92-100246 CITY OF FEDERAL WAY
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. 92-175 NR OWNER'S NAME CENTEX HOMES SITE ADDRESS 1620 SW 331 PL
CONTRACTOR OWNER—CENTEX ADDRESS 2320 130 AVE NE E-200 BELLEVUE CONT.PHONE 622-8288
CONT.REG.NO. CENTER*101QA EXP. 10/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCEXXX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY )MULTI.ADD. SIGN GRADING OTHER . . .AND GARAGE
TAX ACCOUNT NO. 010457-0580 LEGAL DESCRIPTION LOT 205 ALDERBROOK DIV 8
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE L DATE OF APPLICATION 2/5/92
BUILDING INFORMA
ZONE RS 5.0 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. 2379 STORIES 2
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING 15 FT. 2.00 GAS LOGS
BATHTUBS 1 _ LAUNDRY DRAINS 1 FORCED AIR FURNACE GAS 10.00 DUCT WORK RECEIVED
SHOWERS 1 _ URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT - _ NUMBER
LAVATORIES 4 DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS 1 MISC. BBQ _ BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES12 X $5.00 DRYER TOTAL MECHANICAL 18.50 AMOUNT NONE
VALUATION $128,785
PLANNING DEPT APPROVAL= DEB BARKER
PERMIT FEE $741.00
PLAN CHECK FEE $136.00482.00 "FOR THE CORNER LOT, GARAGE SHALL BE SET BACK AT MINIMUM 40FT"
PLUMBING FEE 60.00
ECHANICAL FEE 18.50 FIRE DEPT APPROVAL = KEVIN ELLIS
PART P/C FEE #4750 (346.00)
SEPA REVIEW 2/5/92 PUBLIC WKS DEPT APPROVAL = KAREN LANCASTER
PUBLIC WORKS 35.00 "ALL ALL DOWNSPOUTS, FOOTING DRAINS & RUNOFF FROM IMPERVIOUS SURFACES
S.B.C.C.FEE SHALL BE TIGHTLINED TO THE APPROVED STORM DRAIN CONNECTION AS
FIRE FEE DATE: REQUIRED PER CONDITIONS OF THE APPROVED PLAT"
OTHER FEES AMOUNT: $995.00
AMOUNT DUE $995.OO RECEIPT: jtr.3._. ..„,
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 INFORMATIO URNISH b nY ME TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
a
OWNER OR AGENT _ A\ DATE q�
CITY OF FEDERAL WAY 9) 1DtO y(�
33530 First Way South I L D I N G PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
REVISION TO EXISTING 92-1 N
PERMIT NO. 92-175 OT OWNER'S NAME CENTEX HOMES SITE ADDRESS 1620 SW 331 PL
CONTRACTOR SAME ADDRESS _CONT.PHONE
CONT.REG.NO. EXP. 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 SITE PLAN CHANGE ONLY
TAX ACCOUNT NO. 010457-0580 LEGAL DESCRIPTION 5.-.,
).
ISSUED BY E SNYDER DATE OF ISSUE DATE OF APPLICATION _ 4/30/92
BUILDING INFORMATION
ZONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT -
M)CCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
LUMBING 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 i DRYER TOTAL MECHANICAL AMOUNT
VALUATION
PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE
PLAN CHECK FEE $30.00 PUBLIC WKS APPROVAL = JEFF SHARP
PLUMBING FEE
MECHANICAL FEE - BLDG APPROVAL = KEVIN ELIS
PART P/C FEE
ilkPA REVIEW
BLIC WORKS 35.00
S.B.C.C.FEE
-
FIRE FEE DATE:
OTHER FEES - AMOUNT: $65.00
AMOUNT DUE $69.00 RECEIPT:
-.).- - I if? /
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 INFORM• ION FURNISI : ME I' TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
OWNER OR AGENT _ _ _ 4110 - - DATE k 2-_
•
N. CITY OF FEDERAL WAY
23530 First980
Way, WA 98003
Way South
Federal BUILDING PERMIT BUILDING INSPECTION
661 4140
,/
PERMIT NO. - _ OWNER'S NAME _SITE ADDRESS 3 3 OS 3 (�`� / Cc.')
