91-100359 9)- loo359
CITY OF BUILDINIG BUILDING INSPECTION
FEDERAL WAY PERMIT 941-1555
PERMIT NO. 91-354 RA OWNER'S NAME RAY DU HAMEL JOB ADDRESS 1400 S 359TH ST
CONTRACTOR SELF ADDRESS CONT. PHONE ---
CONT. REG. NO. OWNER'S PHONE 927-8625 OWNER'S ADDRESS 1400 S 359TH ST FEDERAL AY
TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER GARDEN SHED
TAX ACCOUNT NO. 292104-9079-05 LEGAL DESCRIPTION SEE ATTACHED
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 3-20-91
BUILDING INFORMATION
ZONE RS 15.0 OCCUPANCY M-1 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 160
SET BACKS: FRONT 20 SIDE 5 REAR 5 _ STORIES HEIGHT LIMIT 30
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED
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 2,320 PLANNING DEPT APPROVAL: DB 3-28-91
PERMIT FEE 54_00 BUILDING/FIRE DEPT APPROVAL: MB 3-29-91
PLAN CHECK FEE 35-011_
DUMBING FEE
CHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE _ 4/j.../1
SEPA REVIEW WATER SERVICEWATER MAIN CHG. DATE:
S.B.C.C. FEE 4. 50
OTHER FEES AMOUNT: $,93.50
AMOUNT DUE 91-50
RECEIPT: -- r
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 CpRRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BEOF FE77 ' 7'-' "--
DERAL OR AGENT I 1"°;.- fr- DATE 02_ FlV2
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. SO 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 P N . `:La D'S;PT lPPPOVi A: Oki 3'"'` 3—$7.'`.
PERMIT FEE WING/FIRE DEPT APPROVAL: MB 3-29-51
11)
PLAN CHECK FEE
eUMBING FEE t
CHANICAL FEE /.,
TOTAL BLDG. FEES > 4
PART P/C FEE / / 'e. _
SEPA REVIEW t f `\' t t//4
WATER SERVICE 1,V:e I .._ - ..I-r.,_..
WATER MAIN CHG. Oge `+
S.B.C.C. FEE `{�/= L z",*
OTHER FEES �__ B
I eligligigialv14411°111111.111.
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
.7-1)
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
iv:AN G 7 1991 BUILDING PERMIT APPLICATION
CITY Of f-tUCFIAL WAY — Please Print—
BUILDING DEPT
BOX 1 TENANT NAME:
OWNER RAY' F Dt. kMn E L SITE LOCATION 1 M vO S - 35 9.+v, 5—r:
OWNER'S ADDRESS u-100 . 359 +h St CITY Fede►2u.i Wu/ PHONE ci.27-86,25
DESCRIBE JOB GCS Rdera :-hed
THE PROPERTY IS OWNED BY: SINGLE/MARRIED S tnC\k. PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ie'. i C-- CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
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.
BOX 3 CONTACT PERSON ;`C:y I� I-1.ciin eA PHONE Sa "')t
BOX 4 SEWER DISTRICT -/ WATER DISTRICT .—
BOX 5 ESTIMATED PROJECT COST It I a oCa EXISTING BUILDING VALUATION ....--------
BOX
/BOX 6 PROPERTY TAX ACCOUNT NUMBER ' qa i U zi ` qCo 7cI - 05
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 $
I 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 $
0 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 TH INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ( :)
WNER/AGENT: 4'/,cd iciLe DATE: 8 -26P.-- F/
; ( ANP-008 3/90
• . .. g
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE-1`)>t .(2 SETBACKS: FRONT 2-0' SIDE `2 REAR S ( HEIGHT LIMIT �t
PLANNING DEPARTMENT APPROVAL a, d.A--R- q2 /0/ ; t r:,�
n
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVALiv/A- 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 -'4/-', 5.-A-4 sh/r ,
OCCUPANCY AA - TYPE OF CONSTRUCTION U- STORES
/t BUILDING SQ. FT. /(:-(' @ /y 5-6 = 2 3 2 c'
(� BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION -2-3 Zc)
BUILDING DEPARTMENT REMARKS: PERMIT FEE Sy.
PLAN CHECK FEE 3 S
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES eci
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE //, "
OTHER FEES 3. S �'
AMOUNT DUE
ASSIGNED ADDRESS: S (;' � K S`� (
RECEIVED
PARTIAL PLAN CHECK FEE RECEIVED
MAR 2 7 1991 Amount _ _ Date Receipt#
sr(OE FEDERAL WAY
BUILDING DEPT BUILDING DEPARTMENT APPROVAL
RECEIVED BY i /J DATE r29-53/ ACCEPTED FOR FILING
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MAR 2 8 1991
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This map does not purport to show all highways, roads or easements affecting said property;
no liability is assumed for variations in dimensions and location.