91-101799 CITY OF FEDERAL WAY cJ). )0 X79 9
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. 91-1777 OT OWNER'S NAME FEDERAL WAY RADIATOR SITE ADDRESS 1500 S 351 ST
CONTRACTOR FERRELLGAS, INC ADDRESS 935 WEST MAIN ST AUBURN CONT.PHONE 833-1641
CONT.REG.NO. FERREI*116K6 EXP.5/92 OWNER'S PHONE 874-3134 OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLICPUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER INSTALL ONE (1) 500 GALLON LPG TANK
TAX ACCOUNT NO. 202104-9129 LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE __. J - c' / _- DATE OF APPLICATION 12/26/91
411 BUILDING INFORMATION
ZONE NA - SET BACKS:FRONT NA SIDE NA REAR NA _ HEIGHT LIMIT - NA
OCCUPANCY NA TYPE OF CONSTRUCTION NA __CENSUS NO. 0/S TYPE OF HEAT NA BLDG.SQ.FT. NA STORIES NA
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. (1) 500 GALLON_ L?G TANK $50.00
SINKS MISC. BBQ BASIC FEE 20-00 RETURNED
DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL 70_00 AMOUNT NONE
VALUATION $NONE
FIRE DEPT APPROVAL = PAT KETTENRING
FERMIT FEE
PLAN CHECK FEE BLDG DEPT APPROVAL = KEVIN ELLIS
•PLUMBING FEE
MECHANICAL FEE $70.00
PART P/C FEE
SEPA REVIEW --
PUBLIC WORKS
S.B.C.C.FEE - / 1—
�j
FIRE FEE DATE: !
OTHER FEES AMOUNT: $70.00
AMOUNT DUE $70.00 RECEIPT: 77 y
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 'URNISHED B�ME IS TR : •iit CORR' T TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF F DEKA: WAY REQUIREMENTS WILL
BE MET.
OWNER OR AGENT a L i ��� � DATE -1 )
i I
CITY OF FEDERAL WAY
33530 First ay South FedealWay`, W 98003 BUILDING PERMIT BUILDING INSPECTION6614140
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
111,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
VALUATION
PERMIT FEE
PLAN CHECK FEE EL
L4( ' S
PLUMBING FEE l��
MECHANICAL FEE
(ORT P/C FEE
-
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
-
FIRE FEE DATE:
OTHER FEES - AMOUNT:
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.
OWNERORAGENT DATE MA3
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE - BY DATE -..... BY ._...-..... -_.. DATE ..- BY
PLUMBING ROUGH IN WATER LINE O.K. _...... -__ MECHANICAL INSPECTION
DATE BY GAS PIPING O.K. DATE -.__ BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY DATE ... -.....BY DATE BY
FINAL O.K. TO OCCUPY DCD PSD FD
---/ -''
DATE_ .. BY All --
0 j ,; 1 �-(g -�1
0
• • Pernipt ? / —/ 777 0
RECEIVED
CITY OF FEDERAL WAY
DEC 2 6 1991 BUILDING PERMIT APPLICATION
''$TY OF FEDERAL WAY — Please Print—
BUILDIiNG DEPT.
BOX 1 TENANT NAME: re_ct,e ;-a,( (,k:i\o,_y R 6, c_.(--
OWNER C ( .cq,e t /t4 u- �Z..v),c.-. Ecl SITE LOCATION 15 b 5c= tl.._ 3 j az
33.1 OWNER'S ADDRES •
CITYc� •PHONE 7' -5 -3.1' ip I DESCRIBE JOB 13.--c›pc, t a,... .� ,n..-Fo_` . ,t;,-,--
\Iex-`z,, THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME �' :rel!c --) L+••�' CONTRACTOR'S REGk# -F�A'R. L�t* 114.4...&
i Card MUST be presented
CONTRACTOR'S ADDRESS q 35 Lc.) -- — _ -• CITY A:�.G').....,-- w_. PHONE l33- 1 lc
EXPIRATION DATE 5. - 1 q 9a.C
.(-2-
- OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DE NITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 'i-)C'- 1LL Iw. z•.- e.a,'(.-- Mc,. PHONE `5 3 .5 -- ! e,4)
BOX 4 SEWER DISTRICT 'Ve_ci. otic WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST f� EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER H &ca. i —i et t_261 -- CLI
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 I COG S� F-+' 13(r
tcFir
(�) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY -7 . C • - 1,SQ
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 I OTHER .�c.;G C]q IIal, i— f C� Ivy''$ . 0 c
DRAINS J $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ 7%,d0
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 Ai BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES UPON E ACC E INFORMATION SUPPLIED TO THE C TY AS A 'ART OF THIS APPLICATION.
alF
OWNER/AGENT: / ' `w,-40111111 DATE: . L/
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: /r l
(A-
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL ea � Plt h 1 city DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL/12(A) 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 TENA - P. OTHER
OCCUPANCY T IF 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 ?O
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES ( j
AMOUNT DUE -
ASSIGNED ADDRESS: Ste. eAc s--(vk
RECEIVED
1
DEC s i i PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
(ATV OF FEDERAL WAY
BUILDING DEPT. BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING