91-101101 CITY OF FEDERAL WAY
33530 First Way South BUILDING INSPECTION
91, 1., o , 661-4140
Federal Way, WA 98003 BUILDING PERMIT
PERMIT NO._ 91-1056 OT OWNER'S NAME TOM BRAATEN CONSTRUCTION SITE ADDRESS ___ 34628 4 PL SW
CONTRACTOR TOM BRAATEN ADDRESS 33415 4 PL SW FEDERAL WAY 98023 CONT.PHONE 927-3998
CONT.REG.NO. TOMBRCI142DR EXP. 1/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIALCOMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. ___SIGN GRADING__ OTHER CONSTRUCT SWIMMING POOL
TAX ACCOUNT NO. 132172-0040 LEGAL DESCRIPTION LOT 4 CAMPUS HIGHLANDS DIV 3
C/
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE /f /qj.
DATE OF APPLICATION 8/9/91
BUILDING INFORMATION
iiONE____ RS 7.2 SET BACKS:FRONT 20' SIDE 5' EACH REAR.._5 HEIGHT LIMIT NA
JCCUPANCY M-2 TYPE OF CONSTRUCTION 5—N CENSUS NO. 329 __TYPE OF HEAT_ NA BLDG.SQ.FT. NASTORIES_. 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. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL 6.50 AMOUNT NONE
VALUATION $20,000
PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE $207.00
PLAN CHECK FEE 135.00 "SETBACKS REDLINED ON SITE MAP MUST BE OBSERVED"
PLUMBING,FEE
MECHANICAL FEE 6.50 PUBLIC WKS DEPT APPROVAL = TOM COLLINS
agoART P/C FEE "EMERGENCY DRAIN TO BE INSTALLED UNDER POOL"
.;EPA REVIEW
PUBLIC WORKS 100.00 BLDG DEPT PROVAL = KEVIN ELLIS
S.B.C.C.FEE 4.50
Li
FIRE FEE DATE:
OTHER FEES AMOUNT: $ 53.00
AMOUNT DUE $453.00 RECEIPT: ---.341 -4=---
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.
OWNER OR AGENT . ":7 '- DATE_ 7-10 .-9' - -
CITY OF FEDERAL WAY
33530 First
Federal Way`, WA 98003 ay South BUILDING PERMIT BUILDING INSPECTION661-4140
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
NE SET BACKS:FRONT_ SIDE REAR -- HEIGHT LIMIT
CCUPANCY 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
PLUMBING FEE
MECHANICAL FEE
111,RT P/C FEE RE v.r .;
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE: El?I
OTHER FEES AMOUNT: DATE 3 i .
AMOUNT DUE RECEIPT:
BY
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 REQUIRE ENTS WILL
BE MET.
OWNER OR AGENT DATE
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
a^,X ? TENANT NAME
OtM iCAP�'(" Jul (�N�T. INC,
t g.✓ C4N S 1- u )c. SITE LOCATION 24(..-Z8 1 f G. ( t.J
,.,iVNER'S ADDRESS .339-1S- `--k" f)c. c. w. CITY F� tiac wAr`t PHONE 977-341°t
DESCRIBE JOB _ Fon L_
THE PROPERTY !S OWNED BY: SINGLE/MARRIED // PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME �er`^ ��AATe" C_oST . t/NL. CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS 33¢I.c 'T ' .(k. C.Go. CITY . -W Pr 1/4r PHONE z 7- ' 1 Cd
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 PERSONoI�M KAA- PHONE `rZ7- 311P
BOX 4 SEWER DISTRICT f la-"vA4Y WATER DISTRICT -r -L'A'('
BOX 5 ESTIMATED PROJECT COST Zd, u0.c) EXISTING BUILDING VALUATION --
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 $
SHOWERS I 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 THEE$T 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:'-- -- DATE: ' ^9
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ti
ZONE SETBACKS: FRONT 7-0 SIDE
( REAR S HEIGHT LIMIT 30 I
PLANNING DEPARTMENT APPROVAL rl/
_
REMARKS: �E� I I S /SCG �I��,/'!!!d D49-1 -
1 5�/-t 1ltap i)t��
6 ley tee, ,
SEPA: EXEMPT V NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: NIA
PUBLIC WORKS DEPARTMENT APPROVAL DATE ?' /
REMARKS: 4-iv(6,24,6-r,ev p, 7r0 . x'ucj - Z.,6_/ ,�.:z Po-de_-
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT 3c NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY TYPE OF CONSTRUCTION \I N STORES
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT. @ _
BUILDING SQ. FT.
BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQ. FT. TOTAL VALUATION 2O t 000
BUILDING DEPARTMENT REMARKS: PERMIT FEE L-v
PLAN CHECK FEE 13 5
PLUMBING FEE 0,O U
MECHANICAL FEE `5-0
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
1?/,‘P-c)
FEE ( SU
OTHER FEES ds 3 gl
AMOUNT DUE
ASSIGNED ADDRESS: 5 e-e- E-?C(
RECEIVED �J
AUG 0 9 1991 PARTIAL PLAN CHECK FEE RECEIVED
CITY OF FEDERAL WAY Amount Date Receipt#
BUILDING opBUILDING DEPARTMENT APPROVAL
RECEIVED BY 1�" DATE ` ` ACCEPTED FOR FILING
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