90-101068 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-1224 CA _ OWNER'S NAME PAYLESS DRUG STORES INC JOB ADDRESS 31009 PACIFIC HIGHWAY SOUTH
CONTRACTOR JE JOHN CONS TRU ITON� ADDRESS 7223 NE HAZEL DELL AVE VANCOUVER CONT. PHONE 696-0837
1
CONT. REG. NO. JAMESEJ173MM - T,SONVIT,LE
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD.XX INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. DR
NEW MULTI-FAMILY_ (UNITS _ ) MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 082104 9062 LEGAL DESCRIPTION SEE ATTACHED
ED BY JOANNEJOHNSON DATEOF ISSUE '
�U SU C � � DATE OF APPLICATION 7-24-90
BUILDING IN ORMATIO
ZONE CC OCCUPANCY B2 TYPE OF CONSTRUCTION VN 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
BATHZUBS LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED
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 19,360 PLANNING DEPT APPROVAL: SITE PLAN REVIEW COMPLETED AND APPPROVED.
CS 7-13-90
PERMIT FEE 207.00 BUILDING DEPT APPROVAL: KC 8-6-90
PLAN CHECK FEE 135-00
•UMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
DATE: o ?-
PART P/C FEE �/'+ 4r5,-/
SEPA REVIEW AMOUNT: lY .
WATER SERVICE
WATER MAIN CHG. RECEIPT: \( _-'-_
1(4 y<
S.B.C.C. FEE 4.50
OTHER FEES FIRE DEPT 10.35
AMOUNT DUE 356.85
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 FUR - - a BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENZLLBEME /
WIii NT Ii414I ` -zt DATE 9/00
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. _ 12-24OWNER'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 _ OCCUPANCYTYPE 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 . " ?` ,"'-""''''-"k",; DEPT APPROVAL: SITE PLAN REVIEW COKPLET ED Arm AP'PPROVED.
CS 7-13-90
PERMIT FEE $ii ti r"-T, 1
rx1G DEPT APPPOVA .L : KC 8-6-90
PLAN CHECK FEE •f'
PLUMBING FEE .,
MECHANICAL FEE
TOTAL BLDG. FEES 1-:..11..--.11--
PART
iPART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. - RE'EIP .° . 1.�...L[ .' ';_.. ___ C
S.B.C.C. FEE _ I \ 1
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
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ECEIVED CITY O►r FEDERAL WAY S _ w4
.1w_ 2 4 1990 BUILDING PERMIT APPLICATION ..
— Please Print—
t- Ulf e(
CITY �r ���U�F3Al.WAY
U LDING DEPT.
1 TENANT NAME: 47A .1 r-� 0 . y-f-, , Ill
OWNER V34\--4 l Ef-fj ►)tc.? SU?L5 r tv:r SITE LOCATION ' i' `r" c ` : 41/4i �• 'Cr • ;•
OWNER'S ADDRESS ''2_75 '.,vJ + % ,.,,
. ee3A+ ,A ,, ,� CITY �,I vt vt 116 1c(!- b PHONE 503 • 4,`�,/oL47 7 J
DESCRIBE JOB =x 4'le% T•Gv►<'..,d-' byo,rF.o.el.f' 1, (,4:44ac 1 ,,,«
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME rL/' rk.'h)v) Licv'�/ z e..4-/ ...� CONTRACTOR'S REG. # A4-07 _1/7T mem
Card MUST be presented
CONTRACTOR'S ADDRESS 72/LS iJle- Iki.-el 12z-11.4reciTv likAke v'Y- (J4 PHONE2c)iv•(.o`f(o• 60 S7
EXPIRATION DATE 9 ca bug
— 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 l .' ,.>•rr' ' ' / i'YL. ' % Y!,,d ,cl, ,'HONE �' .1.71yt,0
BOX 4 SEWER DISTRICT L • . ( ' WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST L2,ev4.,,-. r�xe, etiJ,`wosiING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 0'0(2.- ' /01- 10L.p12_
LEGAL DESCRIPTION __ At Mil)
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: �x tin roposed) 1ST FLOOR li,4)0015F 2ND FLOOR /
3RD FLOOR J BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY flo A ! 4CJ 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 $
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/AGENTI1 / / ( 2 _i _,. - t DATE: '7 ` 2 5e
/::y,
ANP-008 3/90
•
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT � IDE / REAR 7, HEIGHT LIMIT
PLANNING DEPART NT APPR L ,�_ _ '_/� —
REMARKS: 7—/3— tri
SEPA: EXEMPT ,3< NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 8 -G
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 VA/ STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ = 7iZ �C` C
BUILDING SQ. FT. @ J r =
BUILDING SQ. FT. @ /4611 ( Fre = U b6
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION II'3.6 C
BUILDING DEPARTMENT REMARKS: PERMIT FEE Z-07.c-c,
PLAN CHECK FEE / 3S o
PLUMBING FEE U
MECHANICAL FEE 0
TOTAL BLDG. FEES 3`I Z '' 0
PART P/C FEE O
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES '0, 3 S'
AMOUNT DUE - %
ASSIGNED ADDRESS: e__?(
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
�"- 2 k 1990
FEDERAL�NAY BUILDING DEPARTMENT APPROVAL
CITY C ujva DEPT• BY DATE 6 l ACCEPTED FOR FILING