92-100077 CITY OF FEDERAL WAY 9a- !d 0 0 7�
33530 First Way South g V I L D I N G P E R M I T BUILDING INSPECTI N
Federal Way, WA 98003 661-4140
PERMITNO. 92-0028 P OWNER'SNAME INTERNATIONAL ICINGS TABLE SITEADDRESS 31845 PACIIFC HIGHWAY S
CONTRACTOR BEST PLIIMBING & HEAT��NC 4139 STONE WAY NORTH SEATTLE CONT.PHONE 633-1700
CONT.REG.NO. BESTPI2338O EXP.�OWNER'S PHONE 637-9895 OWNER'S ADDRESS 915 118TH AVE SE #390 BELLEViJE
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBLIC PUBLICADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. O H Z Z O 4-912 F) LEGAL DESCFIPTION
..�
SUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 1-8-92
BUILDING INFORMATION
ZONE 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 DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS 9 MIS(�ASIC FEE ZO.00 ggp BASICFEE RETURNED
DISHWASHERS TOTAL FIXTURES9XS 45.OO DRYER TOTAL MECHANICAL AMOUNT
VALUATION 65.��
PERMIT FEE
AN CHECK FEE
�UMBING FEE �
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES 65.00 AMOUNT: 65.��
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 INFORN�A ON FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. �
. i� �
OWNER OR AGENT �T^ ' �� DATE ` ,�--'� /��
�
CITY OF FEDERAL WAY
Fede aFlWay\,NWA 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
-�NE 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 UFiINALS 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
cPA REVIEW
PUBLIC WORKS
S.B.GC.FEE
FIRE FEE DATE:
OTHER FEES AMOUNT:
AMOUNT DUE RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADlNG 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 WAL�S PLUMBING GROUNDWORK
DATE __ _-__.._,--BY ___ _ DATE BY -___ DATE _.�,.����/--Z.BY //� _
� -- _
PLUMBING ROUGH IN WATER LINE O.K. _ MECHANICAL INSPECTION
DATE ...- -__ _BY GAS PIPING O.K. DATE BY _ _
O.K. TQ ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE__- ,--._ ___... BY __ _.__ DATE __ _.. ...-_ BY DATE . __ _._ BY
FINA� O.K. TO OCCUPY
DCD PSD FD
� DATE_l�,'1'��yZ�BY ����_`� ___- --
Perm' � � — � C��,� �
���'Etl/�D
��N 8 199z CITY OF FEDERAL WAY
�,��� BUILDING PERMIT APPLICATION
���Y —Please Print—
M�id��
BOX 1 TENANT NAME:
OWNER :=��� -� �� %' , ,� - T�-,- i SITE LOCATION � �-<'�� - � ./,;, �.�<;.
OWNER'S ADDRESS ;'� '' �/:f� '"` ��'�,-' - ''' CITY .'`>s :�'� :�.c,'- PHONE. ;,' ;�`,- ,-
DESCRIBE JOB �t� ����- �r` ��. ����'i-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION -
BOX 2 CONTRACTOR'S NAME /c-� i 1'�'�����- �-:, %' -�> <',✓: CONTRACTOR'S REG. #•�'� '.% r� � _�".`.`�
� ' Card MUST be presented
CONTRACTOR'S ADDRESS ���' y �� ` v� ���- �'- CITY > ' � !` '• PHONE <� ` � � �
EXPI RATION DATE �'% -y' '
— OR—
I HAVE READ CHAPTER 18.27.010 RELATIN 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 - `
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER_-�� �� ��� �"�` �% - i% �" (.=
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 / 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 �� i: , ; �, ;•, �� $
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 APPLICi4TI0N IS
MADE.I FURTHERAGREETOSAVE HARMLESSTHECITYOFFEDERALWAYASTOANYCLAIM(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,INCLllDJNG ITS
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION:
-,
, � , -,
OWNER/AGENT: � �'' ��� /�'`���� � `���' � DATE: �1 �
ANP-008 3/90
..�, .. ,«,. R, �.�,> :
�
OFFICE USE ONLY (PLEASE DO NOT WRITE B�wW THIS LINE) :-°�;p,�;�. ` `
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT ��. ;���F .
PLANNING DEPARTMENT APPROVAL �
REMARKS: ' "
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 TYPE OFCONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
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
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
�,��IV�D
PARTIAL PLAN CHECK FEE RECEIVED
�AN � 1992 Amount oate Receipt#
����PT. Y BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING