- 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 t'1 I*. • PHONE 'DO csi 1
•
(BOX 4 SEWER DISTRICT 6 % V WATER DISTRICT '�
BOX 5 ESTIMATED PROJECT COST '. 1, i; / EXISTING BUILDING VALUATION ,---' `
BOX 6 PROPERTY TAX ACCOUNT NUMBER ___ = '0P - 0 1.O- OL Z
LEGAL DESCRIPTION 1 Cl' 45' 'i LSO, A " .G!
pc(If necessary, please su it a separate page with the legal description.) " L' C � '.K.C. Plat Recording # _ ) r ( cf--.
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR Nee/� 2ND FLOOR _: y
3RD FLOOR / BASEMENT / DECK / (/5�..r-i- GARAGE - C
A----
BOX 8 ( - -'SINGLE FAMILY (-1--N-EW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY '1-4.-- S-0 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES - BASIC FEE$..
NO. 4- WATERCLOSETS GAS PIPING, FEET $ 3• C?
/
BATHTUBS NO. / FURNACE, ELEC. GAS '- $ (C1_- cc)
SHOWERS GAS HOT WATER HEATER $
4- 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 $
1 LO TOTAL FIXTURES $
N g c) d,) TOTAL MECHANICAL FEE $ /3- i-0
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 EMPLOYEE , UPON TH ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICA I,
14 i I 4 1 '
OWNER/AGENT:k v _ DATE: C ' r Gs , . , 'I'LL
l �t� ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE S 7,2 SETBACKS: FRONT a'01 SIDE r REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL -D 3J i 3h
REMARKS: 1\)0 $vii 16l►t5 ,gall -eAtcro c �,yt av►. 17LM1bit) 42e•GG1__ ki o✓ ,L9'M 9 t Shay' e'✓
no} Skec i. appli ca4 t fi-ed (e4l )I P,a(5-frt)9citsl
loop ((b1
"st4114-t-
fa k UL
( ti o)
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL •--. DATE 2- Z6
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL l✓C /c7-d DATE 2 "2.
REMARKS: 11. r>` j f- SST Aticriftt&riil CtVt( f fC rtte_ c s- 34/9r
y
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 CONSTRUC ION V/V STORES
Lfvt )r— BUILDING SQ. FT. /365 @ 4• (,,ge-a6 ' = 'r /(e7ir75
y BUILDING SQ. FT. 136 @ Cq '66 = f11/67(-75--
G0. qZ BUILDING SQ. FT. 62-'1 @ 17,30 = /07q5--, Z O
1U/ BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ L _
BUILDING SQ. FT. __ @ /IAodF =U ` If)
TOTAL SQ. FT. TOTAL VALUATION (73-2-35-`b 1
BUILDING DEPARTMENT REMARKS: PERMIT FEE q0 ,-`)v
PLAN CHECK FEE S `1 •O
PLUMBING FEE - 0 G
MECHANICAL FEE i 3 • s t7
TOTAL BLDG. FEES 15-9-S. S- 0
PART P/C FEE I
SEPA REVIEW
t� t r)4ty-t• 3,j, 44.)
S.B.C.C. FEE `� S o
OTHER FEES
AMOUNT DUE
/.20 '7, 03
ASSIGNED ADDRESS: 13 z- S • 1-4)- 3(6 �` S
PARTIAL PLAN CHECK FEE RECEIVED
Amount 4-) Date )-14'--q) Receipt# I /1(/
7-
BUILDING DEPARTMENT APPROVAL
RECEIVED BY r DATE - ' ( I ACCEPTED FOR FILING
• t 443-`f Permit # DOSo?
CITY OF FEDERAL WAY „J R
BUILDING PERMIT APPLICATION I"
—Please Print—
BOX 1 TENANT NAME:
OWNER brreecki c saiDiJoKer SITE LOCATION 432_ Sty?
OWNER'S ADDRESS 421 S)2 31(042= CITY lC tZi t 1A--:1"( PHONE 6141
DESCRIBE JOB 't.: n I- /t' , 0111,s;.“ ) RAy id/Wd w; S 'az,/ l.v,K: 4 A4e4 ,( i"
THE PROPERTY IS OWNED BY: SINGLE RRIEDi PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME to •e1t4i2 • i _ ) .,i - es ONTRACTOR'S REG. #St`�p' CD9s q
SES — �.) 'Card MUST be presented
CONTRACTOR'S ADDRESS `, &X 9/47 CITY 719.1-4/4/43,0 PHONE 77.0 S'51
EXPIRATION DATE 7— /7-92--
— OR—
I
9-9Z—
— 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 £ '4-16- 6' # r/ S PHONE 77f2_/f1�
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUM ER SSSJ
LEGAL DESCRIPTION L.E-�1 I rrCf�-
(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
( ) 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 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 HARM LESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AN' DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FED AL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND E • OYEES, UPON T, ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE: Afw 3 /f 2/
ANP-008 3/90
fi
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 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. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
REVISION
RECEIVED AMOUNT DUE
NOV 251991
PERMIT# ASSIGNED ADDRESS:
+ t=SIGN
PECE611ED
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
PERMIT#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING
- CITY O F FEDERAL WAY Ka/'r2�li✓2c'--e - 9 `> i'f33530 First Way South � BUILDING INSPECTION
Federal Way, WA 98003 B I L D I N G PERMIT 661-4140
PERMIT NO. OWNER'S NAME SITE ADDRESS
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
ZONE SET 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 - _ - TOTAL MECHANICAL AMOUNT
VALUATION BLDG DEPT APPROVAL = KEVIN ELLIL
PERMIT FEE "2 HRS PLAN REVIEW OF REVISIONS @ $30.00 PER He
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
PART 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
-.CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
_
f .L.4-3IS <?- -cc9
•
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
SUED BY DATE OF ISSUE 6 -(Q- q 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 „'11-1 • ..47,PT APPROVAL: NO BUILDING SHALL mzoloACf+ ONTo ANY BUILDING S ' i R. -
LINE OR EASEMENT SHOWN OP NOT SHOW. APPLICANT
PERMIT FEE MUST TAKE OUT DE LI O OR ROUSE M VINO PERMIT
PLAN CHECK FEE FOR EXISTING STRUCTURE REMOVAL. 7R- 3--1
•LUMBING FEE EfE/31JIGDING TM!PT APPROVAL: EC , 2_,2(i-- s
MECHANICAL FEE
-
TOTAL BLDG. FEES LIC WORKS DEPT APPROVAL. RG 2-26
PART P/C FEE ATE: --.-..-. __. r____
SEPA REVIEW
WATER SERVICE ',MOUNTI ___,7`_1.r' 07.00
WATER MAIN CHG.
S.B.C.C. FEE ECEIPT
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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