90-101710 CITY OF BUILDING INSPECTION
;FEDERALWAY BUILDING PERMIT 941-1555
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PERMIT NO. OWNER'S NAME ••" ' JOB ADDRESS ' •
CONTRACTOR '?'+�"` '1 ADDRESS .
CONT. PHONE - .
CONT. REG. NO. OWNER'S PHONE `i'";' OWNER'S ADDRESS ^'t'
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. "diLEGAL DESCRIPTION • 1 i, i t ". '4/.
?'V� r`'., . ..--: ..,Y{ ''• i DATE OF APPLICATION ,1 I ! !
ISSUED BYDATE OF ISSUE
BUILDING INFORMATION
ZONE _ • OCCUPANCY TYPE OF CONSTRUCTION ._ ('�� C Ti ;< BLDG. SO. FT.
SET BACKS: FRONT .....1 •6 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 t.
UNIT HEATER TOTAL MECHANICAL AMOUNT
./
VALUATION 3 3,E O O.C O ( I CTO
Stv,IA (/- (: ---1
PERMIT FEE $311. 00
l':fA!•t*4xNr DEPTAl A� °r I.7�'•.`:- (.:cis'+v 1/23/ ,1 {{;r'i`it741:-
PLAN CHECK FEE 20::..00
�`.UMBING FEE 20.00
f.
../fECHANICAL
0-0 -
,arECHANICAL FEE •
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A i
TOTAL BLDG. FEES 3_ .t,it j ' 'i. ''' d� /✓ ''C, 7'.' i''1"� 's .`•0i:Fi.ti Y" _ O'., • _
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. I
S.B.C.C. FEE . / a<.;1,''' ' t'?') 'j i1 T: ;' _
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.
rI 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 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 DESCRIPTIONijoS
SUED 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
BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) RECEIVED
SHOWERS URINALS FORCE?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 ( ! I.fo)
PLANNING DEPS A PROV .? 0-My -
PERMIT FEE
PLAN CHECK FEE -
UMBING FEE
cCHANICAL FEE ..' .- ' to AT'PRO '_ - "'--^ . "
TOTAL BLDG. FEES
PART P/C FEE -
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S 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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Permit # 97° — / ‘ 3 v f.,i-
RECEIVEU CITY OF FEDERAL WAY
DEC 3 1 1990 BUILDING PERMIT APPLICATION
CITY OF FEDERAL WAv — Please Print—
R1!11 nmr. nFr>T
BOX 1 TENANT NAME:
OWNER M 1,1r7ngll, SITE LOCATION 2 +h q•
OWNER'S ADDRES CITY d PHONE` 1 4170
DESCRIBE JOB 4070-10- ra
THE PROPERTY IS OWNE BY: x PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /e41--- 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 PHONE)- 2:2_
BOX 4 SEWER DISTRICT F.1yj, WATER DISTRICT _ _,___ _,
BOX 5 ESTIMATED PROJECT OST#_i EXISTING BUILDING VALUATION I ZP4'ia
BOX 6 PROPERTY TAX ACCOUNT NUMBER_ 23 L 4' A14 '
LEGAL DESCRIPTION „L'f ii", (���� 4/7 du? 1t A 1)111A
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 14q / 2ND FLOOR
3RD FLOOR / BASEMENT / DECK__- GARAGE-f4—//11;244:-
BOX
ARAGE Z 7yT
BOX 8 (X) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) f)� ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 1,f2/7 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 $
Z 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 $
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.
OWNER/AGENT: ,��I A• DATE: AG7
,^/a-* `J 08 3/90
' OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE5.9. 6- SETBACKS: FRONT ,-., /, lam' SIE REAR ,__,75'' HEIGHT LIMIT If;
FUNNING DEPARTMENT APPROVAL /---2 3-- Y/
REMARKS: ,
4/(11 ilk C de— ( cn lie'. or 0cc,r„,„C//(r/
1 ' ' t, r J
SEPA: EXEMPT ' ' d NOT EXEMPT '
FIRE DEPARTMENT APPROVAL Yi\- aC 'hn c»�� ' DATE \ \y' 1
REMARKS: ,
PUBLIC WORKS DEPARTMENT APPROVAL VAlot DATE
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
OCCUPANCY /13 TYPE OF CONSTRUCTION VN . STORES
1 •-.Laov BUILDING SQ. FT. •eg9.4/ .'pF - @ W ' - = 0 C? n9 8.6
oZ4 -rLao,r BUILDING SQ. FT. al 0 ° @ 49 = it/ `/QO
(-"arA_6e._ BUILDING SQ. FT. V 0 yb @ 17 3° = 3 a 3 3
BUILDING SQ. FT. @ = 3f3//067
BUILDING SQ. FT. @ fru/tl,j,e2 •18. =
BUILDING SQ. FT. @ _
ei
TOTAL SQ. FT. / 1 `t TOTAL VALUATION 33,B CIC
BUILDING DEPARTMENT REMARKS: PERMIT FEE 3(
PLAN CHECK FEE nZ c)
PLUMBING FEE &0'
MECHANICAL FEE
TOTAL BLDG. FEES 53.5
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE 95`
OTHER FEES
AMOUNT DUE OF -5'3 73`�
ASSIGNED ADDRESS: 3e12._ Ok\,...v .Se.._.Se.._RECE'VGD RECEIVED
.. 311990
CPARTIAL PLAN CHECK FEE RECEIVED JAN 2 3 1991
FEDERAL_WA`'
C(“ U�ptiNG WEPT Amount Date Receipt# CITY OF FEDERAL WAY
R�1 BUILDING DEPT.
BUILDING DEPARTMENT APPROVAL
•
RECEIVED BY ! DATE r ACCEPTED FOR FILING
• *nit # `/D -/973e
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print-
BOX 1 TENANT NAME: '. /$0/-// ,L /��/7�=G L
OWNER J)/�'%si/7 .L/0SITE LOCATION 7S4`' 9 -.-'':`/—
OWNER'S ADDRESS 54/i CITY f-76--7). 4.44,Y PHONE 94e/-L70 5
DESCRIBE JOB /T7,7///i'�`/
THE PROPERTY IS OWNED BY: SINGLE/MARRIED /4/// 'I,=dam PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME P-22'//7 //i'&%IL- CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS 5/ -/ CITY .5W/14z,- PHONE 9,4 e:
EXPIRATION DATE //Awe/4i /$
- 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 !7/•�a/� ' ''- PHONE Y,'/-4'719.
BOX 4 SEWER DISTRICT / �� w� y WATER DISTRICT /&---,6:7•4--). 4--1.17
BOX 5 ESTIMATED PROJECT COST 3 3, fo-- 02-0 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 02 3 '3 l F.d- e/(
-LEGAL DESCRIPTION % /6-!_=/1 lE775 73 c/k NNS-///5/M,
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR l
3RD FLOOR J BASEMENT / DECK / GARAGE /
BOX 8 (I SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY -7/ 5c/L-- 5'41)4))(' 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 $
2— SINKS _BOILER, SIZE BTU $
/ DISHWASHERS 0 AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER ,L HEAT PUMPS, SIZE $
/ LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
4—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 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: � e�` <l-C� DATE: . // /yV-
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
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
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt# —
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING