92-101372CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 29604 7TH AVE
PARCEL NO.: 720520-0200
PROJECT DESCRIPTION: PROJECT
GRADE AND FILL -- EXTEND
OWNER
JOHN BOE
2544 S 302ND PL
FEDERAL WAY WA 98003
941-8986
BLD?:X MEC?:? PLM?:?
TYPE OF WORK:? USE:?
CENSUS CATEGORY.....:?
OCCUPANCY GROUP----------
;?
TYPE OF CONSTRUCTION-----
:?
OCCUPANT LOAD ------------
. 0: 0: 0: 0:
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
Sw
LOCATION: LOT 20
STORM SEWER, FILL
FLR--EXIST--PROP---
1ST.:
0:
O:Sf
2ND.:
0:
O:Sf
3RD.:
0:
O:Sf
OTHR:
0:
O:Sf
BSMT:
0:
O:Sf
DECK:
0:
O:Sf
GAR.:
0:
O:Sf
TOTL:
0:
O:Sf
FUEL TYPES.:?
?
FANS........... 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K..... : 0
BBQ........ :
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<=10,000 CFM: 0
GAS LOGS...:
0
> 10,000 CFM: 0
REDONDO HIGHLANDS #3
CONTRACTOR
SEGALE, INC
PO BOX 88050
TUKWILA WA 98188
575-3200
SEGALKA372NO
DWELLING UNITS: 0
STORIES........: 0
HEIGHT.....: 0.00 ft
VALUATION----------
EXIST..S: 0
PROP ... S: 10000
RECEIVED.:08/27/92
BOILERS/COMPRESSORS
0-3 HP....... 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP........ 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
COMP PLAN.........:?
REQUIRED PARKING..: 0
REQUIRED SETBACKS -------
FRONT ......... : 10.00 ft
SIDE........... 5.00 ft
REAR..........: 5.00:ft
LENDER
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW..... 0 gpm
WATER SERVICE..:?
SEWER SERVICE..:?
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y
WATER CLOSETS......: 0
BATH TUBS..........: 0
SHOWERS ............: 0
LAVATORIES.........: 0
SINKS ..............: 0
DISH WASHERS.......: 0
ELEC WTR HEATERS...: 0
LAUN WSHR OUTLTS... : 0
URINALS......... 0
DRINKING FOUNT.: 0
SUMPS........... 0
VAC BREAKERS...: 0
DRAINS.......... 0
LAWN SPRINKLERS: 0
OTHER FIXTURES.: 0
PERMIT NO.: BLD92-2103
ISSUED: 09/17/92
BY: RM
9a-/o/;7.)
FEES:
PUBLIC WORKS-MISC... S 50.00
FINAL PLAN CHECK...* S 30.00
BUILDING PERMIT....* S 126.00
TOTAL FEES S 206.00
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
bld_prmt 07/31/92
PerRECENEU #_
CITY OF FEDERAL WAY
AUG 141992 BUILDING PERMIT APPLICATION
()If'N ()F ; EE;QEi;AL IPyAV — Please Print —
WLDW IMPT
BOX1 TENANT
OWNER SITE LOCATION =,.r F'Fe�p2xl�
OWNER'S ADORE S-9--MA4. CAMIRIPINK&L 1 JOB I /.lJIIi/!r'N J ;719-
PROPERTYTHE OWNED 1 PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS
EXPIRATION DATE
CONTRACTOR'S REG. #
Card MUST be presented
CITY � PHON ,§"__I,57_' fR0117
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS 15 UING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON . rnu�v '•� -tea
BOX 4 SEWER DISTRICT WATER DISTRICT .
