92-100076 CITY OF FEDERAL WAY 9)- it)66-20
33530 First
Way, W 98003 BUILDING PERMIT BUILDING INS 1
FederalON
661-4140
PERMIT NO. 92-0027 NR OWNER'S NAME NORTHWEST HERITAGE GROUP _SITE ADDRESS 1203 SW 318 ST
CONTRACTOR NORTHWEST HERITAGE ADDRESS 1011 E MAIN ST #204 PUYALLUP CONT.PHONE 848-6606
CONT.REG.NO. NORTHHG13700 EXP.9/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
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 . . .AND GARAGE
TAX ACCOUNT NO. 416796-0330 LEGAL DESCRIPTION LOT 33 LAKOTA TRAILS PHASE 2
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE 1— 7- q DATE OF APPLICATION 1/8/92
IliBUILDING INFORMATION
ZONE RS 7.2 _ _SET BACKS:FRONT 20' SIDE 51 /5' REAR 5' HEIGHT LIMIT 30'I MAX
OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5–N _____ CENSUS NO. 101 TYPE OF HEAT GAS BLDG.SQ.FT. 2200 STORIES 1
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 2 ELEC.HOT WATER HEATER GAS PIPING 32 FT. 2.00 GAS LOGS _-
BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACEGAS 10.00 DUCT WORK RECEIVED
SHOWERS 1 URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT _ NUMBER
LAVATORIES 3 DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS 2 _ MISC. BBQ BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 12 X $5.00 DRYER TOTAL MECHANICAL 18.50 AMOUNT NONE
VALUATION $121,915 PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE _ $717.00 FIRE DEPT APPROVAL = KEVIN ELLIS
PLAN CHECK FEE 466.00 $129.00 PUBLIC WKS DEPT APPROVAL = RON GARROW
.LUMBING FEE 60.00
MECHANICAL FEE 18.50 "ALL DOWNSPOUTS AND IMPERVIOUS SURFACE AREAS SHALL DRAIN
PART P/C FEE (337.00) ---PD 1/8/92 TO THE APPROVED STORMWATER CONNECTION PER THE APPROVED
SEPA REVIEW #4445 PLAT CONDITIONS"
PUBLIC WORKS 35.00
S.B.C.C.FEE 4.50 BLDG DEPT APPROVAL = MIKE MONEN
FIRE FEE DATE: /-''Z-7 "q ,..2.-
OTHER
ZOTHER FEES AMOUNT: $964.00
AMOUNT DUE $964.00 RECEIPT: (Ls g
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 INFO'�//�1 . ON FU'A HED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
A�, gi I
OWNER OR AGENT .4. ,... ;u DATE L _L-
•
CITY OF FEDERAL WAY
' 33530 First Way South ECTION
Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION
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 _______ -YPE 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
PERMIT FEE
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_
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE . ).413Y_.... DATE 2-6-- 92._ ...BY ..._.. DATE ___ BY
PLUMBING ROUGH IN WATER LINE O.K. .__ MECHANICAL INSPECTION
DATE 3"_. _t'Z BY_/7$ ___ . GAS PIPING O.K. 3-76.--1"•2C-'-") DATE 3-6 y'z ____BY ..
