90-100420 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
9V /06(70,26
PERMIT NO. 90-580 TI OWNER'S NAME L A CONNECTION INC JOB ADDRESS 2122 S. 318TH ST _
CONTRACTOR ARK GENERAL CONTRACTORADDRESS 15114 CASCADIAN WAY LYNNWOOD WA CONT. PHONE 742-7587
CONT. REG. NO. ARKQEC 101 JW OWNER'S PHONE 742-7587 OWNER'S ADDRESS 15114 CASCADIAN WAY LYNNWOOD
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 TENANT IMPROVEMENT
TAx ACCOUNT NO. 362403-9009-09 LEGAL DESCRIPTION THE LAND UPON WHICH THE SHOPPING CENTER IS LOCATED
IS SITUATED IN THE STATE OF WHASINGTON, COUNTY OF KING AND IS DESCRIBED AS FOLLOWS: LOT 2 OF KING
COUNTY LOT LINE ADJUSTMENT NO. 8611006 FILED AS A SURVEY IN VOL 52 OF SURVEYS,ttPAGE 220, AND RECORDED
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 5-/ -/ DATE OF API �JrIOh90 UNDER NO8612129019.
J
BUILDING INFORMATION
NE OCCUPANCY B2 TYPE OF CONSTRUCTION VN BLDG. SO. FT 3200
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 X 2 FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER
LAVATORIES X 2 DRINKING FOUNTAINS GAS HOT WATER HTR. MISCEXHAUST FAN 4.50
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED _
DISHWASHERS TOTAL FIXTURES 5 X4=2OI.)OOHEATER TOTAL MECHANICAL 4.50 AMOUNT
VALUATION 22,208.00
PERMIT FEE 234.00
PLAN CHECK FEE 159_0n
PLUMBING FEE 20_0D
ECHANICAL FEE _ 4_50
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW �= DATE: 6/G/g
WATER SERVICE 1
WATER MAIN CHG. AMOUNT: �1' 5, 6
S.B.C.C. FEE _ 4. S0
OTHER FEES - RECEIPT: .57.2/WO
AMOUNT DUE 415-00 /
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 BE MET:
OWNER OR AGENT - (
iDATE ,-f:-_.__ ,"--/ v
/01-0(06,-
• emit # 90.,.. S"8O TS
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: 4. 4. ic%v ,e'Ti',,,/V 5'8p25
OWNER L.. /1 fy"N ' GT/e v /A.' SITE LOCATION . -/%"2-Q S. 34" f/. /C., t j 44
OWNER'S ADDRESS /'r/AL 64 cc,u i,w UJ4r CITY 1--Yivi/VP,'/J" PHONE - c"..? - 2-1-07
DESCRIBE JOB -7": "A14-7v T /Mf7,v 1/04,10417.("57*- L- GIAC'7W,A"►)
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION fr-
BOX 2 CONTRACTOR'S NAME A-Rk •3 t -ler C---? ' Z/f�7Ti4' CONTRACTOR'S REG. #
/,S`7/4 G .4-2/Q S t ii Card MUST be presented
CONTRACTOR'S ADDRESS y1/-41'4 Y-• CITY /YAl Je-a,0 PHONE 24I-2 -",-(641
44
EXPIRATION DATE &4 7/v3 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 5,414 PAW/C , gnu<T hi-4A/ PHONEA12—4PeI J 3
BOX 4 SEWER DISTRICT c' TY 0, /"—-h, /-tty WATER DISTRICT g74,1--6yy<
BOX 5 ESTIMATED PROJECT COST /G9, rrz7L2 --- EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ,b2Lie 3 - 9'✓e''y — 9
LEGAL DESCRIPTION r5.e,- ��1c,,.
(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 T L-
( )pdl LTIFAMILY (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 $
V 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 I OTHER -iCloluS I— r qtA $ 1_I-<;
DRAINS $
OTHER $
TOTAL FIXTURES $
Y TOTAL MECHANICAL FEE $ L- S U
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: % j1-t '. ..r• - 4.-Ari DATE: 54"A//
ANP-008 3/90
9 •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL , i
REMARKS: ^//� Ala C-ka(�q� ( i/ W..5'Q. O V ccckrct C
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL rL., DATE " /q✓ lo
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL pi
(A. 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
OCCUPANCY a - TYPE OF CONSTRUCTION 1/4/ STORES
1-. 1 k BUILDING SQ. FT. 52-00 @ ) j 76 = 1( l o Lt0 - 00
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ cov�,( f4 a7.[(for - 0 `V
BUILDING SQ. FT. @ /v� vl= l
TOTAL SQ. FT. TOTAL VALUATION 2_, 2-•0 g-.O d
BUILDING DEPARTMENT REMARKS: PERMIT FEE "2-3g 00
PLAN CHECK FEE ISZ.- d O
PLUMBING FEE • G 0
MECHANICAL FEE `i (�
TOTAL BLDG. FEES .�j o . 5-0
PART P/C FEE 0
SEPA REVIEW 0
S.B.C.C. FEE V, Sd
OTHER FEES 0
AMOUNT DUE Li( s-- L'(
ASSIGNED ADDRESS: XR--- 'Z_.?((S t1
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY ` DATE S-I u u -c\0 ACCEPTED FOR FILING
CITY OF BUILDING INSP
EC
FEDERAL WAY BUILDING PERMIT 941-1555
3/ '47-41
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
ISSUED 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.
SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES KNIT-HEATER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
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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