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91-1012314 CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 9 /, /o) a3) BUILDING PERMITBUILDING INSPECTION >�E1MAL OF 90-1256 661-4140 PERMIT NO. 91-1183 RE OWNER'S NAME CENTEX HOMES SITE ADDRESS 33021 20 PL SW CONTRACTOR CENTEX HOMES ADDRESS 2320 130 AVE NE BELLEVUE CONT. PHONE 622-8288 CONT. REG. NO. CENTEH*101QA EXP.10/ 91 OWNER'S PHONE SAME OWNER'S ADDRESS SAME TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIAL ADD NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER RENEWAL OF EXISTING PERMIT 90-1256 TO CONSTRII TAX ACCOUNT NO. 010457-0030 LEGAL DESCRIPTION LOT 150 ALDERBROOK #8 RESIDENCE ISSUED BY ELIZABETH SNYDER DATE OF ISSUE -z5 -v DATE OF APPLICATION 8/29/91 BUILDING INFORMATION ONE RS 5.0 SET BACKS: FRONT 20 SIDE 5'/51 REAR 51 HEIGHT LIMIT 301 MAX OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N CENSUS NO. 0/S TYPE OF HEAT GAS BLDG. SQ. FT. 1914 STORIES 2 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. XXX GAS LOGS BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACE DUCT WORK RECEIVED _ SHOWERS 1 URINALS GAS HOT WATER HTR. XXx AIR HANDLING UNIT NUMBER LAVATORIES 4 DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS 1 MISC. BBQ BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 13 DRYER TOTAL MECHANICAL BELOW AMOUNT NONE $123,000 VALUATION $72.50 DUE AT ISSUANCE, $289.50 CREDIT FROM PLAN CR FEE COLLECTED IIP FRONT PERMIT FEE $362_00--- PLAN CHECK FEE 60.00 TOWARDS BLDG. PERMIT FEE. NO PLAN CR FEE DUE AT ISSUANCE. PLUMBING FEE 32 _ 50 MECHANICAL FEE 9-9-x; PLANNING DEPT APPROVAL = DEB BARKER PART P/C FEE «49 - S01 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS "2 HR PLAN REVIEW @ $30.00 HRO -EPA REVIEW PUBLIC WORKS 45.00 PUBLIC WKS DEPT APPROVAL = TOM COLLINS 'ALL DOWNSPOUTS & FOOTING DRAI S.B.C.C. FEE SHALL BE CONNECTED TO THE APPROVED STORM DRAINAGE SYS ' SSFEE + DATE: OTHER FEES $159.2-5-- AMOUNT: 159.25 THIS PERMIT EXPIRES 9/11/92. AMOUNT DUE RECEIPT: ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS T EA D CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT DATE Tlz-lr /C2 J/ FIECEIVED AUG 2 9 1991 On OF FEDERAL "Ay OEpt BOX 1 TENANT NAME: CITY OF FEDERAL WAY armit # ►� rte►-�i�c� BUILDING PERMIT APPLICATION — Please Print — q� Jl OWNER C._�a� Abe C CPA SITE LOCATIO MC57-1 10-14 P%_ %L4) OWNER'S ADDRESS CITY PHONE (,2.Z TM DESCRIBE JOB (ev sQ Z�lv THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #CkbM a* 10 1 Pk Card MUST be presented CONTRACTOR'S ADDRESS 'Z-3 EX0 CITY &��a �� PHONE 622--XZIM EXPIRATION DATE —OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFIN ONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON Lzslj+mj�' PHONE _'SZ-7'1--'&_nX BOX 4 SEWER DISTRICT WATER DISTRICT L M BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # 9100-- t� BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 10.0—/ 2ND FLOOR '2- / 3RD FLOOR / BASEMENT_____J_ DECK / GARAGELB6J BOX 8 Dl$ -SINGLE FAMILY (>q NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO.--3—WATERCLOSETS GAS PIPING, FEET I.K- $ Z BATHTUBS NO. FURNACE, ELEC. GAS—_L_ $ _SHOWERS GAS HOT WATER HEATER $ i1 LAVATORIES CONVERSION BURNER ._SINKS BOILER, SIZE BTLr) _DISHWASHERS ELECTRIC HOT WATER HEATER AIR HANDLING UNITS e4,f d HEAT PUMPS, SIZE $ I LAUNDRY WASHER OUTLET F UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER TQTA6 FIXT�RE $ $ C'r� i NA Oy_fdr!�q TOTAL MECHANICAL FEE $ 1 CERTIFY UNDER PENA&Y OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHERTHAT I AM AUTHORIZED BYTHEOWNEROFTHEABOVE PREMISESTO 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 DEF F SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE RAL AY, B T ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPL S, UPON TH ACC CY F THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: _,"'N DATE: ANP -M 3/ OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE 95670 SETBACKS: FRONT Zoe SIDE �� REAR �`r HEIGHT LIMIT' 30� PLANNING DEPARTMENT APPROVAL T REMABKS SEPA: EXEMPT - NOT EXEMPT- -- - - - - FIRE DEPARTMENT APPROVAL k:�� - -- DATE'%fad REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL 77— DATE 1 4l REMARKS: A 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 K3 TYPE OF CONSTRUCTION 11,41STORES BUILDING SQ. FT. - - - @- _ BUILDING S(. FT. - - @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: �5 d = 30 o. N - �w C2) C3 N LQJp� "�ECEIVELt ASSIGNED ADDRESS: S v PERMIT FEE PLAN CHECK FEE 6,1D PLUMBING FEE & MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE • b SEPA REVIEW PW S.B.C.C. FEE OTHER FEES AMOUNT DUE PARTIAL PLAB CHECK FEE RECEIVED Amount 5 0 Date ' Receipt # J�(43_ BUILDING DEPARTMENT APPROVA BY �` DAT ACCEPTED FOR FILING CITY -OF FEDERAL WAY 33530 F, st Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION661-4140 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE 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 23, 00. VALUATION . X2.50 DUE AT ISSUANCE, $289.50 CREDIT FROM PLAN CIC FEE COLLECTED LP Fr 62.00--- PERMIT FEE .. 60.00 HOWARDS BLDG. PERMIT FEE. NO PLAN CK FET? DUE AT ISSUANCE. PLAN CHECK FEE PLUMBING FEE PLANNING DEPT APPROVAL. DEB BARKER MECHANICAL FEE P/C FEE � FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS -22' HR PLAN REVIEW $3+0.00 AF" rART sEPA REVIEW PUBLIC WKS DEPT APPROVAL - TOM COLLINS "A.LL DOWNSPOUTS & FOOTINC " PUBLIC WORKS fi€{11b,T,3, Ft ; Cel FirT9D TO THE APPROVED STORM DRAINAGE S.B.C.C. FEE FIRE FEE DATE: _RE a XP.01 9/11/97 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