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
,--...7.)//3/ 2-13-Y� �J
DATE .._3`/U -9Z BY �-....... _. DATE �/u� _ DATE 5-97--L j.-9Z=.: BY )65
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE 4/477-
11_...../_f---........ BY_ /73
2 -/5 4 ?// x , o, _ /73
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' kLLiL_-----� -SAN 21 9 �,�,p� 1992 �
h1/u1 i 121'C�l� 1XC�1 E 7 6U1L p E9 L VV4 '/%
fLi'‘'A 1,t,L1? Wi-1 . `117".1 2... i . -- ,
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• Perm. ).- 'OO
JAN 8 1992 CITY OF FEDERAL WAY 1-----1 (2------
°Iry OuF��FEy�M�wAY BUILDING PERMIT APPLICATION
a
` UI DING DEPt — Please Print—
BOX 1 TENANT NAME:I10okT1t W�s-r ��R►-c c GROUP ...N G•
OWNER ('10`R- 1}t*J6ST 1r�Ek0.11A GEr _GAM!SITE LOCATION L01 #}-33 LAK014 TRAILS 1L
OWNER'S ADDRESS 1D`k G,P141 h Sr' . ST. w04-1. CITY Qv94 cLU P PHONE 241$—(01.04
DESCRIBE JOB Mr U) 5%x16 Ls FRM\1.4 R eer S lDFs-tvc.E
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION )C
BOX 2 CONTRACTOR'S NAMEINTA. CONTRACTOR'S REG. #f1446 MOO
Card MUST be presented
CONTRACTOR'S ADDRESS %O\I 6. 0114.1A 'S1 &-r. .0y ciTYN`i Au-u f PHONE % 49'4 444
EXPIRATION DATE 9 l e t 9 .)►
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING EFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON est LA- WR5Wg3 g.t b PHONE $4S7^4.1r 040
BOX 4 SEWER DISTRICT b .AL._`di WATER DISTRICT �rE5)6f AL l.A...149,
BOX 5 ESTIMATED PROJECT COST 11000 EXISTING BUILDING VALUATION 0
BOX 6 PROPERTY TAX ACCOUNT NUMBER 416 IS Io _ 033--"0
LEG L DESCRIPTION vb - 3 `_,_ • A [: !. ' .: S - II _ . -_ I : WM
C.‘ OV V-6-eS-0141.. \,..)141/41) V.i r1Cd CQ. LAS ACorob
(If necessary, please submit a se arate page with the legal description.)
9,09
K.C. Plat Recording # VI 04 s.Pt
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 1800 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /WO
BOX 8 (X) SINGLE FAMILY (X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY "I,L 11 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. a WATERCLOSETS GAS PIPING, FEET 32. $ 2-o3
a BATHTUBS NO._ I FURNACE, ELEC. GAS X $ /v.00
SHOWERS 1 GAS HOT WATER HEATER $ 6,SG
LAVATORIES CONVERSION BURNER $
A 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 `'t VeL" T $
Io, TOTAL FIXTURES $
X s = �{;,C,C? TOTAL MECHANICAL FEE $ %$ SG
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 EMPLII _ UPON AE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
1
OWNER/AGENT: 01��A i` . IM DATE: - f-3"`1, 7,-
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE - 2—SETBACKS: FRONT 1 SIDE 6' REAR `) I HEIGHT LIMIT 301 .
PLANNING DEPARTMENT APPROVAL Irl S!q Z 0 iL,__ ---
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE _ Z
REMARKS:
•
PUBLIC WORKS DEPARTMENT APPROVAL 2 DATE ///515
REMARKS: ffc.-, De, u1Pov17 ,'>_,'eet vlo us s u ri4cC — SH+q-- D (v
r?r�
/4-id Prez vcam s'T i eiLre,t C'L:k_iv A/FCT7ciN P(It THe- /9y°14iLovC'z)
cC.V ) I ncNS
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 R3 /m/ TYPE OF CONSTRUCTION vN STORES
)5' -clec: BUILDING SQ. FT. I eon • @ .. 7.2 96. = /3 /J a0,-(>6
BUILDING SQ. FT. 9 00 @ / ,3, _ -�,� G 'QO
BUILDING SQ.•FT. @ _
BUILDING SQ. FT. @ = J 3e,SyQ- GG
BUILDING SQ. FT. @ _
BUILDING SQ. FT. 1.e
r @ hSkcr A- TV =
TOTAL SQ. FT. , 13--60 S f TOTAL VALUATION r f '/5 ' 2-6 - - -
BUILDING DEPARTMENT REMARKS: PERMIT FEE ,7J/ 7-CO
PLAN CHECK FEE 11( f c6 +461/3
PLUMBING FEE ',F .0�
MECHANICAL FEE I Cr,
TOTAL BLDG. FEES /Q'/ So
PART P/C FEE ( 3 3:4-.00
SEPA REVIEW
3S. oa
S.B.C.C. FEE '4.s6
OTHER FEES
AMOUNT DUE IV
ASSIGNED ADDRESS: 11-03 5"W 3l `61 51—,
PARTIAL PLAN CHECK FEE RECEIVED
cID
Amount - Date � y Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY ����» p�/�1�I2�v� DATE //2// _ ACCEPTED FOR FILING