CONTRACTOR _ _ _ ADDRESS CONT.PHONE
CONT.REG.NO. — EXP. 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
BUILDING INFORMATION
SNE _ — - SET BACKS:FRONT SIDE_ REAR _ HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
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
VALUATION
MAHNl..La L.,L. ..:.- ROYAL 21 DES sst,.i_.. :.<
PERMIT FEE
PLAN CHECK FEE PUBLIC WKS APPROVAL = JF? SHARP
PLUMBING FEE
MECHANICAL FEE BLDG APPROVAL = KEVIN ELIS
?ART P/C FEE
SEPA REVIEW
PUBLIC WORKS
-
S.B.C.C.FEE
FIRE FEE - DATE:
OTHER FEES AMOUNT:
AMOUNT DUE RECEIPT: r ,-
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
\ CITY OF FEDERAL WAY
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
{ 3So53 '
4 . . �
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 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
BUILDING INFORMATION
'NE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES
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
S1. ks,18 -
VALUATION PLANNILu 014,A APPROVAL= DEB BARKh:At
PERMIT FEE s rC•GQA82
PLAN CHECK FEE - •00 •FOR THE CORNER LOT, GARAGE SHALL EE SET BACK AT MINIM
UM 4 or
cn,nn .
PLUMBING FEE
MECHANICAL FEE FIRE DEPT APPROVAL = KEVIN ELLIS
PART P/C FEE PUBLIC WKS DEPT APPROVAL, = KAREN LANCASTER
SEPA REVIEW _..
PUBLIC WORKS J -AL DOWNSPOUTS, FOOTING DRAINS & RUNOFF FROM IMPERVIO[S SURFACES
S.B.C.C.FEE `/ SHALL BE TIGNTLINED TO THE APPROVED STORM DRAIN CONNECTION AS
FIRE FEE DATE: REQUIRED' PER OC'.,..,..,T.."' r- 3'-""'"PRD ?TAT* ••
OTHER FEES AMOUNT: $995.00
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 i
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FEB 0 5 1992 CITY OF FEDERAL WAY i'
CITY OF FEDERAL WAY `
AL
euu RAL BUILDING PERMIT APPLICATION
— Please Print-
BOX 1 TENANT NAME:
OWNER _ SITE LOCATI CCc,....0a
OWNER'S ADDRESS '23'21, 1�,,c'Ptu '2 CITY Wim- L PHONE 27 " 7`Zr
DESCRIBE JOB -S (F
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION x
BOX 2 CONTRACTOR'S NAMES CONTRACTOR'S REG. #Ci.-1 z0-1- 1C t< G S,
Card MUST be presented
CONTRACTOR'S ADDRESS �32riv CITY 6'...3-L,.._.;.-, PHONE i. 2...2_2-`Z-2.-7a
EXPIRATION DATE lC) <<-1-
- OR -
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFI I IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS I UING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON -- =+i. c_,.� PHONE I'll-VC-71c
BOX 4 SEWER DISTRICT -l,.)6.)S WATER DISTRICT Fis,_. „)-S
BOX 5 ESTIMATED PROJECT COST -G,C.GC. EXISTING BUILDING VALUATION ,-----
BOX 6 PROPERTY TAX ACCOUNT NUMBER OkGt-t,S- lC3S C
LEGAL DESCRIPTION L-T -2-CS` j�k-sa 2cGlf: ‘.
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # `-1,C,.. 2.0..C.'-lck
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /qL 1 2ND FLOOR / ci3'Z
3RD FLOOR / BASEMENT / DECK / GARAGE / "5-i I-
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. '3 WATERCLOSETS GAS PIPING, FEET j c $ , .or.)
