91-1006261
CITY OF
FEDERAL WAY
BUILDING PERMIT
9)"/v -66D
BUILDING INSPECTION
941-1555
PERMIT NO. 91-591
NR OWNER'S NAME L HENDRICKS/JENSEN
JOB ADDRESS 29130 9 PT, S
CONTRACTOR WINDSOR CUSTOM HOMES ADDRESS
204 SW 193 PL SEATTLE
CONT. PHONE 824-0803
CONT. REG. NO. WINT)SCITn93KC
5/92 OWNER'S PHONE
OWNER'S ADDRESS 933 S 291 ST FEDERAL WAY
TYPE JOB: NEW RESIDENCE_ XX ADDITION NEW INDUSTRIAL
NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN
GRADING OTHER --- AND
GARAGE/DECK
TAX ACCOUNT NO. 515330-0010
LEGAL DESCRIPTION LOT
1 MARINE VIEW FOREST
ISSUED BY FLL7.ABETH-SNYDER
DATE OF ISSUE
DATE OF APPLICATION 5/7/91
BUILDING WIF&ImAnON
ZONE RS 9.6
OCCUPANCY R -3/M-1
TYPE OF CONSTRUCTION
5—N BLDG. SQ. FT. 5160
SET BACKS: FRONT
20' SIDE 5'
EACH REAR 5v
STORIES 2 W/ BSMT HEIGHT LIMIT 30 y MAX
PLUMBING NO.
NO.
MECHANICAL APPLIANCES
AMT. ***GAS HEAT* * * AMT.
BOND
WATER CLOSETS 4
ELEC. HOT WATER HEATER
GAS PIPING FT.
3.50 BOILER
BATHTUBS _3
LAUNDRY DRAINS 1
COMPRESSOR
TANK(S)
RECEIVED
SHOWERS 3
URINALS
FORCED AIR FURNACFAS
10.00 AIR HANDLING UNIT
NUMBER _
j,AVATORIES 5
DRINKING FOUNTAINS
GAS HOT WATER HTR.
6.50 MISC.
SINKS -3
MISC.
CONVERSION BURNER
BASIC FEE
RETURNED
DISHWASHERS 1
TOTAL FIXTURES 20 X $5-0-0-
UNIT HEATER
TOTAL MECHANICAL 20.00
AMOUNT NONE
$226,621.00
VALUATION
PLANNING
DEPT APPROVAL
FIRE DEPT APPROVAL
= LORI SCHILL
= KEVIN ELLIS
PERMIT FEE $1084.00
PLAN CHECK FEE
705.00------135.00
PLUMBING FEE
100.00
PUBLIC WKS APPROVAL = TOM COLLINS
ECHANICAL FEE
20.00
$1909.00
BLDG DEPT APPROVAL
= MIKE MONEN
OTAL BLDG. FEES
ls
-PD 5/7/91/EPA
ART P/C FEE570.00)--
REVIEW
#2963ATER
SERVICE
DATE PD
AMT #1378.50 RE' CT
WATER MAIN CHG.
4.50
S.B.C.C. FEE
OTHER FEESP. WKS.
35.00
1378.50
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 W
`
OWNER OR AGENT
DATE
CITY OF
FEDERAL WAY
BUILDING PERMIT
9) - !of) 6 .) 6
BUILDING INSPECTION
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
ONE
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 FIXTURESS.
UNIT HEATER
TOTAL MECHANICAL
AMOUNT
VALUATION
`j�
PLAMING DEPT APP'R( AL s
FIRL DEPT APPROVAL =
LORI SCSILL
KEVIN FLLIS
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
PUBLIC WKS APPROVAL -
TOM COLLINS
•CHANICAL FEE
$4� i DEPT APPhWA..:, =
'•4UXE YONEN
JTAL BLDG. FEES
PD 517/91
PART PIC FEE
33
f2963
SEPA REVIEW
WATER SERVICE
DATE PD I j
AW #1378.50 RE 1
C i
� I
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:
bWNER OR AGENT
DATE
0 •
SET BACKS AND FOOTINGS
DATE ._ '� y� BY _ _ S__ ._ .__--
OX TO POU FOUNDATION WALLS
DATE u _ "BY .. _—__
PLUMBING GROUNDWORK
DATE _0 - 2 /. V ___. BY
PLUMBING ROUGH IN Y--
DATE ��.4�s-.�_.....BYy2
WATERLINE O.K. `` .._-�_.
