92-101905 9�- io19Q �
CITY OF FEDERAL WAI� B U I L D I N G P E R M I 1" PERMIT NO.: BLD92-2374
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/10/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 34114 21ST AVE S
PARCEL NO.: 820302-0642
PROJECT DESCRIPTION: 'd'.I. = INS'I'AY�Y, �TORAGL RACR3 IPT EXYSTIPTG BIIILDING
OWNER CONTRACTOR LENDER
MR. E.C. SCHNEIDER FEDERAL CONSTRUCTION C0.
1120 SW 167H ST P.O. BOX 4100
RENTON WA 98055 FEDERAL WAY 41A 98063
""'-1830 874-9200
FEDERC""326NK
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:? FEES:
TYPE OF NORK:ALT USE:COM 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKIERS?......:Y FINAL PLAN CHECK...* E 35.10
CENSUS CATEGORY.....:437 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:ORD BUILDING PERMIT....* S 54.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW.,..: 0 gpm SBCC SURCHARGE.....* S 4.50
:M2 :? :? :? . OTHR: 0: O:sf EXIST..$: 0 FRONT.......... 0.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 3000 SIDE..........: 0.00 ft WATER SERV[CE..:FED
:5N :? :? :? . DECK: 0: O:sf REAR........... O.00:ft SE41ER SERVICE..:FED
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:10/30/92 .
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSIT[VE AREAS?.:?
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES S 93.60
GAS PIPING.: 0 ft HOOD........... 0 0-3 HP....... 0 BATH TUBS........... 0 DRINKING FOUNT.: 0
FURN<700K..: 0 DUCT WORK.....: 0 3-15 HP. ..: 0 SHOWERS............: 0 SUMPS..........: 0
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 SINKS..............: 0 DRA[NS.........: 0
BB�......... 0 MISC........... 0 5+ HP........ 0 DISH 41ASHERS........ 0 LANN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER F[XTURES.: 0
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN LJSHR WTLTS...: 0
""- "OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL pERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRAOING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
1 CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPIICABLE CITY OF FEDERAL WAY REQUIREMENTS WiLL BE MET.
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OWNER OR AGENT �. G_- � DATE�� �/ 1 � � TE�
bld_prmt 10/23/92 N�
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OC� 3 O 'I.992 CITY OF FEDERAL WAY �����
t�v���►�.w�Y BUILDING PERMIT APPLICATION
���� — Please Print—
BOX 1 TENANT NAME: -�'-� � C
OWN�R G. SITE LOCATION �
OWNER'S ADDRESS �� SL`' �' CITY ���T'�N �HONE
DESCRIBE JOB ''�i�
THE PROPERTY IS OWNED B ARRIED� PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME l_ CONTRACTOR'S REG. #
, Card MUST be presented
CONTRACTOR'S ADDRESS ' CITY �p�_PHONE� �-a£�O
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 �J 2'b ��(��
BOX 4 SEWER DISTRICT WATER DISTRICT t�P �
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION S
BOX 6 PROPERTY TAX ACCOUNT NUMBER D d 2� �
LEGAL DESCRIPTION
� .
�
(If necessary, please submit a separate page with the legal description.) .S�
K.C. Plat Recording # �
.N
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR 1 d
3RD FLOOR / BASEMENT / DECK / GARAGE / ^
BOX 8 ( ) SINGLE FAMILY O NEW CONSTRUCTION �
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE �
( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ �
N0. WATERCLOSETS � GAS PIPING, FEET $ �
BATHTUBS ,y����,� N0. FURNACE, ELEC. GAS $ �
SHOWERS � r GAS NOT WATER HEATER $ �
LAVATORIES ��� CONVERSION BURNER � $
SINKS � BOILER, SIZE BTU ��� $
DISHWASHERS AIR HANDLING UNITS N $
� ELECTRIC HOT WATER HEATER HEAT PUMPS, SiZE ��� $
LAUNDRY WASNER OUTLET UNIT HEATERS _�J $
� URINALS AIR COOLING UNITS, SIZE $ W
DRINKING FOUNTAINS COMMERCIAL HOOD $ �
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ �
DRA�NS '"
OTHER $ v�
TOTAL FIXTURES $ C/
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 APPLICATIQN IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUOING 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 C Y OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYE S, PON TH URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
i � , � �
OWNER/AGENT: DATE
ANP-008 3/90