91-100572 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-526 NR REVTAW,14 NAME ROY BOWINGTON JOB ADDRESS 30124 17TH AVE SW
CONTRACTOR DRAK CORPORATION ADDRESS 2609 S 355TH PL FEDERAL WAY CONT. PHONE 952-3346
CONT. REG. NO. DRAKC115M5 6/92 OWNER'S PHONE 952-2913 OWNER'S ADDRESS 34024 1ST PL S #C FEDERAL WAY
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. 005070-0120 LEGAL DESCRIPTION
•ED BY JOANNE JOHNSON DATE OF ISSUEtC1l DATE OF APPLICATION 7-29-91
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
PERMIT FEE
PLAN CHECK FEE $30.00 -_ PLAN REVIEW FEE FOR ONE HOUR REVIEW OF PLAN REVISION MM 7-30-91
*ANICAL
BING FEE
FEE
TOTAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW DATE: B/1.,1
7 9 1
WATER SERVICE
WATER MAIN CHG. AMOUNT: $30.00
S.B.C.C. FEE
OTHER FEES RECEIPT: 3
AMOUNT DUE $30.00 __
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISH BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
1(OWNER OR AGENT (. --� DATE
• Pipit # /- A/<
X31 CEa`t ED CITY OF FEDERAL WAY
JUL 2 9 1sj1 BUILDING 'PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER _.u. ^' . SITE LOCATION , t7
OWNER'S ADDRESS CITY PHONE
DESCRIBE JOB Lt Li;S,(1.rJ
THE PROPERTY IS OWNED BY: SING-E111:1-) PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME :0lZ 4k C:,'e pr ��•i t 0;) CONTRACTOR'S REG. # " II. "'
Card MUST be presented
CONTRACTOR'S ADDRESS 'UM . CS PL CITY 1-1 PHONE 95).--33` 1
EXPIRATION DATE
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER OtSc"le-) --C:r? Q
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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 $
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: ���--- ` DATE: 1/2-5/5I
C
ANP-008 3/90
O0E USE ONLY (PLEASE DO NOT WRITE BELOW'S LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: N/4'
PUBLIC WORKS DEPARTMENT APPROVAL A/- DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY R3,/Mf TYPE OF CONSTRUCTION V/t/ 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 c"
/20/6/ v' PLAN CHECK FEE
PLUMBING FEE
/W/17. / ///2 f2 MECHANICAL FEE
e 30 TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
C 1 in/
> O (9 --
i' / S.B.C.C. FEE
OTHER FEES —�
AMOUNT DUE
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY 72-70ic DATE .30/7/ ACCEPTED FOR FILING
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-526 NR OWNER'S NAME ROY BOWINGTON JOB ADDRESS 30124 17 AVE SW
THE DRAK CORP 2609 S 355 PL FEDERAL WAY 952-3346
CONTRACTOR ADDRESS CONJ.. PHONE
CONT. REG. NO. DRAKC**115M5 d
1,;L--
OWNER'S PHONE 952-2913 OWNER'S ADDRESS 34024 1 PL S #C FEDERAL WAY
TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER • 'AND GARAGE
TAX ACCOUNT NO. 005070-0120 LEGAL DESCRIPTION LOT 12 ADELAIDE FOREST ESTATES PLAT RECORDED VOL 149
PG 39-41
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE ,�i DATE OF APPLICATION 4 29 91
BUILDING INFORMATION
OE RS 15 OCCUPANCY R-3/M-1 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 4207
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 3 ELEC. HOT WATER HEATER GAS PIPING '°° T 3.50 BOILER
_
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 3 URINALS FORCED AIR FURNACES 10.00 AIR HANDLING UNIT _ NUMBER
LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC
SINKS 2 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 16 X $5.00 UNIT HEATER _ TOTAL MECHANICAL 20.00 AMOUNT NONE
VALUATION $227,413.00
PERMIT FEE $1088.00 PLANNING DEPT APPROVAL = LORI SCHILL
PLAN CHECK FEE 707.00 209.00 FIRE DEPT APPROVAL = KEVIN ELLIS
PLUMBING FEE 90.00
OHANICAL FEE 20.00 PUBLIC WKS DEPT APPROVAL = TOM COLLINS
AL BLDG. FEES $1905.00
PART P/C FEE (498.00) PD 4/29/91 BLDG DEPT APPROVAL = MIKE MONEN
SEPA REVIEW _ #2628
WATER SERVICE /11.‘-.AWATER MAIN CHG.
