91-101160 9J '����G �
CITY OF BUILDING INSPECTION
FEDERAL WAY BU I LDI NG PERM IT 941-1555
PERMIT NO. 91-1120 MH OWNER'S NAME �PLIGHTER HOMES JOB ADDRESS 26�-1 S ZHH ST �G3
CONTRACTOR ALBRITTON CONTRACTING ADDRESS 3505 99 AVE E PUYALLUP CONT. PHONE 848-9811
CONT. REG. NO. �LBRIC13SL2 6/92 OWNER'S PHONE 946-4997 OWNER'S ADDRESS 261�- S 288 ST FEDERAI, WAY 98003
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 MOBILE HOME & CARPORT IN MOBILE HOME PARR
TAX ACCOUNT NO. ZH392O-0730 LEGAL DESCRIPTION THE W 3�..�.�J� OF GOVT LOT 1 St THE E 365.7H� OF
GOVT LOT 2 ALL IN SEC 4 T 21N R 4 E WM IN RING CO WASH
ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE ' DATE OF APPLICATION 8�2 O�91
BUILDING INFORMATION
ZONE RM 2400 OCCUPANCY R-3 TYPE OF CONSTRUCTION S-N BLDG. SQ. FT. 29 73
SET BACKS: FRONT H� SIDE S��1 F)� REAR 5� STORIES NA HEIGHT LIMIT 3O� MAX _
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.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
D'r'SHWASHERS TOTAL FIXTURES NQNE� UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION �', 11�3 O H.O O
� PLANNING DEPT APPROVAL = DEB BARRER
PERMIT FEE $135.OO
PLAN CHECK FEE 8 8•0� "FRONT SETBACR IS 8 FEET"
UMBING FEE
:HANICAL FEE FIRE/BLDG DEPT APPROVAL = REVIN ELLIS
TOTAL BLDG. FEES
PART PIC FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. DATE:
S.B.C.C. FEE 4.5�
OTHER FEES AMOUNT: 227�SO
AMOUNT DUE �227'5O .
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:
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����� CITY OF FEDERAL WAY
��"2�a�� BUILDING PERMIT APPLICATION
�''•E�`,�'��� —Please Print—
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BOX 1 TENANT NAME:
_ � � (� S
OWNER 1Ainolral,terz /-�or»�s SITELOCATION Q26/� S �S'��`� S�- - '�«Icrr.i/ GuA��
OWNER'S ADDRESS a6/f �. a��'�'' ��_ CITY ����R�a I G��y PHONE 94 6- ti 9��
DESCRIBE JOB h'1�f o tin e T � � .
THE PROPERTY IS 0 NED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME �I J�R�t ta N �o N R�4 c��N9 CONTRACTOR'S REG. #AL f3 R I C 13 S L Z.
Card MUST be pres�rt e
CONTRACTOR'S ADDRESS 3S OS 49 {� R v L � CITY��,�/�D PHONE 8y 8 - 4 A I 1 � "
EXPIRATION DATE d ' Y - 9
— OR— +/
I HAVE READ CHAPTER 18.27.010 RELA G 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 �� S o�eR PHONE 9 y6 , '�'�7
BOX 4 SEWER DISTRICT — WATER DISTRICT —'
BOX 5 ESTIMATED PROJECT COST 5�0 OOa EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER a $ 39ao � 7.3 0
LEGAL DESCRIPTION 5 e c �}-trt A c G� ed
(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 /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( �-) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 3 �� ��0 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 HO ATER HEATER $
�LAVATORIES CONVERSIO URNER $
SINKS BOILER, SIZE�� BTU $
DISHWASHERS AIR HANDLING UNI7S $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UIdITS, SIZE $
RINKING FOUNTAINS COMMERC RC HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHE $
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 ASTO 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: _�- l9 -- 9/
�
ANP-008 3/90
. �
OFFI�E USE ONLY (PLEASE DO NOT WRITE'BELOW ThiS LINE) �� �'"`�,;�; .
�� t
ZONE Ly�SETBACKS: FRONT �� SIDE 5� ��� REAR � HEIGHT LIMIT � �—
PLANNING DEPARTMENT APPROVAL $ Z �!� t'; .
REMARKS: �'����/I�i�C. i S � -�, �E-.t�;t,:,; . t'!'::a
.< t��l.' �.'?!n.i. :�°
SEPA: EXEMPT � NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE c`> � ,� — �.��_
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL_�/1 /'— 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 3 TYPE OF CONSTRUCTION �%��� ,� STORES C ,
�'' � ��C� � o l-� BUILDING SQ. FT. (�i'�- @ S`�'C-' _ �i�Gi C-;
�.�� " yz' '— BUILDING SQ. FT. �2�1 � @ ( �� (�' _ ��- ��' - �
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ � _
BUILDING SQ. FT. @ �� ` t �� l� =y � ` ' ��
TOTAL SQ. FT. ' TOTAL VALUATION � �G �' � �� ��
BUILDING DEPARTMENT REMARKS: PERMIT FEE 3�
PLAN CHECK FEE �-���
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE � � ���'�
OTHER FEES p
AMOUNT DUE
ASSIGNED ADDRESS: �<-E�— ��'— c �f� � �i'1-
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY �"� DATE �� ` 3 � �� � ACCEPTED FOR FILING
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cn � 2.INSTALLATI N OF T' L�j10BILE HOME SHALL BE PER ' l
�' � MANUFa4GT RE.�S- MMENBA�fANS,� , � I ��
Q �—?.PROVIDE A JOB SITE COPY OF 7HE MANUFACTURER'i. � I I _
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, • ,' �DEPT. OF COMMUNITY C� �}4��ti`!� TO THE OVED DR INGS
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N�;�iE PA�K F'.r�tC�NE�.i : ': �D
,�O�LE QUG 2 � �991
� YUHL & ASSOCIATtS � p�rEUERALWAY
� S T� U C TU R E � 282a NORTHu� waY �'"�'���,. -,. .%