92-100634 CITY OF FEDERAL WAY 9a '�ati63y
33530 First Way South B U I L D I N G P E R M I T BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. 92-0656 RA OWNER'S NAME JON Sc ME�I'VA RAND SITE ADDRESS 424 S 289TH FEDERAL WAY
CONTRACTOR DISCOVERY A�MES C�NS`�p���. 433 S 289TH FEDERAI, WAY CONT.PHONE 941-9474
CONT.REG.NO. DISCOHCO9ILF EXP. 6�92 OWNER'S PHONE 941-3207 OWNER'S ADDRESS 424 S ZH9TH FEDERAL WAY
TYPEJOB: NEWRESIDENCE ADDITION XX NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER DECR
TAXACCOUNT NO. 5�-529H—OOHO LEGAL DESCRIPTION LOT 8 MARINE HILLS WEST
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 4-2$-92
BUILDING INF RMA ION
ZONE RS 9.6 SETBACKS:FRONT 20, SIDE 5, REAR 5, HEIGHT LIMIT 3O�
OCCUPANCY M2 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
1 560 �-'�NING DEPT APPROVAL: DB 5/5/92
VALUATION •
PUBLIC WORRS DEPT APPROVAL: JS 5/7/92
PERMITFEE 37.00 BUILDING DEPT APPROVAL: RC 5/6/92
PLAN CHECK FEE 24_OO
LUMBING FEE
ECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS ��_nn
S.B.C.C.FEE 4.5�
FIRE FEE DATE:
OTHER FEES AMOUNT: 1 O O.S O
AMOUNT DUE lOO.SO 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 AN R ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
. BE MET.
OWNER OR AGENT " DATV � //'��
CITY OF FEDERAL WAY
Fede aF'Way1,NWA 98003 B U I L D I N G P E R M I T BUILDING INS 661 4140
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTFiIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBLIC PUBLICADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
'ONE SET BACKS:FRONT SIDE REAR HEIGHT�IMIT
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 TOTA�MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES AMOUNT:
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
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APR 2 8 �992 CITY OF FEDERAL WAY �
��i�'���� BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME: Qti � � �f�L f 1.jv .
OWNER SITE LOCATION
OWNER'S ADDRESS �2� '��• ?�C CITY '�"°' PHONE�' -a Z�
DESCRIBE JOB � ' �� �
�
THE PROPERTY IS OWNED : SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME °' �� ' CONTRACTOR'S REG. # �i SCvI-Ir.'.��J �F�
Card MUST be presented
CONTRACTOR'S ADDRESS ��` �- ���T� CITY (.�,��� PHONE��f/- -�9Y��
EXPIRATION DATE -
OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFI F GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON � PHONE ��/ - �`�77"
. - � - -
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST �_ • �: EXISTING BUILDING VALUATI(1N � �;-; �f }
BOX 6 PROPERTY TAX ACCOUNT NUMBER � �
LEGAL DESCRIPTION
� -�Q
.
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR _� 2 D FLOOR /
3RD FLOOR / BASEMENT / DECK� GARAGE /
BOX 8 (�SINGLE FAMILY ( ) NEW CONST
( ) MULTIFAMILY(N0. OF UNITS = ) � EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS N0. 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 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 WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON THE ACCUR�C OF E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
. � . /�►;
OWNER/AGENT: � . DATE: � � � � `'l. Z�
ANP-008 3/90
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OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZON - � � SETBACKS: FRONT-'� �� ��SIDE �� REAR ��� HEIGHT LIMIT �C �
PLANNING DEPARTMENT APPROVAL �/ �/ �� ���
REMARKS: . .. . _ _ .
SEPA: EXEMPT l�_NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE .��?�"L-
REMARKS:
G
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 /��I Z TYPE OF CONSTRUCTION V STORES
(�--C.� BUILDING SQ. FT. � �C� @ ( � _ �S�P �'
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BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION �S �' �'
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE Z
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
`�t3L.tC �2�LS 3 j •cz�
S.B.C.C. FEE �'S �
OTHER FEES
AMOUNT DUE
;
ASSIGNED ADDRESS: �' e- � h
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY � DATE � � �` "� Z ACCEPTED FOR FILING
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