91-101619 CITY OF FEDERAL WAY 91''a/ 1 9
33530 First Way South
Federal WaY,R PERM9800 BUIL661-4140
RMEDING PERMIT BUILDING INSPECTION
IT # 90-65
PERMIT NO. 91-1585 NR OWNER'S NAME SUNRIDGE DEVELOPMENT SITE ADDRESS 3.0205 17 AVE SW
CONTRACTOR SUNRIDGE DEVEL ADDRESS 25725 101 AVE SE #A KENT CONT.PHONE 854-6100
CONT.REG.NO. SUNRID*11OJS EXP.l/11/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME (CONTACT PERSON=631-5353)
TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER AND GARAGE
TAX ACCOUNT NO. 005070-0060 LEGAL DESCRIPTION LOT 6 ADELAIDE FOREST ESTATES
ISSUED BY ELIZABETH SNYDER _ DATE OF ISSUE / ? i 6 — 'F/ DATE OF APPLICATION 11/7/91
BUILDING INFORMATION
GONE RS 15.0 _SET BACKS:FRONT 20' SIDE 5' /5' REAR 5' HEIGHT LIMIT 30' MAX
OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5—N CENSUS NO. 101 TYPE OF HEAT GAS BLDG.SQ.FT. 4,607 STORIES 2
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS _3 ELEC.HOT WATER HEATER 1 GAS PIPING FT. 3.50 GAS LOGS
BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACEiAS 10.00 DUCT WORK RECEIVED
SHOWERS 1 URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT _ NUMBER _
LAVATORIES 5 DRINKING FOUNTAINS CONVERSION BURNER MISC. _
SINKS 2 MISC. BBQ BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 16 X_$5.00 DRYER _ TOTAL MECHANICAL 20.__OQ AMOUNT _NONE
VALUATION $249,854 PLANNING DEPT APPROVAL = DEB BARKER "SILT FENCING REQUIRED AT BSBL AND
AT NGPE WEST YARD PRIOR TO GRADING & DURING CONSTRUCTION. ANY ROCK
PERMIT FEE $1164.00
`.- WALL OVER 4 ' REQUIRES A BLDG PERMIT. PLEASE NOTIFY THE PLANNING
PLAN CHECK FEE 757.00 > '. DEPT OF ANY ROCK WALL PLACEMENT, INCLUDING THOSE UNDER 4 ' , FOR THIS
PLUMBING FEE 80.00 LOT, IN WRITING SITE PLAN AMENDMENT"
•CHANICAL FEE 20.00
PART P/C FEE (535.00) ----PD 11/7/91 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS
SEPA REVIEW #4227
PUBLIC WORKS 45.00
S.B.C.C.FEE 4.50 PUBLIC WKS DEPT APPROVAL = SUZI CUZZETO "ALL BUILDING DOWNSPOUTS, FOOTING
FIRE FEE DATE: /-2--2---C. - /1 DRAINS & DRAINS FROM ALL IMPERVIOUS SURFACE
OTHER FEES AMOUNT: $1,535.50 AREAS SHALL BE CONNECTED TO THE APPROVED
AMOUNT DUE
$1,535.50 RECEIPT: (3 PERMANENT SOTRM DRAIN OUTLET. "
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 INFOR TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. , //r 1 ,1
,
OWNER OR AGENT I i ✓ v% - D✓ vb _DATE /�?'C/7
CITY OF FEDERAL WAY
ay South
Federal 33530 IWayrst , W �9 ( fr BUILDING PERMIT BUILDING INSPECTION661-4140
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 COMMERCIAI COMMERCIAL ADD. INDUSTRIALADD. 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. _ 2STORIES
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
14
VALUATION - 1LANNING DEPT APPROVAL = DEB B .ICER "SILT FENCING Ri
NG1
AT " 'EST -YARD PRIOR TO GRADI'!t'G & DURING CO
_
PERMIT FEE '`-- MILL-OVER 4' REQUIRES A BLDG PERMIT. PLEASE NC
PLAN CHECK FEE DEPT OF ANT ROCK WALL PLACEMENT, INCLUDING 1M
P fl
PLUMBING FEE LOT, IN WRITING SITE PLAN AMENDMENT*
MECHANICAL FEE
►T3 11/7/91
gilli SART P/C FEE :4 7FIRF'... .4,..______ ________
t3L G DEPS' APPROVAL = KEVIN LLIS
SEPA REVIEW , .+ __ ,
PUBLIC WORKS ,,mill rr7q. S DEPT AP'PROVM, = SUzti cuyzE j "ALL bUlLDI G ! '- }}t_'t°'t ", _ .
