91-1009992
z
m
m
O
m
z
a
m
Om
c 31
:1)T
m-<
r=
rm
co z
m T
�O
�D
O
z
-n
c
m
z
cn
° m
v
co
�• m
■ Fn
c
m
D
z
v
0
O
0
O
m
co
W
O
n
z
O
m
v
O
m
D
z
v
2
m
D
u
v
r
0
D
ca
r
m
0
0
m
TI
m
v
m
D
r
D
D O
0
K
O
m-0-0
T
<
o
CD D
D
D
D=
9
z
K
m,
m
m
z D
0 X
m
m
�
r
D
CO
n::i
1
-i T
m
m
n
m
z_
C7
z=
m
T
p
v
m D
m<
T
v
'�
m
m
z
m a'
m z<*
m-
r
m
z
Fd
c)
6
m
T
m
m
❑
c
m
m
m
m
bd
fn
r
H
1
rr'
a
a
S� O
ro
ro
ro
trJ
••
t!d
n
H
�
r
O
HH
Lid
N
H
6z�
W
ro
H
H
�
O
►d
'J'd
C'
O
C
••
�Hy 1Gtij
cHn F
°zZ
IH0
no
y �
�
r
H fn
I N
GO
HH
rz
1-3 cn
O
O
z0
Ntv
00
O En
1-3G
O
O H
O H
n n
H
HH
nro
0a
d�d,
ti
NNC
101D�H
Cy�'+j
~~zy
wV
�
H
I
N FC,
v Ln a 2 a� r n O
2 ZT. D 0 2 m c D m m
i 0 m Ou
c 0°
X cn v
m mcn U) r, C)
m m T N
cn
z O
O
O
-1 K v c m>Za ❑
�ZD
°z
T cr 2
(n O
D ❑c D_ D
� z
D x N
z = n
Cl) D m
m W
o c.n
D
zOnopD m z rn K Cl) 0 v m
= m x m m v x m O
T
m O D m Z Z OT m
cn ❑ n c
:p D co m C m D O o m
33 m z m 0
m 0 T
D c
m m 71 D m
Z O O
m z m
N In D
❑ }
` 3 �Z �
O a 3 D O Cl)
� D �
n = m
m m z m
m m v cn
n r v
D O y m
z
0 z O
r D
v
v
D r
3
z
m co
c� ❑
x
K m c m O
cc c m m ZG p v
T
Zi
A m m o
v
I
uj
H
X m
0 0
D
m
z z
O C
m 0
ZO
O
m
O
1p
o<
13
m
En
n
W
m
z
C
?
0
M00
L=J
H
ko
*
W
F-&
N
Ob
AP
N._
o
vi
3�
o
v
roO
I c
Or
1
o
00
3
0
N.
z
cn
Ov
v
H:4
"JO
U)
zml I
cn z
c� v v
z c O 0
m z m
M
r �
m
a z
p Z z m 1-4
m O m O
70 n U]
3 O
O N
10.
r ❑ m CO kq
y M D N) t1i
0. z
N �H
F-j 1 F-AJ
z
0m
D >g O
v5 coo D Ho
o c U)
H
c Ul N
m O 10 \C
00 F-A
N 00
O0
o � m
C7
m
N
co z
n r m
N
00
c I
m � N
D V
v H F-A
o
O
00
TI 0
O
D
D
O
Cn *�
W
(n
—I
m
r
_0
r
_0
m
<
D
cn r
D
(/) Z <
(n Co
S D
v
r
cn N
m 0
� z
N
X
Z
m
�
C) (�
0 0 D
Z Z
m
Q
z
m 0
O m
r
r
m
D
<� m
D
m
D
D
2
C
D
z
m
r
y
O
C
3
CO m
C
p
C)
m
x
m
C
z
x
v
a
W
a O
m c
ao
o
c
x
O D
Q
mT
n
n
m
O
i m
m
Oc
m O p 0
O
3<
3
m
m
m
m D
m<
x
m
m
D
C)
m
m
z
m
Cl)
O
z
T
z z x
a ii
m=
m
m
m
m
Z
m 0
r
ZD
c)
c�
m
m
T
m
T
m
O{
m
m
m
m
z
m
a
m
m
O
r-
z
CO -
z
m
3
o
U
Z
O� LO
r m
22 c m
O0
o
a c)
c
m
m
>
'�
o
D
c
z
X
O�<
O
(n
C
C O
O
1]
S
m
n
m C
D m
z
p
z
v
m
(n z
m
cn
z
W
z
m
p
m
z 3
m
m
Z
O
�
D
5
Zp D
z
c
O
7o
X
z
* m
m (n
m
m
m
O
> x
z
N
fn
r
G)
v)
I 2
D
D
O
n
m
D
pm
ZDm
Z m
7p
zOOODm
z u)
D K cn
C)
-u
m
O
C)
O
m
MMP
m
m
< x
m m O
m-9
p m
x
m
O
D
c)
N
0
D
z
W
in
U
O
3
p
m
m z y
O
x O
n
D
m O
C
r,
m
z
O
m
-j
z
co m
c x
r
a�
G
x
n
_
m
m m
z
m
CJ
m
w
r
m x
CDi m
C
z
Cmn
D
x
m �
z
O_
O
o
z
m
Cl)
3
n
7o
O
Z
Z
mO
Z
,
3
-+
c70i z
O
v
n m O
O
m
3
r
us
o
m
D
m
m
m
m
O a
a m
O
m m
(n (n
z
:2
D n
r C)
2 r
m
O
x
N
-1
m
m
x
z p
m (n
z
p
m
O
z
m
C) m
a:D
z
D
m
m
D
z
O y
C Z
m
m
n
<
m
D
y
r
zi z
O
> v
D
r
o
03
M
D
p
