91-101163 CITY OF FEDERAL WAY 9000(0;(0;
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. 91-1116 NR OWNER'S NAME EXECUTIVE HOMES SITE ADDRESS 1226 SW 317 ST
CONTRACTOR OWNER ADDRESS S 15 GRADY WAY RENTON CONT.PHONE 228-0639
CONT.REG.NO. EXECUI335N1 EXP. 1/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEWRESIDENCEXXX ADDITION NEW INDUSTRIAL NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER .AND GARAGE
TAX ACCOUNT NO. 416795-0300 LEGAL DESCRIPTION LOT 30 LAKOTA TRAILS PHASE 1
„--7e 1 2.BY ELIZABETH SNYDER DATE OF ISSUE _ /— f` DATE OF APPLICATION 8/20/91
vBUILDING INFORMATION
ZONE RS 7.2 SET BACKS:FRONT 20, SIDE 5'/5'/5, REAR 5'
HEIGHT LIMIT 30' MAX
OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N CENSUS NO. 1.01 TYPE OF HEAT GAS BLDG.SQ.FT. 1825 _STORIES 1
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 2 ELEC.HOT WATER HEATER GAS PIPING 45 FT. 2.00 GAS LOGS
RECEIVED
BATHTJJBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACErrnn"'S 10.00 DUCT WORK
SHOWERS URINALS _ GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES 2 DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS . 1 MISC. BBQ BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 9 X $5.00 DRYER _ TOTAL MECHANICAL 18.50 AMOUNT NONE
VALUATION 86,6 6 3 PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $581.00
PLAN CHECK FEE 378.00 ----118.50 "NO TREES - SLOPES TO THE WEST"
•LUMBING FEE 45.00 FIRE/BLDG DEPT APPROVAL = MIKE MONEN
MECHANICAL FEE 18.50
PART P/C FEE (259.50) --PD 8/20/91 PUBLIC WKS DEPT APPROVAL = TOM COLLINS
SEPA REVIEW "ALL BUILDING DOWNSPOUTS, FOOTINGS AND DRAINS FROM ALL IMPERVIOUS
PUBLIC WORKS 45.00 SURFACES SUCH AS PATIOS AND DRIVEWAYS SHALL BE CONNECTED TO
S.B.C.C.FEE 4.50 THE APPROVED PERMANENT STORM DRAIN OUTLET AS SHOWN ON THE
FIRE FEE DATE: i 2 APPROVED CONSTRUCTION DRAWINGS"
OTHER FEES AMOUNT: 812.50
AMOUNT DUE $812. 50 RECEIPT: Li(-7i-/
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.TRUETRAND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. � � /r.-/L
OWNER OR AGENT ��'v 1. ' ' ,-,.4 / �q'�
DATE
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION
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.SO.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 g6 ', 6' PLANNING DEPT APPROVAL DEF VRKEi
PERMIT FEE "NO TREES - ELOPES TO TEM WEST"
PLAN CHECK FEE '1.8.50
PLUMBING FEE FIRE/BLDG DES APP1 OVAL a MIKE MONEN
MECHANICAL FEE _
'D 8/20/91 PUBLIC WKS DEPT APPROVAL = TOM COLLINS •
PART P/C FEE
SEPA REVIEW "ALL BUILDING DOWNSPOUTS, FOOTINGS AND DRAINS FROM ALL ;`7- V O3JS
PUBLIC WORKS - -- SURFACES SUCH AS PATIOS AND DRIVEWAYS SHALL BE CONNEt 'r< r) o
S.B.C.C.FEE pPROVED PERMANENT STORM DRAIN OUTLET AS SRO 1 OF TUE
FIRE FEE - DATE: APPROVED CMSTPUCTION DRAWINGS!
OTHER FEES -- - AMOUNT:
AMOUNT DUE - RECEIPT: 4,
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_/ BY_../)V DATE // BY /'?LSI ......._..... DATE _-__...____— .___..BY
PLUMBING ROUGH IN WATER LINE O.K. _..._.. / MECHANICAL INSPECTION
....._ GAS PIPING O.K. ela'c'[ 4 Z..�V DATE 5--�: 2BY if-
(al)lV.
DATE y/�L_�...-/�BY �/;,.'. _.. )
O.K. TO(/ENCLOSE FRAMING / INSULATION WALL BOARD,rAND FIRE WALL
`�
DATE 7/2�j/ 7i BY K:4/ —.... DATE .....c-/L-92- G-N ) DATE 774.. .PZ
FINAL O.K. TO OCCUPY
‘". 7")2-
DCD PSD FD
DATE lo `�-YZ .BY__...673_
frfirv` /sifil.l`it e _
/4 -`"1/ 12' v'e.cAL-11 7 xr c rpt / G
RECEIVED
• Perri # q ( _/ ( ( L Nk
AUG 2 0 1991 CITY OF FEDERAL WAY
5-6
ILDING PERMIT APPLICATION 2-6--61-• VIP BUILDING DEPT.
