91-100561 9), too sa/
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
437
PERMIT NO. 91-516 CA OWNER'S NAME SEARS MORTGAGE JOB ADDRESS 33400 8 AVE S
CONTRACTOR SUPERIOR BLDRS ADDRESS 1750 S 327 ST #C-1 FEDERAL WAY 98003 CONT. PHONE 874-3647
CONT. REG. NO. SUPERBI112D2 3/92 OWNER'S PHONE 213-922-2032 OWNER'S ADDRESS 330 WASHINGTON ST MARINA DEL RAYL CAL.
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 COMMERCIAL ALTERATION (TENANT IMPROVEMENT)
TAX ACCOUNT NO. 926500-0110 LEGAL DESCRIPTION LOT 11 DIV I WEST CAMPUS OFFICE PK AS RECORDED IN
VOL 97 OF PLATS, PGS 55-58 REC$RDS OF KING CO. _
.4
0UED BY ELIZABETH SNYDER DATE OF ISSUE RENEW DATE OF APPLICATION 4/25/91
BUILDING INFORMATIO
ZONE OP OCCUPANCY B-2 TYPE OF CONSTRUCTION 5-N _ BLDG. SQ. FT. 2736
SET BACKS: FRONT NA SIDE NA REARNA STORIES NA HEIGHT LIMIT NA
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 $29,220.00
PERMIT FEE $285.00 PLANNING DEPT APPROVAL = CORY SMITH ON 4/29/91
PLAN CHECK FEE 185.D-L-
UMBINGFEE "INTERIOR REMODEL ONLY - UNDER $50,000 VALUATION DOES NOT
ECHANICAL FEE _ REQUIRE SITE PLAN REVIEW"
TOTAL BLDG. FEES _ $470.00
PART P/C FEE FIRE DEPT APPROVAL = GREG BROZEK ON 4/30/91/KEVIN ELLIS ON 5/3/91
WATEREERrIC .WORKS $30_00 PUBLIC WKS APPROVAL = RON GARRON ON 5/8/91
WATER SERVICE
WATER MAIN CHG. -- BLDG DEPT APPROVAL = KEVIN ELLIS ON 5/3/91
S.B.C.C. FEE 4.50
OTHER FEES FIRE D. 14.25 CI
t ,......,,AMOUNT DUE $518_75 DATE PD / AMT , REC'T ,8,3
ALL PERMITS EXPIRE 180 DAYS AFT:R SSUAN NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT TE I FOR ATION 'UR I: ,L9 : E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WI M.71,•
OWNER OR AGENT, ` DATE -0 /
•
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
ZONE 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
:','—'9,22t1.00
PERMIT FEE 8
PLANNING DEP"i. APPROVAL _= CORY SMITH ON 4/29/91
PLAN CHECK FEE "INTERIOR R O ELONLY — UNDER $50,0GO VA�,TWATIOJ OPT'
PLUMBING FEE f!�
MECHANICAL FEE REQUIRE SITE PLAN REVIMes
TOTAL BLDG. FEES
''IRE DEPT APPROVAL 01 GREG BROS'FR ON 4/30/91/KEVIN ELLTS ON 5/3
PART P/C FEE
SEPA REVIEW
WATER SERVICE - PUBLIC WKS APPROVAL RON GARRON ON 55/8/91
WATER MAIN CHG. BLDG DPT APPROVAL K .°a�i r E.I.ISS ON 5/3/91
S.B.C.C. FEE _. _ / 1/ ..,
OTHER FEES i; /;1 1/' . '-1
."'/'''
/� `
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:
OWNER OR AGENT DATE
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41, /permit # /I SI LC
CITY OF FEDERAL WAY __-.A-
BUILDING PERMIT' APPLICATION
f —Please Print—
BOX 1 TENANT NAME: Se. $. /1c.Di�-Q 4' e /Pt-,e_ 1 o otk&f>, 1/0e -hgfc(-1,--Ser- /1°4'
OWNER • (S At, i ' v SITE LOCATION 3 Yerob 2," /¢oma, S ,
OWNER'S ADDRESS XI+, IA-. 4s .?.) S t CITYitAt-Z,1/45,9 bet, eAPHONE 2_13143 2-2o. z
DESCRIBE JOB jelloV e 4- (c�c1JFe"w14��S f e�rctt`t(Ar o(ocrs� iii4 @- octt- ,
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION -k
BOX 2 CONTRACTOR'S NAME . `-kl -t`1or Rbc-ti iJ -S( ,INC, CONTRACTOR'S REG. # tt-6i I1 Z 1)?_
Card MUST be presented
CONTRACTOR'S ADDRESS rig-0 S ° 3 Z 71 Li- CITY Fe--J • C 4 y PHONE 87 4-SS y 7
EXPIRATION DATE X`141 i Z
—OR —
I HAVE READ CHAPTER 18.27.010 RELAT G TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 'o L M -Sc.. k e 7 +2_e -- PHONE g74`�C,`l 7
BOX 4 SEWER DISTRICT Fed , WA›- WATER DISTRICT j, (. • tO/4>.
