92-100382 CITY OF FEDERAL WAY c7(3,-/D a38a
33530 Federal Way,I ` WA 98003 BUILDING PERMIT BUILDING INSPECTION
661-4140
PERMIT NO. 92-361 NR OWNER'S NAME NORTHWEST HERITAGE SITE ADDRESS 1220 SW 318 ST
CONTRACTOR OWNER ADDRESS 1011 EMAIN ST PUYALLUP CONT.PHONE 848-6606
CONT.REG.NO. NORTHHG13700 EXP. 9/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME_
TYPE JOB: NEW RESIDENCE ZZZ 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. 416796-0420 LEGAL DESCRIPTION LOT 42 LAKOTATRAILS PHASE 2
7
.4../
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE 1 - DATE OF APPLICATION 3/6/92
BUILDING INFORMATION
ZONE RS 7.2 SET BACKS:FRONT 20' SIDE_ 51 /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 STORIES2
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 AMOUNT NONE
VALUATION $121,517
PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $717.00
PLAN CHECK FEE$130.50 466.00 "NO OVERHANG OR FOOTING ENCROACHMENT INTO EASEMENT"
PLUMBING FEE 70.00
MECHANICAL FEE
18.50 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS
PART P/C FEE 3/6/92 (335.50) PUBLIC WKS DEPT APPROVAL = JEFF S
SEPAREVIEW #4910 "TIGHLINE ROOF & FOOTING DRAIN & IMPERVIOUS SURFACES TO APPROVED
PUBLIC WORKS 35.00 "
4.50
S.B.C.C.FEE STORM DRAINAGE SYSTEM
FIRE FEE DATE:
OTHER FEES AMOUNT: $975.50
AMOUNT DUE $975.50 RECEIPT:
0,)-, -- ir+-9. e
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 INfs"'• 1 IN FUR i! Q/\/V. .J
D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. G�
ll
OWNER OR AGE - � DATE 1��7i Z'\L { '2
i
ITY OF FEDERAL WAY
ederal: 3530 I ` WA 98003 BUILDING PERMIT BUILDING INSPECTION
Way, 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
ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
CCUPANCY 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 5,1 )1f514
..',ANNINC SEPT APPROVAL = DEB BARK:-
0(.
PERMIT FEE 4 "NO OVERHANG OK FOOTING ENCROACHMENT INTO EASE .,-:
PLAN CHECK FEE �' !- �J -
PLUMBING FEE FIRE/ BLDG DEPT APPROVAL = KEVIN E LIS
MECHANICAL FEE
.E;LIC WKS D :Pi' APPROVAL = ,,"EFF S
RT P/C FEE
-PA REVIEW "TIGHLINE POCF. & FOOTIN( DRAIN & IMPERVIOUS SUk 'r- --, _'v ..._..',v.;
PUBLIC WORKS STORM DPAINA.t-i¢; sysTEms
S.B.C.C.FEE -
FIRE FEE - DATE: d
OTHER FEES AMOUNT:
AMOUNT DUE RECEIPT: i /
C
letip
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. ( ,,,,
I C TIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS ILL
BE ET.
OWNER OR AGENT DATE
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE L , '7 BY DATE ...../ i-92 BY lvlf DATE BY
PLUMBING ROUGH IN WATER LINE O.K. _ MECHANICAL INSPECTION
DATE 34 2---BY _17 _.....—___ GAS PIPING O.K. G- 5!2 3-5 2 /1;�`Zj�..__ DATE �.= _ — --- __.BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE .6-........ BY ... /?) DATE ... C•-i-,2---BY r1 .... DATE G /S - yz.--_.BY _yrs
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE �� ��.✓` BY /73.
�No/12f4ocs - 'X, C'�
&- 3-5'2- 1,) /5 0.-
A
'-
. Perne# q 1- 3 7 Ahe,
MAR U b ,,~ 7 CITY OF FEDERAL WAY 3� 3 5 . S
Mau - BUILDING PERMIT APPLICATIONia C( l ( c"
w„OF FEut" i,:%1 `,1,,44 —Please Print— 3 r, IP -' ZBUILDINU .
sir.
