90-100042 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
96-/ODO Y,)
PERMIT NO. __90-0061 OWNER'S NAME Surridge Development JOB ADDRESS 30323 17 AVE SW
CONTRACTOR RONALD BRAUNSCHWEIG ADDRESS 25725 101 AVE SE KENT CONT. PHONE 854-6101 _
CONT. REG. NO. SUNRIDI111OJS 4/90 OWNER'S PHONE 854-6101 OWNER'S ADDRESS SAME AS SITE
TYPE JOB: NEW RESIDENCE XXX DDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 012103-9023 LEGAL DESCRIPTION Lot 1 ADELAIDE FOREST ESTATES
005010 0010
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/7/90
BUILDING INFORMATION
1114,E RS15.0 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 4337 sf
SET BACKS: FRONT 20' SIDE 5' each REAR 5' STORIES 2 HEIGHT LIMIT 28
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER 1 GAS PIPING FT. 3.50 BOILER
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED _
SHOWERS 1 URINALS _ FORCED AIR FURNACE 10.00 AIR HANDLING UNIT _ NUMBER -
LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.
SINKS 2 MISC. CONVERSION BURNER BASIC FEE -20%-00- RETURNED
DISHWASHERS 1 TOTAL FIXTURES 15 UNIT HEATER TOTAL MECHANICAL 211-1111 AMOUNT NONE
VALUATION $197,201.48
PERMIT FEE $983_00
PLAN CHECK FEE 639.00
PLUMBING FEE 75-00
CHANICA.FEE 20_00
AL BLDG. FEES
$1717.00
PART P/C FEE
SEPA REVIEW
WATER SERVICE 9 — 9 D
PAID IN FULL ON: o� l
WATER MAIN CHG.
S.B.C.C. FEE 4.50
OTHER FEES $1721.50 AMOUNT PAID: I / '' / ' S�
AMOUNT DUE
RECEIPT #: _ 3 3 `-f (CJ
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 -UE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE T:
/ /
OWNER OR AGENT i /_'A 1,1 Zi DATE q0
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_
ISSUED BY DATE OF ISSUE _ DATE OF APPLICATION _
•ZONE OCCUPANCY___ BUILDING INFORMATION
TYPE OF CONSTRUCTION BLDG. SQ. FT.
0E 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
PLUMBING FEE -
akCHANICAL FEE
TAL BLDG. FEES _
DART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. . .
S.B.C.C. FEE (i`J "'. i. ..:
OTHER FEES
AMOUNT DUE ;``'Y_;>'-' ' -
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 DATE
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
3c3 2- 3
BOX 1 OWNER SAA r 6 , C DcAlc-t p ry e •-i JOB LOCATION f e ' Wc�-1 /7(4 41,eOWNER'S ADDRE$S� S1'LS 1 CITY .¢J'► PHONE i S 9-Io i C
DESCRIBE JOB (Je .) on. St A- a m..bl i /
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION ✓
BOX 2 CONTRACTOR'S NAME 20 nil d t ra aw s c t, 4..:ci �( CONTRACTOR'S REG. #Cu,IS U?J K t t 1 c IS
-J Card MUST be presented
CONTRACTOR'S ADDRESSZ 1 S . ' A CITY 14t.fed PHONE6 S41 I01
EXPIRATION DATE `414 'j rl
— 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 ((Za.(p h ern PHONE V3 1-S 3
BOX 4 SEWER DISTRICT EeLl W" _4 t WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 2d 0,6770 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER FSO 2 O-3 -'10-L oSc H012-1 0 3 Gi 0 ZZ-0 to
LEGAL DESCRIPTION Lot 1 R.,1 ck Carts+ E s 3r . #-c S
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR i/ 2S/ 2ND FLOOR 12-SO /
3RD FLOOR / BASEMENT / DECK / GARAGE 7 17--1
BOX 8 ( SINGLE FAMILY (Y--)-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 $ /0 -06
I SHOWERS I GAS HOT WATER HEATER $ (, `C O
4-- LAVATORIES CONVERSION BURNER $
2- SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
k 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 $
l\ TOTAL FIXTURES $
tc5" 75-..°0 TOTAL MECHANICAL FEE $ —` Q
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLEDGE AND FURTHER TH T I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK FOR WHICH
.PPE/RMIIT APP CATION IS MADE.
OWNER/AGENT: €,-. ! _ DATE: w
ANP-006 2/90
-60- �� -006 /
,a
lail° 111
..d •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEi(' IS--C SETBACKS: FRONT ti(. SIZE 1 () REAR HEIGHT LIMIT 2-r'5
PLANNING DEPARTMENT APPROVAL r--\ ; ( q -`(0
REMARKS:
/t t kt( 5-0 yc C ( f coo e_G-ay -L.. / 2 /'a V K(t3 S f 1f 4 4( (A ,
SEPA: EXEMPT --\--- NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: /(1/�
PUBLIC WORKS DEPARTMENT APPROVAL K-C_ DATE 3 - (q -Y o
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. ROOF OTHER
OCCUPANCY IC3 TYPE OF CONSTRUCTION V ti STORES
L t` j j v'-9 BUILDING SQ. FT. Zk 7 S' @ 6 Q c OO = 2...05z-7y. 00
(0 ctVOLI BUILDING SQ. FT. 7( - @ 17 , 3c = 12.3( 7 , Lo
V V- BUILDING SQ. FT. (; co @ (0,0 O = (,S oc .. o O
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @
@ (topv,c& ( ��1 (Fc V
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BUILDING SQ. FT.
TOTAL SQ. FT. 1 TOTAL VALUATION I q'7 Zo/• Y$
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D a RECEIPT NO.
PERMIT FEE q3.O 0 PLAN CHECK FEE - -3I . - PLUMBING FEE ---5=--CC- MECH. FEE 0-0 - °d
TOTAL FEES I?(7. oa SBCC SURCHARGE K S-G ENERGY SURCHARGE -s'- AMOUNT DUE 1 7 2-1-SU
BUILDING DEPARTMENT APPROVAL DATE
REMARKS:
/
ASSIGNED ADDRESS: j 0 3 Z 3 17 er Sc W,
RECEIVED
CITY ,: 7 Ts;=^ALG^s'AY
BUILDING UEi'L
RECEIVED ACCEPTED FOR FILING
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R. IZ ASSOCIATES 25954
1 5102LACKENT, WA 98064-5102 1
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