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90-100925or rmit # 90 V�f CITY OF FEDERAL WAY Ap �1 VSO BUILDING PERMIT OF APPLICATION orYR?5i9go Please BOX 1 TENANT NAME: It e_�[` "-1 OWNER SITE LOCATION OWNER'S ADDRESS 1 CITY&V 1n*, } PHONE DESCRIBE JOB * THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME IK'%'M %Aq -14jaA CDATF CONTRACTOR'S REG. AMIIa 14 -1107 - Card MUST be presented CONTRACTOR'S ADDRESS R,0 -1040)o O)o 3'0j% CITYKirklane . PHONEA2,� G'gaa 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. BOX 3 CONTACT PERSON PHON BOX 4 SEWER DISTRICT IV) ki- WATER DISTRICT W.%A BOX 5 ESTIMATED PROJECT COST O EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUM LEGAL DESCRIPTION LO a (If necessary, please submit K.C. Plat Recording # 40 with the legal description.) IU WS Id BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOORW_.4V9r 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) Q*j EXISTING STRUCTURE ( COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. GAS $ 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 $ RAINS $ 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:A44 MO&DATE:_ ANP -008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE GC/ SETBACKS: FRONT SIDE_ S REAR HEIGHT LIMIT 3 5 PLANNING DEPARTMENT APPROVAL 6. 9' cio " a ` REMARKS: Mc>"WAAAjj, DlSk& , Asi.0 P1 sAv%t",FkEj- IQ*Ak 'Cb -1-0M'4TC'v\ �XkL%o'R wA►-L CoLk '*-- ExEvwPZ Tg,oAk S►Te. l?L^Aj 1,A-w%ew Prg,,�4 vea SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL ,d DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL Z/I- - DATE REMARKS: 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. 'r OTHER OCCUPANGYr Al ` �- TYPE OF CONSTRUCTION tIti STORES S,q t e �( BUILDING SQ. FT. BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: 0 Q LU rn QU MECHANICAL FEE cc o C4` PART P/C FEE w U Uz W QL U- 0-3 AMOUNT DUE Q � RECAED ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES C4` PART P/C FEE o SEPA REVIEW S.B.C.C. FEE �G OTHER FEES AMOUNT DUE o Receipt # BUILDING DEPARTMENT APPROVAL / c� BY �_ DATE [ 7C - ACCEPTED FOR FILING CITY OF FEDERAL WAY (O/S) BUILDING PERMIT 12t) I BUILDING INSPECTION 941-1555 PERMIT NO. 90-0409 OT OWNER'S NAME K -MART JOB ADDRESS -W" S 320 ST CONTRACTOR SKILLINGSTAD CONST ADDRESS POB 3296 KIRKLAND CONT. PHONE 827-6433 CONT. REG. NO. SKILLCC141PZ OWNER'S PHONE (818) 915-7200 OWNER'SADDRESS 1184 N CURTIS COVINA CALIF 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 SET-UP SATELLITE DISH TAX ACCOUNT NO. 150050-0020 LEGAL DESCRIPTION LOT 2 BLK 1 CENTURY SUBDIVISION ISSUED BY ELIZABETH SNYDER DATE OF ISSUE 5 - U DATE OF APPLICATION 4/25/90 BUILDING INFORMATION vE CC OCCUPANCY M-2 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT NA T BACKS: FRONT 20 SIDE O REAR 0 STORIES NA HEIGHT LIMIT NA _ 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 NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE. VALUATION $1,000.00 PLANNING DEPT APPROVAL: BILL KINGMAN ON 6/4/90 PERMIT FEE $25.00 MOUNT, MAST, DISH AND PREAMPLIFIER ARM TO BE PAINTED TO MATCH PLAN CHECK FEE 16.00 BUILDING WALL COLOR. EXEMPT FROM SITE PLAN REVIEW PROCESS PER PLUMBING FEE CHAPTER 175. 10.2 OF ZONING CODE. MECHANICAL FEE WRTAL BLDG. FEES $41-00 BUILDING DEPT APPROVAL: KEVIN ELLIS ON 5/1/90 T P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE 4.50 OTHER FEES DATE PAID /,� -�� -f�0 AMOUNT $45.50 RECEIPT AMOUNT DUE $45.50 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 FURN 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 CITY OF FEDERAL WAY BUILDING PERMIT 12-fil BUILDING INSPECTION 941-1555 JI 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 E OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT. s 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 AL BLDG. FEES RT 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 JI SET BACKS AND FOOTINGS DATE PLUMBING ROUGH IN DATE ...- . - -._BY - ... .... . O.K. TO ENCLOSE FRAMING DATE _ - - _ BY -_....... - - FINAL O.K. TO OCCUPY, DATE _.... .BY 1lr ._..-....... OX TO POUR FOUNDATION WALLS DATE ...... -- _ _ _ BY ... .... -..... .- WATER LINE O.K. GAS PIPING O.K.__. INSULATION DATE .._.-. ..-......BY _. DCD PSD PLUMBING GROUNDWORK DATE ..-- ..... .. ____ BY MECHANICAL INSPECTION DATE _____ ___ _ _ BY WALL BOARD AND FIRE WALL DATE _ BY m