90-100241 qt,--Jois a tit
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-330 RA OWNER'S NAME KYRO, DOUGLAS S. JOB ADDRESS 1508 S.W. 321ST
CONTRACTOR SELF ADDRESS 1504 S.W. 321ST CONT. PHONE 924-0607
CONT. REG. NO. OWNER'S PHONE 924-0607 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 CONSTRUCTION OF ATTACHED CARPORT
TAX ACCOUNT NO. 010450-0850-05 LEGAL DESCRIPTION LOT 85 ALDERBROOK DIV 1
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 4-16-90
BUILDING INFORMATION
*NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. 1240
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATE13 CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED
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
PERMIT FEE 54.00
PLAN CHECK FEE 35.00
PLUMBING FEE _ ,(�' n
AlICHANICAL FEE DATES } 1-- �1
'AL BLDG. FEES
PART P/C FEE AMOUNTS 9 ,5l/
SEPA REVIEW
RECEIPT: 43-1 l 1 -7
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4.50
OTHER FEES
AMOUNT DUE 93. 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 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 1 --t-c) DATE 5.--/7t) _
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 gip2_-tj 4 R i
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
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 t//
PERMIT FEE 17
PLAN CHECK FEE
PLUMBING FEE _. : ATE
MECHANICAL FEE `V
TOTAL BLDG. FEES _ tligir:
PART P/C FEE
SEPA REVIEW TCEIPTt
WATER SERVICE
WATER MAIN CHG.
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 __-
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pOrnit # 50 33 0
(1q1 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER - LX(s '?S S I -eitlC) SITE LOCATION .5A1r►e
OWNER'S ADDRESS 1 Sec-) .1 I CITY fz 'x4,tZ1-"4-7 PHONE q ZY-C)(,c)7
DESCRIBE JOB -i1,- 4/2/) '7-
THE PROPERTY IS OWNED BY( INGLMARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ftci"%3^4.!__ —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 00 1.....1 c- -- PHONE
BOX 4 SEWER DISTRICT / — WATER DISTRICT Q- \
BOX 5 ESTIMATED PROJECT COSTL='�D� ��,C,�> EXISTING BUILDING VALUATION ! TJ De) 3
BOX 6 PROPERTY TAX ACCOUNT NUMBER 01041-7;411, (:) 'J
LEGAL DESCRIPTION 8a , L� r � �v , Vo //) , oc /475
"Z r i Z> , I=s=C< � C>F /<i•y Cj.� 7-6 �./95,i/Am,i?�Ar(If necessary, please submit a separate page with the legal description.) �� 2 /K.C. Plat Recording # C/ 4/17672--4- ---
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR/Z4/0_/ 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ear t--
( ) MULTIFAMILY (NO. OF UNITS = _— _) ) EXISTING STRUCTURE ift_z
( ) COMMERCIAL/INDUSTRIAL `TOTAL AREA OF PROPERTY (--- r C/ 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 $
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 $
0 TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ 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 CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
� 1. / -2i
OWNER/AGENT: �'�� DATE:
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEPi'/1 SETBACKS: FRONT 'c' SIDE c-; REAR L' HEIGHT LIMIT -3C-,
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:_
PUBLIC WORKS D RTMEN7 APPROVAL i - DATE 14'/z1/-'���
REMARKS: % N '
\ �/--
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 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 5� o0
PLAN CHECK FEE 3; oc
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
4% 5°
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE X13��-
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED RECEIVED
Amount Date Receipt# APR 1 6 1996
BUILDING DEPARTMENT APPROVAL I�� CITY AB CILDI DG OR DEPT.
L FIOF FEDERAL LING
DATE
RECEIVED BY ,L` '