92-100380 CITY OF FEDERAL WAY 9.).,/0t53g15
33530 First Way South ECTION
Federal Way, WA 98003 BUILDING PERMIT BUILDING INS 661 4140
PERMIT NO. 92-360 NR OWNER'S NAME NORTHWEST HERITAGE SITE ADDRESS 1214 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 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. 416796-0430 LEGAL DESCRIPTION LOT 43 LAKOTA TRAILS PHASE 2
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE �! — _lZ' _ _2 DATE OF APPLICATION 3/6/92
BUILDING INFORMATION
*ONE RS 7.2 SET BACKS:FRONT 20' SIDE 5' /5' REAR 5' HEIGHT LIMIT 30
*ONE
R3/M1 TYPE OF CONSTRUCTION 5—N CENSUS NO. 101 TYPE OF HEAT_ _GAS _ _ BLDG.SQ.FT. 2798 __STORIES 2
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 . ELEC.HOT WATER HEATER GAS PIPING 30 FT. 2.00 GAS LOGS
BATHTUBS 2 LAUNDRY DRAINS _l 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 AMOUNT NONE
VALUATION $146,435
PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $804.00
PLAN CHECK FEE$153.00 523.00 BLDG/FIRE DEPT APPROVAL = KEVIN ELLIS
PLUMBING FEE 70.00 PUBLIC WKS DEPT APPROVAL = JEFF S
MECHANICAL FEE 18.50
RT P/C FEE 3/6/92 (370.00)
SPA REVIEW #4910
PUBLIC WORKS 35.00
4.50
S.B.C.C.FEE
q- /L.' 572
FIRE FEE -- DATE: I
OTHER FEES AMOUNT: $1085.00
j /
AMOUNT DUE $1085.00 RECEIPT: C i - I h A O `r
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 INFOR TION FURNIS.ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
4 / •
OWNER OR AGENT LE.- �J _ DATE . i / � wg
0
CITY OF FEDERAL WAY
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 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
lift
BUILDING INFORMATION
INV
NE_ 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 LrN?i I G DEPT Al',—OVAL = NEB Bl.',.._____,..
PERMIT FEE
r. :! 5 I1 BLDG/FIRE DEPT APPROVAL = KEVIN ELIA.:
PLAN CHECK FEE -. �.I 1 ,1"i�y
PLUMBING FEE PUBLIC !-.S DPT APPROVAL = t ;FF .
ECHANICAL FEE p
/92 t37O.dr)
.ART P/C FEE t;
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
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RECEIVED • peon # 9.2 5' . 6 /r,
MAR 0 61992 CITY OF FEDERAL WAY 3 7 o `�
orry OF FEDERAL WAY BUILDING PERMIT APPLICATION , � 4,0)(6)
BUILDING DEP —Please Print—
BOX 1 TENANT NAME: 4K
OWNER . IAC . aa- c SITE LOCATION Z ' • `" _ 1a* ,0
OWNER'S ADDRESS v : ,1 r CITY IP',I :i • ' :0 'HONE i - .•
DESCRIBE JOB h. _ . r:...4 —- E
THE PROPERTY IS OWNED BY: SINGL /MARRIED - PARTNERSHIP "------ CORPORATION i••••'" ---
BOX
_BOX 2 CONTRACTOR'S NAME A.1 ...r tr ' t. a d +AP i : ` CONTRACTOR'S REG. #gvelvkkS icr,
Card MUS be presented
CONTRACTOR'S ADDRESS r v M: • CSL _!y ITY 7i ONE g48..‘
EXPIRATION DATE -8 -' 2--
— 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 lbw, Ivi4 t._ Lim PHONE -- cx
BOX 4 SEWER DISTRICT -9 WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER s ) `' a*
LEGAL DESCRIPTION LOT 3 ' (a4 p)-11; 1j 2-A 1 1--s * . ' 'SE
I . 1 r _ —-"PAW-. ' . ._
(If necessary, please submi a sepa to age wl h kier description.)
K.C. Plat Recording# 41 1 O ( 1 1
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / j 1(00 2ND FLOOR / CMS
3RD FLOOR / BASEMENT / DECK / GARAGE / 68',
BOX 8 til) SINGLE FAMILY (el- NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ) EXISTING STRUCTURE p
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY b id SQ FT
BOX 9 PLUMBI G FIXTURES(including rough-ins) MECIDICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $ } °d 0
BATHTUBS NO. i FURNACE, ELEC. GAS >(0
$ /d A. GU
SHOWERS 1 GAS HOT WATER HEATER $ 6-S`0
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
1 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 _ . . $-
y S 7 O Uv TOTAL MECHANICAL FEE $ t?- S—c
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 OF FEDERAL W;lk BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMP ! .�
i -:A THE Ax,,! i ' - k FORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
f.
. 1.
OWNER/AGENT: 4,, 47-/LP# 4 l i DATE: 47-/LP '"--1`/
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW PS LINE) +v�-•.
ZONE61•Z SETBACKS: FRONT a 1 SIDE 5' REAR 5" HEIGHT LIMIT 3(V
PLANNING WV-WENT APROVAL 3/R/92_ /tom
REMARKS:--"2�c'""'ng
snail encroach onta an building setback line or easement,shown or not shown." • •_, ,
SEPA: EXEMPT ice" NOT EXEMPT V
FIRE DEPARTMENT APPROVAL '` DATE 3- S( ' 9L
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL .Jtj DATE 3--24-12-
REMARKS: 176i/'1 M1E &V1 ANG �4/A.is f /hf,DEte!/'/O(IS SUP�FACcS
la 14432air� /oR,b ,AQA.ivA SYS?Ess/. /vo Bv/c,.aivC 9 N&V7
TYPE OF JOB: NEW RESIDENCE k RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANPY 72-3 TYPE OF CONSTRUCTION if Al STORES
(• ( V( J I-Sr BUILDING SQ. FT. 1( (o - @ 7 Z-Q� = e�5G
i( '.2-u BUILDING SQ. FT. TS---Z- @ (( = C ' `f co- 2)
GQ raj e-- BUILDING SQ. FT. 65.6 @ (n 3a = (�S5"3
�/ BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ . =
BUILDING SQ. FT. QQ @ 440d ( �(� 0- S
TOTAL SQ. FT. `� TOTAL VALUATION- I 053 6e 3 7
BUILDING DEPARTMENT REMARKS: PERMIT FEE 1 ` ,Cr Ro Lt
3 (=At yckraye_ PLAN CHECK FEE `) S 2-3
PLUMBING FEE 7 6
MECHANICAL FEE 18. S` c
TOTAL BLDG. FEES
PART P/C FEE (3 "74).09
SEPA REVIEW
ft)aLIG CAIOR,, 35'•cv
S.B.C.C. FEE /r 3 0
OTHER FEES ce
AMOUNT DUE lou)
—RECEIVED— ASSIGNED ADDRESS: I Z( el. Std 3(S '`- SI',
MAR a 61992
rV®F FEDERAL WAY PARTIAL PLAN CHECK FEE RECEIVED
BUILDING DEFT. Amount Date 3 - C ') Receipt# 6/C/0
BUILDING DEPARTMENT APPROVAL
RECEIVED
BY DATE 3 3( _ yz ACCEPTED FOR FILING