92-100306 CITY OF FEDERAL WAY 9 ,
/b 636
33530 First Way South PE
Federal Way, W 98003 BUILDING PERMIT BUILDING INS66C41040
PERMIT NO. 92-253 NR OWNER'S NAME NORTHWEST HERITAGE SITE ADDRESS 1207 SW 318 ST
CONTRACTOR OWNER 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 XXX 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. 416796-0340 LEGAL DESCRIPTION .Jim
i LOT 34 LAKOTA TRAILS PHASE 2
_
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE L� _DATE OF APPLICATION 2/18/92
IIBUILDING INFORMATION
ZONE RS 7.2 SET BACKS:FRONT 20' SIDE 5' /5' REAR 5' HEIGHT LIMIT 30'
OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5—N CENSUS NO. 101 TYPE OF HEAT GAS BLDG.SQ.FT. 2235 STORIES 2
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING 23 FT. 2.00 GAS LOGS
BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACE 10.00 DUCT WORK - _ RECEIVED
SHOWERS 1 _ URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT _ NUMBER
LAVATORIES _ 4 DRINKING FOUNTAINS CONVERSION BURNER MISC.
_
SINKS 2 MISC. BBQ BASIC FEE RETURNED
DISHWASHERS -__1 TOTAL FIXTURES 14 X $5.00 DRYER TOTAL MECHANICAL 18.50 I AMOUNT _ NONE
VALUATION $121,517 PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $717.00 "NO BUILDING SHALL ENCROACH ONTO ANY BUILDING SETBACK LINE OR EASEMENT
PLAN CHECK FEE $130.50 466.00 SHOWN OR NOT SHOWN"
AIILUMBING FEE 70.00
IIIRECHANICAL
0.00
1ECHANICAL FEE 18.50 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS
PART P/CFEE2/18/92 (335.50)
SEPA REVIEW 4816 PUBLIC WKS DEPT APPROVAL = KAREN LANCASTER
PUBLIC WORKS 35.00
S.B.C.C.FEE 4.50
FIRE FEE DATE:
OTHER FEES AMOUNT: $975.50
AMOUNT DUE $975.SO _ 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 INFO' •TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. f�l / r
OWNER OR AGENT _A' I��--'� ��♦ ___ DATER IC I.Al
CITY OF FEDERAL WAY
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140. .
41
PERMIT NO. _ _OWNER'S NAME _ SITE ADDRESS
CONTRACTOR ADDRESS _ CONT.PHONE .w
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 ` =..::.F g PLAN IN( DEPT APPROVAL L., ""1" "
PERMIT FEE - - 40 BUILDININGSHALL ENC4,. .14+:i rr; ----, ......+. ..:-4ai .. �.,... ......a...«_-,...a .........., .,
PLAN CHECK FEE MOWN OR NOT SHOWN.
.
PLUMBING FEE
MECHANICAL FEE 9IRE/BL s DEPT APPROVAL = KEVIN ELLIS
PART P/C FEE ' iiL IC *"KS Dr'PT APPROVAL = ARF'' LANCASTER
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 BACKS7AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
>
DATE `fie 92BY 4-3 DATE 3" 76'92- BY ..._.Ln____...— DATE __-.. _ BY
PLUMBING ROUGH IN ,n WATER LINE O.K. _...... -_..... MECHANICAL INSPECTION
DATE 4=-25?`y?_....BY_wA�. -... GAS PIPING O.K.--y"30-f Z DATE -......d7/. .23-'Z BY _ j73
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
S"r
DATE P-2 BY DATE .. .54'N9-2.....BY DATE ��� _ BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE_4Z2///7/2.BY f
7
Per. # �3
Atertiveo CITY OF FEDERAL WAY `tel
FEB 1 APPLICATION
BUILDING PERMIT
'un'o FED_ - Please Print—
flUIL /A161()44r4�1--WAY
BOX 1 TENANflMME:
OWNER ksl/u,l A l a' c .,...L-:1 - SITE LOCATION - d#- Lck1Co ■: ur . II
OWNER'S ADDRESS 1011 5.. NIA k.1 S . gyvirzliet. CITY i1,-41,WP 96372 PHONE 4f cc-
DESCRIBE JOB t-t8't..1 'S(hl f►41NI t - S .
