92-100437CITY OF FEDERAL WAY 9,- /
33530 First Way South BUILDING PERMIT BUILDING INSPECTION661 4140
Federal Way, WA 98003
PERMITNO. 92-409
OS OWNER'S NAME
WILLIAM BALDWIN SITE ADDRESS 28822
PACIFIC HWY S
CONTRACTOR bw,n
ADDRESS
CONT. PHONE -.
838--4315 34801
37 AVE S AUBURN
CONT. REG. NO
EXP.-OWNER'S
PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD.
SIGN GRADING OTHER REPAIR EXISTING ROOF/RE—ROOF
TAX ACCOUNT NO, 042104-902 G
LEGAL DESCRIPTION
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION
3118192
BUILDING INFORMATION
,714E
SET BACKS: FRONT
SIDE REAR
HEIGHT LIMIT
OCCUPANCY B-2
TYPE OF CONSTRUCTION
5—N CENSUS NO. O/ S TYPE OF HEAT NA BLDG. SQ. FT.
NA STORIES NA
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
NONE
DRYER TOTAL MECHANICAL NONE
AMOUNT NONE
$9 5OO
VALUATION
i
FIRE DEPT APPROVAL = PAT KETTENRING/KEVIN ELLIS
$ 117 . 0 0
PERMIT FEE
-/6.UU
BLDG DEPT APPROVAL = KEVIN ELLIS
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
ART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
4.50
FIRE FEE
5.85
DATE:
$203.35
OTHER FEES
$203.35
AMOUNT:
AMOUNT DUE
RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME
IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY
OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
OWNER OR AGENT
T
- DATE
r mit 9 6 7-
1992 CITY OF FEDERAL WAY
MAR 18
BUILDING PERMIT APPLICATION
Please Print —
BOX 1 TENANT NAME:
OWNER (V //C$ . SITE LOCATION
OWNER'S ADDRESS CITY m4 E
DESCRIBE JOB o
THE PROPERTY IS OWNS BY: /MARRI D_ PARTN R iP CORPORATION
BOX 2 CONTRACTOR'S NAME
-ro nea�vrA�w�d
CONTRACTOR'S ADDRESS
EXPIRATION DATE _
CITY —
CONTRACTOR'S REG. #
Card MUST be presented
PHONE
— 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 &2-2e Xa�, 21 H- -- PHONE T
�K BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 0-0 � � EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBERS /- 0 .10 Y
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal dt -ri `ion.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/P.t od) 1
3RD FLOOR BASEMENT - =-.
BOX 8 ) SINGLE FAMILY
{ ) MULTIFAMILY (NO. OF UNITS = _)
COMMERCIAL/INDUSTRIAL
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
OTHER
TOTAL FIXTURES
•FOR-ZS'061 / i 2ND FLOOR
DECK - _.f: - GARAGE
( C,,EW CONSTRUCTION
EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SO FT
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 CERTIWUNDE11 PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KITOWLE�GE
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 ACCUMCY _% THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
CEN
OWNER/AGENT:
DATE:
ANP-009 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
VIA
SEPA: EXEMPT__ - _. _ NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 3 Z
REMARKS: �,-Li
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 _6 Z TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. , @ _
BUILDING SQ. FT. - _ @ _
BUILDING SO. FT. @ _
BUILDING SO. FT. @ -
BUILDING SO. FT. @ -
BUILDING SO. FT. @ -
TOTAL SQ. FT. TOTAL VALUATION q5 PC
BUILDING DEPARTMENT REMARKS:
�� ti..-• � .fir ��
MAR 18 "°92
L VVAY
RECEIVED
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 F9 T�-e
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL
BY _ -DATE 3
117
�Sd
ACCEPTED FOR FILING
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDINGPERMIT BUILDING INSPECTION661 4140
PERMIT NO.
OWNER'S NAME SITE ADDRESS
n
CONTRACTOR, Vi�2n�
ADDRESS _ -
CONT. PHONE
431.5
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD, INDUSTRIAL ADD.
NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER
04 c?
TAX ACCOUNT NO.
- -' LEGAL DESCRIPTION
ISSUED BY
t} . ' DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ONF
SET BACKS: FRONT SIDE REAR
HEIGHT LIMIT
JCCUPANCY
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 svi.;
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
FIND M"r T- AP FiMAL _ PAT KZTTZW_R1!�Gf "V1N.�-LiS
PERMIT FEE
— __
BLDG DE", AI7PlZ( AI. - SIN EMAS
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
ART P/C FEE
EPA 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.
?SmIc
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 REQUIREME
BE MET.
V-7
OWNER OR AGENT
_ _ DATE.
SET BACKS AND FOOTINGS
DATE _BY
PLUMBING ROUGH IN
DATE .__--.---_ BY
O.K. TO ENCLOSE FRAMING
DATE- BY --
FINAL O.K. TO OCCUPY
DATE BY - /I�
0
O.K TO POUR FOUNDATION WALLS
DATE
WATER LINE O.K. _
GAS PIPING O.K.
INSULATION
DATE 1-2 71�Z_BY(;�P
--_
NEW
PSD
PLUMBING GROUNDWORK
DATE ____ _BY
MECHANICAL INSPECTION
DATE __BY
WALL BOARD AND FIRE WALL
DATE ---------_--_BY - -
I
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