91-100564CITY OF
FEDERAL WAY
#434
BUILDING PERMIT
1� /-)t6 56 ,
BUILDING INSPECTION
941-1555
91-697 RA
STEVEN & LINDA WOOD
30341 9TH
AVENUE S
PERMIT NO.
OWNER'S NAME
JOB ADDRESS
OWNER
CONTRACTOR
ADDRESS
CONT. PHONE
941-2943
30341 9TH
AVE NUE S FEDERAL WA
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. 515365-0180 LEGAL DESCRIPTION LOT 18
MARINE VIEW PARK
ISSUED BY JOANNE JOHNSON DATE OF ISSUE /i ;
2sj' / DATE OF APPLICATION 4-26-91
BUILDING INFORMATION
ONE RS 7.2
OCCUPANCY M2 TYPE OF CONSTRUCTION
VN
BLDG. SQ. FT. 224
SET BACKS: FRONT 20
SIDE_ 5 REAR 5
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
PLANNING DEPT APPROVAL:
LS 6.691
VALUATION 1,
9 71.2 0
BUILLDING DEPT APPROVAL:
KC 6.12.91
PERMIT FEE
45 _ _aQ_
PLAN CHECK FEE
29.0.0_.
PUBLIC WORKS DEPT APPROVAL:
TC 6.10.91
PLUMBING FEE
0HANICAL FEE
AL BLDG.FEES
_
PART P/C FEE
DATE:
SEPA REVIEW
WATER SERVICE
AMOUNT: $113.50
WATER MAIN CHG.
_
S.B.C.C. FEE
4.50
RECEIPT:
OTHER FEES P WORKS
35.00
AMOUNT DUE
113--90
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 WIL7BET:
074,)DATE
OWNER OR AGENT
j
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
941!N SSECTION
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. 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 FIXTURES
UNIT HEATER
TOTAL MECHANICAL
AMOUNT
VALUATION
DIt G DEPS` APPWvy7 is lKC
t .12.91
PERMIT FEE
TT/
:'SLTC WOTTS Di;lyP APPPOVAL: Tc
6. 20.91
PLAN CHECK FEE
LUMBING FEE
CHANICAL FEE
TOTAL BLDG. FEES
DATE:
PART PIC FEE
---- ----= —� ------
SEPA REVIEW
s ii '3 $113_50
WATER SERVICE
--- -• --- ----
WATER MAIN CHG.
S.B.C.C. FEE
-_...-_ ._. ,
OTHER FEES
AMOUNT DUE
DA�
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PER
9RIPM10ROE00NOEWYEAR 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
DATE _Ff.._:�-Y/�_BY _ _ �-__
OX TO POUR FOUNDATION WALLS
DATE .. -- _.__ BY _
PLUMBING GROUNDWORK
DATE _-_..... - ...- BY
PLUMBING ROUGH IN
DATE __ --_BY ....
WATER LINE O.K. _
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE -
O.K. TO ENCLOSE FRAMING
DATE - ----_BY -__
INSULATION
DATE - _.-._..._BY -_... _
WALL BOARD AND FIRE WALL
DATE --- --- --BY
FINAL O.K. TO OCCUPY
DATE -- -.._ __.BY ....
DCD
PSD
FD
i
RECEIVED i
MAY 23 IN
armit #
s
q- � ---I aq _-�—
CITY OF FEDERAL WAY
C"OFFED6l"I'" if BUILDING PERMIT APPLICATION
SUILDMIG DEPT.
— Please Print —
BOX 1 TENANT NAME:
OWNER -Lk c_ W 0 o -�, SITE LOCATION ' r wI,
OWNER'S ADDRESS /11 r_ CITY Ff c -o \ tA, ,k' PHONE 9
DESCRIBE JOB A- Yo t -
THE PROPERTY IS OWNED BY: SINGLE/MARRIED IYI K4 f'ri if -� PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME�Ll:� ..i t'w-_ CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS
EXPIRATION DATE
1
CITY.
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 -_�,+C-N C vi V Ln r_ d, PHONE _2,S I -XI f) C
BOX 4 SEWER DISTRICT LJ A'i WATER DISTRICT F- C c7,1 Uj "�!
BOX 5 ESTIMATED PROJECT COS" Ii C) 0 O . L EXISTING BUILDING VALUATION I , �n
BOX 6 PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION I
(If necessary, please submit a
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECN Te i- GARAGE /
BOX 8 ( SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY ( ) SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS N0. 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 $
1 CERTIFY UN ER 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 ASTO 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.
OWNER/AGENT: X DATE: 1V/
ANP -008 3/90
0 (lav1=_l0,-:3R
OFFICE USE ONLY (PLEASE DO ftT WRITE BELOW THIAE) i vwA„
ZONEF5 77- SETBACKS: FRONT z O SIDE 5� REAR 5� HEIGHT LIMIT 3p
PLANNING DEPARTMENT APPROVAL . / _9/ �r:r: : 9:. +1 s
REMARKS:
SEPA: EXEMPT ✓ NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES.
ADD/ALTNEW INDUSTRIAL
IND. ADD/ALT
NEW COMMERCIAL
COMM. ADD/ALT
NEW MULTIFAMILY
(UNITS )
MULTIFAMILY ADD/ALT
TENANT IMP.
OTHER
PART P/C FEE
OCCUPANCY
-2__ TYPE OF CONSTRUCTIONy
STORES
p�L
BUILDING SQ. FT.
@ 144
::� _ Z
OTHER FEES
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
F_
BUILDING SQ. FT.
@
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
PLAN CHECK FEE
Z
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
7-1
PART P/C FEE
SEPA REVIEW
3S, 00
S.B.C.C. FEE
d ll
OTHER FEES
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE
ACCEPTED FOR FILING
3C)3' -f I q'fl Ave S.
990-0-3
.s
YLk,
vc t VQ Wo