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90-101720CITY OF FEDERAL WAY BUILDING 9b-/01 71�0 PERMIT, B�e'ECTION 90-1508 MH RAYMAN J. COREY 3&1-W PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR_ BRYCE BARTHOT,CiMEW ADDRESS 10702 43RD ST CT E. PUY kT.T.TTP WA CONT. PHONE AAS.—"l 0 CONT. REG. NO. BMMOBHSI2EDS OWNER'S PHONE 941_-5162 OWNER'S ADDRESS Al R 1 3 21ST AVIR SW FRflRRAT, WAY 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 MnSTT.F. Emmy. SRTTIP TAX ACCOUNT NO. 1 221 03-9050 LEGAL DESCRIPTION SOUTIR 314 OF SR 114 OP SN 114 OF SE 114, LESS ISSUED BY JAMA JOHNSON DATE OF ISSUE DATE OF APPLICATION 9-18-90 BUILDING INFORMATION ZONE RM 3600 OCCUPANCY R3 TYPE OF CONSTRUCTION vN BLDG. SO. FT. R40 SET BACKS: FRONT 5 SIDE ( REAR -0- STORIES HEIGHT LIMIT ZA 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 31,696 -no BUILDING DEPT APPROVAL: KC 10-1-90 PERMIT FEE 63.00 PLAN CHECK FEE 41-00 LUMBING FEE CHANICAL FEE TOTAL BLDG. FEES PART P/C FEE I SEPA REVIEW DATE: WATER SERVICE WATER MAIN CHG. AMOUNT: I �._ S.B.C.C. FEE 4.50 OTHER FEES RECEIPT: (1!/ �' AMOUNT DUE 108_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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: 3 BIER OR AGENT '` DATE RECEIVED 0 L _ iwilrit # $gip 18 SO CITY OF FEDERAL WAY YBUILDING PERMIT APPLICATION 7'g,;�zE K — Please'Print — BOX 1 TENANT NAME: 2�:':1�= <_ , LAJ OWNER T SITE�IWN-.jt► �'` S• W OWNER'S ADDRES 3 s . W. CITY PHONE DESCRIBE JOB - THE PROPERTY IS OWNED BY: SINGL RRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME1� ruGG. FBQ*+k(L(n r'M e_k2 CONTRACTOR'S REG.#,glM hFS M Card MUST be presented CONTRACTOR'S ADDRESS _107.09 f 3 r 4 Sf Cfi e' CITY 1 v . PHONE IY539/6 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 rVA P MA LOAte WATER DISTRICT BOX 5 ESTIMATED PROJECT COST 70.D •�= EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION t f (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR______J_ 2ND FLOOR / 3RD FLOOR_____J_ BASEMENT______J_ DECK / GARAGE / BOX 8 (•-)'SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) NO.__j__WATERCLOSETS BATHTUBS SHOWERS _LAVATORIES _SINKS DISHWASHERS _ELECTRIC HOT WATER HEATER _LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ NO._I 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 $ MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF -PERJURY THAT THE INFORMATION FURNISHE-913Y ME IS TRUE AND CORRECT TO THE BEST OF MYWOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT AP LICATION 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:DATE: se,0:2-1 ANP -OW 3/90 0 _ '""' • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONER��3�'SETBACKS: FRONT S SIDE REAR— HEIGHT LIMIT PLANNING DEPARTMENT AP ROVAL '�V' e -- REMARKS: 11 CODA• CVC\ADT 61AT CVC&ADT FIRE DEPARTMENT APPROVAL REMARKS: d " .1, PUBLIC WORKS REMARKS: DATE DATE BUILDING DEPARTMENT REMARKS: ASSIGNED ADDRESS: PERMIT FEE 63 ° c'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 MECHANICAL FEE OCCUPANCY �� TYPE OF CONSTRUCTION I --AJ " STORES A BUILDING SO. FT. AMC) @ �� _ �{zt� O BUILDING SO. FT. SEPA REVIEW BUILDING SO. FT. @ BUILDING SO. FT. @ 00. BUILDING SO. FT. @ _ BUILDING SO. FT. @ _ TOTAL SO. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: ASSIGNED ADDRESS: PERMIT FEE 63 ° c'a PLAN CHECK FEE • O PLUMBING FEE 10 MECHANICAL FEE 0 TOTAL BLDG. FEES PART P/C FEE o SEPA REVIEW a S.B.C.C. FEE OTHER FEES AMOUNT DUE PARTIAL PLAN CHECK FEE RECEIVED 'ro118 3y unt Date Receipt # a `d.� `7 BUILDING DEPARTMENT APPROVA BY C', DAT CEIVED v�l , ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 941-1555 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.SO.FT. SETBACKS: 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 Ull-DING DR" APPROVA%-� lxO PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE i SEPA REVIEW WATER SERVICE WATER MAIN CHG. _._�__ S.B.C.C. FEE OTHER FEES _ i.C�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 ,O -r / DATE PLUMBING ROUGH IN DATE ___—. BY O.K. TO ENCLOSE FRAMING DATE __ __—.BY FINAL O.K. TO OCCUPY Tiiv L O. ALLS DATE 51-L-? 9_�L_BY �1S —_ PLUMBING GROUNDWORK DATE WATER LINE O.K. __ _ —_ GAS PIPING MECHANICAL INSPECTION DATE ____ —._— _BY INSULATION DATE -------BY ._ WALL BOARD AND FIRE WALL DATE _ __ _ BY DCD PSD FD DATE _ S''02-9_1�?r &.,j ejnv 'rin PSA nee j 10T V , 1..e .-J."- t x +e o, 40 11,+51 � t /G -Q/ /) D.ut-sSo c1:r o11-,A1Zoc & '7V XX— fV me70 is ^h /- r/VD 0o"J/V �' ocr� 7 c z IVIAIG S1Z11tr11V6 a2LsWS *15 4VTi_-