92-100100 CITY OF FEDERAL WAY
9 a� �tib/D D
Fede aFIWay1,NW 98003 B U I L D I N G P E R M I T BUILDING INS 661 4'140
PERMITNO. 92-0041 RA OWNER'SNAME �THRYN YATES SITEADDRESS 2611 S Z88TH STREET �17
CONTRACTOR SOUND EXTERIORS ADDRESS 4720 ZZZTH STREET E TACOMA CONT.PHONE 537-1027
CONT.REG.NO. SOUNDE141DR ExP 3/92 OWNER'SPHONE 941-2459 pyyNER'SADDRESS �611 S ZSHTH �17 FEDERAL WAY
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBLIC PUBLICADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER CARPORT
TAX ACCOUNT NO. 283920-0730 LEGAL DESCRIPTION (SEE ATTACHED)
ISSUED BY JOANNE JOHNSON DATE OF ISSUE �t' DATE OF APPLICATION 1-13-92
BUILDING INFORMATION
ZONE RM 2400 SET BACKS:FRONT g, SIDE 8, / 1�', REAR 2�, HEIGHT LIMIT
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 TOTAI FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION PLANNING DEPT APPROVAL: DB 1-15-92
PERMIT FEE 72.00 BUILDING DEPT APPROVAL: MM 1-15-92
PLAN CHECK FEE 47.OO
^LUMBING FEE
HANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE 4 'S� (�
FIRE FEE DATE: 1/dl�/7�
OTHER FEES AMOUNT: � 123.5O
AMOUNT DUE � 7�- �n RECEIPT: '� �SC>
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
CITY OF FEDERAL WAY
33530 First Way South B U I L D I N G P E R M I T BUILDING INS 661 4140
Federal Wa , WA 98003
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC 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 LIMIT
CCUPANCY 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
RECENED
BATHTUBS LAUNDFY 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
VALUATION __
PERMIT FEE -�r�rr �.-+>r� +asn*�r'r`*-� . . • __ 1 r'
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
RT P/C FEE
PA 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
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE l/��`�BY�� ___ DATE - --__-_BY -___...._-_.... DATE ..___ BY _
l
PLUMBING ROUGH IN WATER LINE O.K. -__._ MECHANICAL INSPECTION
DATE BY _ GAS PIPING O.K. __ _ _______ DATE __ BY __
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
, � A ` .,
DATE .-_ ' 7'. � _BY � �:.:� �'�__..._ DATE .._-- __-_ .BY . __ DATE --.... _ _ _ BY
FINAL O.K. TO OCCUPY
_/ ; DCD PSD FD
, �,.i �
DATE:�;�r�f� ���'=BY /�� - --
�
Pe i t # �l"� � `T '
_ ��C�tV�p
JAN � 3 CITY OF FEDERAL WAY
ryoF �. �9 2y�� BUILDING PERMIT APPLICATION rQ-F�. ��-��
�,�,����/�'�7 —Please Print— � �
*.i�, •d.
BOX 1 TENANT NAME: � Q, �S P� � ��--
OWNER A. S SITE LOCATION 4k?i�' L�E'
OWNER'S ADDRESS - " \S ._ �+k i-I CITY• (,c)4�./ PHONE �� - c'�'���j
DESCRIBE JOB C�k2.PQ�-T —�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ri PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME �Jt,L�ri D rcr4XU C.�f�S CONTRACTOR'S REG. # �DutilP L� �-I�I 1 p�
Card MUST be presented
CONTRACTOR'S ADDRES 4'�Z� `�Z� �. � CITY ��c-�cm,�4 PHONE Jr' �— 0�
EXPIRATION DATE �
— OR—
I HAVE READ CHAPTER 18.27.010 REL IN DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ��_M�Ll.�_ � I D►'Yl � i�1.S }1- PHONE `�j�-1� 1 �>�--�
BOX 4 SEWER DISTRICT r- i,l.� . WATER DISTRICT F�L.I.� •
BOX 5 ESTIMATED PROJECT COST �T �� �'�-j'(x�� EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER �� �clal"�3 - �1�JC�
LEGAL DESCRIPTION ��A-t j}��7�1 i
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording# — _ ` '�
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST Ft00R � /� / ` • 2ND FLOOR /
3RD FLOOR / BASEMENT / � DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY (�X) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE � .
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY �� x �� • `f 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
SU PS, SPRINKLER VACUUM BREAKERS OTHER $
AINS $
OTHER $
TOTAL FIXTURES $
� TOTAL MECHANICAL FEE $
I CERTIFY DER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KN LEDGE
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 ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: �,�,��7"?��• _ DATE: �- ��� ����
ANP-008 3/90
�y�.'--..�r.�.�rr�..��q.et..".'�av-.sm^�r'^"R^o++r,xa-n,.t-...^!cF;_ �� ��
� � ,
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) �
�,
ZONE .� SETBACKS: FRONT �� SIDE ` � � REAR Z� � HEIGHT LIMIT �
PLANNING DEPARTMENT APPROVAL 'j���fZ �
REMARKS: ----- � - '
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: �
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: l�
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 /n� TYPE OF CONSTRUCTION //�✓ STORES D?�-
�l�� �Or-�- BUILDING SQ. FT. 1f/� sQ ��' @ /-�, (D = .�Y 7.�,gO
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ /%'!6 � � c 2 X- ��
TOTAL SQ. FT. Lf�� '�a'' ' TOTAL VALUATION �g�� • 7b
BUILDING DEPARTMENT REMARKS: PERMIT FEE � �
PLAN CHECK FEE y7-vb
PLUMBING FEE �
MECHANICAL FEE -�
TOTAL BLDG. FEES �Do
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE � j�
OTHER FEES
, AMOUNT DUE
ASSIGNED ADDRESS: e-Q/
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILD NG DEPARTMENT APPROVAL
RECEIVED BY � DATE 5 ACCEPTED FOR FILING
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