91-100631 9/-40 6 31
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT941-1555
#101 k��
PERMIT NO. 91-594 NR OWNER'S NAME DAVE CLAVNCH JOB ADDRESS 33403 4TH CT SW
CONTRACTOR R T HOMES ADDRESS 430 SW 337TH FEDERAL WAY CONT. PHONE 927-3946
CONT. REG. NO. RTHOML169D3 OWNER'S PHONE 395-0115 OWNER'S ADDRESS 1122 SW 334TH PL FEDERAL WAY
TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILYUNITS ) MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 729805-0430-01 LEGAL DESCRIPTION LOT 43 THE RIDGE DIV 6
ISSUED BY JOANNE JOHNSON DATE OF ISSUE s ?...---5–---- f
DATE OF APPLICATION 5-8-91
BUILDING INFORMATION
NE RS 9.6 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT.__ 4950
SET BACKS: FRONT 20 SIDE 5 REAR 5 STORIES HEIGHT LIMIT 30
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 4 ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 2 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER
LAVATORIES 6 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.
SINKS 3 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASKRS _ 1 TOTAL FIXTURES 19X5 95.00 UNIT HEATER TOTAL MECHANICAL 20.00 AMOUNT
VALUATION $280,555.44 PLANNING DEPT APPROVAL: LS 5-15-91
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PERMIT FEE 1,273.00 PUBLIC WORKS DEPT APPROVAL: TC 5-21-91
PLAN CHECKFEE$257.00 827.00
PLUMBING FEE 95.00 FIRE/BUILDING DEPT APPROVAL: KC 6-25-91
,giCHANICAL FEE 20.00
`AL BLDG. FEES \
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PART P/C FEE
(570.00) DATE: : Zl^— /
SEPA REVIEW
WATER SERVICE AMOUNT: $1,684.50
WATER MAIN CHG.
S.B.C.C. FEE 4.50 RECEIPT: J 1
OTHER FEESPUBLIC WKS 35.00
AMOUNT DUE 1,684.50
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 FURNI _ = RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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Permit # / - 5 9V,Ve„
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% 0 CITY OF FEDERAL WAY 5 7°
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.w,oreverr_.r BUILDING PERMIT APPLICATION �# 2 7C7
— Please Print— 'j—9— `j
BOX 1 TENANT NAME:
OWNER PA) J G C.L.Ps l•3C SITE LOCATION Lar 4 , N . . C.1I•
OWNER'S ADDRESS 1 l Z (••••••3 ' .v F-4 CITY PHONE - -O
DESCRIBE JOB 0 6k,,-) F--(2.if
-
THE PROPERTY IS OWNED BY: SINGLE/ IED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME V '-T, 1 CONTRACTOR'S REG. # ' 166#40-1 V=51[23
Card MUST be resented
CONTRACTOR'S ADDRESS 4 cSUJ = CITY PHONE Q 1— 1
EXPIRATION DATE �/a q'2_
— 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 '1-611.- 1 At-) pc)i•-w-1 0\J OfF C/412.0-t4 t`-cf-) PHONE a 54-- 5Ova
BOX 4 SEWER DISTRICT .W , WATER DISTRICT F.(A) .
BOX 5 ESTIMATED PROJECT COST -.-- .b' i Wa ,(Z) EXISTING BUILDING VALUATION kVA
BOX 6 PROPERTY TAX ACCOUNT NUMBER I'2.q8(DC-- O 4 3b --C7
LEGAL DESCRIPTION Irate 4-3, Piv• 6 , IL a C tz.YQ6-e-
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 221s-/ 2ND FLOOR A v1'/
3RD FLOOR / BASEMENT / DECK / GARAGE `?7(:)/
BOX 8 (?() SINGLE FAMILY r() NEW CONSTRUCTION 9( 8(' cOc
) 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 PIPI G, FEET y $ y, ) -
1 BATHTUBS NO. PS X
FURNACE, ELEC. GAS $ fo-0 6
SHOWERS ,K GAS HOT WATER HEATER $ 6 -1-o
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
I DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
I LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
Y 5 TOTAL MECHANICAL FEE $ 1c.00
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.
OWNE' ft.TOP. t-3 I. r OVA DATE: — a
.......-
ANP-008 3/90
ungsgiti
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE7-1e/ S
5 q4 SETBACKS: FRONT � SIDE `' REAR ' HEIGHT LIMIT 3a YAM
PLANNING DEPARTMENT APPROVAL S>_�-� �/STI 'T' w!;'r ,_ J`
REMARKS: S_As=9tr�
/ Cn vvgxs c,v w/ T ,^,//o vpF Arert/r -7- /M uWia ri/ 20' .ems 3c'� Gar�q A
5/1414.D14)) 7)1R-f_e_ SVI -1 -& Ai) ,DE 42,4R D. /84 odt-K44w6 .�4vUTd T// of 6k,e4-��
U,1 Dt e J/S./K-41.(A�a i/,e Ep .tin ns). 51 bATheA ,r4-.v r T/{E£S 7e• A1/4704-1 .
SEPA: EXEMPT NOT EXEMPT - u
FIRE DEPARTMENT APPROVAL DATE C_ 7` l /
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 7—Z- DATE 5-41/f/
REMARKS:
TYPE OF JOB: NEW RESIDENCE .4 RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCcUL v A� Y ST BUILDING SQ. FT. OF C? �U ION STORES
r Cf0 a
II 7) BUILDING SQ. FT. 110 S @ '` = (-) % b1 5-0
C'al(r e BUILDING SQ. FT. ?7p @ ("i3-3o Iia ct,‘
�J BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ 4Iu.0&c c-(€r cbli
TOTAL SQ. FT. TOTAL VALUATION Z$0 SS c,
BUILDING DEPARTMENT REMARKS: PERMIT FEE -7 3
PLAN CHECK FEE 2.2-7
PLUMBING FEE 9 r L
MECHANICAL FEE 2.s 0 0
TOTAL BLDG. FEES
PART P/C FEE (5 74,0a)
SEPA REVIEW
S.B.C.C. FEE so
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 3 3 N O 3 Lf CA- S --
RECEIVED
PARTIAL PLAN CHECK FEE RECEIVED
MAY 0 8 1991 Amount ``) = Date 5 -5 / Receipt# 25-67
g• Etisticomicenv*AY BUILDING DEPARTMENT APPROVAL
RECEIVED BYDATE - ,7/ ACCEPTED FOR FILING