90-100669 CITY OF BUILDING INSPECTION
rFDERAL WAY BUILDING PERMIT 941-1555
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PERMIT NO. 90-957 CA OWNER'S NAME C " JOB ADDRESS 1017 344TH ST
CONTRACTOR POE CONSTRUCTION INCADDRESS 3207 "C" STREET N.E. AUBURN CONT. PHONE 833-2400
CONT. REG. NO. POECOI24702 OWNER'S PHONE 833-7776OWNER'S ADDRESS 2912 28TH ST S.E.
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. XX INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 202104-9173-09 LEGAL DESCRIPTION (SEE ATTACHED)
ISSUED BY JOANNE JOHNSON _ DATE OF ISSUE DATE OF APPLICATION 6-21-90
BUILDING INFORMATION
•NE _ OCCUPANCY B2 TYPE OF CONSTRUCTIONVN_ 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 6,730
PERMIT FEE 90_._011 BUILDING DEPT APPROVAL: 6-27-90
PLAN CHECK FEE _
5-9-0..0
PLUMBING FEE _ LEGAL DESCRIPTION
CHANICAL FEE _
AL BLDG. FEES _ 7- '� Lot Number 2, of King County Short Plat Number 1179064R;
PART P/C FEE DATE: C Recorded under Recording Number 8011050837, Being a portion
SEPA REVIEW —CDof the North Half of the Southeast Quarter of Section 20,
AMOUNT: 6--.? . Township 21 North, Range 4 East, Willamette Meridian, King
WATER SERVICE
WATER MAIN CHG. / County, Washington.
S.B.C.C. FEE 4. 50
RECEIPT: 1 3 2Vis'6
OTHER FEES
AMOUNT DUE 153_50
CC FD
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:
`/)'1, / ; .;,,
OWNER OR AGENT DATE
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDINGPERMIT 941-1555
itt L
PERMIT NO. OWNER'S NAME . JOB ADDRESS S cr./Tri: 6
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
fillNE _ 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
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES _ UNIT HEATER TOTAL MECHANICAL __. AMOUNT
VALUATION _
PERMIT FEE BUILDING WITT ;APPROVAL; 6-2 -9C
PLAN CHECK FEE
PLUMBING FEE
ECHANICAL FEE
TAL BLDG. FEES , ... LEGAL DESCRIPTION
PART P/C FEE
SEPA REVIEW Lot Number 2, of King County Short Plat Number 1179064R;
WATER SERVICE Recorded under Recording Number 8011050837, Being a porti(
WATER MAIN CHG. RECEIPT` of the North Half of the Southeast Quarter of Section 20,
S.B.C.C. FEE _ _, ..- Township 21 North, Range 4 East, Willamette Meridian, Kin
OTHER FEES County, Washington.
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
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RECEIVED CITY OF FEDERAL WAY
JUN 21 1990 BUILDING PERMIT APPLICATION
CIT(OF FEDERAL WAY — Please Print—
RUILDING DEPT.
BOX 1 TENANT NAME: lel �E'uP s e°. .s 344.1-3t}� r, 1). tuA ?7 1,;(c,3
OWNER K - f T E . I SITE LOCATION 1 1 7 —
OWNER'S ADDRESS .' ��r7 ' ST: 6 . E-. CITY PHONE ' Aa
DESCRIBE JOB `�l't"?C 1) rl-r- C i,tP-T4/A-I--
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP F�--" CORPORATION
BOX 2 CONTRACTOR'S NAME Po E C-ON S'.1-1.2.1.-147-7 0 Ai' PJC--: CONTRACTOR'S REG. # --:4:1 X4752--
_ [� Card MUST be presented
CONTRACTOR'S ADDRESS . Q i� �r F. A). CITY/t 6 M ' &) i�M PHONE C3 3 .;i171-6°
EXPIRATION DATE 6 1 9 I 9g tY0Z
- OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHI,.BITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON - 6 ts,v.P.c. ,c---7. PHONE %S .J"/ -7 7
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST '7 3O. 0 C) (---- EXISTING BUILDING VALUATION g 00 0C)0
BOX 6 PROPERTY TAX ACCOUNT NUMBER AO ON 4- - I. % ...
7
E 4-
LEGAL DESCRIPTION —SE }Grt Fp ALS N
(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 ( ) 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. $
SHOWERS GAS HOT WATER HEATED $
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 $
SUMPSRINKLER 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, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY ASSA PART OF THIS APPLICATION.
_0OWNER/AGENT: Uy�- l J C-ti?--- DATE: q2i/5;10
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
Al/A- f JAGI
SEPA: EXEMPT NOT EXEMPT `l
FIRE DEPARTMENT APPROVAL DATE G'- v7-
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL /U 14 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 15.7 TYPE OF CONSTRUCTION \t/!) STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION 67 3 v
BUILDING DEPARTMENT REMARKS: PERMIT FEE - �0
PLAN CHECK FEE
PLUMBING FEE 0
MECHANICAL FEE Z
TOTAL BLDG. FEES
PART P/C FEE o
SEPA REVIEW U
S.B.C.C. FEE LLf,S C
OTHER FEES OG G
AMOUNT DUE
w�
ASSIGNED ADDRESS: Se "61�( S k
RECEIVED
JUN 21 1990 PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
CITY OF FEDERAL
AY
BUILDING DEPT.
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING