90-100007 CITY OF BUILDING BUILDING INSPECTION
FEDERAL WAY PERMIT 941-1555
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PERMIT NO. 90-009 OWNER'S NAME TOM BRAATEN CONST JOB ADDRESS 33504 4TH CT S.W.
CONTRACTOR TOM BRAATEN CONST CO ADDRESS 33415 4TH PL S.W. FED WAY CONT. PHONE 927-3998
CONT. REG. NO. TOMBRCI142DR OWNER'S PHONE 927-3998 OWNER'S ADDRESS 33415 4TH PL S.W.
TYPE JOB: NEW RESIDENCE XX ADDITION
NEW MULTI-FAMILY
NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
(UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 729805 0370 LEGAL DESCRIPTION LOT 37 THE RIDGE DIV 6
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 3-1-90
BUILDING INFORMATION
INE RS 9.6 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 6,168
T 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
RECEIVED
BATHTUBS 3 LAUNDRY DRAINS 1- COMPRESSOR TANK(S)
SHOWERS 2 URINALS FORCED AIR FURNACE 10-00 AIR HANDLING UNIT NUMBER
LAVATORIES Fi DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES 1R UNIT HEATER TOTAL MECHANICAL 70_00 AMOUNT
VALUATION 317,650
PERMIT FEE 1,403
PLAN CHECK FEE 912
PLUMBING FEE 95
.ECHANICAL FEE 20
OTAL BLDG. FEES
PART P/C FEE DATE: (�/` (/
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SEPA REVIEW
WATER SERVICE AMOUNT: #3 (i. SR)
WATER MAIN CHG.
S.B.C.C. FEE 4.50 RECEIPT: 3 y 3 2C3
OTHER FEES
AMOUNT DUE 2,434.50
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 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_______ U .---------21----- !�DATE / `iJ
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
- Please Print-
BOX 1 OWNER?�nn -A- -TC-N1 ‘,Qc7- JOB LOCATION LOT W 7 1)1V (e TNS RIO(e�
OWNER'S ADDRESS 34-+ s g-+`` FL 5.tA/, CITY OD -w/k`( PHONE 9z7- 5ga8
DESCRIBE JOB 'CVs 't oki.s7__
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION ✓r
BOX 2 CONTRACTOR'S NAME o„n "c1-A-A-T ) eofu I- mic- CONTRACTOR'S REG. # %0 8�c 114-2-DK
Card MUST be presented
CONTRACTOR'S ADDRESS 33¢;V 1 t' IL-. s.(O CITY LviA PHONE RZ7- 99 8
EXPIRATION DATE /-/- cl I 996,7--�
— 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 /or,A A? -.1u PHONE TZ7-319 9
BOX 4 SEWER DISTRICT f D --w/YY WATER DISTRICT FD-wM
BOX 5 ESTIMATED PROJECT COST '/ 5-00fo vo.aa EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 7 -27s-6<- C) 3 7 Cr
LEGAL DESCRIPTION -1;:ig RID( LoT 37 pt' tSioN 50( A Nt-row OF s -TIS^) '8 T•
21 1•J.1 Z . 4 1=, W. M . •_tNc„ G.av/vTY w&
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / Z.511 2ND FLOOR / 03 2-7
3RD FLOOR / BASEMENT / DECK / GARAGE / /Z Sb
BOX 8 ( X) 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 $ 'J
3� BATHTUBS NO. / FURNACE, ELEC. GAS $ l O, 00
2- SHOWERS GAS HOT WATER HEATER $ 4;,,S-0
LAVATORIES CONVERSION BURNER $
I SINKS BOILER, SIZE BTU $
1 DISHWASHERS AIR HANDLING UNITS $
0 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 7k I AJ-1(_ V6-4 t5 -;: $
DRAINSJ� .�� !'"212.•/ ,_-.---4 LI f�- Y \17/Lkt�7t2� FC-=/`(moi $
OTHER
TOTAL FIXTURES $
q '-='-'- TOTAL MECHANICAL FEE $
g'IFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
D F MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
rHE WORK FOR WHICH PERMIT APPLICATION IS MADE.
N
'/AGEN : t— '�� DATE: 2 /- 76
ANP-006 2/90
• w
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE,15'- 7. co SETBACKS: FRONT ( SIZE > REAR "..-e. HEIGHT LIMIT 2-r1 (6 i(
PLANNING DEPARTMENT APPROVAL ! I 11
REMARK n2
i7_. c, . i S�U U -(--l-e--CAh ( S • '1-o (,c-(eL t l�/e
v-00 /1- Cfrd pc f GL
SEPA: EXEMPT / NOT EXEMPT _
FIRE DEPARTMENT APPROVAL j DATE
REMARKS: • /(1 4
""" 111
PUBLIC WORKS DEPARTMENT APPROVAL ‹-Z-- DATE "i t' le
REMARKS:
TYPE OF JOB: NEW RESIDENCE K RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY TYPE OF CONSTRUCTION, � 012 STORES
5rIZ BUILDING SQ. FT. `T"'!/k @ _ INF
BUILDING SQ. FT. 12rj0 @ /1 = __Wif
BUILDING SQ. FT. @ = 71.
BUILDING SQ. FT. l#44L Mo E-YL. • 88 = meg»
BUILDING SQ. FT. • @
BUILDING SQ. FT. @
TOTAL SQ. FT. TOTAL VALUATION 311 65 o
EBUILDING PERMIT .0. E' '` PLAN HECK FEE RECD `- RECEIPT NO. _
PERMIT FEE /+OPLAN CHECK FEE — o PLUMBING FEE MECH. FEE 2.0, `-i L-1.
TOTAL FEES 2'3C SBCC SURCHARGE l �- ENERGY SURCHARGE AMOUNT DUE -3J .y
BUILDING DEPARTMENT APPROVAL DATE 3- 0
REMARKS:
ASSIGNED ADDRESS: 3-3 S U it 4-* CT 5 ` L (
35)v(4 1-r-lk C+L .5 ;
RECEIVED
MAR 0 1 1990
CITY OF FEDERAL WAY
BUILDING DEPT.
RECEIVED ACCEPTED FOR1G
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