91-101774 CITY OF FEDERAL WAY
33530 First Way South g V I L D I N G P E R M I T BEIILDING INSPECTION
Federal Way, WA 98003 661-4140
9'�-�o17�y
PERMIT NO. 91-1736 NR OWNER'S NAME �'T CONSTRUCTION INC SITE ADDRESS 34500 15Tft PL SW
CONTRACTOR M�T CONSTRUCTION INC ADDRESS 1911 SW CAMPUS DR #366 FEDERI�L WAY CONT.PHONE 862-2116
CONT.REG.NO. ��TCOI119N9 EXP. 8�92 OWNER'SPHONE 862-2116 OWNER'SADDRESS 1911 SW CAMPUS DR #366 FEDER�IL W Y
TYPEJOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBLIC PUBLICADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TnxnccouNTNo. 666491-0260 LEGALDESCRIPTION LOT ZF) PARRLANE ESTAES DIV 2
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 12-17-91
BUILDING INFORMATION
ZONE RS 7�2 SET BACKS:FRONT 20� SIDE 5� REAR 5� HEIGHT LIMIT
OCCUPANCY R3 TYPE OF CONSTRUCTION VN CENSUS NO. �-O�- TYPE OF HEAT GAS BLDG.SQ.FT. 2O1 O SF STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 2 ELEC.HOT WATER HEATER GAS PIPING S FT. 2.OO GAS LOGS
BATHTUBS 1 LAUNDRY DRAINS 1 FORCED AIR FURNACE ZO.OO DUCT WORK RECEIVED
SHOWERS 1 URINALS GAS HOT WATER HTR. �._5Q AIR HANDLING UNIT NUMBER
LAVATORIES 2 DFINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS 1 MISC. BBQ BASIC FEE
DISHWASHERS �- TOTAL FIXTURES9X�S �QD DRYER TOTAL MECHANICAL � R_ rin AMOUNT
VALUATION 103,280.1 P�NNING DEPT APPROVAL: NO STRUCTURE FOOTING CHIMNEY OR OVERHANG MAY EXTEN
INTO WATER EASEMENT AREA AND BUILDING SETBACR LINE
PERMITFEE 654.0 DRIVEWAY MAY NOT ENCROACH INTO 5' SIDEYARD SETBACR
PLANCHECKFEE 425.0 125.�� DB 12/16/91
LUMBINGFEE 45.0 PUBLIC WORKS DEPT APPROVAL: RUNOFF FROM DOWNSPOUTS AND DR�EWAY SHALL BE
ECHANICAL FEE 18-5 TIGHTLINED TO STORM DRAIN CONNECTION AT BACR OF
PARTP/CFEE �300.0 ) LOT PER THE PLAT REQUIREMENTS. RG 12/27/91
SEPA REVIEW
PUBLICWORKS 35.0 FIRE/BUILDING DEPT APPROVAL: KC 12-38-91 MM 12-31-91
S.B.C.C.FEE 4.5
FIRE FEE DATE:
OTHER FEES AMOUNT: 8 8 2-O O
AMOUNT DUE $$2-0° 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 FURNIS D BY M�IS TRUE A. C RECT TO THE ST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. �I �'r .
i
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OWNER OR AGENT � ' ��' "�" r%Y"t� � �����%� ���� DATE �- ��
�
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� � DEC � � ��� CITY OF FEDERAL WAY Iv �
��F���WAY BUILDING PERMIT APPLICATION
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— Please Print—
BOX 1 TENANT NAME:
OWNER � SITE LOCATION
OWNER'S ADDRESS - � CITY Gc.3r4-c.1 PHONE Z-Z I IE�
DESCRIBE JOB , �t
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNE SHIP CORPORATION SC
BOX 2 CONTRACTOR'S NAME /�C-% C�[7-/t�TYlA.LC.'Tlc�� /U� CONTRACTOR'S REG. # �'�LT�L'S�l l y/U"�
Card MUST be presented
CONTRACTOR'S ADDRE � • ���V1(�c.lS Dt2��0�CITY PHONE '�b2.-Z l ��
EXPIRATION DATE �7
� —OR—
I HAVE READ CHAPTER 18.27.010 RELATING ITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON � PHONE �(dZ-�i L ��
BOX 4 SEWER DISTRICT - � WATER DISTRICT �- �
BOX 5 ESTIMATED PROJECT COST O�D EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NU BER .0 '
LEGAL DESCRIPTION � ��-� �- �� �
(If necessary, please submit a separate �age with the legal description.)
K.C. Plat Recording # �11 � f���Z. //��
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR�/ 2ND FLOOR �� C�--�
3RD FLOOR / BASEMENT / DEC� GARAGE�
BOX 8 pQ SINGLE FAMILY (� NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
O COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY `�'I�� SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECH NICAL APPLIANCES — BASIC FEE$
N0. �- WATERCLOSETS GAS PIPING, FEET - $ ��C t
_�_BATHTUBS N0.__�FURNACE, ELEC. GAS�_ $ /G-Ov
_�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 $
,��' � �,,� - `/� �^--�� TAL 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 T ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON T AC ACY F THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE: Z' �7 `
ANP-008 3/90
� A
OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) • •
ZON S�•L SETBACKS: FRONT 2O� SIDE Ls10��'b•�REAR 3� HEIGHT LIMIT ��
PLANNING DEP RTMENT APPROVAL � � �
REMARKS: � 61� D
� �1�''/✓
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SEPA: EXEMPT NOT EXEMP
FIRE DEPARTMENT APPROVAL DATE 1�L' �Z`�:� ��� `�
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL /����z'z-F'-�-- DATE i2�2��q�
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REMARKS: �<<_ ,r�r'� t=�::, ��c��.,.,�,M,;,� A-•� E�.2.���.,.4-r s�� ,�c ���,,;�,,�ca ;� :, ;�2 n v,zn,.�
f�.vn/cc.i7o� AT ,ccA �x c,= ci i PF2 iNC P�Ri RF4�v�2E,I�r-N��'.
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 �3 TYPE OF CONSTRUCTION V'/V STORES �-/,ci�
J� ��✓ BUILDING SQ. FT. ��-`6 @ 7,�1 YG = 3�{��ll. Z�}
�n� .Clvn� BUILDING SQ. FT. �60 @ 7.�•�L = ��`��y.l�G
G�t�'�-1e- BUILDING SQ. FT. y�/o2 @ f�3i� - D� , (,G
�e.c-/� BUILDING SQ. FT. �4 @ /rl Ut� = 57GL� • � �%
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ Yr�c� ��h��t- X � �v = /l7 3��- Y�
TOTAL SQ. FT. �'�����' TOTAL VALUATION �d-3- � �d' ��
BUILDING DEPARTMENT REMARKS: � '
PERMIT FEE � �`�� d�
PLAN CHECK FEE �
PLUMBING FEE
MECHANICAL FEE Z ' UU
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
/?G J f c� c- ��:Co
S.B.C.C. FEE � S d
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: � S�• 4 . �
C�TIAL PLAN CHECK FEE RECEIVED
Amount •'� Date ( �� � Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY , �1 i , 2e� �,�r�i,o'1�=� DATE j� �� � ACCEPTED FOR FILING
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C�TY OF FEDERAL WAY
Fede al IWay1,NWA 98003 � B �J I L D 1 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: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBLIC 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
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 ORYER TOTAL MECHANICAL AMOUNT
VALUATION
. _ . _..�wx�. . __.
PERMIT FEE r�'T�'°���`y �tt�I� �
PLAN CHECK FEE �� "�'�"{ '��
PLUMBING FEE `"-`f.°'•'� �,,
MECHANICAL FEE '�� ���g',A; �� `'' ,
\RT P/C FEE Ya.�t�S°� �a,.`�.''XJY��"• _i
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