91-101772 (P' 4) , "7,70
CITY OF FEDERAL WAY
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
' Federal Way, WA 98003 661-4140
PERMIT NO. 91-1737 NR OWNER'S NAME MLT CONSTRUCTION INC SITE ADDRESS 34416 17TH CT SW
CONTRACTOR MLT CONSTRUCTION ADDRESS 1911 SW CAMPUS DR #366 FEDERAL WAY CONT.PHONE 862-2116
CONT.REG.NO. MLTC0I119N9 EXP.8/92 OWNER'S PHONE 862-2116 OWNER'S ADDRESS #1911 SW CAMPUS DR #366 FEDERAL WAY
TYPE JOB: NEW RESIDENCE XXX 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. 666491-0370 LEGAL DESCRIPTION LOT 37 UARKLANE ESTAHE DIV 2
•V
I1 4 __
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 1 �/ DATE OF APPLICATION 12-17-91
BUILDING INFORMATION \,
ZONE RS 7.2 SET BACKS:FRONT 20' SIDE 5' REAR 5' HEIGHT LIMIT\ 30'
OCCUPANCY R3/M1 TYPE OF CONSTRUCTION VN CENSUS NO. 101 _TYPE OF HEAT GAS BLDG.SQ.FT. 2007 STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 2 ELEC.HOT WATER HEATER GAS PIPING 5 FT. 2.00 GAS LOGS
BATHTUBS 1 LAUNDRY DRAINS 1 FORCED AIR FURNACE 10.00 DUCT WORK RECEIVED
SHOWERS 1 URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES 2 DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS 1 MISC. _ BBQ BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTUREOX5 45.00 DRYER TOTAL MECHANICAL 18.50 AMOUNT
VALUATION 103,280.14 PLANNING DEPT APPROVAL: DRIVEWAY SHALL NOT ENCROACH INTO 5 ' SIDEYARD
SETBACK. SIGNIFICANT FIR TREES AT REAR OF SITE
PERMIT FEE 694.00 (3) SHALL BE RETAINED AND PROTECTED PER
PLAN CHECK FEE 475-00 FWZC 90. 15.--OK TO REMOVE MADRONA TREE. DB 12/26) 91
PLUMBING FEE 45-00 PUBLIC WORKS DEPT APPROVAL: RUNOFF FROM DOWNSPOUTS AND DRIVEWAY SHALL BE
ibECHANICAL FEE 18-50
PART P/C FEE (300_00) TIGHTLINED TO STORM DRAIN CONNECTION IN FRONT
OF LOT PER THE PLAT REQUIREMENTS. RG 12/27/9]
SEPA REVIEW 35.00
PUBLIC WORKS BUILDING/FIRE DEPT APPROVAL: KC 12/31/91 MM 12/31/91
S.B.C.C.FEE 4.50
FIRE FEE DATE:
OTHER FEES 882.00 AMOUNT: $882.00
AMOUNT DUE _ RECEIPT:
./Tir_s "^.........., -
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 FURNISIjED y N{JE IS TRUE AN CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
OWNER ORA ENT /111 ,>4 / 4-e,4 DATE 2
qi.A Pet # q3T -
CITY
D OF FEDERAL WAY g-
Orrv
DEC 1991 BUILDING PERMIT APPLICATION
tMa WAY — Please Print—
ToEpTRAL
BOX 1 TENANT NAME:
OWNER /14C ent2 r 2cu Pio() live . SITE LOCATION
OWNER'S ADDRESS nil 5,u.J, OAM pi45 ,612-4t-.3b6 CITY FEC tc1A{/ PHONE $b2-2 lib
DESCRIBE JOB /t1e,,k, ecie.:5ntuc'T/c A..
