91-100505 Aftmoriaft 4. 9/ -Jo oSos
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
91-461 P FEDERAL WAY MISSION CHURCH 405 S 312TH
PERMIT NO. O�yr��g ,�gIv� B
MTS—PLUMBING (bisTii AC;'1'1AVG ANC PO BOX 728 MAPL Y 432-7119
CONTRACTOR A DRE C NT. PH NE
CONT. REG. NO. MTSPLCI164D7 OWNER'S PHONE OWNER'S ADDRESS 405 S 312T E1)ERAL 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. 082104-9009 LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON DATE OF ISSUE LI — ( c — ‘il DATE OF APPLICATION 4-17-91
0 BUILDING INFORMATION
ONE 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 7 . ELEC. HOT WATER HEATER 2 GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS _. _ FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES 10 DRINKING FOUNTAINS —3 GAS HOT WATER HTR. MISC.
t SINKS 8 misc. PERMIT FEE 90-0 0 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 2 TOTAL FIXTURES5X44= 270-OD UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 240.00
PERMIT FEE
PLAN CHECK FEE
LUMBING FEE 220_00
CHANICAL FEE
TOTAL BLDG. FEES DATE: (-( / f `
PART P/C FEE
SEPA REVIEW AMOUNT: $220.00
WATER SERVICE
WATER MAIN CHG. RECIEPT: -ii ." U ( V
S.B.C.C. FEE 0
OTHER FEES
220.110
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFT' ' ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATIO /FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: �J
OWNER OR AGENT i4I DATE �!
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
• 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
• *a
PERMIT FEE #r'
•PLAN CHECK FEEtilL?liti:''.' , f`
UMBING FEE
CHANICAL FEE .&
TOTAL BLDG. FEES _
PART P/C FEE A
SEPA REVIEW = 01113E ]
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES g
1. 1° .)°°
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 *41
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RECEIVED
APR 1 7 1991 CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
CITY OF FEt EAAL WAY — Please Print—
BUILDING DEPT. i
BOX 1 TENANT NAME: red[/ - CJI7 //11_17. --177)- --) C', c-,gyre-tl
OWNER .._-)74/-3-76 SITE LOCATION `74,5 S• �i) S %
OWNER'S ADDRES}, ; S • 3/c) S% CITY rLD, t -)/i y PHONE
DESCRIBE JOB Crw2eM
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME I1\+TS• (2,,,-45-,7-1( C.., -,?AcrC'•2S I---i^1C', CONTRACTOR'S REG. # 1n 4 C-r/G.SiC1
Card MUST be presen •d
CONTRACTOR'S ADDRESS AD• (3 ,.\ 7,J CITY ini er l///cc d_ PHONE `74 3;)'-7// r1
EXPIRATION DATE C9--2- !/
— 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 n1�-(-e sties PHONE `7 �)-•7//
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST' 5. �lo°° EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER O(*210 y - Hca9
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 (X) 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. 0 7 WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
k> LAVATORIES CONVERSION BURNER $
S SINKS BOILER, SIZE BTU $
;2 DISHWASHERS AIR HANDLING UNITS $
2 ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
3 DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
' DRAINS _ $
OTHER $
li4- 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 C T OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEE PON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
r
OWNER/AGENT: t% -Al. C:1 -/ ) — 9
ANP-008 3/90
•• ••
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) riBVP,J 1
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT $` A
PLANNING DEPARTMENT APPROVAL
YAW JAH J(H) ..I0 YTMO
REMARKS: ridt1�V1tl�JiU
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:
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
APR 1 7 1991 Amount Date Receipt#
c1-Ot QF FEO RAS WAY BUILDING DEPARTMENT APPROVAL
°Utz BY DATE ACCEPTED FOR FILING