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION i-----
BOX
BOX 2 CONTRACTOR'S NAME 1' /ld -S Z11 Gra• .tiP CONTRACTOR'S REG. #1.10211414k I371PC7
Card MUS1 be presented
CONTRACTOR'S ADDRESSIVI,10. Vika Cr. VA*Zvi. CITYROALLIT 11t31 Z PHONE$4 -((aO
EXPIRATION DATE cl -08 -'\'I.7
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 7ILV ttJASIA'l fZt- PHONE (0
BOX 4 SEWER DISTRICT -SS2 S2a41L• WA" WATER DISTRICTeLLAT 1� IdA`�
BOX 5 ESTIMATED PROJECT COST j, Ir' EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGALDESCRRIIPTIONt�1 -p LAtLer - '. _ PI�,ASe iC-
`14•IA .
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 41101 - IID -- 452.--
BOX
457iBOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / (D?A 2ND FLOOR / 1 V4.0
3RD FLOOR / BASEMENT / DECK / GARAGE / 455
BOX 8 (>6-SINGLE FAMILY Sj() NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY IZ, 0l'A SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET ZS $ a ` (- C
'L- BATHTUBS NO._ I FURNACE, ELEC. GAS $ fo ' 6(?
I SHOWERS I GAS HOT WATER HEATER $ 6•f O
__LAVATORIES CONVERSION BURNER $
'?i SINKS BOILER, SIZE BTU $
I DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
1 LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
1t TOTAL FIXTURES $
A S 76 -Up TOTAL MECHANICAL FEE $ (1. SO
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 EMPL��,a S, UPON TAA
CURACY OF THE INFORMATION SUPPLIED TO THE CITY
AS A PART OFZ.--
THIS/ APPLICATION.
OWNER/AGENT: '- 4
• WAIIMI DATE: t 8 ( 19 Z_-
ANP.008 3/90
r
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZON6'3L2 SETBACKS: FRONT 20( SIDE 5 { REAR 5 ' HEIGHT LIMIT 'l
PLANNING DEPARTMENT APPROVAL `/-J `/. ,1��,
REMARKS: 'No building shall encroach onitl_) y buiidinw .: back line or easement,shown or not shown."
/
SEPA: EXEMPT I,/ NOT EXEMPT "i 4.
FIRE DEPARTMENT APPROVAL •"-----(____- 1'4 16ATE 3 - /6— F1
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL s�L 4 DATE 3�/e�`►Z
REMARKS: �CsJJr1SPu�f; TUei\-( rC1tlx Cuia roil c5N crr3w� llveru,ous " SLA' ceS S�,a// hp
-,011, (0 e ao �du she conkedap1 c rep „re c{ per- Cdild ica,, of
ayen:-Pc" /241
TYPE OF JOB: NEW RESIDENCE ' RES. ADD/ALT _NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS__4• ) ,
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY ' 1k") TYPE OF CONSTRUCTION VN STORES
- V i VI 1-ST BUILDING SQ. FT. (c -4--,--i @• . -71 'yU = 7 V 611 q c c
r( 2(`d BUILDING SQ. FT. ?S C, @ I" = S-1-:( Z' LI
(9c(G`GC Q, BUILDING SQ. FT. LI •S. @ (' 3 D _' 83° i, 5—
BUILDING
, SBUILDING SQ. FT. @ =
BUILDING SQ. FT. @
BUILDING SQ. FT. @.1 1111
b�r �(Qr O _ $ g
TOTAL SQ. FT. �� TOTAL VALUATION (Z (s( 7' I3 8
BUILDING DEPARTMENT REMARKS: ,�� n7( 7
PERMIT FEE
PLAN CHECK FEE t-I 6C,
PLUMBING FEE 70
MECHANICAL FEE (c-S
TOTAL BLDG. FEES
PART P/C FEE ('T .5'r Ste/
SEPA REVIEW
V•(,,' • fee 3S
S.B.C.C. FEE ii' S L
OTHER FEES n
AMOUNT DUE (in
ASSIGNED ADDRESS: 12M 7 5 LIJ 31 t" 5t <
PARTIAL PLAN CHECK FEE RECEIVED
N
Amount 5. 5 -, Date .4-9 7----- Receipt# 3( (0
BUILDING DEPARTMENT APPROVAL _
RECEIVED BYEl DATE v1 L ACCEPTED FOR FILING
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SITE PLAN APPROVAL C- I
Permit Number. Z 5-3/0,v 1(P I I
Approved By: %l I '
Date: ARM 2--- I I 1'4-1192(2"4..." I
Comments: , 1
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REVISION I ; 1 As I_-_
RECEIVED 1-___ - . .. , i __ . , ,
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MAR 1 1 1992 r i -- \, L% rc--- �'�
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