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /UL-r ec..,/i /2ur T iipit) 110a CONTRACTOR'S REG. # .41CTk //9AJ 7
Card MUST be presented
CONTRACTOR'S ADDRESS kill 6.j . C7puS bK 44-^
CITY FZO tL)A-c1 PHONE gh2-2-I l 1�
EXPIRATION DATE A'/2ci/�j z",
/
— OR —
I HAVE READ CHAPTER 18.27.010 RELATITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS IMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON t! c PHONE b2-2 it I In
BOX 4 SEWER DISTRICT ' - )J.. / •_' e ATER DISTRICT ;Is s/ )_, . , °/---, - .2
BOX 5 ESTIMATED PROJECT COST c C%/LOGO EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ea,Ll)11 03'20
LEGAL DESCRIPTION oL[>r- .t.37 "'A,aI L,}A)F E7---147-17'S c ),t3 2.
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 9/C LI Z?..._ I 139-
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR fir'2, 1 2ND FLOOR c1.1: C) /
3RD FLOOR / BASEMENT / DECK S51 ) J GARAGE �24-
BOX 8 (SINGLE FAMILY (>1--NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 94.0 C) SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 2 WATERCLOSETS GAS PIPING, FEET 4-5 $ 2 •a9
J BATHTUBS NO. FURNACE, ELEC. GAS )< $ /Go.i00
I SHOWERS f GAS HOT WATER HEATER $ to-0
2, LAVATORIES CONVERSION BURNER $
I 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 W
je- ')-
$
OTHER
7 TOTAL FIXTURES $
X 3 = L93,etp TOTAL MECHANICAL FEE $ /Y-.5-e,
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 FED RAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES ON E A 'A OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: u -t ..c. . _ . / DATE: /2/7/
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELO/PHIS LINE) 41Ik
ZONE $l 2- SETBACKS: FRONT ZO' SIDE d5/ REAR HEIGHT LIMIT --- e)I
PLANNING DEPARTMENT APPROVAL 4)PV9/ �1.3 •
REMARKS:P i V 5`tcie( " S` 4.t i L.0 Si�.jz`�!
-iiu.6a. A.� �C.e2y .51e C3) ./� �/.� (`+1E� eil 0i - Fu/Za-
0•l5. Of to .,2a-rub-G rn,ac ilrze.-.
SEPA: EXEMPT ✓ NOT EXEMPT
FIRE DEPARTMENT APPROVAL r- < DATE //2- 37 -er(
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL /e cx ."-•.) DATE /2/2 7/ /
REMARKS: / . vAic,==i- r- .- f? Downl.C�,6-3 A+va D2-1vC-w/I-Y SHr1-r.L AC-- T76Hi ,Ak;:) re
,c,772124-1 t7,t/+7,/ CONNCclooN itf FCn� di- Lai A've.._. me- A/44- oecs-;1✓0x6r7eiv: ,
TYPE OF JOB: NEW RESIDENCE -e- RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY 23t(4-ii TYPE OF CONSTRUCTION ✓A/ STORES //v
I. 4 .f1 / LDING SQ. FT. Sal @ 7-2• 90 = 3dq'(-ao
a4 ilecw BUILDING SQ. FT. c760 @ 72 90 = 4g1'6{- o
e BUILDING SQ. FT. 4/92 @ /S7:30 = 10W.&O
BUILDING SQ. FT. '0 @ /0-00 _ ((Gm• Gtr
BUILDING SQ. FT. @ // _ f.
BUILDING SQ. FT. @ /lk dte'L X • il( _ ///3C3 ea)
TOTAL SQ. FT. ;)0/6 '," TOTAL VALUATION /03/ 0'19
BUILDING DEPARTMENT REMARKS: PERMIT FEE 6S`l- 00
PLAN CHECK FEE +'8 5. c)
PLUMBING FEE 1/5.0n
MECHANICAL FEE /Y Se7
TOTAL BLDG. FEES02 •i.5.-)-PRT P/C FEE i
SEPA REVIEW
Pw. FEc 3 s'.oc
S.B.C.C. FEE I c"`
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 3'1 '1 ( G is-i-t^ (-ft 5 ‘-W,
PARTIAL PLAN CHECK FEE RECEIVED
Amounts) Date 111 Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY .•,72< /yJe SATE /aZ/,�//Y7 ACCEPTED FOR FILING
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