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91-101789CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT 9j—!(st -72"9 BUILDING INSPECTION 661-4140 PERMIT NO. 91-1763 CA OWNER'S NAME B P OIL SITE ADDRESS 33800 1 WAY S CONTRACTOR BEAMON CORP ADDRESS 800 W SMITH ST GREENSBORO CONT. PHONE(919) 271-4400 CONT. REG. NO. BEAMAC141L6 EX4/31/92 OWNER'S PHONE 874-7512 OWNER'S ADDRESS 33501 1 WAY S B-100 FEDERAL WAY TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER REMODEL EXISTING GAS CANOPY INCLUDING TAX ACCOUNT NO. 926480-0235 LEGAL DESCRIPTION UPPER STRUCTURE & DECK LOT 1 KC SP # 1279074 A POR OF LOT 23 WEST CAMPUS BUS PARK PLAT REC IN VOL 97 OF PLATS PP 78 THRU 82 KING CO WASH] ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 12/19/91 BUILDING INFORMATION ZONE BN SET BACKS: FRONT 40 SIDE 10, REAR 15' HEIGHT LIMIT 351 OCCUPANCY B-1 TYPE OF CONSTRUCTION 5-N _ CENSUS NO. 437 TYPE OF HEAT NA BLDG. SO. FT. NA STORIES NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK RECEIVED SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS MISC. BBQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $25,000 PLANNING DEPT APPROVAL = MIKE THOMAS $252.00 PERMIT FEE PLAN CHECK FEE 164.00 FIRE DEPT APPROVAL = KEVIN ELLIS/CHRIS INGRAM LUMBING FEE .ECHANICAL FEE BLDG DEPT APPROVAL = KEVIN ELLIS PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE 4.50 12.60 FIRE FEE DATE: OTHER FEES AMOUNT: $433.10 AMOUNT DUE $433 -in RECEIPT: 1 1�4 13 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. - J OWNER OR AGENTDATE Per "t .. � �E � o # 3 DEC 19 199, CITY OF FEDERAL WAY 6A arry eu°s aF,, - qY BUILDING PERMIT APPLICATION D� — Please Print — BOX 1 TENANT NAME: OWNER PP 0 t 1.. SITE LOCATION " - 6V LIW/37 W Y OWNER'S ADDRESS 53-409 61174.1' 44MY O_ 10 CITY CEDF/1AL WAS PHONE ' EV DESCRIBE JOB KW 0D*1_ ISZW4 eAs '�! "AjdINC4 . UP(*2 C-11ZU6-rvtj"" ANO D&6 K THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 94EAt-7zr/ Lie -24e CONTRACTOR'S REG. 4,66AM46 141 L to CONTRACTOR'S ADDRESS A55kW Id. 61-11-79 -157- CITY .�0 PHONE EXPIRATION DATE —OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DFINI ONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON Ro6.1E9 Q L L 6 NRLt f2 6-) PHONE 461-1231 BOX 4 SEWER DISTRICT MIV LOKbIL 2F ZVIAUCA-WATER DISTRICT G M- 5 K - BOX 5 ESTIMATED PROJECT COSTtlg, D j EXISTING BUILDING VALUATION �0 M BOX 6 PROPERTY TAX ACCOUNT NUMBER O ' LEGAL DESCRIPTION / 71. K. 6. Smtr A Paxomj ir- !.o?''L'S, A65S7'C,,f4w0yS t4�si Ss M4K Pz_+-7' Af4WK-0 W WG 77 0 &40/ PP 78 IN&V41i 8V-, MA4 4&Vjr�[ k11A (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # 3D0fS:j BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR U16^0 _(090 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) MULTIFAMILY (NO. OF UNITS=—) (vj COMMERCIAL/INDUSTRIAL 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 ( ) NEW CONSTRUCTION (v' EXISTING STRUCTURE TOTAL AREA OF PROPERTY SQ FT 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 TY OF FEDER�L Wy, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPONeTWACC ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: ANP -008 3/90 0 6 1 -** OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE 10 REAR �� HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL t Z i 2 - REMARKS: SEPA: REMARKS: SEPA: EXEMPT____X NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT AP REMARKS: L DATE Z 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 TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION ZS( �— BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: Se_e_ PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # PERMIT FEE 2' Z PLAN CHECK FEE t' PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE 4,56 OTHER FEES17- -6 AMOUNT DUE r ` BUILDING DEPARTMENT APPROVAL �( BY DATE —1— 17i ACCEPTED FOR FILING CITY OF FEDERAL WAY 33530•; irst 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 'TsA``.'1.1TNG' DETT APP �OWUL ' MIKE TRUAM PERMIT FEE PLAN CHECK FEE g�yyn2'(� ��q g j 'IRr TIEPT ArS'iSOVAT� " KEVIN FT.T S/CHRIS ia9 a PLUMBING FEE ECHANICAL FEE `.LDG DEPT APPROVAL = KEVIN El.LI S ART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE JI ,- 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. 0 OWNER OR AGENT DATE N1 (v q), N