92-100162 CITY OF FEDERAL WAY 93.405/
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. 92-109 NR ___ OWNER'S NAME NORTHWEST HERITAGE GROUP SITE ADDRESS 1208 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/PORCH
TAX ACCOUNT NO. 416796-0440 LEGAL DESCRIPTION LOT 44 LAKOTA TRAILS PHASE 2
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE <( - l DATE OF APPLICATION 1/23/92
BUILDING INFORMATION
*ONE RS 7.2 SET BACKS:FRONT 20' SIDE 51 /5' REAR 5 1 HEIGHT LIMIT 30' MAX
OCCUPANCY R3/141 TYPE OF CONSTRUCTION 5—N CENSUS NO. 101 TYPE OF HEAT GAS BLDG.SQ.FT.. 2590 STORIES 2
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING 34 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 4 DRINKING FOUNTAINS CONVERSION BURNER _ MISC.
RETURNED
SINKS 2 MISC. BBQ BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES 14 X $5.00 DRYER TOTAL MECHANICAL 18.50 AMOUNT NONE
VALUATION $143,040
PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $794.00
PLAN CHECK FEE $145.50 516.00 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS
PLUMBING FEE ___ 70.00
MECHANICAL EEE56618.50 PUBLIC WKS DEPT APPROVAL = KAREN LANCASTER "ALL DOWNSPOUTS, FOOTING
(370.50) DRAINS & RUNOFF FROM IMPERVIOUS SURFACES SHALL BE TIGHTLINED TO THE
RTP/CFEE1//23/92
SEPA REVIEW - APPROVED STORM DRAIN CONNECTION PER THE CONDITION OF THE APPROVED
PUBLIC WORKS 35.00 PLAT"
S.B.C.C.FEE 4.50
FIRE FEE DATE: . —2y' C/
OTHER FEES AMOUNT: $1067.50
AMOUNT DUE $1067.50 RECEIPT: O�l
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,;'' :: FURNIS D 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 I
� r� /..i.A__. DATE C 'I_.�
CITY OF FEDERAL WAY
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-41400
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
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 I
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE 2 �"_ BY h3 DATE .2_..92
BY /'73 DATE BY
PLUMBING ROUGH IN WATER LINE O.K. __..:... MECHANICAL INSPECTION
3. 3t,`92 7+ 3 -36. 2 ' DATE e 3- 92 BY ---/3
DATE.... _....._—........BY /- j .._ GAS PIPING O.K.__.....
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE 4/- 3 7 BY __ 0 DATE _4-7" 3- % 2 BY P743 DATE 4"/' - z BY _ ZIP
FINAL O.K. TO OCCUPY
�
DCD PSD FD
DATE c—/A-72" BY ..../ !3
MO
jiliP4ECEIVED • Alf CO ' Pi(
JAN 2 3 1992 CITY OF FEDERAL WAY 'k4 r2
onv OF FEDERAL wAY BUILDING PERMIT APPLICATION
BUILDING Qp7 - Please Print—
BOX 1 TENANT NAME:
OWNER I agak4� ST HER1'CAG6 _G4V_'P,$NC. SITE LOCATION 1.DTik�y L-AKFl b- -fl ,- S TA-se-c&a
OWNER'S ADDRESS 1011 E•MA-in ST , SU►fiG �.a`} CITY NIA LLUP PHONE 8 i{$' 40Ci
DESCRIBE JOB Str GL6 r-FtrY1 tL9 Qe.s IGEN c-E
THE PROPERTY IS OWNED BY: SINGLE/MARRI D PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME (\OR1W.)Gr T WGIL."c$6 GRouP, .WC--• CONTRACTOR'S REG. #I1O)2•114-1k I3/700
Card MUST be presented
CONTRACTOR'S ADDRESS b\\ "G , .D`k CITY QUyRLLu P PHONE 8LI•g-'I.to De
EXPIRATION DATE `l1 gra. CZ S.T.ST !'
— OR —
I HAVE READ CHAPTER 18.27.010 REL ING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON `Q%l t. .,, Qts11.- (t r\ PHONE 2.4-Z-(..4 O tp
BOX 4 SEWER DISTRICT De'2,AL \•.)A-3 WATER DISTRICT FG1L4._ W V
BOX 5 ESTIMATED PROJECT COST 2 A 4 g EXISTING BUILDING VALUATION d
BOX 6 PROPERTY TAX ACCOUNT NUMBER 4110 r19I,- bi444-0
LEGAL DESCRIPTIONO KO'cft TRA-►LS P\V[lS—i .S�Frc. I 'ra n Ry S l,�(n'1.
C, - M e F V-Grit.'6A.A`- \.,J pry �C►r1` C b u n T 4{ Ars -►n G-To n
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # %b 1 1104 5' ‘
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 1160 2ND FLOOR / 9 6a
3RD FLOOR / BASEMENT_ / DECK / GARAGE / 441 6
BOX 8 (X) SINGLE FAMILY (X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 1 i4 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET 34 $ a 00
a BATHTUBS NO. 1 FURNACE, ELEC. GAS X $ /0. 00
1 SHOWERS k GAS HOT WATER HEATER $ G •r0
L4 LAVATORIES CONVERSION BURNER $
as SINKS BOILER, SIZE BTU $
1 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 $
—Pi—TOTAL FIXTURES $
k S" ` 70 . d O TOTAL MECHANICAL FEE $ fe• S`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 EMPLOYEEp•!' THE A,&URAC OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: h��� •111/116
,� DATE: t '//5 -6I //
ANP-008 3/90
• 41114
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOWIS LINE)
ZON1= I•Z- SETBACKS: FRONT ,/ -'` SIDE 61 REAR J HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL -W1.2
\
REMARKS:
SEPA: EXEMPT ; NOT EXEMPT .
FIRE DEPARTMENT APPROVAL ' DATEi`6—Y Z'
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVALrIL DATE Z-�( Z
REMARKS: �k� 6.0L)-;‘sJES Ric ivu�:\ Cki-0;. s. COAcy ' Q y i nnpe,iu cus 8L), e Q.cl
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cokC(�oLA c4 apt t ,ed pjc.-.
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 fk3 TYPE OF CONSTRUCTION V/V STORES
Lt V c c2c 4" ST' BUILDING SQ. FT. t I 0 @ --72.•6(O = �i`f 561
J L-- BUILDING SQ. FT. cfSz to . = 6AL100. t
67cw , BUILDING SQ. FT. 4 b @ ( : 3 O %(‘ I c t
P (r1 BUILDING SQ. FT. 3 Z @ 13. (c = it (q, L
BUILDING SQ. FT. @ _` =
BUILDING SQ. FT. q p @ 'OUc e-r 0- X'6
TOTAL SQ. FT. TOTAL VALUATION (L3 oti3C
BUILDING DEPARTMENT REMARKS: PERMIT FEE / � -7q 9
PLAN CHECK FEE I�') " Ti G
PLUMBING FEE 7 0
MECHANICAL FEE ' I S•S a
TOTAL BLDG. FEES
PART P/C FEE 3 ��
)
( . 5
SEPA REVIEW
1'``. r -%S7Oo
S.B.C.C. FEE ' 9 5-c-)
OTHER FEES
AMOUNT DUE Irla-q
ASSIGNED ADDRESS: (?-0 O S 3( tSi-,
PARTIAL PLAN CHECK FEE RECEIVED
Amount 0. 60 Date (-Z Ta----- Receipt# 4 _r` e
BUILDING DEPARTMENT APPROVAL
RECEIVED BYt'�"� DATE ACCEPTED FOR FILING
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