r
T
D
3
m
>
O
D
z
W
O
n
m
(^ o
c)
m z
g
C
m
K m
c m
O
x
r p
c =
r
v
N
oc c
W m
z
3
W z
D
C
� m
z m
i
(� m
r
Z
p
p
I
A
z
m
i y'
1
<
Z
C:
N
:J9 Vm
o
o
0
ermit #
1 I?g IIt'&
RECEIVED
CITY OF
FEDERAL WAY
JUL 1 71991
BUILDING PERMIT APPLICATION
ciTYOFFEDERAL WAY
BUILDING DEPT. —
Please Print —
BOX 1 TENANT NAME:
OWNER SC In P_ I'-lC3Y "►e_ -_> ;I'ruC. SITE LOCATION
OWNER'S ADDRESS F 9 il 1, ° i
1 viz) CITY T a .; 69
PHONE ..2,9 Q -- 2 it " 1
DESCRIBE JOB 'c - - r z r -
_ �
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP
CORPORATION iC
BOX 2 CONTRACTOR'S NAME 5 tip
CONTRACTOR'S
REG.
Card MUST be presented
CONTRACTOR'S ADDRESS
CITY
PHONE
EXPIRATION DATE /6) --_ 02 <'� __ `y
--- 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 E tI� /'IV
PHONES '
BOX 4 SEWER DISTRICT �'0P122 C '
WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 2-E;060f
EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER_i ` `�_ ❑
— d
-
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLO0RLi -e!z_ 2ND
FLOOR el 1
3RD FLOOR / BASEMENT / DECK /
GARAGE
BOX 8 (. ] SINGLE FAMILY
( ) NEW CONSTRUCTION
( } MULTIFAMILY (NO. OF UNITS = }
(.:) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL
TOTAL AREA OF PROPERTY
SOFT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. 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 KNOW) JDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT API - N 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:
DATE: / — / 7 -" V/
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT 201 SIDE 'o
REAR— t
HEIGHT LIMIT
3z)
PLANNING DEPARTMENT APPROVALj��`I�
REMARKS: W2- G GAS off" rhf7Lt
LIXLXi
—
_
Aj-
SEPA: EXEMPT Ur NOT EXEMPT
FIRE DEPARTMENT APPROVAL �1 4
DATE
REMARKS: /
PUBLIC WORKS DEPARTMENT APPROVAL
DATE
REMARKS: tL zf•Ld �oOTi�/C� D/zfii�^�s
Sff.¢cL ��
Trl�h�TGi•/�O
TD Ate/ �}�p2o✓Fd �Tc92� 02�/����
S' YSTEi�t
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
V
STORES
BUILDING SQ. FT. _
@
_
_- BUILDING SQ. FT. _
@
_
BUILDING SO. FT.
@ --
_
- BUILDING SO. FT.
@
_
BUILDING SQ. FT.
@
_
. BUILDING SQ. FT.
@
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
PERMIT FEE
512-
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
_
SEPA REVIEW
�4v ro
A
S.B.C.C. FEE
Y Cv
OTHER FEES
AMOUNT DUE
RECEIVED
JUL 17 1991
CITY OF FEDERAL WAY
BUILDING DEPT.
RECEIVED
ASSIGNED ADDRESS: 2-q I t v Z �� ii '�- Sc' .
PARTIAL PLAN CHECK PEE RECEIVED
Amount Date % 7 Receipt #
BUILDING DEPARTMENT APPROVAL
BY _ DATE
ACCEPTED FOR FILING
I
I
{ I
RECEIVED
J U L 171991
CITY OF FEDERAL WAV
6BUILDING DEPT