91-101625 CITY OF FEDERAL WAY 9�'���6°1,�
33530 First Way South B U I L D I N G P E R M I T BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMITNO. 91-�"SH9 �1 OWNER'SNAME INTERNATIONAI, RINGS TABLE INC SITEADDRESS 31845 PACIFIC HIGI3WAY S
CONTRACTOR I'ONNIO HAMM & ASSOC, IIaT�RESS 83788 RAINTREE STREET CRESWELL OR CONT.PHOr��03) 726-2992
�r.�'t�o# 082104-9126 (CON��ACTOR°So�S���iNITTA150LR) OWNER'SADDRESS91S 118TH AVE SE SUITE 390 BELLEViJE
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBIR����UB�Bi�S.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION ATTACHED
ISSUED BY JOANNE JOFINSON DATE OF ISSUE � / DATE OF APPLICATION I Z-O H-91
BUILDING INFORMATION
ONE CC SET BACKS:FRONT 20� SIDE �� REAR �� HEIGHT LIMIT 35�
OCCUPANCY A3 TYPE OF CONSTRUCTION VN CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. 4896 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 TOTAL FIXTURES 4X$5 �0-.--00 DRYER TOTAL MECHANICAL AMOUNT
VA�UATION' 60,906.2 P�NING DEPT APPROVAL: LS 11-18-91
PERMIT FEE a�a_nn FIRE/BUILDING DEPT APPROVAL: CR ICC 11-19-91
PLAN CHECK FEE �n 2_n n
PLUMBING FEE 2O.OO
MECHANICAL FEE
ART P/C FEE
EPA REVIEW
PUBLIC WORKS � ���
S.B.C.C.FEE 4.5� ^�'
FIREFEE 23'2� DATE:
OTHER FEES AMOUNT: H13.7O
AMOUNTDUE ���'�� 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 f� �" DATE�_�' �,L �*`-'
CITY OF FEDERAL WAY
Fede aFlWay`,NW 98003 B U i L D I N G P E R M I T BUILDING INS 661 4140
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
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 TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
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 _...._—_......-__...----BY -_—_---__— DATE ...._— .__. —._.BY _—.. _.___..____ DATE ___ - ____ BY _ _
PIUMBING ROUGH IN WATER �INE O.K. _ MECHANICAL INSPECTION
DATE__���y�._ BY ��___----__ GAS PIPING O.K.- —____ DATE ___ --- _BY
O.K. TO ENCLOSE FRAMING �f INSULATION WA�L BOARD AND FIRE WALL
DATE_I�L�Y�`IaZ__BY �Y�h'� _-_ DATE — _—..... BY _ _—...._ DATE -���p/_.-L 2'_ BY ��`CJ __
t
FINAL O.K. TO OCCUPY
/� DCD PSD FD
DATE_ (����Z BY /_/� --
/ _--
TC / /� n /c 2�c_ ,5 "�O !C Y
� L
� , -- - � 1 ��'
y - C� ' ��2. ,� � , -
����/ �m�t # �' I � I �
. 1� No '�'�'�
. crn►oF� �8 1991 CITY OF FEDERAL WAY � ('�,,,
6!!1 ��tqqL Vy Y1
'-aNc�� q�BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME: � � I�
OWNER K �� ' �`� ITE OCA ON
OWNER'S ADDRESS _ �F= � CITY �,�2 piLs'�� PHONE �
DESCRIBEJOB tLkv.- �
THE PROPERTY IS OWNE BY: SIN LE/MA RIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAM h�i r� - - �� CONTRACTOR'S REG. #�O�/n� � � / S G�J�
��7�,�'' ��`' �»'� 5'7�rP�.� Card MUST be presented �
C O N T R A C T O R'S A D D R E S S C I T Y C�l>�s�-� I�G Y P H O N EJ�' d 3—7��' 3'l y�--
EXPIRATION DATE —�
y
— 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 � - PHONE S��"3-7���-?y��
BOX 4 SEWER DISTRICT � WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST �c>. cx-» EXISTING BUILDING VALUATION ---
BOX 6 PROPERTY TAX ACCOUNT NUMBER bC' - � � D � �
LEGAL DESCRIPTION
� �
(If necessary, please submit a separate page with the legal descriptio .
K.C. Plat Recording # � �
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR�/ � o0 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( � NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) � EXISTING STRUCTURE
� COMMERCIAUINDUSTRIAL 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 $
OTHER $
�TOTAL FIXTURES $
S ZQ .00 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 FI LED AGRINST THE C F FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
OFFICERS AND EMPLOY S, U ON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGEN • c DATE: ��'-" �� �r
� ANP-008 3/90
., ,...-....---�----.'r. -�•----..-.�..a....-..-_---._..T._.. ._..-.........._.._,-.,vo--.r,•.Vc�.'..�.yx.---�`�—.....-.., .,-.o. ,._.__�..,.,.,.,,,,.,-..,-,.,.�:� _�....:....K...,,,p�,�,A...i ,. . .. ...
/ .,
� �
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE -C_ SETBACKS: FRONT � SIDE C'� REAR C'� HEIGHT LIMIT �� '
PLANNING DEPARTMENT APPROVAL ���, ..1� /� /8-��'/
REMARKS: '�o �'��-E��o,� ��•L�lavFc_.i.cf-�., C� �-L_T�l�-�i�c•c�S. �
!N Ea'�ESS oF ��o, ovo �A-c_.u� o� f�Lt�'i�lJ�-wlr�l�?
SEPA: EXEMPT � NOT EXEMPT
FIRE DEPARTMENT APPROVAL G DATE �� �_�Y`�,�
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 TYPE OF CONSTRUCTION �/V STORES
BUILDINGSQ. FT. YS�� @ �Z. ZO = �c�t{,��/. z-
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT�. @ _
BUILDING SQ. FT. @ �✓(00 r� t C-!r = = G� - �—a
TOTAL SQ. FT. TOTAL VALUATION ����T�� ' Z y
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 � o
OTHER FEESF D �e.-e •
AMOUNT DUE
ASSIGNED ADDRESS: ti
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY � DATE I � `P � � I I ACCEPTED FOR FILING