BOX 5 ESTIMATED PROJECT COST VW49a2 EXISTING BUILDING VALUATION 7r
BOX 6 PROPERTY TAX ACCOUNT N
LEGAL DESCRIPTION f;
(If necessary, please submitsubmitp separate page
K.C. Plat Recording #
ption.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 4tT FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT J DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
NO. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER
$
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; ANp 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 ACCQACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR. HEIGHT LIMIT
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 OF CONSTRUCTION STORES
BUILDING -SO. FT. @ _
BUILDING SO. FT. @ —
BUILDING SQ. FT. @ —
BUILDING SQ. FT. @ —
BUILDING SQ. FT. @ _ —
BUILDING SQ. FT. @ —
TOTAL SO. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
�
s
RE a Eol
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date _ Receipt #
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
BUILDING DEPARTMENT APPROVAL
BY DATE_ ACCEPTED FOR FILING
CITY OF FEDERAL WAY BUILDING PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 29604 7TH AVE SW
PAARCEL NO.: 720520-0200
PROJECT DESCRIPTION: PROJECT LOCATION: LOT 20 REDONDO HIGHLANDS #3
GRADE AND FILL -- EXTEND STORM SEWER, FILL
OWNER
JOHN BOE
2544 S 302NO PL
FEDERAL WAY WA 98003
BLD?:X MEC?:? PLM?:?
TYPE OF WORK:? USE:?
CENSUS CATEGORY.....:?
OCCUPANCY GROUP----------
:?
TYPE OF CONSTRUCTION-----
;?
OCCUPANT LOAD ------------
. 0: 0: 0: 0:
FLR--EXIST--PROP---
1ST.:
0:
O:Sf
2ND.:
0:
O:Sf
3RD.:
0:
O:Sf
OTHR:
0:
O:Sf
BSMT:
0:
O:Sf
DECK:
0:
O:Sf
GAR.:
0:
O:Sf
TOTL:
0:
O:Sf
FUEL TYPES.:?
?
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K..... : 0
BBQ........ :
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
F n...... .
0
<=10,ODO CFM: 0
L BOGS...:
0
> 10,000 CFM: 0
CONTRACTOR
SEGALE, INC
PO BOX 88050
TUKWILA WA 98188
575-3200
SEGALKA372NO
DWELLING UNITS: 0
STORIES........: 0
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST..$: 0
PROP ... $: 10000
RECEIVED.:08/27192
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP...... 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP.......: 0
FUEL TANKS ---------
ABOVEGROUND: 0
UNDERGROUND.: 0
COMP PLAN.........:?
REQUIRED PARKING..: 0
REQUIRED SETBACKS -------
FRONT ......... : 10.00 ft
SIDE..........: 5.00 ft
REAR..........: 5.00:ft
IMPERV SURFACE:
WATER CLOSETS......:
BATH TUBS..........:
SHOWERS ............:
LAVATORIES.........:
SINKS ..............:
DISH WASHERS.......:
ELEC WTR HEATERS...:
LAUN WSHR OUTLTS... :
LENDER
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW....: 0 gpm
WATER SERVICE..:?
SEWER SERVICE..:?
0 sf SENSITIVE AREAS?.:Y
0 URINALS........: 0
0 DRINKING FOUNT.: 0
0 SUMPS..........: 0
0 VAC BREAKERS...: 0
0 DRAINS.......... 0
0 LAWN SPRINKLERS: 0
0 OTHER FIXTURES.: 0
0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXI
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND
OWNER OR AGENT �?Jr' I Di
bld_prmt 07/31/92
PERMIT NO.: BLD92-2103
ISSUED: 09 / 17 / 92
BY: RN
FEES:
PUBLIC WORKS-MISC...
FINAL PLAN CHECK...*
BUILDING PERMIT....*
TOTAL FEES
$ 50.00
$ 30.00
S 126.00
$ 2D6.00
SET BACKS AND FOOTINGS
DATE-. BY
PLUMBING ROUGH IN
DATE
O.K. TO ENCLOSE FRAMING
DATE BY
FINAL O.K. TO OCCUPY
DATE -- __ _BY .
OX TO POUR FOUNDATION WALLS
�. DATE ----•BY _ .
WATER LINE O.K.
GAS PIPING O.K.
INSULATION
DATE -- --- -- -BY
DCD
PSD
PLUMBING GROUNDWORK
DATE -- - -- -- :BY
MECHANICAL INSPECTION
DATE By
WALL BOARD AND FIRE WALL
DATE - - - ---- - -BY -
FD