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91-101264CITY OF FEDERAL 33530 First Way South Federal Way, WA 98003 WAY 9), / 0/4 y BUILDING BUILDING PERMITRENEWAL OFF 90-641 INSPECTION661-4140 91-1209 RE CHAFFEY CORP 2915 SW 342 PL PERMIT NO. OWNER'S NAME SITE ADDRESS CHAFFEY CORP POB 560 KIRKLANI) CONTRACTOR ADDRESS CONT. PHONE -822-5981 CHAFFC 150NG 7/92 SAME SAM CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. RENEWAL OF EXISTING PERMIT TO CONSTRUCT HOUSE NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER 294450-0450 LOT 45 GROUSEPOINTE TAX ACCOUNT NO. LEGAL DESCRIPTION ELIZABETH SNYDER 9/4/91 M I ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION RS 7.2 2 01 5 EACH 5 30 1 MAX NE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N CENSUS NO. 434 TYPE OF HEAT GAS BLDG. SQ. FT. 2847 STORIES 2 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. XXX GAS LOGS BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACE XXX DUCT WORK RECEIVED SHOWERS 2 URINALS GAS HOT WATER HTR. XXX AIR HANDLING UNIT NUMBER LA`4TORIES 4 DRINKING FOUNTAINS CONVERSION BURNER MISC. 2 RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS 1 TOTAL FIXTURES 15 DRYER TOTAL MECHANICAL BELOW AMOUNT NONE $148,529.01) VALUATION $405.50 PERMIT FEE THIS PERMIT EXPIRES 6/20/92 AND CANNOT BE RENEWED AGAIN! ! PLAN CHECK FEE 37.50 PLUMBING FEE 10.00 MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: $ 453.00 $453 _ 10 AMOUNT DUE RECEIPT: It- - 77�,___ 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 INFOUIMAA IONFURNISHEQAY AND CORRECT TO THE BEST QF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. aTRUE OWNER OR AGENT DATE ml P itgo-6�-1 �! SEP 4 1991 CITY OF FEDERAL WAY ITraL1N(3gELvvAy BUILDING PERMIT APPLICATION �l�� �� — Please Print — zz BOX 1 TENANT NAME: OWNER SITE LOCATION, OWNER'S ADDRESS CITY PHONE DESCRIBE JOB - I THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # C}�ffC�'ll1l� p /� �n Card MUST be presented ` CONTRACTOR'S ADDRESS / � f% CITY /� lk/� (AVUO PHONE ZZ -6761 EXPIRATION DATE T/2 —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 7yz:Fz � � PHONE53 ,�—!ST T BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 1z q 4L 4S — 0 LEGAL DESCRIPTION'>—�`f�� (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 (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ 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 $ N0. 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, 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 EMPLUEES, UPON THE ACCURACY OF THE JNFORMATIM SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: i _ DATE: ANP -008 3/90 CIYY OF FEDERAL WAY '33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 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 NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.___ P?EWPUBLIC PUBLIC ADD. 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 52 9 VALUATION . 50 PERMIT FEE THISPETC-Ad EXPIRES 6/20/92 AMD PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PART P/C FEE SEPA REVIEW !, y PUBLIC WORKS J)A, S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: ` AMOUNT DUE RECEIPT: BY 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 REQUIREMENT (L� BE MET. `OWNER OR AGENT DATE SET BACKS AND FOOTINGS DATE BY _ PLUMBING ROUGH |w DATE BY O.K�TOENCLOSE FRAMING DATE BY FINAL OK o4Te BY OXTOPOUR FOUNDATION WALLS DATE ev WATER LINE L|NEOX. GAS PIPING Ox__ ..... __-_____—_- |wGuLAT|Om PLUMBING GROUNDWORK DATE MECHANICAL INSPECTION DATE BY WALL BOARD AND FIRE WALL DATE BY ME �