BOX 5 ESTIMATED PROJECT COST II) 3� 066 •w EXISTING BUILDING VALUATIOI ‘ti/9007 00 O.in G
BOX 6 PROPERTY TAX ACCOUNT RUMBER 92-4, 900 el(0 —0 S
LEGAL DE CRIpTION Lc 4- it `vi 5/.x.1 .
�. bs C,grk t d kc- - 1Pe4C-4 i4
re o-t e. int Vo L p4 `11 o 4 S 1>r4V5 , - SS rcco 's o i•% o_ W
(If necessary, please submit a separate page with the legal description.) CuLkiNeWty, Ty /S- Z.--
K.C.
K.C. Plat Recording # e_o'.c �cke t i t3 ' ype V
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1 sioc-)/L,`f-S0 2ND FLOOR /--
3RD FLOOR-- / BASEMENT DECK. / GARAGE I
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) (>4r EXISTING STRUCTURE
COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 P UMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS G. PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
-.VATORIES CONVERSION BURNER
SI :TILER, SIZE BTU $
DISH .. ERS Al• - .NDLING UNITS $
ELECTRIC ': W. R HEATER HEAT k PS, SIZE $
LAUNDRY W::-. • OUTLET UNIT HEA : $
URINAL AIR !: ING , S, SIZE $
DR ' NG FOUNTAINS -IMMERCIAL HOOT $
: MPS, SPRINKLER VACU , BREAKERS OTHER $
DRAINS $
OTHER $
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 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 INVESTIGA s AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGA NST THE CITY OF F•'ERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND :\• OYEES, ON HE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
\ . /h •
OWNER/AGENT: DATE:
. 1 '�—`�`
11
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT N/A • SIDE /V// • REAR HEIGHT LIMIT /t,-//,'
PLANNING DEPARTMENT APPROVAL e-ydpitAC-e`U -5/_v 9- '
REMARKS: .<2Lc..-&i.c-ct-v Ai- Cc-,' a-h4 — Cl :. Sokj,/..,_ ter" � . — .cc, e. <�
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL bPG DATE L(-3o-g(
REMARKS: - _5"-+ q/
PUBLIC WORKS DEPARTMENT APPROVAL /Z. DATE 5--8'-9 I
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT )C NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY 0 2- TYPE OF CONSTRUCTION STORES
a p- 2
� cc_ BUILDING SQ. FT. 736 @ c3. yU Z �/0 = I ' (o
' 1 o
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @a I c �`.e` _ 0 c Z�
BUILDING SQ. FT. @ 0� -
TOTAL SQ. FT. TOTAL VALUATION 2- . 0 s `/ 9
BUILDING DEPARTMENT REMARKS: PERMIT FEE - °-
PLAN CHECK FEE ( 8S
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES L{7 0
PART P/C FEE
SEPA REVIEW
la c.../ 2evie... *30.0o
S.B.C.C. FEE 9-, O
OTHER FEES F a t=€-E / `/` 2-S--
AMOUNT
SAMOUNT DUE --S
��-� IL30
,,`�,1 ., 3Q ASSIGNED ADDRESS: Se-`e- e26 ( SI-( VAy RECEIVED
41 4, iti a — 13 1991
PARTIAL PLAN CHECK FEE RECEIVED MAY
Amount Date Receipt# Gird OF FLS RA AY
BUILDING DEPT
.
44.
Q3
m BUILDING DEPARTMENT APPROVAL
RECEDED BY DATE 3—'I ( ACCEPTED FOR FILING