91-101091 9)-)O)b 9/
CITY OFBUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
(o/S)
PERMIT NO. 91-1052 OT OWNER'S NAME WEST HYLEBOS STATE PARK JOB ADDRESS 34915 4 AVE S
CONTRACTOR CASPER & MAGERA ADDRESS N 9515 DIVISION #100 SPOKANE, WASH CONT. PHONE 509-466-5146
CONT. REG. NO. CASPEM3O2RH 1/92 OWNER'S PHONE 931-3904 OWNER'S ADDRESS 7150 CLEANWATER LANE OLYMPIA
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 CONSTRUCT BRIDGING ON FOOTPATH IN MARSHY AREA
TAX ACCOUNT NO. 202104-9054 LEGAL DESCRIPTION THE S -1 OF THE SE 4 OF THE SW a OF THE SW i OF SEC __
• 20 T 21 N RANGE 4 EAST WM IN KING CO WASH
ISSUED 8Y__ ELI ZABETH SNYDER DATE OF ISSUE ?,...;4.1 I DATE OF APPLICATION 8/8/91
BUILDING INFORMATION
ZONE SE/RS35 OCCUPANCY M-2 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. NA
SET BACKS: FRONT NA SIDE NA REAR NA _ STORIES NA HEIGHT LIMIT NA
PLUMBING Na Na 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 NONE I" 'T HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $2,500 _
PLANNING DEPT APPROVAL = GREG FEWINS
•ERMIT FEE $54.00
PLAN CHECK FEE 35_00 "ELEVATED FOOTPATH AND BRIDGING SHALL BE CONSTRUCTED AND MAINTAINED
PLUMBING FEE HANDICAP ACCESSIBLE"
MECHANICAL FEE
TOTAL BLDG. FEES _ _ PUBLIC WKS DEPT AP ROVAL = TOM COLLINS
PART P/C FEE - DATE: r' - I BLDG DEPT APPROVAL = KEVIN ELLIS
SEPA REVIEW _
WATER SERVICE - AMOUNT: $118.50
WATER MAIN CHG.
S.B.C.C. FEE 4.50 _ RECEIPT: _ -�
OTHER FEES P, WKS. 25.00
AMOUNT DUE $118.50
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 B MET:
OWNER OR AGENT \' /N11C-3\_` \k-D DATE i •
1
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 _
SUED 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
PLANNING DEPT APPROVAL is GREG FEWI:
PERMIT FEE
PLAN CHECK FEE "ELEVATED FOOTPATH AND BRIDGING SHALL BE CONSTRUCTED AND MAINTAINED
LUMBING FEE HANDICAP ACCESSIBLE" "�
�..CHANICAL FEE
TOTAL BLDG. FEES PUBLIC WKS DEPT APPROVAL = TOA COLLINS
PART P/C FEE Un,.i.l'.: !__. ._ _1J___...._. BLDG DEPT APPROVAL = KEVIN E L1
SEPA REVIEW
WATER SERVICE $118.50
WATER MAIN CHG. •--__.._...._._..�____..__._....._._.
S.B.C.C. FEE ' y
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY j):I)
REQUIREMENTS WILL BE MET:
it
OWNER OR AGENT DATE
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Permit # 9 /-
AUG
RECEIVED .0 8 1991 CITY OF FEDERAL WAY
Girt OFFEDERAL wAY BUILDING PERMIT APPLICATION
Qu�LO N( DEPT -Please Print-
BOX 1 TENANT NAME: (jf,S / /f . : I, f I
OWNER , a.- J. o, " - < SITE LOCATION '3°/' '.$"-* 11" . e f7Y
OWNER'S ADD'ESS - Lr: •✓_- : _ CITY/UM/4C_ PHONE__ I- 7O
DESCRIBE JOB G4NS j�i�G T' 'NA; /ii,//T ON chT/ 5-T ,M' Nax/9./M
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 6irp!19 74-A/464--FRA CONTRACTOR'S REG. # C 97 3 ,e8
Card MU be O2presented
CONTRACTOR'S ADDRESS w/ . 5/4 7 ) CITY 5/ '/c(Atr PHONECce9) Z..-, '
EXPIRATION DATE 2z .....„„ri,
— 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 o"-A-- ---- -24 PHONE - '•.1
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST .2....(000 E": --�- EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 'v -- -_ = \` -2 7 2_I 04 `761.1
LEGAL DESCRIPTION NAM(ilk-Let ./
(If necessary, please subrhit 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 / 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 $
j<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 KN LEDGE
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: JPO'!� i - DATE: ____T77/7
s
ANP-008 3190
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE6/1a53C.SETBACKS: FRONT /WA- SIDE /J1/4- REAR /Of- HEIGHT LIMIT /VA
PLANNING DEPARTMENT APPROVAL
REMARKS: EI,ZVN?L'i) Fc0773 i1f 404 ,*Z4Q&fri 5,17/0-14 # Ge W51fl 4/Gt?f,9
474 si"r h✓ev j itri ie r i tc S/dee-
SEPA: EXEMPT NOT EXEMPT V/ ,V14, 1550110 (31 Wvp1e-C_ trN '4'191
FIRE DEPARTMENT APPROVAL. , 1\ DATE
REMARKS: �`
PUBLIC WORKS DEPARTMENT APPROVAL ./ -6 DATE f/2 -/T/
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL X COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY Nt Z TYPE OF CONSTRUCTION L/4/1 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 c1/1
PLAN CHECK FEE 3 v
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
.PVI/ z�
S.B.C.C. FEE 11,
OTHER FEES
AMOUNT DUE llx
ASSIGNED ADDRESS: >v..t (S
RECEIVED
PARTIAL PLAN CHECK FEE RECEIVED
AUG 0 8 1991 Amount Date Receipt#
CITY OF FEDERAL WAY
BUILDING DEPT. BUILDING DEPARTMENT APPROVAL
RECEIVED BY - DATE '� ( ACCEPTED FOR FILING