92-101405 CITY OF FEDERAL WAY �lJ I L D I IV C P E R IVI I 1" PERM T NO!aJ 2D 652
33530 First Way Sou4h BUILDING INSPECTION - fi61-4140 ISSUED: 09/].0/92
Federal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 406 S 2�9TIi S'I°
PARCEL NO.: 515298-0260
PROJECT DESCRIPTION: fldSF
ONNER CONTRACTOR LENDER
POVERTY BAY HOMES INC POVERTY BAY HOMES INC
29505 7TH AVE SW 29505 7TH AVE SW
FEDERAL NAY WA 98023 FEDERARL NAY LJA 98023
-4850 941-4850
XXX
BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DNELLING UNITS: 0 COMP PLAN.........:? FEES:
TYPE OF HORK:? USE:? 1ST.: 0: O:sf STORIES........: 0 REDUIRED PARKING..: 0 SPRINKLERS?......:? PLAN CHECK DEPOSIT.* S -570.00
CENSUS CATEGORY.....:? 2ND.: 0: O:sf HEIGNT.....: 0.00 ft HAZARD CLASS...:? FINAL PLAN CHECK...* $ 841.10
OCCUPANCI' GRWP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLON....: 0 gpm BU[LDING PERMIT....* E 1294.00
:? •� :T :? : OTHR: 0: O:sf EXIST..E: 0 FRONT.........: 0.00 fC SBCC SURCHARGE.....* S 4.50
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 286804 SIDE..........: 0.00 ft WATER SERVICE..:? MEC APPLIANCE FEES.* S 20.00
:? :? :? :?--___ DECK: 0: O:sf REAR..........: O.00:ft SEWER SERVICE..:? PLUMBING PERMIT/SPK* S 80.00
OCCUPANT LOAD------- GAR.: 0: O:sf RECEIVED.:08/31/92 PUB bIORKS-PLAN CHECK S 35.00
. 0: 0: 0: 0: TOTL: 0: O:sf IPIPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 3 URINALS........: 0 TOTAL FEES S 1704.60
GAS PIPING.: 100 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 3 DRINK(NG FWNT.: 0
FURN<100K..: 1 DUCT NORK.....: 0 3-15 HP.....: 0 SH041ERS............: 1 SUMPS..........: 0
GAS HUT....: 1 Id00D STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 4 VAC BREAKERS...: 0
CONV BURNER: 0 fURN>100K.....: 0 30-50 HP....: 0 SINKS..............: 3 DRAINS.........: 0
BB9........: 0 MISC..........: 0 5+ HP.......: 0 DISH WASHERS.......: 1 LALdN SPRINKLERS: 0
^"c DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC HTR HEATERS...: 0 OTHER FIXTURES.: 0 .
,�. ; ,a
. . ,�� � ,
°......: 0 <=10,000 CFM: 0 ABOVE GRWND: 0 LAUN WSHR WTLTS...: 7 �" �
LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS '.�►FTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING 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 APPLICABLE CITY OF FEDERAL WAY REQUIREMEMTS WILL BE MET.
_ L�c�
OWNER OR AGENT • DATE � � �^�� pATE - � ,
bld_prmt 07/31/92 \
, �
� ,l lt # � - +c� S :� f�I�
. ���'��'�'�D �},
APR z 7 �gg2 CITY OF FEDERAL WAY /�� �.
�,������„�Y BUILDING PERMIT APPLICATION ��ti�
—Please Print—
�N��t.�DN�tt3 0�6�T � S 7U `���2cc.��� -�i�'
BOX 1 TENANT NAME: � ��• y1��-9�
OWNER SITE LOCATION .
