91-101756 CITY OF FEDERAL WAY 91-/6 1754
33530
Federal FIWayrst `, WA 98003 ay South BUILDING PERMIT BUILDING INSPECTION661-4140
PERMIT NO, _91-1718 CA OWNER'S NAME MICHAEL PRATUM SITE ADDRESS 33516 9 AVE S #5
CONTRACTOR SAILSBERY—MORFORDADD SS 11126 SE 256 ST #202 KENT CONT.PHONE 850-1954
CONT.REG.NO. 1 IrSiy\L. 4_01____14) EXP. OWNER'S PHONE 947-3313 _-OWNER'S ADDRESS __ 33516 9 AVE S #5 FED WAY 98003
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 ONLY
TAX ACCOUNT NO. 926925-0050 LEGAL DESCRIPTIONl UNIT 5 WESTHILL COURT RECORDED UNDER RECORDING #
8602261023 RECORDS OF RING CO WASH l
ISSUED BY ELIZABETH SNYDER _ DATE OF ISSUE I ri....qq _ DATE OF APPLICATION 12/10/91
BUILDING INFORMATION
•NE SET BACKS:FRONT SIDE -_ __ REAR HEIGHT LIMIT
OCCUPANCY B-2 TYPE OF CONSTRUCTION __ 5—N CENSUS NO. 437 TYPE OF HEAT EXISTING BLDG.SQ.FT. 589 STORIES EXISTING
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 NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $6,290 PLANNING DEPT APPROVAL = LORI SCHILL
PERMIT FEE $90.00 "PROPOSAL IS EXEMPT FROM SITE PLAN REVIEW PER FWZC 175.10 PROVIDING
PLAN CHECK FEE 59.00 VALUE OF IMPROVEMENTS DOES NOT EXCEED $50,000 IN A 12 MONTH PERIOD"
PLUMBING FEE
ECHANICALFEE FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS
RT P/C FEE --
SEPA REVIEW - OCCUPANT LOAD = 8
PUBLIC WORKS
-
4.50
S.B.C.C.FEE _
FIRE FEE 4.50 DATE: /Acii q L
OTHER FEES AMOUNT: $158.00
AMOUNT DUE $158.00 RECEIPT: /
6
3
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 FURN .HED BY ME IS TRU- AND C RR CT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
r Ly / `Q -�
OWNER OR AGENT , DATE l
CITY OF FEDERAL WAY
33530First Way 980003 BUILDING PERMIT BUILDING INSPECTION
Federal W661-4140
c
PERMIT NO. OWNER'S NAME 74/-3x0 SSITE 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
ZONE SET BACKS:FRONT_ SIDE REAR _ HEIGHT LIMIT -_
OCCUPANCY 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
PART P/C FEE C
SEPA REVIEW / 5
PUBLIC WORKS A L I'L--P
S.B.C.C.FEE )-/ry
FIRE FEE - DATE:
OTHER FEES AMOUNT: i 73
AMOUNT DUE RECEIPT:
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__
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE__...-.- ._ ___BY ... _ DATE _...... -- BY ... DATE BY
PLUMBING ROUGH IN WATER LINE O.K. __ -...___.. MECHANICAL INSPECTION
DATE ___BY ... GAS PIPING O.K._ DATE ._ _. BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL �j
DATE ....-/354BY / _ DATE .. BY DATE `"2/5/f2--- BY 1*
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE 15'...:-/7- 3 B' _._..._-
4' /9 3 ,J f/rzir j>/(Fr, ivun 1 ,/-57) ,,S Ai/'eau.:,,'Z4) en) -
/, C I �.
i " (1_4
RECEIVED CITY OF FEDERAL WAY
DEC 101991 BUILDING PERMIT APPLICATION
o OF FEDER — Please Print-
8U11,DING '�pprrT�.
BOX 1 TENANANfE: " 1--I( Krik_
OWNER M IUi.AEL- J. P leATLINAAAi2K f ieCtTAS SITE LOCATION 3 3 51 G �j�l. / t)E S4. *5
OWNER'S ADDRESS 3351G, �J L. //P& So 44' CITY ffOERAt- 'i" '( PHONE T1 •33/3
DESCRI BE JOB 7'ENA Jr/M,"/L a 6MlivT Q MiCal.A#C- J. P 9-.4TUr*S SPAM — AT-ralzNW( Ate' L-A-K)
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP . CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
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 PERSON MIC ,4EC- E. NoVL-ANO / 412-c,if/l)Ec.T PHONE &94"G2�2-
BOX 4 SEWER DISTRICT -F•W 5WE/2-- -A-T (l. WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 006 = EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 925 - 4:b5v- 6I
LEGAL DESCRIPTION AT7'Aci-}IrD
(If necessary, please submit a separate page with the legal description.) A(/EA AF,Ec-reo ay t,Joda/
K.C. Plat Recording # 860 2 ZCo/023 C /5 S.f. '
BOX 7 BUILDING SQUARE FOOTAGE: 40311/14:. oposed) 1ST FLOOR 115r-1" / 2ND FLOOR /
3RD FLOOR / :,SEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
(7/.) COMMERCIAL/INDUSTRIAL 7,6‘/AJT 'l 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 $
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 $
DRAJNS $
0 ER $
OTAL FIXTURES $
TOTAL MECHANICAL FEE NA- \Cxr/5mv
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNO LEDGE
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 EMPLOYE S, UPON THE ACCURACY t THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ./6t ' DATE: /2/la�?(
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT '
PLANNING DEPARTMENT APPROVAL — ...."12 -4.1.b -7/
REMARKS: TRope.).-4-c_ 1s EXE pT
//75,/o pRovID/Ai Y.4-[_UE: //Lt P VE-A4e r S 2,C5ES A/6-
�X/EE2 �50;/�66 Mi A- /2--/to,ttr1f e9�
SEPA: EXEMPT EXEMPT
FIRE DEPARTMENT APPROVAL � DATE/L / Z - 7(
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: it)
(A
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 6 Z TYPE OF CONSTRUCTION V/V STORES
BUILDING SQ. FT. @ 1-3• u = 3 1 Z . b
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ A40dCIC(Cr- -
TOTAL SQ. FT. TOTAL VALUATION 62'9' •3-Z
BUILDING DEPARTMENT REMARKS: PERMIT FEE �v
PLAN CHECK FEE S `t
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE �'SO
OTHER FEES:=p F t- H s O
AMOUNT DUE 1 S.O°
®c�k.A_Nk-x- 10 _ = for
ASSIGNED ADDRESS: x_ el( ( SI-ft.--f
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE 1-2, �7i 9 ACCEPTED FOR FILING