90-100431 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
3.0-loo y /
PERMIT NO. 90-597 TI OWNER'S NAME HAWAIIAN GOLD JOB ADDRESS 3440 SW 320 ST
CONTRACTOR BENCO GENERAL CONST ADDRESS. 1750 S 327 ST #A-8 FEDERAL WAY CONT. PHONE 874-6149
CONT. REG. NO. BENCOGC121OF 8/90 OWNER'S PHONE NA OWNER'S ADDRESS POB 391 MT VERNON
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 "TENANT IMPROVEMENT"
TAX ACCOUNT NO. 132103-9084 LEGAL DESCRIPTION ATTACHED ON BACK
ISSUED BY ELIZABETH SNY&ER DATE OF ISSUE _ DATE OF APPLICATION 5/16/90
BUILDING INFORMATION
*NE NA OCCUPANCY B-2 TYPE OF CONSTRUCTION 5-N TENANT IMPROVEMENT BLDG. SQ. FT. STORE=920 SF
SET BACKS: FRONT NA SIDE NA REAR NA _ _ STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS _ COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC
RETURNED
SINKS MISC. _ CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL _NONE AMOUNT NONE
VALUATION $6,384.00
PLANNING DEPT APPROVAL = KEVIN ELLIS (NO CHANGE IN OCCUPANCY OR USE)
PERMIT FEE $90.00 5/17/90
PLAN CHECK FEE 59.00
PLUMBING FEE SEPA = EXEMPT
CHANICAL FEE — FIRE DEPT APPROVAL = KEVIN ELLIS ON 5/17/90
• TAL BLDG. FEES $149_00 BLDG DEPT APPROVAL KEVIN ELLIS ON 5/17/90
PART P/C FEES V D
DATE PAID �
SEPA REVIEW +
WATER SERVICE AMOUNT PAID 6 -.,S-5.-
WATER MAIN CHG. RECEIPT # 5-157- t J
S.B.C.C. FEE 4.50
OTHER FEES
AMOUNT DUE $153.50
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 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 `moi, o11L►iir, DATE 4...03A.
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR ADDRESS _ CONT. PHONE
CONT. REG. NO. 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. SIGNGRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE - DATE OF APPLICATION
BUILDING INFORMATION
OE_ OCCUPANCY _ TYPE OF CONSTRUCTION _ BLDG. SQ. FT.
SET BACKS FRONT SIDE - REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER _ GAS PIPING FT. _ BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS _ COMPRESSOR _ TANK(S)
SHOWERS - URINALS - FORCED AIR FURNACE _ AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES - UNIT HEATER TOTAL MECHANICAL _ AMOUNT
VALUATION 1't 1 P"
.'LAN14 N(. DEPT APPROVAL xs KEVIN ELLIS (NO CHANGE TN OCCUPANCY OR USE)
PERMIT FEE -s v• 3 _�� __.._ Si i/X30
PLAN CHECK FEE
SEPA alt EXEMPT
PLUMBING FEE
CHANICAL FEE _ FIR0
AL
APPROVAL VAL KE VI i ELLIS ON 5/17/90 BLDG. FEES L i AA AL KEVIN ELLIS ON 5517/90
PART P/C FEE DATE PAID
SEPA REVIEW
WATER SERVICE AMOUNT PAID • i _ '
WATER MAIN CHG. RECEIPT * l I I L
S.B.C.C. FEE �•�
OTHER FEES
AMOUNT DUE
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 BY DATE BY DATE BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE -._ BY - .... GAS PIPING O.K.-.-..... DATE BY
O.K. TO ENCLOSE F.AMING INSULATION WALL BOARD AND FIRE WALL
DATE 5/L1�lUBY rl � _ DATE BY DATE `-';/----2'7.45 BY/
FINAL O.K. TO OCCUPY
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME: N 4 I L (I leg vpI DE 044&f • $3 60 1/J
OWNER MM i; 1 1... -�Y - 1 C�)4 ;E r SITE LOCATION. / , `,. Dir wr.0 Aida-1)
OWNER'S ADDRESS o EL`x 39/ CITYM T oe--te N O/- PHONE .00&/E
DESCRIBE JOB 79 'T 1/op ro0E- 1 T
THE PROPERTY IS OWNED BY: SINGLE/MARRIED �iII'' PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 5E& C C C'EU. Cc='&'S T CONTRACTOR'S REG. # C c ae .210 p
Card MUST be presented"Ip
CONTRACTOR'S ADDRESS 1, 7 ' -V CITY F-J)Alci ! 4091 PHONE .?7'/ e/q9
EXPIRATION DATE ? 2 2 9e
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 14.12d -
BOX
t dBOX 4 SEWER DISTRICT -' WATER DISTRICT F4'0
BOX 5 ESTIMATED PROJECT COST 95-60 EXISTING BUILDING VALUATION
BOX 6,'PROPERTY TAX ACCOUNT NUMBER fliWrn,rnVEMNI _ b ' - I -
.t.-LEGAL DESCRIPTION _
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/�C�eeed) 1ST FLOOR X090 7�XL5 t'q 2ND FLOOR /
3RD FLOOR / BASEMENT / _ DECK / / GARAGE 1
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (`,(Q EXISTING STRUCTURE
COMMERCIALREAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. le- GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES toCIO t CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS Eit6 7141 9 _AIR HANDLING UNITS $
ELECTRIC 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 $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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 EMPLOYEES, UPON T ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
A !/
OWNER/AGEN . _ ► - DATE:
6 6 -'/9.c ANP-008 3/90
• 0
OFFICE USE,ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: (,/ �
G GGoR e (pOCC(Ara G2 L
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE S---- (7 _ TO
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL iti//�"T DATE
REMARKS:
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 Ei TYPE OF CONSTRUCTION 11 ti STORES
4iolk BUILDING SQ. FT. qz D @ 3 ti` 70 = 316(2-Y
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ p �(r--
-----0- -
BUILDING
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION &3 8 Y° BO
BUILDING DEPARTMENT REMARKS: PERMIT FEE 76-0°'
PLAN CHECK FEE rci ,0o
PLUMBING FEE 0
MECHANICAL FEE 0
TOTAL BLDG. FEES 14 q , OL
PART P/C FEE 0
SEPA REVIEW O
S.B.C.C. FEE ti'5-0
OTHER FEES 0
AMOUNT DUE IS-3 - rD
ASSIGNED ADDRESS: e- 15 1-( m 9
J
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
MAY 1 6 1990 Amount Date Receipt#
CITY OF FEDERAL
BUILDING DEPT.WAY BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE 5.--
(7 To ACCEPTED FOR FILING