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92-100580CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 REF = 92 -68 CA BUILDING PERMIT 9 a - /oa s8-c� BUILDING INSPECTION 661 -4140 PERMIT NO. 92 -607 FSS OWNER'S NAME K —MART SITE ADDRESS 1201 S 320 ST CONTRACTOR FIRE SYSTEMS WEST ADDRESS 1502 PIKE ST NW #4 AUBURN CONT. PHONE 833 -1248 CONT. REG. NO. FIRESWI140B1 EXP. 8/92 OWNER'S PHONE 941 -3820 OWNER'S ADDRESS SAM AS SITE TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI - FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER REMODEL EXISTING FIRE SPRINKLERS TAX ACCOUNT NO. 150050 -0020 LEGAL DESCRIPTION I en ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/15/92 BUILDING INFORMATION NE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION 5 —N CENSUS NO. O/S TYPE OF HEAT NA BLDG. SQ. FT. 4656 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 VALUATION $6,555 FIRE DEPT APPROVAL = KEVIN ELLIS /PAT KETTENRING $90.00 PERMIT FEE PLAN CHECK FEE 59.00 BLDG DEPT APPROVAL = KEVIN ELLIS LUMBING FEE ECHANICAL FEE "NO SPRINKLER HEAD ADDN SHALL OCCUR WITHIN THE REMOTE AREA UNLESS CALCULATIONS SUPPORT SUCH ADDITION" ART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE 74.50 FIRE FEE DATE: $223.50 OTHER FEES $223.50 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. 1 Z/-7 OWNER OR AGENT �� DATE 1-7/ �" eefitma APR 151992 rru fw Nj;1)ERAL, VVAv Pot #�� - / ss CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 RF@MffigYAS - ►L - OWNER 1L _MA PF E LOCATION OWNER'S ADDRESS I Z.e> 1 S �� CITY L ONE 20 DESCRIBE JOB a IS THE PROPERTY IS OWNED BY: SINGLE /MARRIED PARTNERSHIP 0 C RPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # 0265-W 1 14-0 E51 Card MUST be presented CONTRACTOR'S ADDRESS Z s T-� N•k1 t' 4- -CITY ,wL50 / uIA. PHONE EXPIRATION DATE 8 111 I°IZ —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 dam 1?AIzJL PHONE BOX 4 SEWER DISTRICT WATER DISTRICT •'�• BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION "-- BOX 6 PROPERTY TAX ACCOUNT NUMBER (If necessary, please submit a serrate page with the legal description.) K.C. Plat Recording # �� BOX 7 BUILDING SQUARE FOOTAGE: xisti roposed) 1ST FLOOR 2ND FLOOR / 3RD FLOOR / SEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( - -- XtSTING STRUCTURE ( L-- MMMERCIAL /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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER /AGE DATE: 415eiZ ANP -008 3/90 OF RE USE ONLY (PLEASE DO NOT WRITE BELO IS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: ,i .J SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL �—� DATE REMARKS: f'ji r Y,f 11P 1, r, r t^ a PUBLIC WORKS DEPARTMENT AP REMARKS: DAT �� i992 APR � 5 pp►�w ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # BUILDING DEPARTMENT APPROVAL RECEIVED BY F-' C, DATE `' r ACCEPTED FOR FILING TYPE OF JOB: NEW RESIDENCE RES. ADD /ALT NEW INDUSTRIAL IND. ADD /ALT NEW COMMERCIAL COMM. ADD /ALT NEW MULTIFA ILY (UNITS " MULTIFAMILY ADD /ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION BUILDING SO. FT. @ STORES BUILDING SO. FT. @ _ BUILDING SO. FT. @ _ BUILDING SO. FT. @ _ BUILDING SQ. FT. @ 8 4—( BUILDING SQ. FT. @ el 6 SS S. 6 S" TOTAL SO. FT. TOTAL VALUATION REMARKS: f ' BUILDING DEPARTMENT PERMIT FEE (j J/ _ PLAN CHECK FEE PLUMBING FEE UGC W (K P--G X-C( MECHANICAL FEE l.( C q C v t-- U/'— S TOTAL BLDG. FEES J PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES F F e S AMOUNT DUE �� i992 APR � 5 pp►�w ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # BUILDING DEPARTMENT APPROVAL RECEIVED BY F-' C, DATE `' r ACCEPTED FOR FILING CITY 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: 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 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 DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PART P/C FEE 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 SET BACKS AND FOOTINGS DATE - - -BY O.K TO POUR FOUNDATION WALLS DATE -- - -- BY PLUMBING GROUNDWORK DATE - BY PLUMBING ROUGH IN DATE BY WATER LINE O.K. GAS PIPING O.K.-- ........--- .— .. ...... — __ _ _ MECHANICAL INSPECTION DATE _ .......__BY .----- - -_ - -- O.K. TO ENCLOSE FRAMING DATE _ BY _ ............ -- ....... .._..... INSULATION DATE _.......BY —. — _...._ WALL BOARD' aNffi�iI11�E( rPMENT DC-AA DATE BY AUG 1993 FINAL Q.K. TO OCCUPY DATE_....... -- — - _BY _._....— .... ...__......._– DCD PSD W2 FD 1� Ale, O k O G re 67 c 0 0