92-100532 CITY OF FEDERAL WAY �f a' ���5.3 J
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
PERMIT NO. 92-OS�.O P OWNER'S NAME FARMERS INSURANCE GROUP (SEiTNG S�E�EE) 31260 PACIFIC HIGHWAY S
CONTRACTOR �L AROiJND PLUMBINGAooaEss 3454 1/2 175TH S SEATAC CONT.PHONEZ4H-lO3O
CONT.REG.NO. 0921.04-92GS EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBLIC PUBLICADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAXACCOUNT NO. 092104-92F)S LEGAL DESCRIPTION
i
ISSUED BY JOANNE JOANSON DATE OF ISSUE DATE OF APPLICATION 4-6-92
BUILDING INFOR ATION
NE 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 WATEfi HEATER 1 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 1 DRINKING FOUNTAINS CONVERSION BURNEF MISC.
SINKS 2 nnisc�ERMIT FEE Z O.O O BBQ BASIC FEE RETURNED
DISHWASHEfiS TOTAL FIXTURESSXS ZS.OO DRYER TOTAL MECHANICAL AMOUNT
45.00
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE 45.OO
IT P/C FEE
SEPA REVIEW
PUBLIC WORKS ���n �
S.B.C.C.FEE ��
�
FIRE FEE DATE:
OTHER FEES AMOUNT: 4S.OO
AMOUNT DUE ��n 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 r ✓ DATE� �
CITY OF FEDERAL WAY
Fede aFWay\,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
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.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
PART 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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�����v�� CITY OF FEDERAL WAY
APR n�.1992 BUILDING PERMIT APPLICATION
��`^'�����Y —Please Print—
BOX 1 TENANT NAME: ,�j�,�,n�-�r /NS, C����� S��/rriG Ci-�v� ��e
OWNER Sc��!>NG- n��l� b�� SITE LOCATION :3I�Go /�Ac, Iaw� se�.
OWNER'S ADDRESS 312�� /��Fr y��,� � CITY /�. ' " PHONE .�z- zs3`Z
DESCRIBE JOB i?�'�s�od�L.� 9 5i/-3/�y
THE PROPERTY IS OWNED BY: SINGLE/MARRIED �� PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME r�-« �i�s�,,�per�.�.r�s�.��- CONTRACTOR'S REG. # �� ���'�-�ey
Card MUST be presented
CONTRACTOR'S ADDRESS 3�/.SY/ /� /7s` .� ,t'c� CITY .SG�A-Ti1-� PHONE Zs/g'/�:3a
EXPIRATION DATE Sr- r - c �
— 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 � /L /�'� PHONE �Y�''-tc�3o
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER o 2/
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 F100R / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
�G�OMMERCIAL/INDUSTRIAL 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 $
f SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
� ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
�LAUNDRY��;;"", ^"T' LT � UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
/ OTHER >'=C�x�z .r7.vK $
��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 ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: � DATE: ��� ��
ANP-008 3/90