91-101642 CITY OF FEDERAL WAY 9),1016,y,;?
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 6614140
PERMIT NO. 91-1609 RA OWNER'S NAME GARY GORDON SITE ADDRESS 34904 4TH AVE S
CONTRACTOR OWNER ADDRESS CONT.PHONE
CONT.REG.NO. EXP. OWNER'S PHONE 927-6712 OWNER'S ADDRESS 34904 4TH AVE S FEDERAL WAY
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 REMOVE CARPORT & REBUILD DETACHED GARAGE
TAX ACCOUNT NO. 202104-9020-04 LEGAL DESCRIPTION NO 200 FT OF W 270 FT OF S 1/2 OF N1/2 OF SE 1/4
OF SW 1/4 LOT 20-21-04; BL 9020; CODE 1205; SEC 20; TWN 21; RG 04.
'SUED BY JOANNE JOHNSON DATE OF ISSUE D43-1 ) DATE OF APPLICATION 11-12-91
BUILDING INFORMATION
ZONE_ RS 35.0 SET BACKS:FRONT 20' SIDE 5' REAR 51 HEIGHT LIMIT 30'
OCCUPANCY
Ml TYPE OF CONSTRUCTION VN CENSUS NO. TYPE OF HEAT _ BLDG.SQ.FT. 900SF STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ - BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION 14,493. 60
PLANNING DEPT APPROVAL: DB 12/10/91 FWZC 105. 105 (PAVING REQUIREMENTS)
PERMIT FEE 162.00 ARE WAIVED PER FWZC 165. 35. 7.
LAN CHECK FEEii
UMBING FEE 105.00
PUBLIC WORKS APPROVAL: TC 12-10-91
MECHANICAL FEE FIRE/BULDING DEPT APPROVAL: KC 12-2-91
PART P/C FEE -- -
SEPA REVIEW
PUBLIC WORKS 61.00
S.B.C.C.FEE
4.50 ' GG���2_,,...-1 3 _.....c., )
FIRE FEE - DATE:
OTHER FEES AMOUNT: $332.50
AMOUNT DUE 332.50 RECEIPT: 3-S..1Th
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.
1
12-// /17
OWNER OR AGENT ...i _Id/' V V DATE
i -- C'TY OF FEDERAL WAY
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. __ EXP. 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
ONE SET BACKS:FRONT _SIDE REAR
HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS _ ELEC.HOT WATER HEATER _ GAS PIPING FT. GAS LOGS _
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS _ GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
- SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION ^LA.INIAPPROVALIG DEPT : Dfl -2110/ 1PI 105.105 ( 'AVTNNG RPT
I2IIM:MS)
PERMIT FEE ARE WAIVED PPR -' TZC 165.35.7.
PLAN CHECK FEE PUBLIC WORKS APPROVAL: TC 12-10-91 .-ik
PLUMBING FEE
MECHANICAL FEE FIRE U T�s DEPT APPROVAL: KC 12-2-91 '
11 RT P/C FEE ,
SEPA REVIEW _ I \
ii,
PUBLIC WORKS 17 1 -
S.B.C.C.FEE 1 /f
€ I
€ 11
FIRE FEE - DATE:
OTHER FEES AMOUNT:
DillIe.
AMOUNT DUE RECEIPT:
0644 ftin l ii ill'' '
•
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISS ANCE.
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
I BE MET.
I. OWNER OR AGENT ____ DATE
SET BACKS//// AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
H//f / BY %//2 DATE Y/ �./ /-.-� �� ._...
DATE_..._.._ ,�. _.
/ BY ...._. 1 _- DATE - -_--_ BY
PLUMBING ROUGH IN WATER LINE O.K. __. MECHANICAL INSPECTION
DATE.. . .-BY - GAS PIPING O.K. -__ ..-...._ DATE
BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE -.. -__... BY .... _... DATE -_.....BY -......_ DATE - BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE 3-7- y BY
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3 /5-_,,,,,,/. m,c (94,y1 ' e •- L,, .//s C,, /f'T�"
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NO 12 i99f
WV OFFEDERAL
W CITY OF FEDERAL WAY (-V-1A
BUILDING pEp1 AY BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER GA e4 - . Go12 0001 SITE LOCATION 34-4104 .- 4" A0E. So.
OWNER'S ADDRESS 34-q O4- 4" AVE So CITY FMSP L WW1 PHONE 92 -(-71`2.__
DESCRIBE JOB TEAg- CA?-470E-1- ,•3�DOtitilL NEL% STROP-Tv RE ' -��1,.{ 0[))
THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATI
BOX 2 CONTRACTOR'S NAME O&M er 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 (DM-`( . &C42-00t.) PHONE q2- 1--6111_
BOX 4 SEWER DISTRICT AIoiiE -Seep 1 L_ .WATER DISTRICT /tickle
BOX 5 ESTIMATED PROJECT COST --Sin EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 0 20 -' F ~ 902o-0 4
LEGAL DESCRIPTION NO Zoo FT of LL) 2'70 Fr CIF S '/ c2f l) V o
SE V((i 0 t Sc) Vii - LOT 7-€::- 21-04 ,. at_. 4102.0 ; CAD E 1200 ; SEG 2-C; roll 2/
(If necessary, please submit a separate page with the legal description.) /e6 Dc
K.C. Plat Recording # iJe IL) GikC- -C C- S-F '00 SF
BOX 7 BUILDING
FLOOR UARE JO E-/ EBASEg/ r -1 1ST j L1:: e / 2ND FLOOR
3RD GARAGE /
BOX 8 SINGLE FAMILY / ( ) NEW CONSTRUCTION
( MULTIFAMILY (NO. OF UNITS = ) ()4 EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY .91)000 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 � jJ�� $
OTHER IA-g � 4/ $ ��
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 KNOW EDGE
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
OWNER/AGENT: , - =i�f,/ ' DATE: / 7; (/
/ ANP-008 3/90
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE 5O SETBACKS: FRONT 20' SIDE 5 REAR 51 HEIGHT LIMIT 1
PLANNING DEPART�VI,FNT APPROVAL
J2//0/97
REMARKS: vu 16613S . f&zc /oS/0C(pwi# r-erir i 5) �-�-J
SEPA: EXEMPT NOT EXEMPT
FIRE
FIRE DEPARTMENT APPROVAL C' DATE (2 • Z - C(
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE /2-X0-1/
REMARKS:P/0-6401:0%-,- Age r r 4.,.-lie dr••VIA'p.4/ p4."A6.1 t S f 44-e--
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT X NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY )4 1 TYPE OF CONSTRUCTION vN STORES
gcCrol a BUILDING SQ. FT. '(0o @ /g•30 = (617 o
`J BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ ,/ _
BUILDING SQ. FT. @ 440U 0'T Qr = d ' $5 /
TOTAL SQ. FT. TOTAL VALUATION r' yq 3r 6 0
BUILDING DEPARTMENT REMARKS: PERMIT FEE ( Z
PLAN CHECK FEE [0 S
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
40-40
S.B.C.C. FEE y SO
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: See- �-(Gtj
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY 4 DATE Z" Z c/- l / ACCEPTED FOR FILING