91-100500 �} � �oo �6a
CITY OF BUILDING INSPECTION
FEDERAL WAY B U I L D I N G P E R M I T 941-1555
PERMIT NO. 91—S3S OT OWNER'S NAME ATS Sc RScW TRUCRING JOB ADDRESS 35425 ENCHANTED PARRWAY S
CONTRACTOR DICK RENNIE ATS ADDRESS ZOZ COOPER AVE ST CLOUD MN coNr. PHorv�-800-274-4441
CONT. REG. NO. N�A OWNER'S PHONE 874-2633 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 INSTALL A DIESEL FUEL TANIC 3�OOO GALLONS
TAX ACCOUNT NO. 292104-9077 LEGAL DESCRIPTION
ISSUED BY JOANNE aTOHNSON DATE OF ISSUE � "'> --�r` - DATE OF APPLICATION 4-16-91
BUILDING INFORMATION
ZONE Mp 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. _
SINKS MISC. CONVERSION BURNER BASIC FEE ZO.OO RETURNED
DISHWASHERS TOTAL FIXTURES IINSS��R 3000 GAI� A G TAN�OTAL MECHANICAL7O.OO AMOUNT
VALUATION
PLANNING DEPT APPROVAL: CSMITH:CLASS III A OR 5-24-91
PERMIT FEE _
PLAN CHECK FEE FIRE/BUILDING DEPT APPROVAL: ICC 5-21-91
PLUMBING FEE CLASS III—A COI�STSTIBLE LIQUID. GREER TANR & WELDING INC. UL # MH 63_ � !")
MECHANICAL FEE _ �70.OO
TOTAL BIDG. FEES
PART PlC FEE DATE L j, ) `/ �
SEPA REVIEW
WATER SERVICE AMOIINT: �70.OO
WATER MAIN CHG.
S.B.C.C. FEE RECEIPT: ,r j ��
OTHER FEES
AMOUNT DUE 7O.OO
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 INFORM FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APP BLE CIT F FEDERAL WAY
REQUIREMENTS WILL BE .
C>jOWNER OR AGENT = � - DATE � /
. 3 i
ermit #
CITY OF FEDERAL WAY ��
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME: fr� �.,J •j���/,�1�" � �N�
OWNER ��T�a.�.t�v��eLN �� -S�r�F SITE LOCATION ` /G7T f��c;
OWNER'S ADDRESS .�.9/�7F CITY F�� �✓ HONE `1 ��y
DESCRIBE JOB � �s�� vE� ' /3.r�K S'
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION x
BOX 2 CONTRACTOR'S NAME G C�K ti'/E- /� - CONTRACTOR'S REG.
Card MUST be presented
CONTRACTOR'S ADDRESS /(�i ��'�'�r�E' flC�E CITY ��� - ��-E'�'d PHONE � L�--��`� �����
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 / � �=•'�'�7� PHONE �v Z'�- ZC��
BOX 4 SEWER DISTRICT •---'— WATER DISTRICT ��
BOX 5 ESTIMATED PROJECT CO C��, L% EXISTING BUILDING VALUATION .`tJ
BOX 6 PROPERTY TAX ACCOUNT NUMBER Z/U �- ��C%` : �
LEGAL DESCRIPTION �' �l `
(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 �S��
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ���
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE �� r"���'
O COMMERCIAL/INDUSTRIAL TOTAL AREA OF rROrERTY C�(J� `�SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ j��' �``
N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS N0. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS ' IR 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 3G`CC c,t'{�(t;�,� ��(,-� 'rrtt,t�$ �c� - �', z'
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ ��t-�'�
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 Y, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE A C ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE: � `�' j�
ANP-008 3/90
� -
OFFICE ..��ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE�SETBACKS: FRONT IDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT �ROVAL - -i - ���
.�.. - v-
REMARKS: �- `� -.4 .r1 =��u�'�aO � _
.�'.��_-iss�� � �
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL �--C� 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 OFCONSTRUCTION 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: � �QSS �� � L���V-S� pERMIT FEE
� �')I � ( 4 l� _ GY�' i�" ��(�1 �-- ��� l�� �: f r��� ,� :;�, PLAN CHECK FEE
i PLUMBING FEE
� i,� L 'l�( L � �'� I-I C 3 �� ;�� MECHANICAL FEE �"�
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: � 3s � � � � ' ��'� ��41 S g •
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� PARTIAL PLAN CHECK FEE RECEIVED
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