90-101141 915-lo )) £1,
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
#434
PERMIT NO. 90-1353 RA OWNER'S NAME NORMA BLANCHARD JOB ADDRESS 31039 7TH SW
CONTRACTOR DARIES CONST ADDRESS 2120 SW 152ND P.O. BOX 247 SEAHUge9W. PHONE 244-2416
CONT. REG. NO. DARIFC287MR OWNER'S PHONE 833-2685 OWNER'S ADDRESS 31039 7TH SW FEDERAL AWY
TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. /' SIGN GRADING OTHER
TAX ACCOUNT NO. 5��_5 7 '7 -O( 3G CJ / _ LEGAL DESCRIPTION LOT 15 MIRROR LAKE GLEN
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 6-761 DATE OF APPLICATION 8-13-90
BUILDING INFORMATION
ONE _._ OCCUPANCY Ml TYPE OF CONSTRUCTION VN _ BLDG. SQ. FTDECK 144
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT-SHED196
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. ^BOND 340 TOTAL
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 4,251
PERMIT FEE 72-00_
PLAN CHECK FEE 47-0Q_
PLUMBING FEE
AlliCHANICAL FEEIOW _
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW _
WATER SERVICE DATE: '-, -0-i 3
WATER MAIN CHG. _
S.B.C.C. FEE 4.50 AMOUNT: / 2 3. 5Z
OTHER FEES
AMOUNT DUE 123.50 RECEIPT: '7 3 ,,77°4, 9
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 FURNISHED BY ME IS TRU E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:.
OWNER OR AGENT DATE
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 _ISSUED BY _- DATE OF ISSUE_ f FG DATE OF APPLICATION
BUILDING INFORMATION
ZONE _.. ___ OCCUPANCY -- TYPE OF CONSTRUCTION _ _ BLDG. SO. 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 S(f-0C,
PERMIT FEE -..
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES -
PART P/C FEE
SEPA REVIEW
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 PERMIT-S 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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AUG --- _
1 3 1990 CITY OF FEDERAL WAY
CITY OFFEDERAL WAY
BUILDINGILDING DEPT. BUILDING PERMIT APPLICATION
— Please Print— 434_
BOX 1 TENANT NAME:
OWNER lhS 4 O /7 L- ice-, SITE LOCATION vim. • I -
air-
OWNER'S ADDRESS /v 3-y-
-9 /7 i 4-vze _ Ai- CITY /=/�r'� 4 PHONE c )5-
DESCRIBE
JOB xis i-a*E- / /�� X/V' c f c.0 i�-�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED a PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME )) t4A " eo\----e. T CONTRACTOR'S REG. #v ft , . "- /34
;,20 X.jt). /'Ca NA Card MUST be presented
CONTRACTOR'S ADDRE 6. 5', X .04/ 4
7 CITY ? , '94,/64 ./ PHONE ",-4/4/- * -' ' /6
EXPIRATION DATE VW 9/ A
— 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 /`- i `J ,- PHONE t 1 `I - e/-7?
BOX 4 SEWER DISTRICT */ 4 ..t WATER DISTRICT J t J,) (!
BOX 5 ESTIMATED PROJECT COST // E> EXISTING BUILDING VALUATION _ 1
BOX 6 PROPERTY TAX ACCOUNT NUMBERL i L t- CET
LEGAL DESCRIPTION P Ar`/3' /7,f 4e ' Re ,(,9 61.4,2--
(If
14, -(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 "Y ' / 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$
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 $
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 THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
/ y-71
OWNER/AGENT: -' �IG'`4._„e,4 ./ DATE: #1/ //9 '
6
ANP-008 3/90
___<:__ ____------: " , .
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE). '
ZONE SETBACKS: FRONT SIDE REAR EIGHT LIMIT
PLANNING DEPARTMENT APPROVAL k'
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
4.
P BLIC WORKS DEPARTMENT APPROVAL 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 A4 ( TYPE OF CONSTRUCTION STORES
1�� BUILDING SQ. FT. (� @ (c' = tf 0
Sk BUILDING SQ. FT. PTO O @ 17- 30 = -c3q a - O
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @a =
BUILDING SQ. FT. @ <f<es- = (,- c;;
BUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION 117--5—
BUILDING DEPARTMENT REMARKS: PERMIT FEE 7 Z_ °U
PLAN CHECK FEE t(7 "c'
PLUMBING FEE c,
MECHANICAL FEE o
TOTAL BLDG. FEES f I q` v`'
PART P/C FEE 0
SEPA REVIEW u
S.B.C.C. FEE y` r 0
OTHER FEES C)
AMOUNT DUE 1 3 . r c
'fib ,? ASSIGNED ADDRESS: Ste- -1c(5 "- (f^ q
OPV 'fie �yp/19 PARTIAL PLAN CHECK FEE RECEIVED
V"qN> 4.9 ie �/0 Amount Date Receipt#
�` BUILDING DEPARTMENT APPROVAL
RECEIVEDCEBY DATE &-- ( C - (q
V ACCEPTED FOR FILING