- Please Print-
BOX 1 TENANT NAME:
OWNER EXe(2 Lit y 1) 6 Ho„n e,-.) SITE LOCATION 6 i..0 3 'ik" k- :. iqi1 c. < l
OWNER'S ADDRESS,.. i 5'c�;- : , ,;y CITY t---e-.
DESCRIBE JOB Ai e...4 Loi:#, t , 64.A. PHONE _ "�"� �-, �` `
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Sct.wt CONTRACTOR'S REG. #6x. CE) / 33i-Ai 4
Card MUST be presented
CONTRACTOR'S ADDRESS 54.-t'__-, CITY PHONE
EXPIRATION DATE / - t 72-
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`C tr C-ekX i.i te_ PHONE .A-c.: "('4.7- gi
BOX 4 SEWER DISTRICT PC/ r WATER DISTRICT fel 1---. l/
BOX 5 ESTIMATED PROJECT COST 76 000 EXISTING BUILDING VALUATION I /j 14
BOX 6 PROPERTY TAX ACCOUNT NUMBER 'i 1 6.7-71S 0 300 4A
LEGAL DESCRIPTION Lo# 30 L..."..4 -0-1-a- —fir—.i I j ?kA-6e j
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR il'12- / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE a' /
BOX 8 (y,„) SINGLE FAMILY (X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 70'? O SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES - BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET 44SS $ Joc
Z BATHTUBS NO. % FURNACE, ELEC. GASX $ //ier'
SHOWERS / GAS HOT WATER HEATER $ L 5e
y LAVATORIES CONVERSION BURNER $
P 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 $
-TOTAL FIXTURES $
4/ceie TOTAL MECHANICAL FEE $
t.'i..r,-it'll' 'iii—
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 AC URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: 7 ( A-1....�',-.- DATE: �� _ ��
/�
ANP-008 3/90
IP •
. , r '
,.
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ,F '•
ZONES 4'1 SETBACKS: FRONT ' SIDE 5' REAR 5 ' HEIGHT LIMIT 3 C'' '
PLANNING DEPARTMENT APPROVAL 6/2/4?/
REMARKS: r-e� .: Gsp /t
(No f
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL ,7.7/cJ--=-. , 72Z4.- DATE //6,f 7l
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL �Z DATE g/3 /P/
REMARKS:''' 1.,L,ai_7/,v4- l7vu/A1sAId/x7S/ Fo-CEPA14--"5, ALAI,' /14P-'//S ,C)12.0,14 Ate -Zi1i�F"VIUt-4-S f2AirF,*-F�
s"e AS , ZDS 4vz2 Dine✓6..,,4-f5 f 7 77, 741 /1, , .0d.�� / ', 4u4
4'9--44,-t ,ei9-z .f 72- As SI LtJ� e.3N TIS ,4 ?Z / _, GO,,l ST70,4e-T re,./ 7-,,,,,4„,,,,,,,. ..-cc-
TYPE
,.`, -'%/� .(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 RVr», TYPE OF CONSTRUCTION vA/ STORES /i12
/5" 'L ✓ BUILDING SQ. FT. //76 @ 2a 9a = �/ ( I -8d
C�ArGig� BUILDING SQ. FT. �.3) @ /T 30 = //S8'3, y0
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ = 98 yS0 . .70
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ 01,,gei X . ei< =
TOTAL SQ. FT. /"a 5 9 TOTAL VALUATION h'6, 6 3 . D a
BUILDING DEPARTMENT REMARKS: PERMIT FEE 6, / f 't
PLAN CHECK FEE \\6 3 7g
PLUMBING FEE tic `-c)
MECHANICAL FEE / 34'
TOTAL BLDG. FEES /D-Od�5o
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE y So
OTHER FEES i/ ? 5C
AMOUNT DUE
ASSIGNED ADDRESS: / - z& S. 1-J, 3 17 ' S 7`
RECEIVED
AUG 2 0 1991 PARTIAL PLAN CHECK FEE RECEIVED
CITY OF FEDERAL WAY Amount 2-51. YZ Date g 'el() - if Receipt#
BUILDING DEPT:
BUILDING DEPARTMENT APPROVAL
RECEIVED BY /7/ar c ///,y L DATE 7ft/9/ ACCEPTED FOR FILING