91-101823 CITY OF FEDERAL WAY 9�� /D � �,3
33530 First Way South g V � L D I N G P E R M I T BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMITNO. 91—016H RA OWNER'SNAME �� MINCY SITEADDRESS 3H�.2 SW DASH PT RD
CONTRACTOR TROJAN BLDRS ADDRESS 24266 143 AVE SE RENT 98031 CONT.PHONE
CONT.REG.NO. TROaTABO119L9 ExP. 6/92 OWNER'S PHONE 661-8698 OWNER'S ADDRESS SAME
TYPEJOB: NEWRESIDENCE ADDITION�X NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER ADDITION TO RESIDENCE
TAXACCOUNTNO. 7HOZZO—O92H LEGALDESCRIPTION LOT 1 HORT P T
ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION _ --����� 2/14/91
BUILDING INFORMATION
ZONE RS 1�J.O SET BACKS:FRONT 2�� SIDE 5��5� REAR 5� HEIGHT LIMIT 3O� MAX
OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N CENSUS NO. 434 TYPE OF HEAT �S BLDG.SQ.FT. $2$ STORIES 2
LUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 2 ELEC.HOT WATER HEATER GAS PIPING75 FT. 2.OO GAS LOGS
BATHTUBS 1 LAUNDRY DRAINS 1 FORCED AIR FURNACE'�S ZO.OO DUCT WORK RECEIVED
SHOWERS URINALS GAS HOT WATER HTR. �2� 13.OO AIR HANDLING UNIT NUMBER
LAVATORIES 2 DRINKING FOUNTAINS CONVERSION BURNER nnisdrOG LTR G.SO
RETURNED
SINKS �- MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES 7 X �S.OO DRYER TOTAL MECHANICAL 3�-.S O qMOUNT NONE
VALUATION �5��276
PLANNING DEPT APPROVAL = DEB BARRER
PERMIT FEE $419.OO
PLAN CHECK FEE 5: O "ROW NOT TO CODE. FORWARD TO PUBLIC WORRS"
PLUMBING FEE
MECHANICAL FEE 31.50 pUBLIC WRS DEPT APPROVAL = RON GARROW
PART P/C FEE
SEPA REVIEW BLDG DEPT APPROVAL = KEVIN ELLIS
UBLIC WORKS 45.��
4.50
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES $807.00 AMOUNT: �807.OO
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 CO ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. �� ..
OWNER OR AGENT DATE
�/�g ��z
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CI FEDERAL WAY , v � •
,33530 First Way South g I L D I N BUILDING �NSPECTION
Federal Way, WA 98003 U G P E R M I T 661-4140
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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
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 ORINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE �
PLUMBING FEE
MECHANICAL FEE
ART P/C FEE
SEPA 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
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� CITY OF �L�ERAL WAY ��
BUILDING PEf �' APPLICATION
� _ �rint��v� �{�p/Q/L�s
BOX 1 TENANT NAME: � .��- (>L
OWNER �' SITE LOCATION 3 8 '� '
OWNER'S ADD CITY � .C�'.��C PHONE
DESCRIBE JOB �- - 4 � � � —
THE PROPERTY IS OWNED BY: SING /MARRIEDj ��RI��PARTNERSHIP CORPORATION r
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— 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.
h` BOX 3 CONTACT PERSON �✓�C'/li �L.('�5c�1'�"I PHONE.3�5-'%'`?� �
� BOX 4 SEWER DISTRICT .� WATER DISTRICT�Cf` �i��
�,� BOX 5 ESTIMATED PROJECT CO .��'� �-�c`�"�� EXISTING BUILDING VALUATIO I��,C'�n'C_�
� BOX 6 PROPERTY TAX ACCOUNT NUMBER ��G��l G'SG�`'��c�
� LEGAL DESCRIPTION�
"� (If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # ,�.
