90-101105 CITY OF BUILDING INSPECTION
BUILDINGFEDERAL WAY PERMIT 941-1555
(O/S)
PERMIT NO. 90-1280 OT OWNER'S NAME GREG OLSON JOB ADDRESS 1910 S 344 ST
CONTRACTOR LEE MORSE ADDRESS 9434 DELRIDGE WAY SW SEATTLE CONT. PHONE 763-8956
CONT. REG. NO. LEEMOGC231B1 (1/91) OWNER'S PHONE 838-7255 OWNER'S ADDRESS POB 4155 FEDERAL 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 INSTALL NEW FUEL TANK
TAX ACCOUNT NO. 212104-9007 LEGAL DESCRIPTION
9057
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE J---C( e) DATE OF APPLICATION 8/2/9 0
BUILDING INFORMATION
ONE MP OCCUPANCYNA TYPE OF CONSTRUCTION FUEL TANK (INSTALL) BLDG. SQ. FT. NA
SET BACKS: FRONT NA SIDE NA REAR NA STORIES_ NA HEIGHT LIMIT NA
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. MISCTANK 50.00
SINKS MISC. CONVERSION BURNER BASIC FEE 20.00 RETURNED
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL 70.00 AMOUNT NONE_
VALUATION NONE INSTALL 12,000 GAL DIESEL TANK
PERMIT FEE PLANNING DEPT APPROVAL = CORY SMITH ON 8/7/90 (MUST COMPLY WITH MITIGATION
PLAN CHECK FEE CONDITIONS (MDNS—KC-10-13-87)
PLUMBING FEE
•CHANICALFEE $70_00 FIRE DEPT/BLDG DEPT APPROVAL = KEVIN ELLIS ON 8/13/90
TOTAL BLDG. FEES 70-00
PART P/C FEE _
SEPA REVIEW DATE: ,2 —1 v
WATER SERVICE l
WATER MAIN CHG. AMOUNT: 0
S.B.C.C. FEE / / 2
OTHER FEES RECEIPT: I S_L'( [
AMOUNT DUE $70.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE M - f
OWNER OR AGENT t' DATE V/ C.
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CITY OF FEDERAL WAY IECE'IVED
BUILDING PERMIT APPLICATION AUG 0 2 1990
— Please Print—
CITY OF FEDERAL WAY
DUILDINO DEPT.
BOX 1 TENANT NAME: 'G G 6cses4,7
OWNER Dk'- or\ SITE LOCATION I`//c S, 3`04 ' ' Fe'c1. ,ti L y
OWNER'S ADDRESS P. C. 1W)( -JI55 CITY Fp{1Q2r3I (-c.viy PHONE S 3 7)5S
DESCRIBE JOB /4/5-Tli�irlc 73clA//<
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /< /a0/4_5'�= CONTRACTOR'S REG. #-'_- &, V C C3i6'/
/� �-- Card MUST be presented
CONTRACTOR'S ADDRESS T� y �`"�A .L)G�" L:: ! Sok/CITY n�7f<- PHONE 7E_1)---.1-:C.,r4
EXPIRATION DATE
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
'c BOX 3 CONTACT PERSON ,mac`C �� Ci�'S c= L'G174"«-'mac'
PHONE 73
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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
DRAINS r✓v5 4 / 4/ .Disse / 7.04.k.$ 7G.. (-Jo
OTHER $
TOTAL FIXTURES $
f g ecry-`i S-)null; 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 AS A PART OF THIS APPLICATION.
OWNER/AGENT: • ' DATE: % y<P
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT'WNRITE BELOW THIS LINE)
ZONE,"\I P SETBACKS: FRONT SIDE ,//' REAR -/11 HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL ,� er— 7- i
REMARKS: 1 aa fur _ 0•4 5-- A e — /0/,547J
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE g (3 qL
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: efA
PARTIAL PLAN CHECK FEE RECEIVED
Amount _ Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE G f - 9 O ACCEPTED FOR FILING