90-101622 96.10 (4a
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-1837 RA OWNER'S NAME BERTINO EUGENE & SUSAN JOB ADDRESS 602 SW 293RD ST
CONTRACTOR BERTINO ADDRESS 602 SW 293RD FEDERAL WAY CONT. PHONE 839-8038
CONT. REG. NO. BERTIC*121NW OWNER'S PHONE 839-8038 OWNER'S ADDRESS 602 SW 293RD ST FEDERAL WAY
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
TAX ACCOUNT NO. 119600-0425 LEGAL DESCRIPTION LOTS 1 & 2 BLK 10;—W1/2 FIR ST E 50' OF BLK 6;W 1/2
OF FIR ST ADJACENT ON THE EAST, ALL IN BUENNA AS RECORDED IN VOL 6 OF PLATS, PG 29; K.C. WASH
SUED BY JOANNE JOHNSON DATE OF ISSUE G - /-2---- / DATE OF APPLICATION 11-27-90
BUILDING INFORMATION
ZONE OCCUPANCY R3 TYPE OF CONSTRUCTION 5N BLDG. SQ. FT.
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATEIFCLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
BATHTUBS 1 LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES 2 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTU ES,__ ,0_(1Q4 UNIT HEATER TOTAL MECHANICAL AMOUNT
it
VALUATION 91,859 X
PLANNING DEPT APPROVAL: N/A
PERMIT FEE 225.00
PLAN CHECK FEE 146_00 BUILDING DEPT APPROVAL: MM 12-4-91
ilkUMBING FEE 20_00
CHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW DATE: — / Z — 7/
WATER SERVICE
WATER MAIN CHG. AMOUNT:
S.B.C.C. FEE 4. 50 X395.50
OTHER FEES RECEIPT: '- c J
AMOUNT DUE 395.50 ✓ ( ��
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 -''4 - `� `'�" iI _ DATE - /
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
SUED BY _ DATE OF ISSUE_ DATE OF APPLICATION
BUILDING INFORMATION
ZONE OCCUPANCY _ TYPE OF CONSTRUCTION BLDG. SQ. 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
J
VALUATION PL `}`INN DEPT APPROVAL: N/A
A
PERMIT FEE
OUILDING DEPT APPROVAL: 4M 12-4-91
PLAN CHECK FEE
MBING FEE 40
tCHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW - TEt
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
CEIPT:
AMOUNT DUE v.�
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 DATE
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R EIVED I mit # q 0 -/t 3 7 leA
N7 2 71998
CITY OF F
AETYLWYFEDERAL WAY
BUILLESIMEIDERMIT APPLICATION
— Please Print-
BOX 1 TENANT NAME: Z (Z.:i int 0 - U C= ^= i -- - `;US 41.--i
OWNER ( -1KA — -.% E- ?i*'SITE LOCATION 604-- `--�-' •'-1', 1-
OWNER'S ADDRESS 6,e)2 ,<.:;ex.) e..---7 3 CITY FEp LG%► " PHONE 7 Etc9-i
DESCRIBE JOB nig-=yet -C",V -2 -vt - -0
PROPERTY IS OWNED BY: SINGLE/MARRIED a,-k=•tea cz- PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ]=2 F« Vii%`'-i i CONTRACTOR'S REG. # -�C2-1r►c-- -a. I.2.-i 4
Card MUST be presented 1
CONTRACTOR'S ADDRESS GOG- -t-' '-). CITY Fp r.�. PHONE F73-5-) f�cs f`- ` ,.
EXPIRATION DATE Er -,- 7/
- OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFI ITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON � -cZ rr2'T" rrs.t." PHONE E 3>) 1 x 3 5 6
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST le), <'%'' EXISTING BUILDING VALUATION 4.-3 9, c'O
BOX 6 PROPERTY TAX ACCOUNT NUMBER //A., 66-3-- c- 42.-
LEGAL DESCRIPTION ' r, i-i $oto - `/Z. a="+C2-- 7, c,a5o' c;_I' "sL. - L.L, `/z ..,,--
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR' V Cyt / (.-c ' 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
/ BATHTUBS NO. FURNACE, ELEC. GAS $
/ SHOWERS GAS HOT WATER HEATER $
U LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE 6 7 c.&"405'0^ ,) $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
1%/ 5l :. 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: Er-72'1 DATE: /7"-- 22--- D
ANP-008 3/90
• • (
OFFICE USE ONLY (PLEASE DO MOT WRITE BELOW THIS LINE) •
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMEyyT PPROVAL,
REMARKS: /j/` 4)0 L apt# J 1fr LA5 J2- or OCC yak C
SEPA: EXEMPT NOT EXEMPT
,
FIRE DEPARTMENT APPROVAL /1/4.4!/4y. / ,e1 rT- '--- DATE /a ' q- 96
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL ,/x/i;2 DATE /02 - 1/- Qe)
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT X NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY Df'3 TYPE OF CONSTRUCTION _/I/ STORES
//.4-7_ /2enr, BUILDING SQ. FT. .3 1 @ 69°� = ay/ 65'0
BUILDING SQ. FT. @ = —
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ . , = mod Aer
BUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION .9 1, g-slq
BUILDING DEPARTMENT REMARKS: PERMIT FEE n as
PLAN CHECK FEE /1Y6
PLUMBING FEE c;QG ``t
MECHANICAL FEE
TOTAL BLDG. FEES 37/
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE 'V sa
OTHER FEES
AMOUNT DUE 4 37 3 -c`'
ASSIGNED ADDRESS: ce,e ,esf..4.-i Alwess
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
NOV 2 7 1990 Amount Date Receipt#
CITYUILD NG SEPT. AY
OF BUILDING DEPARTMENT APPROVAL
RECEIVED BY ,V-1/4., ....4,4,(/viexe- t. DATE /ay Y/Ye ACCEPTED FOR FILING