91-100990 g) , )an590
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
4
PERMIT NO. 91-945 NR OWNER'S NAME NORTHWEST HERITAGE GROUP JOB ADDRESS 1214 SW 317TH STREET
CONTRACTOR NORTHWEST HERITAGE GROU$,DDRESS 1011 E MAIN ST RM #204 PUYALLUP CONT. PHONE 841-4000
CONT. REG. NO. NORTHHG13700 OWNER'S PHONE 841-4000 OWNER'S ADDRESS 1011 E MAIN ST RM #204 PITYALT.ITP _
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._ 416796-0090 LEGAL DESCRIPTION _ LOT 2 T.AKOTA TRAILS PHASE II
ISSUED BY JOANNE JOHNSON DATE OF ISSUE `i/ -91 DATE OF APPLICATION 7-16-91 410
BUILDING INFORMATION
ZONE RS 7.2 _ OCCUPANCY R3 TYPE OF CONSTRUCTION _ VN BLDG. SO. FT.
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 20+. FT OO BOILER
RECEIVED
BATHTUBS 2 LAUNDRY DRAINS _J COMPRESSOR TANK(S)
SHOWERS 1 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER
LAVATORIES 4 DRINKING FOUNTAINS _ GAS HOT WATER HTR. _6_ri0 MISC
SINKS 7 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES14X5 70.00 UNIT HEATER TOTAL MECHANICAL 18_50 AMOUNT
VALUATION 142,671.41 PLANNING DEPT APPROVAL: LOT SIZE APPROVED ON PLAT. 7-19-91 DB
PERMIT FEE 790.00
PLAN CHECK FEE 143.50 514.00 PUBLIC WORKS DEPT APPROVAL: ALL DOWNSPOUTS, ROOF AND FOOTING DRAINS SHAL•
PLUMBING FEE 70.00 BE TIGHTLINED TO AN APPROVED STORM DRAINAGE
MECHANICAL FEE _ 18.50 SYSTEM. TC 7-25-91
TOTAL BLDG. FEES
PART P/C FEE (370.50) FIRE/BUIDING DEPT APPROVAL: MM 7-29-91
DATE: 1_'1/-q7
SEPA REVIEW
WATER SERVICE AMOUNT:
$1.066.50
WATER MAIN CHG.
S.B.C.C. FEE J 4.50 RECEIPT: 7) 0 /
OTHER FEES i/eWL' 40.00
AMOUNT DUE 1,066. 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 /I: ,
OWNER OR AGENT ^�'1swam. DATE A -. 2 l f ill I
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 REARSTORIES 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
—
44A1.4IMG i3¢;k i rL.'4e1,,3VA>t,: LOT SIE APPROVED ON PLAT.
VALUATION
PERMIT FEE
PLAN CHECK FEE J C WORKS DEPT APPROVAL: ALL DOWNSPOUTS, ROOF ANL v..n: n_....,1 ,:.,1.:
WUMBING FEE BE TIC;HT?'.ITIT:5'1, TO APPROVED ST(
CHANICAL FEE ___— SYSTEM. `!"C 7-25-91
TOTAL BLDG. FEES Y 1 7 —9
PART P/C FEE — RS T UiDI_ G DEPT APPROVAL:A
SEPA REVIEW
WATER SERVICE LMO NT; _....$1,:.3.6.s. ,0_.__.
WATER MAIN CHG.
