91-101295 CITY OF FEDERAL WAY c ) '?0) 'C
33530First Way South BuILDING pERmn-
661-4140BUILDING INSPECTION
FederFederal Way, WA 98003
PERMIT NO. 91-1241 OT OWNER'S NAME TWIN LAKES ELEMENTARY SCHOOL SITE ADDRESS 4400 SW 320 ST
CONTRACTOR FF.RRF.T.T.GAS TNC ADDRESS ONE T IRERTY PLAZA LIBERTY MO 64068 CONT.PHONE (206) 833-1641
CONT.REG.NO. FF.RRF.T1 1 6E6 EXP. 5/92 OWNER'S PHONE 941-0100 OWNER'S ADDRESS 31405 18 AVE S FEDERAL WAY
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 INSTALL PROPANE TANK
TAX ACCOUNT NO. 112103-9096 LEGAL DESCRIPTION THE E i OF THE N i OF THE S 1 OF THE SE } OF THE SW
LESS THE N 20' OF SEC 11 T 21 N R 3 EWM INKING CO WASH
`% –
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE --e7/ DATE OF APPLICATION 9/10/91
BUILDING INFORMATION
ZONE_ RS 7.2 _ SET BACKS:FRONT 20 SIDE 20
1 '
__REAR 20 HEIGHT LIMIT NA
0 OCCUPANCY _ M-2 TYPE OF CONSTRUCTION 5—N CENSUS NO. O/S TYPE OF HEAT NA _BLDG.SQ.FT. _NA STORIES NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS -_ ELEC.HOT WATER HEATER GAS PIPING FT. 2.00 GAS LOGS
/ RECEIVED
BATHTUBS LAUNDRY DRAINS .. FORCED AIR FURNACE (2) 10.00 DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS MISC. BBQ BASIC FEE 20 AU RETURNED
DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL 110._0_0 AMOUNT NONE
VALUATION 1,000 . . .ABOVE AND (1) LPG TANK @ $50.00 EACH & (1) ADDITIONAL TANK
AT $18.00 EACH= 2 LPG TANKS
PERMIT FEE
PLAN CHECK FEE PLANNING DEPT APPROVAL = BILL KINGMAN "SEPA EXEMPT"
PLUMBING FEE
MECHANICAL FEE $1 1 0_00 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS
PART P/C FEE PUBLIC WKS DEPT APPROVAL = TOM COLLINS
SEPA REVIEW
UBLIC WORKS 25.00
S.B.C.C.FEE C-- {o r 4/
FIRE FEE — -- DATE: /
OTHER FEES AMOUNT: $135.00
AMOUNT DUE $135_00 RECEIPT: J
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"MATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL Ch,,
BE MET.
}r
/ - .Z.)ii
4..
OWNER OR AGENT . -� i, DATE r,�/;.- (-- — ( 1
t
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
BUILDING INFORMATION
•JNE 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.
SINKS _ MISC. BBQ BASIC FEE 2C RETURNED
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL 11C: AMOUNT
VALUATION AAD 0 *50.00 EACh i II) AlsOITIOrwa TAO*
AT :18.00 EACi = 2 LPG TANKS
PERMIT FEE _._......�..�.......... s
PLAN CHECK FEE �'LAi NTNG DEPT APPROVAL = SILL KINGS "SEPA EXEMPT"
PLUMBING FEE
MECHANICAL FEE i� 1 .f�tj FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS
,;RT P/C FEE PUBLIC WKS DEPT APPROVAL = TOM COLLINS
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 BY_.._-._. _ DATE BY -_ DATE _--.. - BY
PLUMBING ROUGH IN WATER LINE O.K. _ MECHANICAL INSPECTION
DATE ... ...._..BY ._ ---......_.._ GAS PIPING O.K._J.l - 52-... DATE . _yam_..__.BY __}13.
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE... -....BY -._- DATE BY .._...... DATE BY _.
FINAL O.K. TO OCCUPY
��jj DCD PSD FD
DATE f/-t7 y� BY _._A _
/0--/4/-?/ 2 u/Li\J r LLf 4A ieA4/Z- /55 'i sir/"i d JL/ /WWW u,14-i L r 0 AA/c‘g-- CA.Pill
/Ad. P f_ F_ - 2 5 cos'A /S c z,#/74fN )4/2•< at r7C // -
je -2 5/•-9/(ie,Cr/2 S'a' / OL4 /o•-J /0/12 wry C 213 (e) r/e/vz
jC 4 S/L p G/2/V/r /i S /VTR /9/Q' L/Z ie.) /Z/4.0:2-2.,X/I'S /Ai S 3-4 4,1)714f l','
• •
I. PECE1\IEDq 2
•ermit # � `i/ D.
SEP 1 0 1991
;fry O FLDENNL WAY CITY OF FEDERAL WAY
BUILDING DEPT BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: -1—Wi Li L - c g10"1{1,4Vir-`ti
OWNER re.cig.,^ -1 )R cchoo 1 D156rs( ' SITE LOCATIO '/ /O' SW 3�
OWNER'S ADDRESS /-j4 15 18441 A-V S CITY PHONE 414'!-oleo
DESCRIBE JOB INS V�1rv{{��c(I�.F..
THE PROPERTY IS OWNED BY:SINGLE/MARRIED 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 li4.-/,.1)1Ill "l,54"wf-� PHONE i J- '937
BOX 4 SEWER DISTRICT _: • 2 !A ! crWATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 4090 r--C— EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 112103— 9QO(o
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
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
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ ZO.00
NO. WATERCLOSETS GAS PIPING, FEET 4----") ' $ - cro
BATHTUBS NO. 1 FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER • $
LAVATORIES CONVERSION BURNER $
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 f ,� _ /T,
OsHER ,jc1 LL V $ S'G Go
DRAINS / ( t\ ciAA( I I, G 1q-6`K $ (e . cO
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ �t O
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 ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: .1 DATE: / f
ANP-008 3/90
I
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE ItS 1.2. SETBACKS: FRONT 2,5' SIDE 2.(3 REAR 2d HEIGHT LIMIT 3di
PLANNING DEMENT APPROVAL 9-1 3- 4(- K--
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL (%,(, DATE "�(o
REMARKS: `�
PUBLIC WORKS DEPARTMENT APPROVAL / 6-- DATE y-2-
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 TYPE OF CONSTRUCTION V ti STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE 1(0
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
25-
S.B.C.C. FEE
OTHER FEES L
AMOUNT DUE
ASSIGNED ADDRESS: 5€X (?-4( S } V\-3
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
SEP 1 0 1991 Amount Date Receipt#
CM o ,-EDt RAL 41YE BUILDING DEPARTMENT APPROVAL
faultDmn PT
RECEIVED BY DATE ' �1p✓ ACCEPTED FOR FILING