90-100383 CITY OF BUILDING INSPECTION
BUILDING
FEDERAL WAY PERMIT 941-1555
PERMIT NO. 90-531 OWNER'S NAME NEW CONCEPT HOMES JOB ADDRESS 29131 9 PL S
CONTRACTOR OWNER ADDRESS 14700 NE 8 ST STE 110 BELLEVUE CONT. PHONE 747-6310
CONT. REG. NO. NEWCOI*211D2 8/90 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
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
TAX ACCOUNT NO. 515330-0220-02 LEGAL DESCRIPTION LOT 22 IN THE PLAT OF MARINE VIEW FOREST
ISSUED BY_ ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 5/7/90
BUILDING INFORMATION
ONE RS9.6 ' OCCUPANCY_ R-3 TYPE OF CONSTRUCTION 5-- BLDG. SO. FT. 3470+646f=41 16 TCT.
20SET BACKS: FRONT SIDE 5 EACH REAR5! STORIES 2 _-_- HEIGHT LIMIT 30 f
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 5 ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER
_
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR _ TANK(S) RECEIVED
SHOWERS _1 _ URINALS - FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER _
LAVATORIES __ _ DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC
RETURNED _
SINKS 2 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES 15X5.0 D UNIT HEATER TOTAL MECHANICAL 20.QO AMOUNT NONE
VALUATION $220,533.00 PLANNING DEPT APPROVAL = BILL KINGMAN ON 5/10/90 (SITE VISIT OK)
PERMIT FEE $1063.00 _ _ BUILDING DEPT APPROVAL = TOM SMITH ON 5/10/90
PLAN CHECK FEE 691.00_____ SEPA = EXEMPT
PLUMBING FEE 75.00
CHANICALFEE 20.00 FIRE DEPT APPROVAL = NOT APPLICABLE PER KEVIN ELLIS ON 5/10/90
OTAL BLDG. FEES $1849.00 PUBLIC WORKS APPROVAL = KEVIN ELLIS ON 5/10/90 - WATER & SEWER IS
PART P/C FEE
AVAILABLE.
SEPA REVIEW
WATER SERVICE _
WATER MAIN CHG.
S.B.C.C. FEE 4.50 DATE PAID 7- co - ?c, 5 G j ��
OTHER FEES RECEIPT # /
AMOUNT DUE $1853.50 AMT PD / c S-3 , D--C'
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.•RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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Permit # ' '° r 5-)
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER New C4 Al CErr- /,to NtES /NC. SITE LOCATION "7----/ / 3 r t P-e . .S
OWNER'S ADDRESS /Y7Uo N E g'`6 sU/7-,F no CITY BE41- EP OE PHONE 7'/7— d7 /o
DESCRIBE JOB N S F
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME NE w c o,- &EP T /¢OA1.E /A. CONTRACTOR'S REG. #11 L=U)Cc-I*:211 D--,),(1-/e i Ce r fi- J 1 tut v
—p i-" ) Card MUST be presented
CONTRACTOR'S ADDRESS / / 7 60 N.t, g'"' So/rE /10 CITY BELL 4.k VE PHONE 797-6 3/o
EXPIRATION DATE —I `-) "" q 0
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON G 4. /P F /14 U G L/CHS/5 T/NE 444 YE4 T PHONE 7 Y 7 -6 f/v
BOX 4 SEWER DISTRICT ft' tC*L w,4 Y WAr,uct e"Czw' WATER DISTRICT PL"-T.F_.t,4 4 w,a-Y me r-,e,r f se"/.4(
BOX 5 ESTIMATED PROJECT COST 4 a 00,0 o G EXISTING BUILDING VALUATION AVON%
—BOX 6 PROPERTY TAX ACCOUNT NUMBER if 575 .330 - 0,2ao O a
LEGAL DESCRIPTION G 0 T a a /N TN Z.' "C.A- T O.�' M/4/P'/X/F t//. 'W F0et' T
(If necessary, please submi a separateloage with the legal description.)
—K.C. Plat Recording # '2C C( — I £1 6q�
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / /$°6 2ND FLOOR / / Cdr
3RD FLOOR / BASEMENT / DECK / GARAGE / 6 5,6
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. 5 WATERCLOSETS GAS PIPING, FEET $ -,-s 0
a BATHTUBS NO._ I FURNACE, ELEC. GAS x $ /O,OC
I SHOWERS I GAS HOT WATER HEATER $ (),SJO
3 LAVATORIES CONVERSION BURNER $
a- SINKS BOILER, SIZE BTU $
I DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
J LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS _ $
OTHER $
S TOTAL FIXTURES $
7_S,Ce TOTAL MECHANICAL FEE $ O' ,CC
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.
t .�
7/1,('„,i4_41.(.( fey
OWNER/AGENT: et/ (---/✓'
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE ,S`,6. SETBACKS: FRONT Zo SIDE S REAR S HEIGHT LIMIT ?`'
PLANNING DEPARTMENT APPROVAL •c'7 v :./.7-- ok - 5--/o-?0- i5k_
REMARKS:
SEPA: EXEMPT / NOT EXEMPT
FIRE DEPARTMENT APPROVAL lv/gt DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL �C.-- DATE S- 1° - 9°
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
OCCCU,ANCY TYPE OF CONSTRUCTION 0 /V STORES .
/� /-/oo r BUILDING SQ. FT. /T06 @ w Uf) _ - 6/ - s e
,2,-1- fkor BUILDING SQ. FT.
G o BUILDING SQ. FT. t 5/6 / @ (7, ' 0 = . // /+`7`S, (?,0V /
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @
TOTAL SQ. FT. yiI6 TOTAL VALUATIOlva, `r33• /0
BUILDING DEPARTMENT REMARKS: -_8-70 • PERMIT FEE iI 063,00
PLAN CHECK FEE .1e69 /. 00
PLUMBING FEE ie 7c,,)
MECHANICAL FEE20,60
TOTAL BLDG. FEES 117 9 '19.CC
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE y s-0
OTHER FEES
AMOUNT DUE 1 RS- Z, s-0
ASSIGNED ADDRESS: 2-6? 13 I y tk et_ So _
RECEIVED
MAY 7 1g9O PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
uu 6.6,,,,;,,,, ;,-. ,. BUILDING DEPARTMENT APPROVAL
RECEIVED BY TDi, DATE .7'it ?b ACCEPTED FOR FILING