OWNER'S AD RESS Z �I�, i�,C�, CITY PHOh E�rlr��.tii�_
DESCRIBE JOB
THE PROPERTY IS WNED B : SINGLE/MARRIED PARTNERSHIP �CORPORATION X
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS Z9�i�i 'y��,,1G�, h t�?� CITY PHONE ��I��d
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
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST _�Zv�.a��,' EXISTING BUILDING VALUATION —'
BOX 6 PROPERTY TAX ACCOUNT NUMBER
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 FLOOR — /�� 2ND FLOOR — / c�
3RD FLOOR / BASEMENT --� /�� DECK / r7L�L GARAGE /_�,�
BOX 8 (?� SINGLE FAMILY (�() NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY ��F�� SQ FT
• BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
N0. �' WATERCLOSETS GAS PIPING, FEE i _ $ -S �
BATHTUBS NO.�_FURNACE, ELEC. GAS�_ $ �c <<.:��
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 $
�I�TOTAL FIXTURES $
�X � =- ��.C;(; TOTAL MECHANICAL FEE $ �'-t- � �c:-
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FUR�HER 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 AG�INST 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: Z
�
% ANP-008 3/9'
� '
�
OFFICE USC ONLY (PLEASE DO NOT WRITE BELOW THIS Ll�v�)
� ����� aETBACKS: FRONT Z�� SIDE �� � REAR �� HEIGHT LIMIT =3C'� ' �
ZONE�
PLANNING DEPARTMENT APPROVAL _� ����2..�
REMARKS:� �.L.a m«u kqd b�uain�e�u req�,uemwta per Fwzc 11s.Ro.
Pe�mit 92-652NR 2. Baaed m informa4on pravided by the applicant, nnpervioua,wrface covenige u 49.9 perceat. FWZC 20.10 pemtits up to 50 perceat lot covua�e. No
Canditiaos of pLnni� additiaoal impervious surface may be created withaut elimination of euistinQ impe�vious surfue,iocluding but nat limited W patioa,Pools or drivewayi.
Departmeat aPP�'v 3.Impervioua surface coverage may nat wcceed 50 percent.
4.No build'mg ahall eneroachinW any building setbuk line or usemwt, shown or nd ahown. ��^
SEPA: EXEMPT 5.A fabric filter fence must be in place at the permimeter of the site during excavafion md the cooetcuctian. t;�./
FIRE DEPARtMENT APPROVAL �`� C�
DATE S — 7 �( Z
REMARKS:
PUBLIC WORKS DEPRRTMENT 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
OCC,UPANCY � TYPE OFCONSTRUCTION STORES
�-! 1,/ �L � S r BUILDING SQ. FT. I �- �3''{ , @ 7 Z - `t O = ' � `�`,-
?i BUILDING SQ. FT: � Z�`�Z . @ � . ci _ � �,
3�� BUILDING SQ. FT. �a � @ �� = 0� 3
�a�'' �-- BUILDING SQ. FT. 1 �c:� d: @ �8 � 3 0 = i°���(6� Y
'p2 ,L� BUILDING SQ. FT. S � �� @ p' Lv = �v�'
BUILDING SQ. FT. � ��'1Z � �-� =' �!` � �
TOTAL SQ. FT. TOTAL VALUATION Z�Z�$ 3� � S
BUILDING DEPARTMENT REMARKS: PERMIT FEE � �"�C
PLAN CHECK FEE L
PLUMBING FEE . C�
MECHANICAL FEE z-�-. oG
TOTAL BLDG. FEES
PART P/C FEE 7�, ��
SEPA REVIEW
S.B.C.C. FEE � � S�
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: �(F% E fS4 , Z� 1 `S .
���'���� PARTIAL PLAN CHECK FEE RECEIVED
Q�� Z � `l4�1�
Amount S�G ``— Date `7'—�'�-S�Receipt# n, �-����/�'
�-���s��,�. Y BUILDING DEPARTMENT APPROVAL
������� BY ���� DATE '� 7 rC�Z" ACCEPTED FOR FILING
33530OFirstEWay South B U I L D I N G P E R M i T PERMSSUED: 09/O6/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 08/05J95
ADDRESS:406 S 289TH ST
NO. : 515298-0260
PROJECT DESCRIPTION:NSF
OMNER COIfTRACTOR LENOER
� DAYiD THORSTAD POYERTY BAY HOMES INC
� 29505 1TN AYE SM 29505 1TH AYE SM
fEDERAI MA1' MA 98023 FEDEAARL �AY MA 98023
941-4�50 94t-485�
Xl(X
BLD?:X IIEC?:Z PLM?:? FLR--EXIST--PROP--- DMELLIN6 UMITS: 0 COMP PLAN.........:? FfES:
TYPE Of MORX:? USE:t 1ST.: 0: O:sf STORIES........: 0 , REQUIRED PAA[IN�..: 6 SPRIMILERS?......:i PLAN CNECK DEPOSIT.= : -570.00
CENSUS CATE6tiR�.....:101 2ND.: 0: 6:sf NEI6NL....: 0.00 ft NAZARD CLASS...:� FINAL PUN CNEC�...� : 841.1Q
OCCUPANC� �IP---------- 3RD.: 6: O:af VALUATION---------- REQUIRED SETBACKS------- FIAE fIOM....: 0 gp� MIILDIM6 PERMIT....= � 1294.60
:? :? :? :i : OTAR: A: O:sf EJ(IST..=: 0 fRQNT.........: 0.00 ft SBCC SURCHAR6E.....� = 4.50
TYPE OF CONSTRUCTION----- BSilt: 0: O:sf PN4P...Z: 286804 SIDE..........: 9.00 ft MATER SEAYICE..:? I�C APPLIANCE FEES.� = P0.00
:? :Z :2 :? : DEGK: 0: O:sf AEAR..........: O.00:ft SEMEA SERYICE..:? PLIH16IN6 PERMIT/SPKi = �0.00
OCCUPANT LOAD----------- 6AR.: 0: O:sf RECEIYED.:08/31/92 PUB MARI(S-PLAN CHECK = 35.80
. 0: 0: 0: 0: TOTI: 0: O:sf FqPEAY SURFACE: 0 sf SENSITIYE AREAS?.:?
