91-101270 911 . 161 7 C
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
TENANT: HAIRS THE PLACE II (DENNIS G FLETCHER DRA)
PERMIT NO. 91-1217 CA OWNER'S NAME CHAO TSAN TING JOB ADDRESS. 4614 SW 320TH ST #6
CONTRACTOR DINO VALLALA ADDRESS 2307 9TH AVE MILTON 922-355R CONT. PHONE DINOVC121OQ
CONT. REG. NO. DINOVC121OQ OWNER'S PHONE_ _ OWNER'S ADDRESS 471 7 1 32ND AVE_ SE BET3T.EVHE
TYPE JOB' NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL _ COMMERCIAL ADD. XX INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. _
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 112103-9101-08 LEGAL DESCRIPTION SEE ATTACHED
ISSUED BY JOANNE JOHNSON DATE OF ISSUE /d 47-q/ DATE OF APPLICATION 9-5-91
BUILDING INFORMATION
SitE BN OCCUPANCY B2 TYPE OF CONSTRUCTION VN BLDG. SQ. FT.
BACKS: FRONT 20' SIDE 101_____ REAR 101 STORIES- _ HEIGHT LIMIT_ 35
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
—
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING 80 FT. --2-00 BOILER
RECEIVED _
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
' LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. _6-50 MISC. —
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL -S..50 AMOUNT
VALUATION 9,500 PLANNING DEPT APPROVAL: NON-CONFORMING SETBACKS AND LOT COVERAGE REQUIREMENTS
L SCHILL 9/91 CONFORMANCE NOT REQUIRED UNLES CHANGES OR ALTERATIONS
PERMIT FEE 117.00 EXCEED 15% OF PROPERTY VALUE IN A ONE YEAR PERIOD.
PLAN CHECK FEE 76.00
PLUMBING FEE FIRE/BUILDING DEPT APPROVAL: KC 9-18-91 MUST SIGN RESTROOM AFFADAVIT
MECHANICAL FEE 8. 50
OTAL BLDG. FEES
RT P/C FEE ..
SEPA REVIEW DATE: // . `/ ','
WATER SERVICE
WATER MAIN CHG. AMOUNT: $211. 85
S.B.C.C. FEE 4.50
OTHER FEES FD FEES 5.85 RECEIPT: Li,' h
AMOUNT DUE 211.85
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISH-9 BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: , F
/1
OWNER OR AGENT _ � / 9 ' DATE / tr /
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. SIGN GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
SUED BY__ ___ DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE 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 .AL; ,-1liv i./444:::" it."k j? i%x.:: .iiif4'— i..:Ctis«ij °'. .'A; .ii, w �: 11 3 AND .
T, SCRIM, 9191 CONFORMANCE; NOT R.EOUIRED MiLES CHANGES Oen AT
EXCEPT) 15% OP PROPERTY VALUE IVA CM. Yr' r
PERMIT FEE
PLAN CHECK FEE ,
�}r+r
IRE/RUZLDING DEPT APPROVAL: KC 9-18-91 7ST SIGN R.ESTROO A. F2\DAV:.y
fikUMBING FEE —
CHANICAL FEE 8•SO
TOTAL BLDG. FEES ,
PART P/C FEE
10.'"�
SEPA REVIEW `.< ..—.-------..
WATER SERVICE , O k $211.85 211.85
WATER MAIN CHG. -- — .--
S.B.C.C. FEE ,.,r% 777 _ r,,,Y
OTHER FEES ----- -
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
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RECEIVED • •
ermit # I'. - I)-il, 4
SEP 5 1991 CITY OF FEDERAL WAY a A
CITYOF FEDERAL WAY BUILDING PERMIT APPLICATION
BUILDING DEPT. —Please Print—
BOX 1 TENANT NAME: :TENNIS G cuET-C,A�Q •-b3c ‘NAA-'_S -tm '�L ce
OWNER CAC's() --TSAN MN& SITE LOCATION 444,1•1 s.w, 3 S3•; *to Ft..), Gkoz3
OWNER'S ADDRESS '4111 - 132.. Q.re. S,IS • CITY--t ra.mvs...\ PHONE !e(//- SB82
DESCRIBE JOB 'TeY,naN trmP:ovemm.c..c
THE PROPERTY IS OWNED BY: SINGLIdIsagalL, X PARTNERSHIP L ' CORPORATION
BOX 2 CONTRACTOR'S NAME o'- w 'h''O CONTRACTOR'S REG. #�1►,D\r,, L - LOQ
14v-c- Card MUT be presented
CONTRACTOR'S ADDRESS a Sen -1 / CITY IM i\ VIDA) PHONE 412Z- 35-,
EXPIRATION DATE I2 ,b'
/ ' �jf — OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ---Oe._' ' \-L PHONE 83 e,-\c-i10
BOX 4 SEWER DISTRICT T=eo e-\ kA fayWATER DISTRICT _ ..k W
BOX 5 ESTIMATED PROJECT COST 1 C), COCA cr EXISTING BUILDING VALUATION 3Sb,CYo
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1\"a\03 -•ti\O\-O$
LEGAL DESCRIPTION ACS
(If necessary, please subn'it a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: xistin Proposed) 1ST FLOOR I J A° / ¢T 2ND FLOOR /
3RD FLOOR / ENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
(X COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET SO $ - , oG
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS I GAS HOT WATER HEATER $ C •CC
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 OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ g". 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 C F FEDER WA , BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPL S,
)vi
U'ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGEN • L � DATE: �z� c 9l
ANP-008 3/90
OFFICE *ONLY (PLEASE DO NOT WRITE BELOW THIS L11)
ZONE- SETBACKS: FRONT c70 ' SID / ` REAR J el ' HEIGHT LIMIT �5
PLANNING DEPARTMENT APPROVAL7"..6 •
REMARKS: A- -e_eAtrori(i it„ 5e keks Q /0,1 ce )erEq. Tetr.i4r1 t7//_
Cotlirar. e-e not YPfvired unless Chet/7ges csr a/te-roti-,dns
ereeeds 1-11 o - l 'pe i- VA-1_08- , i 4 DdCle - yew f -ram .
SEPA: EXEMPT L.,.------- NOT EXEMPT
FIRE DEPARTMENT APPROVAL (----C— DATE ( - (g f(
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL//(i !A 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 I6Z TYPE OF CONSTRUCTION J-1/ STORES
/&_+ct( ( BUILDING SQ. FT. @ 364-0 =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ 9i5L/441-C-(=Lif _
TOTAL SQ. FT. TOTAL VALUATION 5-0 0
BUILDING DEPARTMENT REMARKS: PERMIT FEE ( ( 7
A/t,9,,S.f— S„r k V t SLG U,� at;,1 Cc k Q l/ (w f PLAN CHECK FEE 7 6
PLUMBING FEE
MECHANICAL FEE e s 0
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE L/- 3-- u
OTHER FEES ' z'' c< 8 s---
AMOUNT
AMOUNT DUE
Q Q ASSIGNED ADDRESS: Se'e---- �-?(-C S�<‘1?-)
/
PARTIAL PLAN CHECK FEE RECEIVED
04.1 z Amount Date Receipt#
LU ic13 'c
(, ' tr, j BUILDING DEPARTMENT APPROVAL
RELIVED BY DATE ACCEPTED FOR FILING