S.B.C.C. FEE .r` T "t''
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:
nWNER OR AGENT DATE
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RECEIVED Permit #
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J U L 16 1991
art Of�FeueNAL WAY CITY OF FEDERAL WAY (�'-
BUILDING DEPT. BUILDING PERMIT APPLICATION
— Please Print-
BOX 1 TENANT NAME:
OWNER y1 01.Qu.1 kul 1401l-fl direr P.SITE LOCATION I,DT i tAK errs r► lse I--
OWNER'S
OWNER'S ADDRESS IDI U 0 11tr►0 ST . ILK*'tom{ CITY NI*. P PHONE 8'41••••tOCDCY
DESCRIBE JOB 1704/A" PA-t4 CL-GS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION 1- ----
BOX 2 CONTRACTOR'S NAME 3Jii-1, 0(2-t'(1kl. C - . err CONTRACTOR'S REG. #(.aol(L.-Wt 1-k(-7-i31 0
I F)'3 j-Z Card MUST be presented
CONTRACTOR'S ADDRESS 1011 4A' -1 CITY ii..V6414VI)r PHONE bit 1-1-bo4
EXPIRATION DATE 14-1
— 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 '151 .t-- WPes N e:7>U124-- PHONE $ -k 1-`t C)
BOX 4 SEWER DISTRICT tt7 \LI A/ WATER DISTRICT U 0 V✓AY
BOX 5 ESTIMATED PROJECT COST 14c EXISTING BUILDING VALUATION 0
BOX 6 PROPERTY TAX ACCOUNT NUMBER ii ! 4> 7 G
LEGAL DESCRIPTION L • . I.-AR-0-14v -1"0--A%L-.4 rl-tRSC _
4 — 7 i -Z.k t--% peke 'tai. r'\ FED\/jAl V.(ti f.-o, L.Ji.I
(If necessary, please submit a se arate page with the le al description.)
K.C. Plat Recording # q1(..,411 4 5
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / t1 be-, 2ND FLOOR "\`5 /
3RD FLOOR / BASEMENT / DECK / GARAGE / 44,
BOX 8 ( ,.4--SINGLE FAMILY ( <NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY P 1 n 1 1 SQ FT
BOX 9 PLUMB1 G FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $ CC
Z BATHTUBS NO. ( FURNACE, ELEC. GAS `< '$ 164
SHOWERS \ GAS HOT WATER HEATER $
4 /iso
LAVATORIES CONVERSION BURNER $
f_ 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 $
-F TOTAL FIXTURES $
x g°`' - 70 d 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 EMPLOYEE PON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ,i* 0 -
t DATE: 1�
I ,
ANP-008 3/1
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEe2. SETBACKS: FRONT A` SIDE S( REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL ill / 'II 1;4.4.14,-
REMARKS: � 5/u ` o t
SEPA: EXEMPT V.
NOT EXEMPT_
FIRE DEPARTMENT APPROVAL ñ7'&_ mane L DATE 7/G/419/
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL TL DATE 7-25--Ti
REMARKS: ALL poi.✓MS�a,,-rS/i204F, AA/ , Q7'A/4 S dz.
T A-Al /.�,.-O V ST7J..e.M o�2�i�✓.4�r c SyS,r 4
TYPE OF JOB: NEW RESIDENCE X RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY R3 /ori TYPE OF CONSTRUCTION G'/t/ STORES ALI()
'` goo, BUILDING SQ. FT. t 16 d @ 7°'9 = gy i e`/.00
BUILDING SQ. FT. 9-63. @7C `ro = 406-Od
�,ava9s� BUILDING SQ. FT. y @ /S73°. =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ = (a tae.,OD
BUILDING SQ. FT. @ i 1d Jie( X = _
TOTAL SQ. FT. a- TOTAL VALUATION I Sia 6 7l• y/
BUILDING DEPARTMENT REMARKS: PERMIT FEE 770
PLAN CHECK FEE
PLUMBING FEE 76
MECHANICAL FEE __—
TOTAL BLDG. FEES /?5 .
PART P/C FEE
SEPA REVIEW
F 4 D
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: )2-1 9 S S '`r
PARTIAL PLAN CHECK FEE RECEIVED �p
Amount 3-71-1), ST Date 1 'I 19-5 J Receipt# `7 0
BUILDING DEPARTMENT APPROVAL
RECEIVED BY /7i ti DATE 7, moi// ACCEPTED FOR FILING