FUEI TYPES.:6AS ? fAMS..........: 0 BOILEAS/COi1PRESSORS MATER CLOSETS......: 3 URINALS........: 0 TOTAL FEES : 1104.60
6AS PIPIN6.: 100 ft H000..........: A 0-3 HP......: 0 BATH TUBS..........: 3 DAINItIN6 fOUNT.: 0
FURN<i9dK..: 1 DUCT MORK.....: 0 3-i5 NP.....: 0 Si10/ERS............: t SUMPS..........: 0
6AS NMT....: t M000 STOYES...: 0 15-30 HP....: 0 11tYAT0AIfS.........: 4 YAC BREAKERS...: 6
CONV �lRNER: 0 FURN>t00K.....: 0 30-50 NP....: 0 SIMKS..............: 3 DNAIMS.........: A
BBQ........: 0 MISC..........: 0 5+ HP.......: 0 DISN MASHERS.......: i LA�N SPRINKLERS: D
6AS DRIER..: 0 AIA HAMDLIN6 UNITS FUEC TANKS-------- ELEC MTR NEATERS...: 0 OTHER FIXTUAES.: 0
RAM6E......: 0 <=14,000 CFM: Q ABOVE 6ROUND: 0 LAUN MSHR OUTLTS...: t
6AS l06S...: 0 > 10,000 CFM: 0 UNDEA6ROUMD.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUAMCE IF N� MORK IS STARTEO. RESIDfNTIAI AND 6RADIN6 PERpITS EXPIRE ONE IIEAR AFTER DATE Of ISSUANCE.
I CERTIfY THAT THE INFOAMATION fUANISED BY NE IS TRUE AND tARRECT TO TNE BEST 4F MY KNOMLED6E AND TNE APPLICABLE CITY OF fEAERAI MAY AEQUIRENfNTS MIII BE MET.
OWNER OR AGENT ` `-��� ----- --- ------------- DATE _ rC�; �.
- - ��
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�ate -Z�`Y Bv� ` d e �� C�, b �
FOUNDATION WALLS� "'� �Cc� (,c_Q l J �� �c�t t�e ��J�S�c� .si7�
Date - � B ) � (/C ttJ Q C''. .S�Gu-� 1�� dl/'t � 1t�4 .
PLUMBING GROUNDWORK � j�.� � �� ���• �� �j— Y
Date _ ( �� � By '
UIVUERFI.QOR FRAMtNG
Date By
�i 11 ?
Date � ° �j �/ By �,n
PIUMBING ROUGH=IN
Date j �( ��� gy �
GAS PIPING
Date /�' 1 •��� .�. By
MECHANICAL ROUGH-IN
Dat / �C^ � BY t'
MECHANICAL (OTHER)
Date By
FRAMING
Date i � �� � By
INSULlaTION
Date " � ( V ',�. _ gy �
GWB - 1 ST LAYER
Date � ��j�"�tj By
GWB - 2ND LAYER
Date .�� By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDIN FINAL
Date � �By
OTHER
Date By
OTHER
Date By
CD0193