91-1006904
CITY OF
FEDERAL WAY
.,, BUILDING
PERMIT
9/-/oo&9a
BUILDING INSPECTION
941-1555
91-644 CA CENTER
FOR COUNSELING AND Ll�M*Wfs.� 33919 9 AVE S #201
PERMIT NO. OWNER'S NAME
JIMCO CONST
1112 S 344 ST #301 FEDERAL WAY 98003 927-4601
CONTRACTOR ADDRESS
CONT. PHONE
JIMCOC 76PP 2/92 927-8752 SAME
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.
COMMERCIAL ALTERATION (TI)
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING
OTHER
926480-0165
LOT 16 B KING CO SHORT PLAT 876019
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE !_• -_Cl 1 DATE OF APPLICATION 5/16/91
BUILDING INFORMATION
ZONE OP OCCUPANCY__ B-2
TYPE OF CONSTRUCTION 5-N BLDG SO. FT. 1225
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.
1
RETURNED
SINKS MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS _ TOTAL FIXTURES 1 X $5.00
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION $13,083.00
PLANNING DEPT
APPROVAL = CORY SMITH
PERMIT FEE $153.00 _
PLAN CHECK FEE 99.00
"INTERIOR REMODEL, NO CHANGE OF USE"
PLUMBING FEE 5.00
MECHANICAL FEE _ —
FIRE/BLDG
DEPT APPROVAL = KEVIN ELLIS
TAL BLDG. FEES ---$257.00
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
DATE PD AMT $269.15 RE' CT
4.50
S.B.C.C. FEE -
N -
OTHER FEES 4 j 7 - 65
$269.15
AMOUNT DUE
ALL PERMITS EXPIRE 160 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNI BY TRUE AND
CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
r
/ ��
OWNER OR AGENT` '`.--
DATE
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN 55ECTION
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
�'JED 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
PaA'NING DEPT APPROVAL = CORI. SMITH
PERMIT FEE
PLAN CHECK FEE
IN.TERIDR REIL}DF.L PIS CHANGE OP L3^sS"
MBING FEE
*
E•CHANICAL FEE —
FIPX/BLDG DEPT APPROVAL a KEVIN ELLIS
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
nATF T n ANT $269.15
RE 0 C� .
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:
OWNER OR AGENT
DATE
J
SET BACKS AND FOOTINGS
DATE —_ ---BY _ __--
O.K TO POUR FOUNDATION WALLS
DATE —....--- ....BY —___— -_
PLUMBING GROUNDWORK
DATE __ ---__. BY
PLUMBING ROUGH IN
DATE _ -�21"`y�_.BY
WATER LINE O.K. _.._... .._____
GAS PIPING O.K. —_ ._
MECHANICAL INSPECTION
DATE
O.K. TO ENCLOSE FRAMING
DATE _/#_ BY . _t�P/
INSULATION
DATE _ --- BY _— BY
WALL BOARD AND FIRE WALL
DATE C7 "� 2_�j BY
FINAL O.K. TO OCCUPY
- �DCD
DATE _j�-BY
_lie
PSD
FD
Permit # %-
RECEIVED CITY 6F FEDERAL WAY
MAY 161991 BUILDING PERMIT APPLICATION
CITY OF FEDEflAl. WAY — Please Print —
lWil` aiwa QEPT, _
BOX 1 TENANT NAME: %&Z f70,cjO
OWNER SITE LOCATION 53 C U S'UJ? j
OWNER'S ADDRESS .Sem CITY IV HONE -
DESCRIBE JOB C 77,04) �lJ ' D k—
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATIO !t/ IF —
BOX 2 CONTRACTOR'S NAME JAIL" iU��1 'U T/O CONTRACTOR'S REG. ���Ap
Card MUST be
CONTRACTOR'S ADDRESS PHONE ��% — O%
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 t% PHONE V% — 1
BOX 4 SEWER DISTRICT WATER DISTRICT 1W
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
PROPERTY TAX ACCOUNT
LEGAL DESCRIPTION
(If necessary, please subm't separate pagewith the legal description.)
K.C. Plat Recording # Z6A�f/ Z��
BOX fi BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST ,,11F� OR 1' / ��i 2ND FLOOR
3RD FLOOR / BASEMENTDECK / 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
$
�S = 5 . cv TOTAL MECHANICAL FEE
$
1 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 ISS
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 EMRLOYEF& UPON THE ACCURACY OF THE INFORMATION SUPP D TO THE ITY AS A PART OF
THIS APPLICATION.
OWNER/AGENT:��� �'6',�� DATE: �j
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO01�► T WRITE BELOW THIS LINE)
ZONE —F SETBACKS: FRONTA SIDE /i/%Lr' REAR HEIGHT LIMIT
PLANNING DEP TMENT APPROVAL
REMARKS:�-
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVA
REMARKS:
DATE
DATE
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 Z TYPE OF CONSTRUCTION ✓ti STORES
BUILDING SQ. FT. ! ;-7, ZSR @ S- 3 • Y = 6
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @ 'Mao6e�
TOTAL SQ. FT. TOTAL VALUATION 3 3
BUILDING DEPARTMENT REMARKS:
IECEIVED
MAY 16 1991
y OF C DEPWAY
RECEIVED
PERMIT FEE
(S3
PLAN CHECK FEE
PLUMBING FEE
5
MECHANICAL FEE
TOTAL BLDG. FEES
�- G
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
S O
OTHER FEES ' '% /` Qe
7' 46
AMOUNT DUE
ASSIGNED ADDRESS: SC-` -
(s7-tC11
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL ' 1
BY _ DATE
•
ACCEPTED FOR FILING