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91-100111 9 )��a►11 CITY OF BUILDING INSPECTION FEDERALWAY BUILDING PERMIT 941-1555 PERMIT NO. 91—OOBH MH OWNER'S NAME JEFFREY W. TILLERY JOB ADDRESS 3001 S 2$$TH ST �69 CONTRACTOR BETTER HOME SYSTEMS ADDRESS 21920 PAC HWY S DESMOINES WA CONT. PHONE 824-1445 CONT. REG. NO. BETTEHS13�.aT4 OWNER'S PHONE 451-9715 OWNER'S ADDRESS �-9H 106TH AVE SE #2 BELLEViTE 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 MOBILE HOME SETUP TAX ACCOUNT NO. 42�-04-9155 LEGAL DESCRIPTION 6� ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 1-22-91 BUILDING INFORMATION ONE �3600 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 924 SET BACKS: FRONT 10� SIDE 4� REAR 4� STORIES HEIGHT LIMIT 3O PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED BATHT�}9S 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 DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION 4,065_60 PLANNING DEPT APPROVAL: DB 1-28-91 PERMIT FEE 72_pp BUILDING DEPT APPROVAL: RC 2-4-91 PLAN CHECK FEE 47_nO PLUMBING FEE CHANICAL FEE _7AL BI.DG. FEES PART P/C FEE DATE S ' + SEPA REVIEW WATER SERVICE �OITNT: WATER MAIN CHG. $12 3.S O S.B.C.C. FEE 4_50 �CEIPT- -�E•s 12 3_5 0 , ' AMOUNT DUE �� 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�Y 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 � ' OATE . ,� . �' � � , r � • ' . t;l�'YOF BUILDING INSPECTION FEDERALWAY BUILDING PERMIT 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS 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 TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OFCONSTRUCTION BLDG. SQ. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT _ 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 _ �AVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE (�� PLAN CHECK FEE � "" 4 "LUMBING FEE �CHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES AMOUNT DUE 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 � i J J �- r Q �- Y °' z m � cq � ' p O F— I � p � U I � , � o W z d � ' � � i Z Q �'i Z ''.. Q '��. C7 Q ' � I� � ' CJ ' Q Z I Z � m I m a S J J � � W � Q � ( a � � � � O � i � ! i '� � ' I � � ; j 'i o c`t J ' � z I I � � a � O m i y� � a , I � o i i � z i � � O li O O � 1 ¢ z � � i z C7 � i � o I � z ' � a : a � � W a Q ~ ~ F C� � H � � O � � (7 Z � � c� � "0 I' � '� �, � v � � M `� "�` � I Z �' � �- r � r > C • �, Z m Q p]... a p� {N � � \ LL. U �i ` .\ `� ' _ �( il � � , � , � � � M��. � � � \ �, ��,� � �I � ' 0 �n I ��j � � � � \ � ' � W ' Y �V z O \ m � J � �- H � H H a H � � n. � O Gt LL o �� ' �_�— � _.. �, , � R�C - ` ' �rmit # �� "�( �l��►t� EIVE� �q N Z z �� 1991 CITY OF FEDERAL WAY '��rQQ�e�..wAy BUILDING PERIVIIT APPLICATION ^ �"!. —Please Print— ��! / tt BOX 1 TENANT NAME: % �,,z - ��; / , J I� t- � � S`� OWNER �- � I,' It�` E LOCATION �-wm r/ -� ��r�. - c_ ?°� OWNER'S ADDRESS � "' - �� CITY ,��%l��cc.� PHONE ��S/�-i' �7/�•� DESCRIBE JOB ' � Mc�6 � v�� y THE PROPERTY IS OWNED BY: SINGLE/ RRI PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �' C" � CONTRACTOR'S REG. # � -F��S�31J� \ Card MUST be presented CONTRACTOR'S ADDRESS �` � � ,' CITY I�S I�'/c+.�S: �PHONE ��I-' ��/�/S� EXPIRATION DATE "?` - — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO EFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON ��c�;� ''1; � �;-� PHONE 3 S' -�L C�i 1 `j�- BOX 4 SEWER DISTRICT �� WATER DISTRICT � "' BOX 5 ESTIMATED PROJECT COST �C�C�J' .G�� EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER Zl�y - ��5�. LEG/A��L DESCRIPTION Sac.:r -�- �p� ��, „�< (�i��.<:��f k;.c- �, 4��''��+�-. --� . c�<; -'� i, ^ l.i..',�'/V th "i \�� (If necessary;please submit a se_ p�rate 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 O NEW CONSTRUCTION �� ' ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL 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 $ TOTHER $ ��TOTAL FIXTURES $ TOTAL MECHANICAL FEE ��-� I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORREC�f 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 T ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE ACC ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. i / ., _ � OWNER/AGENT: J DATE: �� ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE - x BACKS: FRONT �D� SIDE '�J REAR HEIGHT LIMIT ; �,NGI�' PLANNING DEPARTMENT APPROVAL ___�-� -.l�t��// REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL � DATE z � ` �� REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: �' r � ( 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 OCCUPANC� �Z� TYPE OF CONSTRUCTION �� STORES ��1n-<. Gl`�"(�q BUILDING SQ. FT. �I�� @ S .. � � _ �{� Z- U BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. �- @ _ BUILDING SQ. FT. @ ti��'� t ( � ��" = O " ��' TOTAL SQ. FT. TOTAL VALUATION �� 'S � �' BUILDING DEPARTMENT REMARKS: PERMIT FEE 7`' �'G PLAN CHECK FEE ~< <'�% PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES � � vU PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE z . S—G� ASSIGNED ADDRESS: '�--� `' G�' � RECEIVED PARTIAL PLAN CHECK FEE RECEIVED JAN 2 2 1991 Amount Date Receipt# CI'TY OF�ED�RAL WA BUILDING DEPARTMENT APPROVAL BUILDIN�DEPT. �( � { RECEIVED BY DATE�`� ACCEPTED FOR FILING .� Cameea� Square . , � � 3001 S.238th �= . 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