S.B.C.C.FEE
FIRE FEE - - DATE:
AREAS ASi r,3' Llr PE CONMFCTr Tf7 I
OTHER FEES - AMOUNT:
AMOUNT DUE RECEIPT:
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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RECEIVED r s
NOV 07 1991 CITY OF FEDERAL WAY
CITY OFFEDERAL WAY BUILDING PERMIT APPLICATION ( iC)--(oc
BUILDING DEPT. - Please Print—
BOX 1 TENANT NAME: None
OWNER Sunr idge Development SITE LOCATION 30205 17th Ave S.W.
OWNER'S ADDRESS 25725 101st Ave S.E. , #A CITY Kent PHONE 854-6100
DESCRIBE JOB New Construction Single amily
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP )000( CORPORATION
BOX 2 CONTRACTOR'S NAME Sunr idge Deve I oprrent CONTRACTOR'S REG. # GC01 SAID*11035
Card MUST be presented
CONTRACTOR'S ADDRESS 25725 101st Ave S.E. I/A CITY Kent PHONE 854-6100
EXPIRATION DATE 1 /11 /92
— OR —
I HAVE READ CHAPTER 18.27.010 R ING 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 „At-y(1 PHONE ':‘(-
BOX 4 SEWER DISTRICT Federal Way WATER DISTRICT Federal Way
BOX 5 ESTIMATED PROJECT COST 200,000 EXISTING BUILDING VALUATION N/A
BOX 6 PROPERTY TAX ACCOUNT NUMBER 005070-0060-01
LEGAL DESCRIPTION Adelaide Forest Estate Lot 6
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1907 / 2ND FLOOR 1233 BorYrrs 516
3RD FLOOR / BASEMENT / DECK / GARAGE 951 /
BOX 8 (X?X SINGLE FAMILY (X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 15,477 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET $ 3•rO
2 BATHTUBS NO. 1 FURNACE, ELEC. GAS X $ (0- o0
1 SHOWERS 1 GAS HOT WATER HEATER $ 6 -- c
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 $
)( 5 - $0 TOTAL MECHANICAL FEE $ -Z0. 00
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 CIT OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLI S, WON THE A CURACY OF THE RMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGEN (�! DATE: l/— 5 7/
ANP-008 3/90
'ICE USE ONLY (PLEASE DO NOT WRITE BELOW HIS LINE)
ZONE435 I6'0 SETBACKS: FRONT LO' SIDE est REAR Si HEIGHT LIMIT dC)i
PLANNING DEPARTMENT APPROVAL 121gi 0 Yw,
REMA KS:�I+ P-ehci r-e _`1 re at $5'L and of YJ e fe West j J pr}OV Iv grad-fr
o�e4 ,cio` cfuc oki, A &. rbc uao
. i.a over i{-' lcvs bualc�'r perict . ?'/E'O e h 0795 ?
n.wri't Plan
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL (. DATE i("101-qf
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL W SATE
REMARKS: . 'l 4 614/4•415/4: / * 0 / , 7� 0 ' frd1'►'7
pl-metv?
✓„ t S SAA- GLv-a$ gket,Lf / � 110 ` L S-1Y1►') d4A- j 'fz
TYPE OF JOB: NEW RESIDENCE 'IC RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPiNCY (2:4TYPE OF CO STRUCTION v Al STORES
le(ti(NI /,ST BUILDING SQ. FT. NO 1 @ 11-10 = I3 02 O'3
Z"41 BUILDING SQ. FT. I/li @ iil = 1 -1,75-0 7. .'I
Cs 'a eBUILDING SQ. FT. � @ 8 • 3 0 = 17101.'3
9 , 6t1,1s
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ r . _
BUILDING SQ. FT. Ar @ /kOd ('t e.(/ - = 0 • 4 d
TOTAL SQ. FT. �'f l L h TOTAL VALUATION V R`his y•CP-2-
BUILDING
ZBUILDING DEPARTMENT REMARKS: PERMIT FEE O' t(GLI.
I • ,S. 1 f� to W I-f-( Q. ( 4A:el PLAN CHECK FEE �507
(C.
-o(�aly, (aCf�eraaIOI Ul �/ oQ�SMECHANICALPLUMBINGFEEFEE20
bK I / TOTAL BLDG. FEES /PART P/C FEE ( +r+ jii-
Ao � f: SEPA REVIEW l�
fit a oh ',CAN.;f , p W -e-t_ 46--
S.B.C.C. FEE (4.5-o
OTHER FEES
•
AMOUNT DUE 15 3rr3 J c
C.--'
ASSIGNED ADDRESS: 30205 1 7 "h 40_, S. k•
PARTIAL PLAN CHECK FEE RECEIVED
�Amount 5 � Date )1-7/-11 Receipt#
�/ BUILDING DEPARTMENT APPROVAL
RECEIVED BY t""(./ DATE \ r-CI- V ACCEPTED FOR FILING
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