�i
GAS PIPIN O.K.�_____.. /`_�_
Mf CHAp�ICyA�LrI�NSPECTION K
ef lI Ve— i �� - \ a(b- PPt.t-4-kkts occt
DATE ��__�..` _BY 1`�C _.._
O.K. T1��N /F G 611
DATE _-.L�.� U // BY VVkLV� -.
oz
INSULATION
DATE 12-/ 1_BY - - -
ALL B ARD AND FIRE WALL
DATE r yy� BY
FINAL O.K. TO OCCUPY
9
DATE, �•-t�_ ___ BY _ X73
DCD TPSD
FD
5;/'/L/fL
to
L�
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G G i L .moi' 1111 122c
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• 13c -T
RECCIVED
MAY 0 7 1991
CITY OF FEDERAL WAY '
BUILDING PERMIT APPLICATION --- �-�
CITY OFF FEDERAL WAY — Please Print
61Jil.t»vG DEPT. ��� # 2n3
BOX 1 TENANT NAME:
OWNER - • f'ft_ Jkj —lllJ'Q AJ SITE LOCATION t' re LJ r,6-
OWNER'S
�OWNER'S ADDRESS � oS CITY Few ` PHONE
DESCRIBE JOB SPS
THE PROPERTY IS OWNED BY: SI LE/MARRIED x . PARTNERSHIP CORPORATION
CONTRACTOR'S ADD
EXPIRATION DATE
CITY "-9 PHON
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 mow► e, le:U PHONE���
BOX 4 SEWER DISTRICT I WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
,,BOX 6 PROPERTY TAX ACCOUNT NUMBER / U U
LEGAL DESCRIPTION + `� e U 1
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR 06 yj 2ND FLOOR 9'eY
3RD FLOOR / BASEMENT �'�/ED
CK �� / GARAGES
BOX 8 (x) SINGLE FAMILY
(X) 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 $ 3.Sp
BATHTUBS
NO. _FURNACE, ELEC. GAS X $
.3 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
$
NOTAL FIXTURES
$
x = (06 _ -E�,Q
TOTAL MECHANICAL FEE $ Z-0 0O
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 INAORMATION
SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
:2
NNER/AGENT:
DATE:
ANP -008 3/90
I
• •
OFFICE USE ONLY (PLEASEr DO NOT*91TE RELOW THIS LINE)
ZONE SETBACKS: FRONT Zoe SIDE S" REAR S HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT ►� NOT EXEMPT
FIRE DEPARTMENT APPROVAL ��- -
DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
DATE512-1 1-7l
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 R3 'An TYPE OF CONSTRUCTION
�ivy✓ BUILDING SQ. FT.
xla�r BUILDING SQ. FT. 9�/-S
l3u5e BUILDING SQ. FT.
[�a✓c� BUILDING SQ. FT.
d ec1l, BUILDING SQ. FT. �`�`I
BUILDING SQ. FT.
STORES
@ qc _
@ if Zc =
@ �$ ao =
@ !ate =
@ t1wg, X =
f
V gclQ 56
�q 70
11, fd
11NO , ab
025_7 ���• 20
TOTAL SQ. FT.
6
TOTAL VALUATION
c21? 6 a • 3G
BUILDING DEPARTMENT REMARKS:
ECEIVED
MAY 0 7 1991
Y OF FEDERAL WAY
BUILDING DEPT.
RECEIVED
ASSIGNED ADDRESS: 0
q el
PERMIT FEE
PLAN CHECK FEE (� _
PLUMBING FEE _
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE _
SEPA REVIEW _
F,w
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
PARTIAL PLAN CHECK FEE RECEIVED
Amount -7 C Date _'�i - 7 -- � Receipt # 21 C 3
BUILDING DEPARTMENT APPROVAL
BY _� DATE �iZ/
ACCEPTED FOR FILING
RESIDENTIAL D£SIGNE
(206)367-6408
GIG, �. X55
lb
c��y�iybr ilio
3
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