90-101207 qb. ��l�a7
CITY OF BU(LDING INSPECTION
FEDERAL WAY B �J I L D I N G P E R M I T 941-1555
PERMIT NO. 90-14�-5 �MH� OWNER'S NAME WESTERN SAVINGS JOB ADDRESS 3001 S ZSH $T ��' 2� r�
CONTRACTOR M.G. IN ADDRESS POB 2300 SILVERDALE CONT. PHONE �9R-9r,7r,
coNr. aEc. rvo. MGSIN**110PU IO�9�_ OWNER'S PHONE Z71-4Fi7� OWNER'S ADDRESS L� Gn rRAiIV WAV �7l R �Fj�T��
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. tNDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER M(JBII�E HC�MF=
TAX ACCOUNT NO. 0421O4-q1SS LEGAL DESCRIPTION �QT t��(;�j�Yfj_,,L�T G(1_�Ti_A�,
� } ;
ISSUED BY F.T,I Z�EiETH SNYL�EB DATE OF ISSUE "' - J DATE OF APPLICATION_���T�[1
BUILDING INFORMATION
NE RM3600 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. NA
SET BACKS: FRONT �� �C� SIDE S� & 17� REAR � �� STORIES NA HEIGHT LIMIT NA
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
DISHWASHERS TOTAL FIXTURES �E UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $4,065_00
PERMITFEE $��_nn PLANNING DEPT APPROVAL = BILL RINGMAN ON 9/12/90
PLAN CHECK FEE �_nn
PLUMBING FEE BUILDING DEPT APPROVAL = REVIN ELLIS ON 9/11/90
CHANICAL FEE _
- TAL BLDG. FEES 7 7 Q n n
PART PIC FEE
SEPAREVIEW OWNER: NEED TO CALL FOR A "BLOCKING/TIEDOWNS" INSPECTION AND A "FINAL"
WATER SERVICE INSPECTION.
WATER MAIN CHG.
S.B.C.C. FEE 4 �1O p
OTHER FEES DATE PAID / —� 7 ��J AMOUNT �Z,J- �� RECEIPT y /
AMOUNT DUE $� 7�_ ri�1
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.•RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORREC TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
, OWNER OR AGENT OATE / �
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• '� '� Permit # �
�i��i�l���
QU� 2 � �gt�� CITY OF F`EDERAL WAY ��
CITYOFFEDERALWAY BUILDIN� PERMIT APPLICATION
E3U(LDENG D�PT. —Please Print—
BOX 1 TENANT NAME:
OWNER .��"/- � • ��`�" /� ��' SITE LOCATION �/� � � � C'-���
OWNER'S ADDRESS ✓`� S. ' '�l� ° � � CITY c?�'�'�' � PHONE - �/� � � �'
DESCRIBE JOB /%�� / �`�'. �, � �! �
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION �
BOX 2 CONTRACTOR'S NAME ��i .� . ,;, ���� CONTRACTOR'S REG. #`!i��`i�'✓� i�C�f��
� � / �' Card MUST be presented
CONTRACTOR'S ADDRESS 1���- 1�S�72c'" 1�G��j CITY ��L`�c�:': .�r'" PHONE ���� �S L-.�
EXPIRATION DATE !l�- �f�C:�
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON � � � ����' lJ"� - PHONE L � ��' � � � �
BOX 4 SEWER DISTRICT ,�' WATER DISTRICT ��
BOX 5 ESTIMATED PROJECT COST � " -� EXISTING BUILDING VALUATION ���
BOX 6 PROPERTY TAX ACCOUNT NUMBER � 'i��%�J� C l'.�.s - �/
LEGAL DESCRIPTION
(If necessary, please submit a_se�arate page with the legal description.)
K.C. Plat Recording # __ �.�1
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY O NEW CONSTRUCTION ��� ��....
( ) MULTIFAMILY(N0. OF UNITS = ) ( ) EXISTING STRUCTURE ��'��'�/ � `�'•�
( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
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 $
UMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTALFIXTURES $
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 FURTHERAGREETOSAVE HARMLESSTHE CITYOFFEDERALWAYASTOANYCLAIM(INCLUDING COSTS,EXPENSES,ANDATTORNEYS'
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.
__---i �, �. :
�� .-,rT
OWNER/AGENT: ��i � ' � �� DATE: � �
ANP-008 3/90
. �'
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONER�SETBACKS: FRONT � ��� SIDE 5 � 17� REAR�_HEIGHT LIMIT �p�
PLANNING DEPARTMENT APPROVAL GI'�Z"� � ��'—'�
REMARKS: �C ��i=:E K�t:'�,c-� S !i� i'c.A��;.
('�'iL- c cz(�4�C 1 l �'�T � ��.,
SEPA: EXEMPT�_NOT EXEMPT
FIRE DEPARTMENT APPROVAL ' DATE
REMARKS: � `
PUBLIC WORKS DEPARTMENT 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
OCCUPANCY � I�� TYPE OF CONSTRUCTION �L� STORES
�-�;,�.rn� G�� o �� BUIL�ING S!. FT. z U @ -�` �'�% = y� �
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ ��- �� � �� � U �, �
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION ��'�-� ° � G
BUILDING DEPARTMENT REMARKS: PERMIT FEE "� ��
PLAN CHECK FEE >• ���
PLUMBING FEE �'
MECHANICAL FEE
TOTAL BLDG. FEES � `� � �'�
PART P/C FEE �'
SEPA REVIEW G
S.B.C.C. FEE ` U
OTHER FEES �'
AMOUNT DUE � Z ' �'
ASSIGNED ADDRESS: � � � � �
��, �� ����:�'��,.��,
=, C� �"�:�.'`;. PARTIAL PLAN CHECK FEE RECEIVED
c� .,; ,_
l �,, ��1 j`�`p�� Amount Date Receipt#
' �' �� ��� BUILDING DEPARTMENT APPROVAL
,� .�' � � / C� •- I( -"�`C�
,� ,
RECE�V�"b BY � " DATE ACCEPTED FOR FILING