91-101475 9�,�a� y�5
CITY OF B � � p � BUILDING INSPECTION
FEDERAL WAY u N G P E R M I T 941-1555
PERMIT NO. 91-1432 MA OWNER'S NAME R YATES JOB ADDRESS ZFil� S 2$$TR �1']
CONTRACTOR SOUND EXTERIORS ADDRESS 4�IZO 112TH ST E TArnMA CONT. PHONE �,�7-7 (177
CONT. REG. NO. SOUNDE141DR OWNER'S PHONE 941-2459 OWNER'S ADDRESS �n046 ZZTH I�N Sw �'����w�
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. ZH392O-O�I3O LEGAL DESCRIPTION (SEE ATTArHF.n)
ISSUED BY JOANNE JOIiNSON DATE OF ISSUE �C^ `��--� - c� DATE OF APPLICATION ��-��-��
BUILDING INFORMATION
ZONE RM Z4OO OCCUPANCY R3 TYPE OF CONSTRUCTION `JTT BLOG. SQ. FT. ���G
SET BACKS: FRONT S� SIDE 12� � 9_4' REAR 2Q 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
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINI(S MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
PLANNING DEPT APPROVAL: NORTH SIDE OF SITE ID ON PLAT AS PARRING LOCATION.
VALUATION � -��R d THIS PERMIT IS FOR MOBILE PLACEMENT ONLY. DB 10/16 91
PERMITFEE 90.00 BUILDING DEPT APPROVAL: RC 10-17-91
PLAN CHECK FEE 59.OO
UMBING FEE
CHANICAL FEE _
TOTAL BLDG. FEES
PART PIC FEE
SEPA REVIEW DATE: �C j,� - �!/
WATER SERVICE
WATER MAIN CHG. AMOUNT: $153.S O
S.B.C.C. FEE 4.5�
OTHER FEES RECEIPT: �l �-��
AMOUNT DUE 153.5�
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.�RESIDENTIAL AND GRADING PERMIT�S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
.. REQUIREMENTS WILL BE ME . '
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����r�r!�� -
' OCT 1 1 1991 CITY OF FEDERAL WAY
�`,iT1/(���.DEAAI.WAI/ BUILDING PERMIT APPLICATION
�f�1��P.r —Please Print—
BOX 1 TENANT NAM : ,j
OWNER SITE LOCATION lI �v. ;�7�� —
OWNER'S ADDRE S ' ' �� ���� CITY F. �.cj PHONE 9 /-�4 S�j
DESCRIBE JOB �t��l� �t;n't E _S�
THE PROPERTY IS OWNED BY: SINGLE/MARRIED `� PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME -`� CONTRACTOR'S REG. #SrC�41��G f.-�c I4-l ��
Card MUST be presented
CONTRACTOR'S ADDRES ��"Z-� -� � ' `'� ~ 7 �
CITY � t- PHONE ..���—��- �-
EXPIRATION DATE I ��
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY EONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON >.��7 I� �l-(.�-7CC�- PHONE ��7 j���-�
BOX 4 SEWER DISTRICT ���� WATER DISTRICT f��-�-�
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER � ��� 'Q7�C�
LEGAL DESCRIPTION �F_,���E=���D
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (�O SINGLE FAMILY M;C���t,E,��n't� O NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE � %
O COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY �� X �f-�-`� SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
N0. WATERCLOSETS GAS PIPINQ, FEET $
BATHTUBS N0. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES CON�RSION BURNER $
INKS BOILER,SIZE BTU $
D WASHERS AIR HANb.�ING UNITS $
ELE RIC HOT WATER HEATER HEAT'PUM , SIZE $
N Y WASHER OUTLET U HEATE $
RINALS IR COOLING U TS, SIZE $
DRINKING F TAINS COMMERCIAL H00 $
SUMPS, SPRIN 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 A�CCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: ;� � (.� �� ` DATE: ( �i I
ANP-008 3/90
OFFIt,t USE ONLY (PLEASE DO NQT WRITE BELOW Tni� LINE) ' � �
ZONE� ETBACKS: FRONT �� SIDE !Z� R•`r�� REAR Z�d HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL Lo/!6/9/ /d�1�
REMARKS: trv'f1't �lG(2 5i� 0�+ a� � •
D�tlL
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL ��(.� DATE (� �'I��' `� [
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 3 TYPE OF CONSTRUCTION lI-� STORES
BUILDING SQ. FT. (��� @ S` � v = �7G�G
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ ��C< < �-� - � '�
TOTAL SQ. FT. TOTAL VALUATION �7 S� •
BUILDING DEPARTMENT REMARKS: PERMIT FEE �
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE �S U
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: ��'- �-��S � �
RC����f�� PARTIAL PLAN CHECK FEE RECEIVED
OCT 1 1 1991 Amount Date Receipt#
CI°I'Y O�r���1�RN1.4VqY BUILDING DEPARTMENT APPROVAL
6UIlL�NG i�F'7. ' q
i �
RECEIVED BY � DATE l Q ��7 t � ACCEPTED FOR FILING
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