92-100345 CITY OF FEDERAL WAY q )'JOD y�
33530Way South
Federal FIWay, WA 98003 BUILDING PERMIT BUILDING INS 661 41140
PERMIT NO. 92-0298 MH OWNER'S NAME EDWARY W. REICHENBACH JR SITE ADDRESS 3001 S. 288TH STREET #201
CONTRACTOR MERIDINA HOMES ADDRESS 12414 MERIDIAN EAST PUYALLUP CONT.PHONE 840-1271
CONT.REG.NO. MERIDMH197JT EXP. 7/92 OWNER'S PHONE 783-11.58/643,,N I -7A�DREss POBOX 3042 KENT, WA
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN n GRADING OTHER MOBILE HOME SET—UP
TAX ACCOUNT NOO42104-9222-00/9231-09/9l5�Ec -,DESCRIPTION SPACE 201 CAMELOT SQUARE — FEDERAL WAY
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 3 /3 ''. / .2 _DATE OF APPLICATION 2-26-92 _
BUILDING INFORMATION
4101:QNERM 3600 SET BACKS:FRONT 8, SIDE 19' /10' REAR 4, ._ HEIGHT LIMIT
OCCUPANCY R3 TYPE OF CONSTRUCTION VN CENSUS NO. TYPE OF HEAT _ BLDG.SQ.FT. _ _ STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER _ GAS PIPING_ FT. - GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK _
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ - BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION 6,899.20 PLANNING DEPT APPROVAL: NE CORNER OF COACH MUST BE SET BACK FROM CAMELOT
DRIVE NO LESS THAN 20' DUE TO SITE DISTANCE.
PERMIT FEE 90.00 DB 3-2-92
PLAN CHECK FEE 59.00
PLUMBING FEE FIRE/BUILDING DEPT APPROVAL: KC 3-10-92
ECHANICAL FEE
ART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE 4-50
FIRE FEE - - DATE: --I)-9---2._
OTHER FEES AMOUNT: //�� 553.5`0
AMOUNT DUE 53__50- RECEIPT: O).-`NS-4 0
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 J ��_ DATE f r
��/ Ls
' 1.;ITV. FEDERAL WAY '
' 33530 First Way South BUILIDING PBUILDING INSPECTION
Federal Way, WA 98003
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR__ ADDRESS CONT.PHONE
CONT.REG.NO. EXP. 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
ZONESET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY _TYPE OF CONSTRUCTION CENSUS NO. _ _TYPE OF HEAT_ BLDG.SQ.FT. _ _ STORIES_.
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER _ GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. _ AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
g -A Q a 'n PLANNING NTNG DEPT APPROVAL: NE CORNER OF COACT MUST
x`
VALUATION DRIVE NO LESS ¶ M! 20'
PERMIT FEE DB 3-2-92
PLAN CHECK FEE •
PLUMBING FEE FIRE/BUILDINGDEPT APPROVAL:
V : KC 3.10-9-
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE - DATE:
5-3
OTHER FEES 'nAMOUNT: i
AMOUNT DUE - RECEIPT:
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
3__ 30 - 92 15tCCiIiA C . '77400" S -X-9. 2 6)
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK I
DATE
DATE BY_..._ BY DATE -_..... BY _ I
_...... ....--....__-
PLUMBING ROUGH IN WATER LINE O.K. -__ MECHANICAL INSPECTION
DATE... -......BY GAS PIPING O.K._- ...- .......... - DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY - DATE -.. BY DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE -5/-a-7/1.. Y.Y '1
- .3--/ r2 - A-'07` "/?4,0/ ✓7/cc/ziNC- e-
//tis 0 w'' ,iv S/9. �3
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P �t # 9Z97
RECEVv�C
IN\A-1
CITY OF FEDERAL WAY
FEB 2 s 1992 BUILDING PERMIT APPLICATION
on OF FEDERAL WAY —Please Print— "7� IPt/
BUILDING DEPT. 5 ZS 0 5-r
BOX 1 TENANT NAME: J
OWNER Z-04.I9re1 L� , FlcthElil 0 S a SITE LOCATION Co►- L.i Z&I-toof e.. 'i",,7u 1
OWNER'S ADDRESS �^�,. G'c:'C _3c �Z CITY__' c�. PHONE_ •l
DESCRIBE JOB ' p
THE PROPERTY IS OWNED BY: SINGLE/MARRIED S i kr( & T
PARTNERSHIP CORPORATION - DYNAP. "
BOX 2 CONTRACTOR'S NAME /'1 V VDI A LI j-\co r-,e.s CONTRACTOR'S REG. # he- R i- b h -F1 lc?i I 1
Card MUST be presented
CONTRACTOR'S ADDRESS (-241 4 t �' 5J' CITY f Ye,Lt.LA PHONE �3`-I b -1-1 1
EXPIRATION DATE f '( 1 0
R—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITION OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OFR S _13'70
BOX 3 CONTACT PERSON /CJtAtA-0311 P.it a.br -� �«�tcd1 d' ?' it Ss PHONE ''''''4-‘,(3.-1 4tY2)
BOX 4 SEWER DISTRICT WATER DISTRICT --
BOX 5 ESTIMATED PROJECT COST ` EXISTING BUIL 1ING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER o'4 a 10 -1 - 4 aC 22- oc> r 4 21 D`t- -9 -31 - 0`1 04a.1 in-Yrs-5--c..1
LEGAL DESCRIPTION S4 c "*ZC\ Ce E>_.cr" SA‘... &t 30o I Sc, +h
Fel Ep2 Nk L_,A--,-J 1 Lt-;t4-S H , ct id DG S
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR v2 r / S L \ 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (i4SINGLE 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$
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 K OWLEDGE
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: ,,, `si/,- _7" DATE: c ,‘.) - c-7 2.
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOWIS LINE)
ZONEtDITL CC SETBACKS: FRONT 'f SIDE 1611 -id REAR `i"I HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL Vig2 idTh
REMARKS: NE env v ' Cf-- Ct iEi MISS" -ProVh C4ilk-el-01- 1)14 -
oo Tess a in 20 dui -tb 4c d15 ncQ ,
SEPA: EXEMPT ( / NOT EXEMPT_
FIRE DEPARTMENT APPROVAL DATE 3 -Io ,_ ( 2-
REMARKS:REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL /1)//4` 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 l
OCCUPANCY )/7 -3 TYPE OF CONSTRUCTION STORES
.foU !C4 `7(v /n BUILDING SQ. FT. (5-C(6 � v 0 = 7 $ I O
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ /�/to� (r• = Q - 8 p
TOTAL SQ. FT. TOTAL VALUATION 8 q ZO
BUILDING DEPARTMENT REMARKS: PERMIT FEE To
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: S ( S / &ty
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE 3 - (0- q Z ACCEPTED FOR FILING
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