90-101126 400111/1 9/,-I0)l �<o
.0.. 1 i OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT
#434 AMMO°
PERMIT NO. 90-1326 RA OWNER'S NAME CHARLS W & TERESA LANGFITT JOB ADDRESS 32219 7TH AVE S.W.
CONTRACTOR KEN GOHRICK CONST ADDRESS 32238 7TH AVE S.W. FEDERAL WAY CONT. PHONE 874-3978_
CONT. REG. NO. KENGOC198CJ OWNER'S PHONE 874-4738 OWNER'S ADDRESS 32219 7th Ave S.W.
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. 926492-0170-05 LEGAL DESCRIPTION LOT 17 WEST CAMPUS DIV #3
ISSUED BY JOANNE JOHNSON DATE OF ISSUE i- „32, 90 DATE OF APPLICATION 8-9-90
BUILDING INFORMATION
ONE 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 DUCT WORK 6.50
RETURNED _
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL __. 6.50 AMOUNT
VALUATION 51,004_80
PERMIT FEE 419.00
PLAN CHECK FEE 272.00
PLUMBING FEE
WCHANICAL FEE 6.50
TAL BLDG. FEES
PART P/C FEE �}
SEPA REVIEW DATE: S-9�( v
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4.50 f
AMOUNT: `Q 2
OTHER FEES
AMOUNT DUE 702.00 RECEIPT: I '1 C.i /6 7
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 ��/� G
" DATE ?)--l,�
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 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
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 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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CITY OF FEDERAL WAY. •
RF
47
/07. BUILDING PERMIT APPLICATION CFIV
` -� — Please Print— AUG �
f.3 ci yoF6 9 ic%
BOX 1 TENANT NAME: ���.l �.�.. SITE LOCATION ���� FED
cul LD�G vEP SAY
OWNER (I-),1' ) h/ 1 T J , /Binh Z
OWNER'S ADDRESS 31.2/d/ 77iA late, S W CITY F-z.{c;:,a,,;C w.-,,,, PHONE fI?y-`«3
DESCRIBE JOB 4 / 5-0 ye,4 at /IV)V4 /)/tui
THE PROPERTY IS OWNED BY: SINGLE/MARRIED hh PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME fC n C-0 h rir if* 4h 31. CONTRACTOR'S REG. #CCA/ lr rryc-o‘- /9K/
Card MUST be presented
CONTRACTOR'S ADDRESS 300 ' i 7A Ave, S G✓. CITY T. :.(,:4, l t%'-4,.., PHONE Sr Z'1 3/9s'
EXPIRATION DATE l' /4/' q/ r /
C — 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 'ke in C-c/i/2.0 K c;, CA.44) tv' 1— /,1/ PHONE ceh.o
BOX 4 SEWER DISTRICT rutAe y. G/`y41 WATER DISTRICT
BOX 5 ESTIMATED PROJECT COSTS ,o EXISTING BUILDING VALUATION(/03,409
BOX 6 PROPERTY TAX ACCOUNT NUMBER V16 yq1 - 017C) -05"
LEGAL DESCRIPTION Lot /' / W.(5i- 64„.,x,,,;, l7;✓iSi0r► 3 ifrco/z,i;m /tc iT, PIS Is,r,,,.44.i);h
V)1r/vetp /f U4- iv, J),; ct ciy f47,1.,,1h l,1 l/ iy.;,, .h l(;`, `'4,<`I/ LV >ti ?�,�i
- .9
(If necessary, please submit a separate page with the legal descriptin(lon.)
K.C. Plat Recording # .-y/'
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 130=7 / 0-0=/IJ2ND FLOOR 7 S / .110'=970
3RD FLOOR / BASEMENT / DECK ---- / -- GARAGE --- / --
BOX 8 (X`) SINGLE FAMILY ( ) N yl CONSTRUCTION r
( ) MULTIFAMILY (NO. OF UNITS = ) ( XISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY DSO C flirmis) SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. O WATERCLOSETS GAS PIPING, FEET $
O BATHTUBS NO. n FURNACE, ELEC. GAS $
O SHOWERS 0 GAS HOT WATER HEATER $
lit LAVATORIES 0 CONVERSION BURNER $
O SINKS 0 BOILER, SIZE BTU $
9 DISHWASHERS 0 AIR HANDLING UNITS $
V ELECTRIC HOT WATER HEATER 0 HEAT PUMPS, SIZE $
(1 LAUNDRY WASHER OUTLET () UNIT HEATERS $
O URINALS b AIR COOLING UNITS, SIZE $
___S_DRINKING FOUNTAINS 0 COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS 0 OTHER Ai 0‘titi, .2e-;it-i,,,5 4,44.1h4e - $
O DRAINS e►-•;vw.( $
0 OTHER 1 oAw_._ $
TOTAL FIXTURES Due Lj0\r")1G $
TOTAL MECHANICAL FE ,_ $ '-S'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.
OWNER/AGENT: i
��4 DATE: .
S.' 4/ I/2
ANP-008 3/90
. •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
'SETBACKS: FRONT SIDE •
REAR HEIGHT LIMIT
ZONE '�>
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL _ DATE
REMARKS:
PUBLIC 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 TYPE OF CONSTRUCTION l)ti STORES
i J I tevy BUILDING SQ. FT. ', yv @ k, q, c=o = S 7 q6 0
BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ / (Tr eic `' 045 b
BUILDING SQ. FT. @ = _
TOTAL SQ. FT. TOTAL VALUATION , ' " T t'a
BUILDING DEPARTMENT REMARKS: PERMIT FEE y(Q< Oo
PLAN CHECK FEE 2-72-oci
PLUMBING FEE C)
MECHANICAL FEE b, co
TOTAL BLDG. FEES (.41 ,5-0
PART P/C FEE O
SEPA REVIEW
S.B.C.C. FEE y` S`C;
OTHER FEES _ G
AMOUNT DUE _ ?C2 c�'c
41,- :(44 ASSIGNED ADDRESS: 1 _)(t St (u. `
6.
Dei8 - O'<9PARTIAL PLAN CHECK FEE RECEIVED
/�O OilyAmount Date Receipt#
�cr BUILDING DEPARTMENT APPROVAL
RECEIVED BY FSCq. DATE b- f 6- ( D ACCEPTED FOR FILING