94-100435 c),I60935
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
(434) "RENEWAL OF 90-66"
PERMIT NO. 91-406 RE OWNER'S NAME SUNRIDGE DEVEL JOB ADDRESS 30220 17 AVE SW
CONTRACTOR SUNRIDGE-OWNER ADDRESS 25725 101 AVE SE KENT CONT. PHONE 854-6100
CONT. REG. NO. SUNRID*11OJS 1/11/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
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 RENEWAL OF 90-66 TO CONSTRUCT NEW RESIDENCE
TAX ACCOUNT NO. 005070-0150 LEGAL DESCRIPTION LOT 15 ADELAIDE FOREST ESTATES
*SUED BY ELIZABETH SNYDER _ DATE OF ISSUE DATE OF APPLICATION 4/5/91
BUILDING INFORMATION
ZONE RS15 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 4946
SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' _ STORIES 2 HEIGHT LIMIT 30' MAX
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 4 ELEC. HOT WATER HEATER 1 GAS PIPING _FT. XXX BOILER
_
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 2 URINALS FORCED AIR FURNACE (1) AIR HANDLING UNIT _ NUMBER
LAVATORIES 6 DRINKING FOUNTAINS GAS HOT WATER HTR. (1) _ MISC.
SINKS 3 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 20 UNIT HEATER _ TOTAL MECHANICAIBFJ.OW AMOUNT ]WINE
VALUATION $259,966.00
THIS PERMIT EXPIRES APRIL 5, 1992
'PERMIT FEE $600.00
*LAN CHECK FEE
PLUMBING FEE 50_00
MECHANICAL FEE 10_00 FEES DUE ARE z OF THE AMOUNT COLLECTED FOR THE FIRST PERMIT ISSUED
TOTAL BLDG. FEES $660-00 FOR THIS PROJECT.
PART P/C FEE
SEPA REVIEW ]
WATER SERVICE
WATER MAIN CHG. ' �LC 4
S.B.C.C. FEE DATE PD 5.7/ AMT $660.00 REC T
OTHER FEES
AMOUNT DUE $660.00
ALL PERMITS EXPIRE 180 D: AFTE' ISSUANCE IF NO WORK IS STARTED.'RESIDEN_TIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE I ORMATIe FURNISHED B ' IS TRUE AND CP-RECT '0 THE'EST OF MY KNOWLEDGE AND THE APP (CABLE CITY OF FEDERAL WAY
REQUIREMENTS WIL :E M .
7 / 1,
OWNER OR AGENT I /, _f - A, A . i..*_, '- . ! DATE /Z
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
*UED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE OCCUPANCYTYPE 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 ti) AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. (1) MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
MIX'S T EXPIRE::: xu'i4..;s. 5, 1'
PERMIT FEE
'PAN CHECK FEE
LUMBING FEE -- FEES DUB ARE i OF THE AMOUNT COLLECTED FOR ThE F IPST PER`,'IT
MECHANICAL FEE FOR THIS PROJECT.
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW - J
WATER SERVICE /' '
WATER MAIN CHG. /. /.. , ' i
DATE 'D AST $650.00 REC'T =-
S.B.C.0 FEE . _-. ::....k.L .-_4-
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
W—
• ' - . Pitit # 9n_6A
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION � 5:�:,�
- Please Print— AC's
BOX 1 TENANT NAME:
OWNER Sunridge Development SITE LOCATION 30220 17th Ave S.W.
OWNER'S ADDRESS 25725 1015_t Ave S.E. -__ CITY Kent PHONE 854-6100
DESCRIBE JOB single fami Iy residence
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP XX CORPORATION
BOX 2 CONTRACTOR'S NAME Sunr i dge Development CONTRACTOR'S REG. # SLN2ID*1 1035
Card MUST be presented
CONTRACTOR'S ADDRESS 25725 101st Ave S.E. CITY Kent PHONE 854-6100
EXPIRATION DATE 1 /1 1 /97
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX3 CONTACT PERSON Ipsi iP nldham PHONE 854-6100
BOX 4 SEWER DISTRICT Federal Way WATER DISTRICT Federal Way
BOX 5 ESTIMATED PROJECT COST 200,000 EXISTING BUILDING VALUATION 259,966. 16
BOX 6 PROPERTY TAX ACCOUNT NUMBER nn 5070-0150-07
LEGAL DESCRIPTION It 15 Adelaide Forest Fstates
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 8710291140
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 2034 / 2ND FLOOR 1621 bghus 404
3RD FLOOR / BASEMENT I DECK 553 / GARAGE 887 /
BOX 8 ( X) SINGLE FAMILY ( X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 15427 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 4 WATERCLOSETS GAS PIPING, FEET $
2 BATHTUBS NO. 1 FURNACE, ELEC. GAS X $
2 SHOWERS 1 GAS HOT WATER HEATER $
6 LAVATORIES CONVERSION BURNER $
3 SINKS - BOILER, SIZE BTU $
1 DISHWASHERS AIR HANDLING UNITS $
t ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
1 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.
OWNER/AGENT: _ Vq DATE: I ' i 1 I
ANP•OO!2 P:,