S.B.C.C. FEE 4.50 DATE PD AMT $1,456.50 RE'CT
OTHER FEES PUB. WKS.45.0 0
AMOUNT DUE $1,456.50
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:
OWNER OR AGENT `'k '-- ' `_ �� a DATE 1/1 6 f
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
PLANNINC DEPT APPROVAL = LORI SC
PERMIT FEE
-209.00
PLAN CHECK FEE FARE DEPT APPROVAL = KEVIN ELLIS
•LUMBING FEE •
MECHANICAL FEE PUBLIC WKS DEPT APPROVAL = TOM COLA
TOTAL BLDG. FEES ]cL.1
PART P/C FEE 4/29/91 BLDG DEPT AP2^f/ A = MIKE r C- EN
SEPA REVIEW
WATER SERVICE I' // .-
WATER MAIN CHG. , i/i %PAE Id _ v
S.B.i C. FEE ll . a_,d _. _ .�_ _.._ '_
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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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. 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 iLAN. F. "I .'7.: :' :t: FOR ONE HOUK. RCVIE4 OF i?AN REV
•LUMBING FEE
MECHANICAL FEE -
TOTAL BLDG. FEES
r /
PART P/C FEE .
SEPA REVIEW DATE: /
WATER SERVICE •
WATER MAIN CHG. AMOUNT:NT: $30.i}L/
S.B.C.C. FEE
OTHER FEES RECEIPT
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
-OWNER OR AGENT DATE
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rAECEIV IWI',� •rmit # g / - S 6
APR 2 9 1991 CITY OF FEDERAL WAYw
OiFFEAFA4`1 'h''" BUILDING PERMIT APPLICATION ��
— Please Print—
'f—.nII— 4,
BOX 1 TENANT NAME: 3 0 L Li
OWNER M7 ' L. /aocL)/A)C• -77,J SITE LOCATION _30I Z4 /77'' Au e- Sck":70.
OWNER'S ADDRESS 3Y o 2 54 /-STPLACE SO,4Pre CITY ,G' zXoc71-/.o,a.•-r PHONE 9.52--:,--ei/3
DESCRIBE JOB (',>/nse f ,J, /
THE PROPERTY IS OWNED BY: MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME "1, D 44K-K CciV, CONTRACTOR'S REG. # ARakc 41-11cCC
Card MUST be presented
CONTRACTOR'S ADDRESS0; ''
2-6°5 S _ _c: c CITY -, _?AL. t jq� PHONE 9SZ- 33`��
EXPIRATION DATE 1 /, I
L-- — OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON KO fJ +it Tvz_S PHONESS.-33 q Ce
BOX 4 SEWER DISTRICT File- ?-L ,,,}.:-y WATER DISTRICT ,)
BOX 5 ESTIMATED PROJECT COST Y-z-on oD EXISTING BUILDING VALUATION (]
BOX 6 PROPERTY TAX ACCOUNT NUMBER t ' -2 c-,.o r 7.c — O ,
LEGAL DESCRIPTION (f-[- IL A-o6ZR-19c= ,012,4it=4- tyi.T -pc,.--I- X24-coYz-nc j Un( i 41 f3,, , -4c)-c/I
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # yOD?o5o 3i 1 CA- S'cYD_t)(ea(7 e
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR a / 7-413 2ND FLOOR c-, / Scb
3RD FLOOR / BASEMENT / DECK I . GARAGE /$S4/
BOX 8 9) SINGLE FAMILY (X) NEW CONSTRUCTION 7°7 54