1 BATHTUBS NO. 1 FURNACE, ELEC. GAS )C $ " 'c
SHOWERS 1 GAS HOT WATER HEATER $ 6. se,
4 LAVATORIES CONVERSION BURNER $
l SINKS BOILER, SIZE BTU $
I 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 $
17.- TOTAL FIXTURES $
X 5 : E- l' (.- TOTAL MECHANICAL FEE $ lY S7)
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 A 10 ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADS BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FEDE'+ AY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMP i' , .'ON T E ACC YRACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
�� _._
OWNER/AGENT: " '467. DATE: 2/ Z
-- ANP-008 3/90
w
i •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
r
ZON ? �, SETBACKS: FRONT 201 SIDE r, REAR `5 ' HEIGHT LIMIT _
PLANNING DEPARTMENT APPROVAL 'fes iM
21.7AFiln,(1S. (frrie'rS€ ,61.`rtstit
r C
`lam/• /
SEPA: EXEMPT ` NOT EXEMPT
FIRE DEPARTMENT APPROVAL I --(1 DATE 2-2-0 - qZ
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL Jitcx, _DATE 2-/9``3a
REMARKS: • . . .- mi. I C'(jr,,ng , and rurro4 -Grn'&. ;nniVev;a� Sar,ce51
c 11 he
i ltfii1r2f 4k. at). 'ventS rrr.. Cita,ry Ccm^ec/ie" qS ,7o1nd pa- ,,,,yi,
04 a pp/v,,e� f. 0
TYPE OF JOB: NEW RESIDENCE X RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALTTENANT IMP. OTHER
OCCUPANCY /tJi i/ TYPE OF CONSTRUCTION r /C STORES -77...r)
/ .. lam/ BUILDING SQ. FT. .7cL_ @ 7d 9D = 4,327, 70
2" 1.1P0 / BUILDING SQ. FT. 73@ 7Z.gi = 67tCgz.�O
/:41 -e BUILDING SQ. FT. LH @ 131' = `Tsi076.- 80
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ = JW,3q7, S
BUILDING SQ. FT. @ /n0`1 fe )(Joe =
TOTAL SQ. FT. 9379 TOTAL VALUATION I 21/ 7 41SO
BUILDING DEPARTMENT REMARKS: PERMIT FEE to -7V/ . ov
PLAN CHECK FEE rgp z/eZ--G0
PLUMBING FEE 6 •G0
MECHANICAL FEE /f • So
TOTAL BLDG. FEES c,4; N)
PART P/C FEE l-i(p
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES 19
AMOUNT DUE 1
ASSIGNED ADDRESS: 16 z-o < tt) 33 ( ST t_e_
PARTIAL PLAN CHECK FEE RECEIVED
Amount c5-46 5 Date Z '-9,)-- Receipt# itq"--
BUILDING, DEPARTMENT APPROVAL
RECEIVED BY ��,.. 0� /�/ a DATE a//7/7°Z ACCEPTED FOR FILING
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+ =AL DESCRIPTION ALDER B R O O K
LOT 205 DIV. VIII • CENTEX
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REVISION
RECEIVED CITY OF FEDERAL WAY 'l /
�' �`�
JUN 1 2 1992
BUILDING PERMIT APPLICATION OPS
u ei '75(ti .. —Please Print—
PER■am
BOX 1 TENANT NAME: CF// '
OWNER F/Yfifi"} SITE LOCATION 3 3 (/L /'L S'cJ
OWNER'S ADDRESS �3�Q �?D fi�DD/i CITY PHONE
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MA IED PARTNERSHIP CORPORATION >(
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #r /7 ' /,,Q/9
Cara MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE JOy 1 e72.—
— 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 =S 7`c1J€ L QAJ 4rj) PHONE I • —_ - —
BOX 4 SEWER DISTRICT F t2)W S WATER DISTRICT , :/ ja/c
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER Q "C) (. --'7 — 5-9
LEGAL DESCRIPTION l 6t 2O 6(4 OF` pa p,'v te-
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # ?0 6 Z 0 60 1 7r
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 PON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: - . DATE: ? ��
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW ALINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
AKA
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 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 TYPE OF CONSTRUCTION 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