BOX 1 TENANT NAME:
OWNER 411�at1i.t � 'A
g ' r, 4 .�_.
i _ .. t. SITE LOCATION ■ r 4 . +
. ---
OWNER'S ADDRES 0�diliV IMII[ .1_JL CIT r ti :ifitMT. / HONE i►�wa "A._�4► 4-
DESCRIBE
DESCRIBE JOB ) SIA�C ;
THE PROPERTY IS OWNED BY: SINGLE/MARRIED --------13 RTNERSHIP ------ CORPORATION
BOX 2 CONTRACTOR'S NAME L 3Q:iir T--1-0,‘-r C'S CONTRACTOR'S REG. # "M Is-100
Card US be presented
CONTRACTOR'S ADDRESS 114 It1l 4 CITY �Ltur )124HONE `( 'C7
EXPIRATION DATE --5-- 1.- y1 -
S — OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO FINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS SSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON �� ,/ uNktk� :�,�� PHONEff�k _
BOX 4 SEWER DISTRICT J 1;) V116.0( WATER DISTRICT •- A , :
BOX 5 ESTIMATED PROJECT COST 400 EXISTING BUILDING VALUATION 4
BOX 6 PROPERTY TAX ACCO NT NUMBER ' ..4-7 49 ,-- i
LEgALDESCRIPTION r A-1L0" %ti"- 1:24.1/4A' G 7✓
s -c... 7 -LA `t� is 141 to y v_t to .
(If necessary, please submit a rate p ge ith he Ie-z.,.-
BOX
9,al description.) 1
K.C. Plat Recording # " (J i U u s (- -
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 1611' 2ND FLOOR / l-k
3RD FLOOR / BASEMENT / DECK / GARAGE /A
BOX 8 SINGLE FAMILY 00 NEW CONSTRUCTION
MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 626 - SQ FT
BOX 9 PLUMB NG FIXTURES (including rough-ins) MEC �IICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET j5 $ 2-•°°
BATHTUBS NO. ( FURNACE, ELEC. GAS x $ (`s' CO
SHOWERS l GAS HOT WATER HEATER $ 6 -"'O
J' LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
iELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TTOTAL FIXTURES $
- --- 6. 00 TOTAL MECHANICAL FEE $ 16 -Y- 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,ANOATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE W'IDERSIGNCED,
AND FILED AGAINST THc,i,Y OF FEDE' AY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND-EMPt+ i; '0 IBA ' : E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: / �. I � �f � N DATE: (Z--
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELUW THIS LINE)
ZONE/1351 2 SETBACKS: FRONT ;0( SIDE 5f REAR 5( HEIGHT LIMIT U( •
PLANNING DEPARTMENT APPROVAL `YR i)- Pgr
REMARKS: 110 building shall encroach onto any building setback line or easement,shown or not shown." 1(/p sU
B-Y1- /T4/1 24 -o kill is
SEPA: EXEMPTNOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 3 -3( - 92-
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL J1 DATE 3-24 ?'L
REMARKS: 7-16440ufF 4 FiM .MAI"-) 1 /isPegV'ov5 SaArAza5.
7-40 APPP21ci STD i 01QA,").94e S/ST ,/.
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 IZ 3 TYPE OF CONSTRUCTION VA/ STORES
LI ( j -r r� BUILDING SQ. FT. 16 2'`I@ 7 Z '- qo 701-Me (
it y`ol BUILDING SQ. FT. 7 5-bP @ _ tr = 5-5-(( 2,' y
& 2 BUILDING SQ. FT. (45-5- @ ( 1`3. 3 Q = %32-6 (-3—
`! BUILDING SQ. FT. @ __ =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ Aitbdi ' -r e r = 6 " 0 8
TOTAL SQ. FT. 0443( TOTAL VALUATION 1 ( s I 7° 2,$
BUILDING DEPARTMENT REMARKS: PERMIT FEE (7
PLAN CHECK FEE rib-) V 1(6 6
PLUMBING FEE 70. 0
MECHANICAL FEE (E• Cc
TOTAL BLDG. FEES
PART P/C FEE 3 "3 ; ,s a
SEPA REVIEW
Ar&is c c tae4S 35•po
S.B.C.C. FEE I-7- s C
OTHER FEES
AMOUNT DUE l r
4,• g
�•� ASSIGNED ADDRESS: I Z-'7--° 5 ' 3( 4 ��s t
RECE% r
MAR 0 61992 PARTIAL PLAN CHECK FEE RECEIVED
co ovri of. -DEFr'.WAY
Amount '3 3 s •- ,;--z' Date 7/ - 45. `%'-? Receipt# L/5 /0
WO
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING