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91-100263CITY OF FEDERAL WAY BUILDING PERMIT 0 -/aoa63 BUILDING INSPECTION 941-1555 PERMIT NO. 91-232 CA OWNER'S NAME GOOD SHEPHERD COUNSELING SEAyWcFr:SS 345 S 312TH CONTRACTOR SELF ADDRESS -- CONT PHONE CONT. REG. NO. -- OWNER'S PHONE 839-6100 OWNER'S ADDRESS 345 S 312TH FEDERAL WAY TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER (SEE ATTACHED) TAX ACCOUNT NO. 082104-9010 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 2-27-91 BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION.— BLDG. SQ. FT SET BACKS: FRONT SIDE REAR STORIES HEIGHT t. M11 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE _ _ _ _ AIR HANDLING UNIT _ NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. _ MISC _. RETURNED SINKS _ — MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT 1,943.04 VALUATION PLANNING DEPT APPROVAL: CS 2-28-91 EXTERIOR REMODEL UNDER $10,000 -- DOES NOT REQUIRE SITE PLAN REVIEW. 45.00 PERMIT FEE 29.00 PLAN CHECK FEE BUILDING DEPT APPROVAL: RC 3-4-91 EXTERIOR WALL RATED _PLUMBING FEE FIRE RESISTIVE CONSTRUCTION AND PROTECTION OF OPENINGS SHALL ,CHANICAL FEE BE PER UBE — TABLE 5—A. TOTAL BLDG. FEES _ — DATE: A�r��}f PART P/C FEE SEPA REVIEW AMOUNT: $80. 75 WATER SERVICE WATER MAIN CHG. RECIEPT: 4.50 S.B.C.C. FEE _ OTHER FEES F.D. FEES 2.25 AMOUNT DUE 80 • 75 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 ET: OWNER OR AGENT DATE �- v CITY OF FEDERAL WAY �rmit # /- 2 .-?__-� &.4 i - ►ooze BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NA OWNER , LLTYON PHONE OWNER'S AODRESS 15- DESCRIBE JOB ` THE PROPERTY IS OWNE11BY: SINGLENARRIED PARTNERSH11P CORPORATION BOX 2 CONTRACTOR'S NAME ONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS —CITY F-4JJAAG•� PHONE 9 2 EXPIRATION DATE —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. c9 3cl - c9l � BOX 3 CONTACT PERSON PHONE BOX 4 SEWER DISTRICT i.) WATER DISTRICT b BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION U BOX 6 PROPERTY TAX ACCOUNT MBER V TT 0 � U LEGAL DESCRIPTION (If necessary, please submitg separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR_ 1 2ND FLOOR / 3RD FLOOR / BASEMENT 1 DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOT4 AREA OF PROPERTY SO FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS IPI G, FEET $ BATHTUBS NO. URNACE, EI_EC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES ONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS r AIR HANDLING UNITS $ ELECTRIC HOT WAT�ERIHE T R HEAT PUMPS, SIZE $ LAUNDRY WASHER O TLET UNIT HEATERS $ _ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAIN COMMERCIAL HOOD $ SUMPS, SPRINKLER ACUUM BREAKERS OTHER $ DRAINS _ _ $ OTHER _ $ TOTAL FIXTURES $ 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: _. DATE: —;:� - �r ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE ' y 2 SETBACKS: FRONT_ Nip S D PLANNING DEPARgENT APPROVAL REMARKS,: SEPA: EXEMPT '\ —NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL REMARKS: REAR HEIGHT LIMIT A/AZ C, -2 *' ,6 DATE DATE_ _ 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 6-1- TYPE OF CONSTRUCTION IJA-'f STORES DC� BUILDING SQ. FT. /q Z @� BUILDING SO. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ TOTAL SO. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: F-xle-Ic4ir- Uq / ,, a RECEIVED ASSIGNED ADDRESS: e Amount d PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE `(S PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE • j a OTHER FEES 'FD ��e z __ AMOUNT DUE • '7J Receipt # BUILDING DEPARTMENT APPROVAL BY r - --- DATE_. i ACCEPTED FOR FILING qj I -i'Do c_ 3 01TY OF FEDERAL WAY BUILDING PERMIT BUILDING 94711 55ECTION PERMIT NO.. OWNER'S NAME JOB ADDRESS _ CONTRACTOR ADDRESS CONT.PHONE CONT REG. NO OWNER'S PHONE _ _, OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC 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 OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. T BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT_ _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT BOILER - RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC RETURNED SINKS - MISC. CONVERSION BURNER - BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES _ AT P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG S.B.C.C. FEE OTHER FEES AMOUNT DUE 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_ _ _ _ SET BACKS AND FOOTINGS DATE BY OX TO POUR FOUNDATION WALLS DATE BY WATER LINE O.K. GAS PIPING O.K._ PLUMBING GROUNDWORK DATE MECHANICAL INSPECTION DATE BY PLUMBING ROUGH IN DATE BY _ O.K. TO ENCLOSE FRAMING DATE _ BY INSULATION DATE -__ __BY _ _ WALL BOARD AND FIRE WALL DATE BY FINAL O.K- TO OCCUPY DATE/ BY DCD PSD FD ------------ m Fat F..d L3rsas cop gala J«r Go° o 88°57'40"W 2 26.3 " 611 COallrK W,4SWIVa 710AI. a r. _ A- A O 0 _R r r ` A1900,0 IAI CERTIFICATE /e,6-0O3eD tam'° _ fd /,v voz l//wx- OF Sty Y.�"yS a .AGE ! ' . '� C .PAS t1F" /�fit/Gs ewaw7Y, &✓ slll,,va 7,o-d/ 79050 h-A:P- JAME5 5. W111i PREPARED BY JOHN R. EWING AND ASSOCIATES CIVIL ENGINEERING ® PLANNING & DESIGN JRE 4 ENT, WASHINGTON (206) 852-6633 DESIGNED BY DRAWN Y CHECKED BY / -! 7-�0 r I ""0� ' EI'. p