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 3365-3 ( f
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE L _ - ACCEPTED FOR FILING
Rik-0%,sla
/4111 VISION
zIP Permit # 92 --13S—
APR 3 01992 CITY OF FEDERAL WAY 1( 5ii-e LLA7
.# g ,� BUILDING PERMIT APPLICATION (,°,0pE
—Please Print— I i
BOX 1 TENANT NAME: 1 et 0 St a_) 35 j ,I )L
OWNER -cox o SITE LOCATION J
OWNER'S ADDRESS "232) 13G -2v CITY L _tJes_ PHONE b ZZ",Z_Sc',
DESCRIBE JOB S-/E Res
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CILA:-vim I CONTRACTOR'S REG. #Cs.j It 1 'kGN
1, Card MUST be presented
CONTRACTOR'S ADDRESSS CN—Be ' PHONE
EXPIRATION DATE 1C7A7
l/ — OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DE ( IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON -x _ Lr-c.:-.tea. PHONE `-7-1-4-775--
BOX 4 SEWER DISTRICT FSS WATER DISTRICT SLJL:S
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION WO,CCC=r
BOX 6 PROPERTY TAX ACCOUNT NUMBER O AO itS7— OSLO
LEGAL DESCRIPTION LT:- 2_e JS c e L -00 T
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 9C C - -2c,LC 4/79
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR ciS1 / 2ND FLOOR 93Z/
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (74-SINGLE FAMILY (A NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY C 7 7( 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 U DER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWL DGE
AND FURTH R THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICAT N IS
MADE.I FU THER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND ' . SE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAINST THE CITY OF FED:RAL WA , :UT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMP i ' ES, UPQ1�H 'CCURA Y OF THE INFORMATION SUPPLIED TO THE CITY A A PART OF THIS APPLICATION.
OWNER/AGENT: ����J DATE: y 2_
ANP-008 3/90
d i
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS L r; ;ttkfii
ZONE M.0 SETBACKS: FRONT ,;?Of SIDE `' REAR 5 HEIGHT LIMIT -F6) ;r.3..
PLANNING DEPARTMENT APPROVAL /S 2
REMARKS: ;': "
SEPA: EXEMPT I NOT EXEMPT
FIRE DEPARTMENT APPROVAL �/� DATE
REMARKS: I
PUBLIC WORKS DEPARTMENT APPROVAL DATE 5-6-9z
REMARKS:
4-(/‘
TYPE OF JOB: NEW RESIDENCE RE . ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. iD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT ANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
:UILDING 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
l U 1-‘) 0 r ire _t/( c /0 ill PLAN CHECK FEE 3a 0 0
,�/f� PLUMBING FEE
3D Gt G MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
?)&44_ 3S
S.B.C.C. FEE
OTHER FEES r
AMOUNT DUE CC,
ASSIGNED ADDRESS: 0 S 3 4, /
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ✓v- 7 ACCEPTED FOR FILING
P • 0
; FILE db( (:) \ '4''''Ik •k(-N•IT-\".4' -=.403../
e
m
le),a
cb"
Au— oc,;\s �,y. ef' +°l
T►64s-i L.%..,1 To RiA4krwu ( /. %���Sj+, • c:6`9r�
aJu'tAn �9�. St's • 706.06
i __,,rc).
.410
c5 \(6. . . 0 ;
\ 6 O
yy �, \ �_
1 \ f_ �x
ti
j► II Ti
oM
1-
N. L= 118.01 ' / \\A •
. 4, ..,_,,... Cd '
........—_—_-....................— --- 'Qs\9°
C
1ST
DEVIATIONS esL.
THERE ARE TO BE NO � (�•�
TO THE APPROVED DRAWINGS �_Ly„
UNLESS OTHERWISE APPROVED BY �, V
THE FEDERAL WAY BUILDING DEPT. S -S � ��wll
• = e.s.a.�. APR 3 veep
NOTE: G -G"`" Q i992
FINISH PAD �RI� _ /
1 s • s� is L.EV.= 313.6
SCAM 1'.x 24' .
LEGAL. DESCRIPTION ALDER B R O O K
DIV. viii CENTEX
LOT 205 .