90-101215 9o -1t./.)) 5
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
4/_3'/
PERMIT NO. 90-1424 RA OWNER'S NAME CHRYOL R. PHILLIPS JOB ADDRESS 30306 6TH AVE. S.
CONTRACTOR SILVERLINE CONSTRUCTIOAEss 2809 SOUTH 2H5TH PL FEDERAL WAY CONT. PHONE 839-7196
CONT. REG. NO. SILVECI1O1NH OWNER'S PHONE 941-9847 OWNER'S ADDRESS _ 30306 6TH AVE S FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADINGOTHER
TAX ACCOUNT NO. 064310-0220-05 LEGAL DESCRIPTION T.OT 77 BLOCK 2 BELCARO PARK _ ITV 2
0
UED BY_ JOANNE JOHNSON DATE OF ISSUE i+� DATE OF APPLICATION 8-29-90
BUILDING INF MATION�
ZONE _ OCCUPANCY B3 TYPE OF CONSTRUCTION_ VN —_ BLDG. SQ. FT._ 432
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 _ UNIT HEATER TOTAL MECHANICAL AMOUNT
s
VALUATION 26,321.04
PERMIT FEE 265.00
PLAN CHECK FEE 172.00
MBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES _ DATE: (/),(3 4'()
PART P/CFEE
SEPA REVIEW AMOUNT:
WATER SERVICE (J)
WATER MAIN CHG. RECEIPT:
` L
S.B.C.C. FEE 4.50
OTHER FEES
AMOUNT DUE 441.50
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:
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OWNER OR AGENT 4'.--(; )4; T/// I DATE 1 7��
r,�
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
ISSUED BY _ DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE OCCUPANCY TYPE OF CONSTRUCTION _ BLDG. SO. 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
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 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 DATE
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c"• CITY OF FEDERAL WAY RECEIVED
BUILDING PERMIT APPLICATION AUG 2 Q Hann
v- — Please Print—
CITYWU
OF FEDERaL WAY
BOX 1 TENANT NAME: BUILDING DEPT
OWNERCHERYOI.-�. Pt�%f`.,L.1P5___ SITE LOCATION
OWNER'S ADDRESS 030(o -6,Lk- . AO, t'4t>1 I1 - CITY Fevt z12A1 LU1V-e, PHONE eir � 7,94:7
DESCRIBE JOB .`f'RI$' MOT:L J •- •
THE PROPERTY IS OWNED BY: SINGLE/MARRIED 5%►JGLL PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME-511.)x'-' Lax)C . Cc,,I iavi:\-c , •I +C CONTRACTOR'S REG. #5:4-Lia'(-1-10 11 ft
Card MUST be presented
CONTRACTOR'S ADDRESS atO9 -519.1-41• a .,- T-L. . CITY Fed L. WM-PHONE e(37-7/a76
EXPIRATION DATE 7-31 -y, (1\ — 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 Ta)E -EBE - v.P PHONE tri -`j i/L-/
BOX 4 SEWER DISTRICT PEI)-WAY- t GcuuT�, WATER DISTRICT re0•WA`i - V.../Ai6•cowaT�,
BOX 5 ESTIMATED PROJECT COST (4:toca -�-- EXISTING BUILDING VALUATION ,r - —
BOX 6 PROPERTY TAX ACCOUNT NUMBER O(0`i 3i0 •0A,V)--•C35'
LEGAL DESCRIPTION 30306• nth • ICU, 50. FEDEY2F}l- w Pt • w
1-4.DT-g, LS1oak• d Gelcagro p &ow._ . \\/ *-
(If necessary, please submit a s ara e with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR I I 04. / `i32. 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE-SAS /
BOX 8 K) SINGLE FAMILY ( ) N TRUCTION IThrilli c- 3 S
( ) MULTIFAMILY (NO. OF UNITS = ) ( XISTING STRUCTURE I T�
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY ISI l7 -J) 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 $
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 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.
47
OWNER/AGENT: il�_+1 ;� - -DATE: ' 0
ANP-008 3/90
• •
i �0 ?r,1 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: /
i(/ No C,kO to C. (cA. ,...,..s..._ (2,if 0C C LI rk.to L
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 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 TYPE OF CONSTRUCTION V.ti STORES
r-r v(` pi BUILDING SQ. FT. % '5•.2-- @ (, 1 = Z q 50 S
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ /t4o(A ( EX t-� � -- c/ ` v `t-
BUILDING
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ = ��Z �.{
TOTAL SQ. FT. TOTAL VALUATION f
BUILDING DEPARTMENT REMARKS: PERMIT FEE 2(75; Ga
PLAN CHECK FEE 17 2 -0 0
PLUMBING FEE G
MECHANICAL FEE v
TOTAL BLDG. FEES W37 of
PART P/C FEE a
SEPA REVIEW 0
S.B.C.C. FEE y` 5-0
OTHER FEES 0}
AMOUNT DUE `l f‘ S v
c
ASSIGNED ADDRESS: 5€--e- ,eY I S'� ( C6
T6. .l J
o�
$15151 ���j,�o PARTIAL PLAN CHECK FEE RECEIVED
�� 'r6' >�'> ,04 mount Date Receipt#
//s `94 ��0 BUILDING DEPARTMENT APPROVAL,_. q
RECEIVE[ L l
BY DATE c I t o ACCEPTED FOR FILING