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR/O , � � ?� � 2ND FLOOR 7/�' /c���"�
3RD FLOOR / BASEMENT � 1 r % ' , - , DEC ��� �C'� GARAGE_����%' / �7�%' �
BOX 8 �GLE FAMILY O NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) (��ESCISTING STRUCTURE
O COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY I I, �C"�� SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
N0. `� WATERCLOSETS GAS PIPING, FEET '7_�� $ —' z f=
_�BATHTUBS NO.�FURNACE, ELEC. GAS�� $ ��� �'�
SHOWERS � — �i_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 - ����f���� �...,�� $
DRAINS � ', � �l, •F� � % - c;
OTHER $ y
_�TOTAL FIXTURES $
�(S = 'J S ���'�' 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,
4ND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE REIIANCE OF THE CITY, INCLUDING ITS
FFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
NER/AGENT: 2 �' �-�� DATE: //.� ��`".�f
ANP-008 3/90
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OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) �
ZON �� �' SETBACKS: FRONT �v � SIDE . 5 � REAR -`' r HEIGHT LIMIT 3`� �
PLANNING DEPARTMENT APPROVA���j/
REMARKS:�����«, n/D'T t'o C o D� - ro2cv�icO ro Pu B2.c c wo�ic�'.
SEPA: EXEMPT I/ NOT EXEMPT
FIRE DEPARTMENT APPROVAL �lO��- DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL_ � -� DATE_ z���'�gZ
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��3 TYPE OF CO �UCTION ��� STORES
I��V 1 tt�d q�Sf BUILDING SQ. FT. @ �� = L��� 7
��Z�— BUILDING SQ. FT. � '�� @ �r = �Z 7C S
�� Z- BUILDING SQ. FT. @ �q = � ���
BUILDING SQ. FT. @ _ �
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ /u'✓%�' �-� �'�'- _ � ' � �
TOTAL SQ. FT. TOTAL VALUATION �� z'�� ` ���
BUILDING DEPARTMENT REMARKS: PERMIT FEE _ Y� q_: �'��
PLAN CHECK FEE Z�
PLUMBING FEE 3S`�c%c:
MECHANICAL FEE _ ' (�S�c.
TOTAL BLDG. FEES �s �°s- �%
PART P/C FEE
SEPA REVIEW
;��✓ 1`rfi �`��
S.B.C.C. FEE - S �
OTHER FEES _
� �J �gi J�� �� lV nl AMOUNT DUE ��
C'� �
ASSIGNED ADDRESS: -���` `� K�S ' ( �"�'
,Q'• s.
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� � Qv,��' PARTIAL PLAN CHECK FEE RECEIVED
�� � �<vQ�O� Amount Date Receipt#
�
Q� � ��� BUILDING DEPARTMENT APPROVAL
' `� �9
R� �� BY K'L- DATE �'�7��� � ACCEPTED FOR FILING
V
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pA REPORTNUMBER LR 76256
R��'�p��.ENT ��
DE��� �
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� PACIFIC TESTIN LABORATORIES
EXECUTNE OFFICES EASTSIDE DMSION TACAMA DMSION
3220-'17th Avenue West�Seatzle,WA 98119-1790 1 1824 North Creek Parkway N..Suite 101 •Bothell,WA gep�� 2qp2 pecific Highway East�Tacoma,WA 98424
(206)282d666�FAX(206J 282-0710 f206)451-8436/485-4244�FAX(206)485-4611 (2pg)g22_gpgg�Fqx�206)g2�_1512
REPORTEp�
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MAILING � REVIEWED �
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NUMBER NUMBER ����`�.�
ATTENTION: ARCHITECT
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LOCATION �` �" ���N R�� NUMBER RD CONTRACTOR
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EQUIPMENT IDENTIFICATION AND S/N(AS APPLICABLE) M/qz�,_ �yl-Ip0 �,J�µ� �dgF�I,J ��''�ryf}�WORK CONFORMS YE� ;
"This raport is provided for t�e inlortnatbn of the dient only.The reproduction of Mis report by arry method and its trensmitlal by ary means to a third party without the written pertnission of Padfic TesUng �
laborataies is prohibite0'
'This certificffibn attests to the accuracy ot the resWts obtained irom the aaual test perfortned and/a observatbre made within Me defined scope of the work.Certification shal rot be cor�strued ro represent
inspection,apprwal or acceptance oi other associated work or rran vf design or woAcability W the spectifiption r uirements" ..
Certified Report by �
Pacific Testin Laboratories ��'�' �'"— ` " DATE �y "'F
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FIELD CONTACT: DATE
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