91-100914 9)-/0091y
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
(434) "RENEWAL OF EXISTING PERMIT # 90-63"
PERMIT NO. 91-928 RE OWNER'S NAME SUNRIDGE DEVELOPMENT JOB ADDRESS 30227 17 AVE SW
CONTRACTOR OWNER ADDRESS 25725 101 AVE SE #A KENT CONT. PHONE 854-6100
CONT. REG. NO. SUNRID*11 OJS 1/92 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 (UNITSMULTI. ADD. SIGN GRADING OTHER RENEWAL OF EXISTING PERMIT # 90-63 TO CONSTRUCT
TAX ACCOUNT NO. 005070-0040 LEGAL DESCRIPTION LOT 4 ADELAIDE FOREST ES.RESIDENCE
M _
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE A DATE OF APPLICATION 6/28/91
BUILDING INFORMATION
IIPONE RS 15 _ OCCUPANCY R-3/M-1 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 4937
SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' STORIES 2 _ HEIGHT LIMIT 30' MAX
PLUMBING Na Na MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER 1 GAS PIPING FT. XXX BOILER
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 _ URINALS FORCED AIR FURNACE XXX AIR HANDLING UNIT NUMBER
LAVATORIES 5 DRINKING FOUNTAINS _ GAS HOT WATER HTR. XXX MISC.
_
SINKS 2 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISK4,4ASHERS 1 TOTAL FIXTURES 16 UNIT HEATER TOTAL MECHANICAL BELOW AMOUNT NONE
VALUATION $239,432.00
A
PERMIT FEE $565.00 THIS PERMIT WILL EXPIRE ON JULY 1, 1992 AND CANNOT BE RENEWED AGAIN! !
PLAN CHECK FEE
PLUMBING FEE 40.00
MECHANICAL FEE 10.00
•OTALBLDG, FEES $615.00
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE DATE PD 7/11/91 AMT $615.00 REC'T C-4654
OTHER FEES
AMOUNT DUE $615.00
ALL PERMITS EXPIRE 180 DA TE ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE I ORMATIO URNISHED BY IS TRUE AND CORRECT TO BEST OF MY KNOWLEDGE AND THE LICABL CITY OF FEDERAL WAY
REQUIREMENTS WI BE MET:
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Permit # --
CITY OF FEDERAL WAY q 1-- 92-8
C: .�� %-g E---
BUILDING PERMIT APPLICATION R� ���
1% JUL 11991
— Please Print-
' `ad Q 0 - , /1
BOX 1 TENANT NAME:
OWNER Sunr idgf neve I c>rr nt SITE LOCATION 30227 17 Ave S.W.
OWNER'S ADDRESS 25795 101 s_t Ave S.F_ , Su i to A CITY Kent PHONE 854-6100
DESCRIBE JOB Single Dwelling
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP XX CORPORATION
BOX 2 CONTRACTOR'S NAME SAND. AS ()XC-NFR CONTRACTOR'S REG. # SU`RID*1 103S
Card MUST be presenter
CONTRACTOR'S ADDRESS 75725 101st Ave S.E. ,Suite iSITY Kent PHONE 854-6100
EXPIRATION DATE 1 /11 /92
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Les 1 ie Oldham PHONE 854-6100
BOX 4 SEWER DISTRICT Federal Way WATER DISTRICT Federal Way
BOX 5 ESTIMATED PROJECT COST 739,437. 51 EXISTING BUILDING VALUATION 239,432.51
BOX 6 PROPERTY TAX ACCOUNT NUMBER 005070-0040
LEGAL DESCRIPTION Lot 4 Adelaide Forest Fsta_te
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 8711)791141)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 7937 / 2ND FLOOR 757 / 585bonus
3RD FLOOR / BASEMENT / DECK / GARAGE 940 /
BOX 8 ( x) SINGLE FAMILY ( x) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET - $
2 BATHTUBS NO. 1 FURNACE, ELEC. GAS x $
1 SHOWERS 1 GAS HOT WATER HEATER $
5 LAVATORIES CONVERSION BURNER $
2 SINKS • BOILER, SIZE BTU $
1 DISHWASHERS AIR HANDLING UNITS $
1 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 $
16 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 T - 0 EDERAL WAY, BUT ONLY WHERE S CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND FM YEES, U'IN THE kaso ACY OF THE INFO: . "ISN SUPPLIED TO THE CITY AS A PA OF THIS APPLICATION.
.� / ��
OWNER/AG NT:—4 � �_�����==- _- -- �. DATE: 4,"�S— 4----
ANP-006 3 P3