92-101497 9L., )OI ki`37
CITY OF FEDERAL WAY BUILDING PERI\II I T PERMIT NO.: SLD92=2156
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/11/92
Federal Way, WA 98003 BY: MH
661-4000
cgi_)
SITE ADDRESS: 3440 SW 320TH ST
PARCEL NO.: 132103-9084
PROJECT DESCRIPTION:
OWNER — CONTRACTOR LENDER
PETER TETLOW *OWNER IS CONTRACTOR*
3420 SW 320TH
FEDERAL WAY WA
646-6664
*OWNER*
11)
BLD?:? MEC?:? PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •' FEES:
TYPE OF WORK:? USE:? 1ST.: 0: O:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' ' PLM PRMT ISSUANCE.. $ 20.00
CENSUS CATEGORY •' 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' PLUMBING PERMIT/SPK* $ 5.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: 0:sf REAR • O.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:09/11/92
. 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS........: 0 TOTAL FEES $ 25.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
1111
ALL PERMITS EXPIRE 180 DAY- AFT - I-S •NCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORM. I•j i UR SHE' : IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
Al
OWNER OR AGENT ,eDATE —( ( C2
bld_prmt 07/31/92
�v 4')
6,` �• yVt
0 0
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 FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE --_...-_BY DATE .... -_....BY DATE -._....BY .-.-
FINAL O.K. TO OCCUPY
61-...15-7.
j c ,,` DCD PSD FD
DATE a_is-7- _BY /V
0 PerS ## .g L /) 2'=�- =24
. RECEIVED
,;ii 11 1992 CITY OF FEDERAL WAY
orfV OF - ,�� BUILDING PERMIT APPLICATION
BR ra DE, —Please Print—
BOX 1 TENANT NAME: 6--j- j . I= TE ,w �.. aL,foT0„J £_
36-01-
OWNER S c Il<`t i� Y1 (► (-66-'12.rSITE LOCATION 3 '�/� J i,s 31c) 7:1-- . .-+..<.9
OWNER'S ADDRESS COKf021 A-tJt !J ' :14-30V CITY R ..t c PHONE GY(v 6664
DESCRIBE JOB P,O DI O 2.. SINKS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED )C, PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— 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 PHONE
BOX 4 SEWER DISTRICT f ,, C;,�.;r(/'L ‘-1-)1 --i WATER DISTRICT Fi, C ,244-t i `-->'
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 13.)_ to 3 ~ gOeU
LEGAL DESCRIPTION S 676 F 3'4 10 S0 .3),914%. $4- 8,--
(If necessary, please submit a separate_page with the legal description.)
K.C. Plat Recording# 132../03 - 90 P&/
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
(y_) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY "f`-) i SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
4, D * I SINKS BOILER, SIZE BTU $
DISHWASHERS 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 I VETIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THEICITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLO ESA tCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: \ I ' '! DATE:
ANP-008 3/90