90-100413 2 too ii/
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
MIKE MOHUNDRO
PERMIT NO. 90-568 UT OWNER'S NAME SELECT CONTRACTORS JOB ADDRESS 1741 S 356TH ST
CONTRACTOR WASHINGTON WRECKING CO,DDRESS 13001 EMPIRE WAY S SEATTLE CONT. PHONE 772-6556
CONT. REG. NO. WASHIWC135J2 OWNER'S PHONE SELECT CONTRAWREM ADDRESS PHONE: 323-9494
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 DEMOLITION - STORAGE TANKS
TAX ACCOUNT NO. 11282104-9178-06 LEGAL DESCRIPTION LOT 28-21-04 BLK 9178 BEG NXN N LN SW 1/4 OF NW 1/4
AND ELY MGN ST HWY 5DTH E 275 FT TO PT A TH E 201.31 FT TH S 00-00-00 W 255 FT TH S 89-36-00 W 201 FT
TO PT S 002400 E FR PT A ETC
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-10-90
BUILDING INFORMATION
ZONEN/A 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 4,400 00 PLEASE NOTIFY THE BLDG DEPT AT 941-1555 WHEN YOU PLAN TO REMOVE THE
72.00 TANKS, ALSO SUPPLYING THE TIME AND LOCATION. THE FIRE DEPARTMENT
PERMIT FEE WILL THEN BE NOTIFIED TO BE PRESENT AT TIME OF INSPECTION.
PLAN CHECK FEE 47.00
UMBING FEE WASH DEPT OF ECOLOGY MUST ALSO BE NOTIFIED AT 459-6293 WITH THE
HANICAL FEE TIME AND LOCATION OF TANKS.
OTAL BLDG. FEES DATE: ._. (__.�1
PART P/C FEE �,
SEPA REVIEW AMOUNT: 23/5
`-%
WATER SERVICE
r� IQ#1
WATER MAIN CHG. RECEIPT: .1-
S.B.C.C. FEE 17:51) 4.�/
OTHER FEES
AMOUNT DUE 123_50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WO" IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFOR •TION FU', ISH % B ME : T' E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY 9Q
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CITY OF FEDERAL WAY 14F,c
BUILDING PERMIT APPLICATION A'r/� 11/��
—Please Print— D
5ec- COY1krG.LA'or� E l/1 1 ke_ i'/�l�iU Qro /i` :::, -.
BOX 1 TENANT NAME: I �r..
OWNER kat - lex- •n-t-rac-t o v-S SI LOCATION '" - ::'T% )-
OWNER'S
OWNER'S ADDRESS VI LI 1 5,.�35G '' - CITY 1`eci L3 01 PHONE 3Z3-9 y4 4
DESCRIBE JOB cVP (3 ) Ii000 q( -Putt --1 c•..nlc-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION -----
BOX 2 CONTRACTOR'S NAME W ASH IN 4 i o N Ole- Cts%IQ CI Co CONTRACTOR'S REG. # W 4514 I Ii C 1353 Z
rr, ,, Card MUST be presents/ c
CONTRACTOR'S ADDRESS 1300 t C.e,P%,e-e_ wAy S• CITY SeC� • PHONE 1 2-Co 55-0
EXPIRATION DATE L • 9 Ai t. ..
— 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 S0e- Av-,c1 C{son PHONE-712-(055(p
BOX 4 SEWER DISTRICT recd l�c,.y WATER DISTRICT 1-e-d t.30.-1
BOX 5 ESTIMATED PROJECT COST < 5,000 EXISTING BUILDING VALUATION )q/-
BOX 6 PROPERTY TAX ACCOUNT NUMBER #-1 2-$Zit) `I'-cc 11 -0(o
LEGAL DESCRIPTION La+ Z$-ZI -t 1-) 131k. 9 i 1 Qe.ct X ►J N t-lU Sw t/ LF 0Cr Nu.) If t 4-
CH MGN S i loy 5OT1-1 E Z"15F4- to P-{-_ 14 ill E to I , 3I r- --I Ih -s ov — u0w255
(If necessary, please submit a separate page with the legal description.)F? 1 - S Ss 9 -3G-DO o w t 4+ .{-o h -t S out-400
K.C. Plat Recording # FR °T 4 el.c-
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION e,,.\,f,,r„r) 3 \rk S
( ) 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 TOSAVE 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 EMPL YEES, UP/iN TH CCURACY OF THE INFORMATION SUPPLIED TO THE TY AS A PART OF THIS APPLICATION.
OWNER/AGE : / �i'v,.l DATE:
ANP-008 3/90
11 •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
/1)7A-
SEPA:
f/�
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE // ?O
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL Agri-
TYPE
vDATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY _( NITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER pec�
- o I I (0 !--‘
OCCUPANCY TYPE OF CONSTRUCTION '1 4 STORES
--- BUILDING SQ. FT. @ = S--O O O
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ 75d ( £ - " =- 0 - Sg
BUILDING SQ. FT. @ _
TOTAL SQ. FT. - TOTAL VALUATION Li y `00
BUILDING DEPARTMENT REMARKS: PERMIT FEE 7Z - ca
PLAN CHECK FEE t{ 7 ' a
PLUMBING FEE 0
MECHANICAL FEE 0
TOTAL BLDG. FEES ) T 'T • GO
PART P/C FEE Q
SEPA REVIEW
S.B.C.C. FEE y<5-0
OTHER FEES O
AMOUNT DUE 123 , S-0
%‘ ASSIGNED ADDRESS: S e---?((.5 /`vj
•\>. a! ?) PARTIAL PLAN CHECK FEE RECEIVED
> 74, Amount Date Receipt#
Vae BUILDING DEPARTMENT APPROVAL
RECEIVED BY r—E-- DATE S if `TC) ACCEPTED FOR FILING