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 33 7,,3 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. .. WATERCLOSETS GAS PIPING, FEET too ' $ 3sa
Z BATHTUBS NO. ! FURNACE, ELEC. (75 GAS I $ fid6'2
3 SHOWERS 1 GAS HOT WATER HEATER $ 65'
• Lf LAVATORIES V CONVERSION BURNER $
7- SINKS 0 BOILER, SIZE BTU $
I DISHWASHERS V AIR HANDLING UNITS $
4s ELECTRIC HOT WATER HEATER 0. HEAT PUMPS, SIZE $
I LAUNDRY WASHER OUTLET 9 UNIT HEATERS $
I URINALS 2( AIR COOLING UNITS, SIZE $
e DRINKING FOUNTAINS $ COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
g DRAINS
OTHER $
$ I
(Q TOTAL FIXTURES
X S c ^ 9D°° TOTAL MECHANICAL FEE $ a`a2
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 WHIN PERMIT APPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND.ATTORI4EYS' ,,
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 CURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION;'0 ,
----- YI-c-
OWNER/AGENT: ' DATE: '/ r` r r
ANP-000 wok,,i
toms 21 m
mm
C)4
T mus
v+ <O
aZ
•
r
f • 4
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THISZINE)
ZONES /SoSETBACKS: FRONT Zo SIDE 5' REAR 5 ' HEIGHT LIMIT 30
c
PLANNING DEPARTMENT APPROVAL ,2°/
Z lir /•e•-9/
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL `-- DATE_7 if ` /
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL • . DATE.7777"/(
REMARKS:
TYPE OF JOB: NEW RESIDENCE ' RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY R 3 ft// TYPE OF CONSTRUCTION y./I/ STORES fwo
/5' crie,o, B ILDING SQ. FT. al 73 @ 701 9° = i2o agl • 70
02h1 h/ BUILDING SQ. FT. il50 • @ 702 " = ()1 q(,,5, 60
4wvk - BUILDING SQ. FT. `( @ /C(3° _ I (c I "77. 2p
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ = 0 5Q, Yon . 96
BUILDING SQ. FT. @ MaOni2- K ,1 g =
TOTAL SQ. FT. 9.267 TOTAL VALUATION a a--1/ 9/3 _ c)--
BUILDING
3BUILDING DEPARTMENT REMARKS: u`C
PERMIT FEE / 16ciNs-
PLAN CHECK FEElJA 707
PLUMBING FEE 9d
MECHANICAL FEE an
TOTAL BLDG. FEES
PART P/C FEE ( ?1C C)
SEPA REVIEW __
i
4t5 --
S.B. C. FEE y
OTHER FEES
AMOUNT DUE littille•5-C,
ASSIGNED ADDRESS: =x'e eJ-1---R‘ Side,
L
Amount e�, C ARTI DateL y?�CK FEE RECEIVED
Receipt# ei
BUILDING DEPARTMENT APPROVAL
RECEIVED BY - ./-)769-44----v DATE 7/97 97 ACCEPTED FOR FILING,
i Or RECEIVED 0 • Permit # g I _ s 6 i/r._,
APR 2 9 1991 CITY OF FEDERAL WAY :�1rc�/ w
"7`
cm"IFFE FRAv .h.A' BUILDING PERMIT APPLICATION ` ` ���9
eutumotp7 — Please Print— Elf-- f^ /
BOX 1 TENANT NAME:
OWNER Pt, L. / ,AlC72i1 ) SITE LOCATION 30/25 /77'' Aug 5-4-c), c lo.
OWNER'S ADDRESS 31t o 254. /57"roL4cc So APT e CITY L'�z? 4L-t e--r PHONE '2_5-2--7 t i 3
DESCRIBE JOB eA✓ns ke' idc3tJ SA,:.,y(r IA/ fLe_a 10.,,ic�
THE PROPERTY IS OWNED BY: StNGtf-/MARRIED / PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 'N2 D k:-/-1,K C-(svzy, CONTRACTOR'S REG. # N4/-1.Kc-d-ar-Iit"rn c
Card MUST be presented
CONTRACTOR'S ADDRESS; 26o 5 3�c PL_ CITY Ie�'r1..+L GOA-al PHONE 1Si-374
EXPIRATION DATE 7, fj/
— 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 KED I iJ 1)6 TILS PHONEC z-33 Li,
BOX 4 SEWER DISTRICTL1 t 4L 014-Il WATER DISTRICT -
BOX 5 ESTIMATED PROJECT COST "Ioc�, cTo t0 EXISTING BUILDING VALUATION C..7
BOX 6 PROPERTY TAX ACCOUNT NUMBER 'cs?(2,0' zr)- o
LEGAL DESCRIPTION 4j:4 IL A-be-LA-19t trc sF E Sha ac- e9 Jnl. ►a9 pp P -5/0-41
l<tAet
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 'Cf)"7U z7 j 1 i ',.c� ; /4 r f/ $1
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR c5 / 741 3 2ND FLOOR c7 / g9)
3RD FLOOR / BASEMENT / DECK____/ ' GARAGE /$11
BOX 8 (\) SINGLE FAMILY O) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 332.2') SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 5 WATERCLOSETS GAS PIPING, FEET 1c_,,: ' $ 3So
2 BATHTUBS NO.____L FURNACE, ELEC. �/ GAS I $ )Q'
3 SHOWERS _GAS HOT WATER HEATER $ 6''
el LAVATORIES sV CONVERSION BURNER $
'Y SINKS 0 BOILER, SIZE BTU $
t DISHWASHERS J' AIR HANDLING UNITS $
ce ELECTRIC HOT WATER HEATER 52HEAT PUMPS, SIZE $
i LAUNDRY WASHER OUTLET 9( UNIT HEATERS $
05 URINALS 0( AIR COOLING UNITS, SIZE $
d DRINKING FOUNTAINS (/ COMMERCIAL HOOD $
q5 SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
0 DRAINS $
OTHER $
TOTAL FIXTURES $
X S °°'- 9(l°° TOTAL MECHANICAL FEE $ ob°g
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.
�i
OWNER/AGENT: Cd--4XDATE: / ' .
ANP-008 3/90
'NO
• Y a
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
• (J i , .1
ZONE S S.CSETBACKS: FRONT_ 1 SIE _S 1 REAR S 1 HEIGHT LIMIT ?--'e"-'1
PLANNING DEPARTMENT APPROVAL 57-6- -9(
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE ,.57a--40/
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY P3 TYPE OF CONSTRUCTION _ J/// STORES 11J0
/ • -{/vc, BUILDING SQ. FT. of` 7-3 @ 701 a) = %;
"J fi•er BUILDING SQ. FT. g S d @ 7d 9° _ ' , 5
64,,ale_ BUILDING SQ. FT. i36 If @ !g'O = 7
BUILDING SQ. FT. @ = ' 3
BUILDING SQ. FT. @ .a/C/ik/L W. . ge =
BUILDING SQ. FT. @ _
TOTAL SQ. FT. 4,/a2 4 7TOTAL VALUATION /yf�
BUILDING DEPARTMENT REMARKS: PERMIT FEE 04.
PLAN CHECK FEE A9 !
PLUMBING FEE "it0
MECHANICAL FEE aO
TOTAL BLDG. FEES t9'71 1
PART P/C FEE y cf U' J
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
-- AMOUNT DUE
ASSIGNED ADDRESS:
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
APR 29 1991 Amount 0 `
Ti 9i w Date 7?--ql Receipt# � 21S
CITY OF FDFIAL WAY BUILDING DEPARTMENT APPROVAL
BUILDING DEPT
RECEIVED BY , './ . )'�.•' ,9(...,.71,-, DATE /. '' Z/ ACCEPTED FOR FILING