91-100279 9/-soh g
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-240 RA OWNER'S NAME RON MCGAR JOB ADDRESS 32304 9TH AVE S
CONTRACTOR J & V WILLIAMS CONST kgcEss 11615 SE 221ST STREET KENT CONT. PHONE 630-9399
CONT. REG. NO. JVWILCI101RD OWNER'S PHONE 946-1069 OWNER'S ADDRESS 32304 9TH AVE S FEDERAL WAY
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. 150240-0570-03 LEGAL DESCRIPTION LOT 10 BLOCK 4 CENTURY CITY #1
JOANNE JOHNSON i
IS°UED BY DATE OF ISSUE h i DATE OF APPLICATION 3-4-91
BUILDING INFORMATION •
ZONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SO. FT. 384 S.F,r
SET BACKS: FRONT 25' SIDE 5' REAR STORIES_ HEIGHT LIMIT 30
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 23,316.48 PLANNING DEPT APPROVAL: DB 3-6-91
PERMIT FEE 243.00 BUILDING DEPT APPROVAL: KC 3-7-91
PLAN CHECK FEE _ 1 580.0_
UMBING 111111ICHANICAL FEE _ 0
TOTAL BLDG. FEES
PART P/C FEE '/I
SEPA REVIEW ff�J f �
WATER SERVICE DATE:
WATER MAIN CHG.
S.B.C.C. FEE 4.50 AMOUNT: $405. 50
OTHER FEES
AMOUNT DUE 405.50 RECEIPT: 1:7
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: J / C�
OWNER OR AGENT �' C.t) S�Ck'�-f'e44.-7 DATE 3 - ! /i
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. 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
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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# 2-'10
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print-
BOX 1 TENANT NAME:
OWNER ite $ 104'5 14 Ai pi c G A.0 SITE LOCATION '/?/nG
OWNER'S ADDRESS 32 Th Ay, 5 CITY t DE Gt/) PHONE 7 r-/ ( -- is J
DESCRIBE JOB f? L?l' i'T, L`N
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP I CORPORATION
BOX 2 CONTRACTOR'S NAME -.) d V t.), )/, A'S i i 1.;c,CONTRACTOR'S REG. #J V
Card MUST be presented
CONTRACTOR'S ADDRESS f/L /.c S c 2 I CITY irt.-/Q.7 PHONE (H 3 C'.- l 3 1=---/
EXPIRATION DATE 6 _ 4. _ co
— 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 ,) 'b, >JN�. CG II,/�Ai$ PHONE (e; S C'-•! 3ci
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST y EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 150 2 4 0 - O S l 0- 0 3
LEGAL DESCRIPTION I-0 T /C (5 ) Qc K ' en) TU
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR Jej Z / 2ND FLOOR )j 2 I
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$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVE4iSION BURNER $
SINKS BOILER SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY W HER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUN INS COMMERCIAL HOOD $
SUMPS, SPRINKL R VACUUM BREAKERS OTHE7
$
DRAINS $
OTHER11
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.
OWNER/AGENT: ( ;rile,-yvi : �(�f f(y L-o DATE: - 'I — 1 I
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE —7 %/
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL / DATE
REMARKS: V
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT k 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. u LI @ = 2-6 y
BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ A4C101 t `(ems O ` J 8
TOTAL SQ. FT. TOTAL VALUATION )-- 3/C
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE /5
PLUMBING FEE
MECHANICAL FEE L!
TOTAL BLDG. FEES v
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE W S 0
OTHER FEES
AMOUNT DUE c;
ASSIGNED ADDRESS: Se-P e1C (`S '1
RECEIVED
MAR 5 1991 q PARTIAL PLAN CHECK FEE RECEIVED
CITY OF FEDERAL WAY mount Date Receipt#
BUILDING DEPT. BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING