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J • > H w CC Q O CC z U w m -I 0 m y Z O m ¢ ¢ co p LL W Z U > CO LL LL ¢CI w W 0 W F- Q ¢ o 2 V 0 a m ¢ ,_ w 0 < < H O m a 00 a ¢ ¢ cc cU c� z Wa. ¢ CC w Q g F- F' w a w w m w x 3 Q rn 3 j z v ¢ a v i O J W a Z ¢ z z d 3 x Z F f F- O > y x J ¢ woo w a m p w J a a x g a—i-i o > a g a W 0� a a m F_ c)w 3 a v c) >- z N CO a i m co 3 U) 0 a Q _¢ 0 , � RECEry 9o -- ID9I - , AIL 91990 . `� o � G BUoILDINE�A�' Y DEP7;WA CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— BOX1 OWNER Ronald S & Kathleen L Raphael JOB LOCATION 2625 S. 287th Federal Way OWNER'S ADDRESS 2625 S. 287th CITY Federal Way PHONE 946-0722 DESCRIBE JOB Addition THE PROPERTY IS OWNED BY: St/MARRIED X PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Frederick Orville Pederson CONTRACTOR'S REG. # PEDERFO3070P Card MUST be pre CONTRACTOR'S ADDRESS 30008 118th Ave SE CITY Auburn PHONE 833-4861 EXPIRATION DATE 6/15/91 — OR — lelf_T�---AL' 4" Q� I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY C N R CTORS N4 D`= CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON Roh Raphael PHONE 946-0722 BOX 4 SEWER DISTRICT FW Water & Sewer WATER DISTRICT FW Water & Sewer BOX 5 ESTIMATED PROJECT COST 35,000 EXISTING BUILDING VALUATION 80,000 BOX 6 PROPERTY TAX ACCOUNT NUMBER 746690-0420-05 LEGAL DESCRIPTION Lot 42, Rustic Village, according to the Plat thereof recorded in volume 65 of Plats, page 47, in King County, Washington (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1300 / 710 2ND FLOOR 0 / 0 3RD FLOOR 0 / 0 BASEMENT 0 / 0 DECK 0 / 0 GARAGE 300 / 0 BOX 8 ( X) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY 12000 SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO. 2 WATERCLOSETS GAS PIPING, FEET $ 1 BATHTUBS NO. 0 FURNACE, ELEC. GAS $ 1 SHOWERS 0 GAS HOT WATER HEATER $ 2 LAVATORIES 0 CONVERSION BURNER $ 3 SINKS 0 BOILER, SIZE BTU $ 1_DISHWASHERS FAIR HANDLING UNITS $ 0 ELECTRIC HOT WATER HEATER 0 HEAT PUMPS, SIZE $ 1_LAUNDRY WASHER OUTLET AV.. UNIT HEATERS $ 0 URINALS _AIR COOLING UNITS, SIZE $ 0 DRINKING FOUNTAINS 0 COMMERCIAL HOOD $ 0 SUMPS, SPRINKLER VACUUM BREAKERS 0 OTHER $ 0 DRAINS $ 0 OTHER $ 11 TOTAL FIXTURES $ K S - SS 00 TOTAL MECHANICAL FEE $ t!Ell 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 PER- FORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE. OWNER/AGENT: DATE: ANP-006 2/90 OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: iil/A No L haik50- ( kkS o O u f a f&C/ SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: _ /(ik PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: Airtok TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT )X NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY k3 TYPE OF CONSTRUCTION vN STORES rr�J i Ka BUILDING SQ. FT. 7 P)0 @ L 7 , C.0 '3.5 zO . 4D J BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ /V4O) ( 1 �#` = 6 BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION Li 736 ( . 6 0 EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO. PERMIT FEE L(OZ D PLAN CHECK FEE 2-G PLUMBING FEE MECH. FEE 0 TOTAL FEES 7(8,o d SBCC SURCHARGE ' S O ENERGY SURCHARGE 0 AMOUNT DUE ?zZ • Sc) BUILDING DEPARTMENT APPROVAL DATE 7- /13 -- 70 REMARKS: ASSIGNED ADDRESS: See' e S�( 17�3dJ 088/ ` 4 O a�0 9 6„*1 j I01*'‘,o RECEIVED ACCEPTED FOR FILING O C) 0 W o Q 13. LA U • l m Z T a IN I }T LLl 4 Z al 0 W Q J w U r ,- > w z Z O a Q z w O w co0 ,D to a 0 co 2 N 18 a. a az = 0 w D ¢ a FL w 0 LL COO Z z CO_I o Q 0 U O H 2 W U 0 a _ H W Iii -� 0 a C. '' U. m Q a. < a J w a F < Q 0 — Q 0 Y Z U "'� J F- I- < < a o o z = z a 2 0 a W W v ;.; O w w z w w rn cn m E• o cc w = 0 U a �1) Va r° ¢ 0 CC cc cc m 1 Q g m F «a ►a ► w a aa77 a a a o 43 W l,. ice- a I- W 133 o J � °c w 0 -, w a 1 a w O OM 2 z 4 z Y 2 O " 3 r o a 2 2 w *-4LI p ,. O Z o O Q LL U •¢ w • I- Q w (15 J ¢ Q a Z = z ^j ea Q m w _ w a z a ¢ ¢ a ya *w ¢ F- U. 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