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90-100709CITY OF FEDERAL WAY ,. (10 1) BUILDING 9fl-/oa7d9 BUILDING INSPECTION PERMIT 941-1555 INSPECTION REQUEST LINE- 946-6794 PERMIT NO. 90-1023 NR OWNER'S NAME RONALD BROSMER JOB ADDRESS 30255 24 AVE SW CONTRACTOR TERHEME HOMES ADDRESS POB 1078 AUBURN CONT. PHONE 854-8500 CONT. REG. NO. TERHUHI1330 4/91(OK) OWNER'S PHONE 838-7576 OWNER'S ADDRESS 30017 24 AVE SW FEDERAL WAY TYPE JOB: NEW RESIDENCE XX 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. 89375-0001 LEGAL DESCRIPTION LOT 1 BLOCK 1 VIEW CLIFF IN KING CO_ ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 71129190 - BUILDING INFORMATIW NE RS9. 6 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT2805+630=3435 SF ET BACKS: FRONT 201 SIDE 5' EACH REAR -91 STORIES 2 HEIGHT LIMIT 30 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 4 ELEC. HOT WATER HEATER GAS PIPING FT. 2-00 BOILER RECEIVED BATHTUBS l LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS 1 URINALS FORCED AIR FURNACE 7 0 _ 00 AIR HANDLING UNIT NUMBER LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. 6-50 MISC. RETURNED SINKS I MISC. CONVERSION BURNER BASIC FEE DISHWASHERS I- TOTAL FIXTURES 14 X $5- OUNIT HEATER TOTAL MECHANICAL AMOUNT NONE VALUATION $ 179,910_00 PLANNING DEPT APPROVAL: CORY SMITH ON 7/17/90 (NO STRUCTURE TO BE LOCATI ON ANY EASEMENT -APPROVAL BASED ON SITE PLANS AS PERMIT FEE $ 920.00 $ULL}}INIG SUBMITTED (NO EASEMENTS SHOWN) PLAN CHECK FEE 598.00 �� PLUMBING FEE 70-00 MECHANICAL FEE 18 _ 50 PUBLIC WORKS DEPT APPROVAL: KEVIN ELLIS ON 7/24/90 (WATER IS WITH OTAL BLDG. FEES __j_ 1, 606 _5 0 FEDERAL WAY WATER & SEWER. SEPTIC TANK PART P/C FEE SYSTEM APPROVED BY HEALTH DEPT. SEPA REVIEW WATER SERVICE BUILDING DEPT APPROVAL: KEVIN ELLIS ON 7/24/90 WATER MAIN CHG. .0.C.C. FEE $4.50 OTHER FEES DATE PAID AMOUNT $1, 611.0 0 RECEIPT / AMOUNT DUE $1,611.00 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 v-.1' � F& OWNER OR AGENT DATE BOX 1 TENANT NAME: i CITY OF FEDERAL WAY .t# q0— IDc�-3�R Recelveo BUILDING PERMIT APPLICATION — Please Print — JUN 29� C D N� BUILBAAL WAY OWNER ( Mr— K. SITE LOCATION c(I�€ OWNER'S ADDRESS - CITY HON - 7 DESCRIBE JOB f,_2 SW THE PROPERTY IS OWNED : SING ARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. CONTRACTOR'S ADDRESS 4 107 CITY )Qy,&�PHONE &I/—iC}A) EXPIRATION DATE �- — OR I HAVE READ CHAPTER 18.27.010 RELATING TO EFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON E!S PHONE Xll� 00 — BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST G'U �' EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER ' OCT if - LEGAL DESCRIPTION 1, F- -4 9 Uaj s dW . kr. (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FL00 tl 2ND FLOOR (=—� 3RD FLOOR / BASEMENT / DECK_____J_ GARAGES BOX 8 ( SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE E SO FT ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY 1 BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL A PLIANCES — BASI FEE $ NO.�WATERCLOSETS GAS PIPING, FEET 1-15E5? f $Q z -a _BATHTUBS N0. ? FURNACE, ELEC. GAS ////// - $ zo, _SHOWERS GAS HOT WATER HEATER $ &M_ LAVATORIES CONVERSION BURNER $ _SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ _ _ _." ir+-rvai+-a r_rr# HEAT PUMPS, SIZE $ _LAUNDRY WASHER OUTLET UNIT HEATER§ $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES j $ Ar 20. no TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AiD CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OFTHE ABOVE PREMISES TO PERFORM IHE WORKFOR 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 BYANY 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: ANP -M 3/90 It 0 0 C OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONERI f e -.SETBACKS: FRONT a o IDE s REAR HEIGHT LIMIT 3o PLANNING DEPARTMENT APPROVAL REMAHKS:�-�-�c—..,� SEPA: EXEMPT_, NOT EXEMPT— FIRE XEMPT FIRE DEPARTMENT APPROVAL DATEJ� REMARKS: - PUBLIC WORKS DEPARTMENT APPROVAL —DATE 7 - z%` / 0 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 OCC FANCY x TYPE OF CONSTRUCTION J AA STORES / f�.o r BUILDING SQ: FT. 21 `� - - @ Q �� _ / A-vo r BUILDING SQ. FT. @ 401 _ BUILDING SQ. FT. A 90 @ 17, 790 _ A)l BUILDING SQ FT @ BUILDING SQ. FT. @ BUILDING SQ. FT. @ TOTAL_ SQ. FT. SUS' BUILDING DEPARTMENT REMARKS: % �� _ �® �• SNI 4661��n� �7�ti p- sT Nor /,loa RECEIVED ASSIGNED 2'Ss ��. ' ® TOTAL VALUATIO J,-.�I, 72 PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA,REVIEW� S.B.C.C. FEE OTHER FEES AMOUNT DUE Svc 5. . PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY DATE �- Z V 70 ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT BUILDI41 NG INSPECTION 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. SET 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 �.a�i iING DEP a' i ?iVXV /+� i ' a dyI 1 / Jl+es PERMIT FEE s em ° . F r ` WA�?: '! eY+ �jS "3' ` a lrli ) PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PIUK•zC WGARS Di+PT .APPRUVA st. j5RVIN MJAS ON 7124/90 OA"vv� TOTAL BLDG. FEES FlKDr. kL WAY WlhT k cc SMAZ . S STEM !{1' ° Z Y i� Vis'11T PART P/C FEE . ,�.ALTH SEPA REVIEW fsttl .d ING I&PT AL -PP MAL: ssL133, 04 7/2419u" WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE r OTHER FEES c t tE? i ? i a 74 i;'%rlI p: [ 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 PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE A, .BY, WATER LINE O.K. GAS PIPING O.K. MECHANICAL INSPECTION DATE -BY O.K. TO ENCLOSE FRAMING DATE INSULATION ba�1f' 19 W'A DATE (7-7(0 4D.-BY V-,Dow\ 4-Z., "A s �'T WALL BOARD AND FIRE WALL CSI ' 7 _V DATE Y �9 , / Z,('f - - FINAL O.K. 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