90-100053 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
9 , 'JOt O
PERMIT NO. 90-0083 OWNER'S NAME GEORGE ACOSTA JOB ADDRESS 30305 9 AVE S
CONTRACTOR GEORGE ACOSTA - OWNER ADDRESS SAME AS ABOVE CONT PHONE 941-3898
CONT. REG. NO. NA OWNER'S PHONE 941-3898 OWNER'S ADDRESS SAME AS ABOVE
TYPE JOB: NEW RESIDENCE ADDITION XXX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 515365-0120 LEGAL DESCRIPTION Lot 12 MARINE VIEW PARK
ISSUED BY elizabeth snyder _ DATE OF ISSUE _ DATE OF APPLICATION 3/8/90
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BUILDING INFORMATION
NE NA OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SO. FT. 288 s
T BACKS: FRONT 20 SIDE 5 each REAR 5' STORIES EXISTING HEIGHT LIMIT 30
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 NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT _NONE
VALUATION $17,487.36
PERMIT FEE $189_00_
PLAN CHECK FEE 123_00
PLUMBING FEE
�CHANICAL FEE
TAL BLDG. FEES $319.00
PART P/C FEE
SEPA REVIEW PAID IN FULL ON: �- 4
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4.50 AMOUNT PAID: L / S(-)
OTHER FEES $316.50
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 INFORMAT !N FURNISH-; : ME IS T' -y N. C• 'ECT T• THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET-
: -
OWNER OR AGE /J / �/.,'t. DATE - �_
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
•NE _ 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 $!9 4 f R?. 94,50
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEEii
_.
MECHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW eAlil IN FUJZ ON: ..}11. 4_ , i J
WATER SERVICE ,;a.
WATER MAIN CHG. - AMOUNT PAIDsf
S.B.C.C. FEE /li I e 'j L .
OTHER FEES - +.l,FSPT 4• \ —), `.r c -7u./ _ C
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STAR"ED.'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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CITY OF FEDERAL WAY 0$4,4�-`41,,
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 OWNER cam. e. C-. L" JOB LOCATION IA..' 8 • •
OWNER'S ADDRESS 3k:J*3 6S `j ` f\-x) -R S CITY F vJc�' PHONE S 1A-1 3`6 1
DESCRIBE JOB Q �l�k.14." — Ovke Y '--
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ye , PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Oiv.e CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON OW h o v• W c v' 'L PHONE ,S11 533 )
BOX 4 SEWER DISTRICT Fe J U.kI.y WATER DISTRICT UJ
BOX 5 ESTIMATED PROJECT COST 360,3 EXISTING BUILDING VALUATION 3-61 �� J
BOX 6 PROPERTY TAX ACCOUNT NUMBER Sk 3 ( S U t z 0
LEGAL DESCRIPTION I—J` 1Z Yhv:ttil iJ. p kc, 1L
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 151) / 9.4 0 2ND FLOOR /
3RD FLOOR — / — BASEMENT -- / — DECK _ / — GARAGE /
BOX 8 (y) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. 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 $
(a' 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 KNOWLEDG'AND FURTHER T AT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK FO' '%HICH -MIT ICATI• 4P IS MADE.
OWNER/AGENT: .,. 2 DATE: —CT
ANP-006 2/90
41110 0
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: A/ik
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: / A
•
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: 10lA.
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT 3 NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY, K3 TYPE OF CONSTRUCTION k-Ai STORES
t-i_ /I BUILDING SQ. FT. 2-? 6 , 0 @ 65 (O0 = - l T
BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ c
BUILDING SQ. FT. @ N,€1 (a Ake).(c (E (r z 0 `4y,
TOTAL SQ. FT. / TOTAL VALUATION 17 Y 7, 36
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE (°OS c0O PLAN CHECK FEE IZ3• sX,--- PLUMBING FEE -- ---- MECH. FEE 4)—
TOTAL FEES 3/2. : c O SBCC SURCHARGE '-c 5-1 ENERGY SURCHARGE -- AMOUNT DUE 3 16 < S-O
BUILDING DEPARTMENT APPROVAL DATE 3 IC- �d
REMARKS:
ASSIGNED ADDRESS: S. L- Ec(S T1' ) G
RECEIVED ACCEPTED FOR FILING