90-101046 CITY OF
BUILDING INSPECTION
NSP
ECTIONFEDERAL WAY BUILDING PERMIT 941-1555
90 . 10/0 V .
PERMIT NO. 90-1187 G OWNER'S NAME RODOLFO & JULIE GIRBAU
CONTRACTOR SELF JOB ADDRESS 151 S 363RD PL
ADDRESS --
CONT. REG. NO. -- OWNER'S PH8a $-3526 CONT. PHONE --
S
151 S
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL
INDUSTR AL DD 6 3RD EW PUBLIFLEDERAL PUBLIC
A D
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING XXXXOTHER
TAX ACCOUNT NO._ 113780-0080-00 LEGAL DESCRIPTION LOT 8 BROOKFIELD COUNTRY ESTATES
ISUED BY JOANNE JOHNSON
fir DATE OF ISSUE_ /1— / --` DATE OF APPLICATION
7-19-90
BUILDING INFORMATION
ZONE OCCUPANCY__
TYPE OF CONSTRUCTION_ SOIL SO. FT
SET BACKS: FRONT SIDE — OX
REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. —
AMT. BOND
WATER CLOSETS
ELEC. HOT WATER HEATER GAS PIPINGFT -
-- —
LAUNDRY DRAINS COMPRESSOR RECEIVED
BATHTUBS . BOILER
SHOWERS URINALS — __ TANK(S)
FORCED AIR FURNACE AIR HANDLING UNIT
LAVATORIES DRINKING FOUNTAINS _ NUMBER
GAS HOT WATER HTR. MISC.
SINKS MISC.
CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
PLANNING DEPT APPROVAL:
S
VALUATION 900_00 NO CONSTRUCTION WEITHIN THEC1O-FOOT9-90 EASEMENT - LAND USE SURFACE MODIFI
PERMIT APPROVED -- SEE ATTACHED CONDITIONS CTION
PERMIT FEE 22.50-- XX SEPA
PLAN CHECK FEE 15- 00 BUILDING DEPT APPROVAL: KC 11-19-90
aiLUMBING FEE
ECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE DATE: / ''- /
WATER MAIN CHG.
S.B.C.C. FEE AMOUNT: 3 7. 0
OTHER FEES
AMOUNT DUE 37. 50 0 RECEIPT: R./ 70
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 BEME-1'57
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RECEIVED CITY OF FEDERAL WAY
JUL 2 01990 BUILDING PERMIT APPLICATION
—Please Print-
CITY OF FEDERAL WAY
BUILDIND PT.
BOX 1 TENANT NA :
OWNER i 0► l-FO .• .L '! SITE LOCATION - S, .3 �� c. ZetkZ /4q
OWNER'S ADDRESS / . 3(0.3 '64ce CITY_.I AAL AA/PHONE f.3J-3c.2‘,. '
DESCRIBE JOB t"lLZ A-Air2 .*..i /-67C0 C9 Y/3' V- 55
THE PROPERTY IS OWNED BY: SINGLE L ARRIED) PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 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 PHONE
BOX 4 SEWER DISTRICT /----E---L)6/24L- /il/4-/ WATER DISTRICT _,a At
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER l/ 3 780 - 0030 -06
LEGAL DESCRIPTION s... _ - . .A • . 1 --.• . .- '0 / . ,,.
lit) Jt>C.//,nL, /3y of Pi'9731 /1466- 2-7-?o //ves&_,s,i/f , id) ,•,ti CA&A,rs', f_Li Srci1N678,�'
(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 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 AS A PART OF THIS APPLICATION.
�
OWNER/AGENT' 4. -- DATE: , 4_90
�-- ; ` ,z
� ` ' _ ANP-008 3/90
t
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE - SETBACKS: FRONT ilr. SIDE �/i2 REAR '%' HEIGHT LIMIT .d/f"
PLANNING DEPARTMENT APPROVAL - —' 7-5 '
REMARKS: .-,, �...,-..- - 30 '—....—, - � / e--_-- 711-4(--...... .
g.......„.4 �� - _ /_� r�.pl -,.�
SEPA: EXEMPT NOT EXEMPT e'"12A- 1
FIRE DEPARTMENT APPROVAL 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 (k Q-+- ..F 1
OCCUPANCY TYPE OF CONSTRUCTION V / 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: ,,„ ,t5
) a rocr d- PERMIT FEE zZ `co
PLAN CHECK FEE TS"- v'
PLUMBING FEE a
MECHANICAL FEE a
TOTAL BLDG. FEES 37 . 3-C7
PART P/C FEE 'v
SEPA REVIEW t'
S.B.C.C. FEE 400
OTHER FEES
AMOUNT DUE Z`d D
ASSIGNED ADDRESS: e It(ti
PARTIAL PLAN CHECK FEE RECEIVED
RECEIVED Amount Date Receipt#
JUL 2 0 1990 BUILDING DEPARTMENT APPROVAL fa J�
:ITY OFD NG ,14wwED BY DATE ` ` 1✓ w ACCEPTED FOR FILING
BUIL