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91-101778CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT 9)-/o 177 8 BUILDING INSPECTION 661-4140 PERMIT NO. 91-1751 MH OWNER'S NAME BILL HILLSTEAD SITE ADDRESS 31813 21 AVE SW CONTRACTOR OWNER ADDRESS SAML CONT. PHONE 833-3733 CONT. REG. NO. NA EXP. OWNER'S PHONE 661-9078 OWNER'S ADDRESS POB 78025 SEATTLE TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER INSTALL MOBILE HOME TAX ACCOUNT NO. 122103-9051 LEGAL DESCRIPTION ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 12/18/91 BUILDING INFORMATION ZONE RM 3600 SET BACKS: FRONT 7 - MIN SIDE 3 ' /15 - REAR 10' HEIGHT LIMIT NA OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N CENSUS NO. O/S TYPE OF HEAT NA BLDG. SO. FT. 924 STORIES NA UMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND TER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS rBA RECEIVED THTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK OWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE #4, 065 VALUATION PLANNING DEPT APPROVAL = DEB BARKER $72.00 PERMIT FEE PLAN CHECK FEE 47.00 'VEHICLES MUST PARK IN OFF—SITE SPACE #46 (SEE ATTACHED PARK SITE PLUMBING FEE PLAN) OR MUST BE PARKED ADJACENT TO COACH IN SIDE YARD. NO ON— MECHANICAL FEE STREET PARKING IS PERMITTED PER FIRE CODE REQUIREMENTS" PART P/C FEE SEPA REVIEW BLDG DEPT APPROVAL = KEVIN ELLIS LIC WORKS W.04.50 "CALL 661-4140 FOR A BLOCKING/SKIRTING/TIEDOWN INSPECTION' .C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: $121.50 AMOUNT DUE $12 --A - S n RECEIPT: A Al ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO ORK IS STAR RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY E IS TR N CORREC TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. r .— OWNER OR AGENT DAT u Q Permit .RECEIVED OEC 181991 CITY OF FEDERAL. WAY ,., -, , , BUILDING PERMIT APPLICATION — Please Pr1ht — BOX 1 TENANT NAME: N074r, OWNER i % 7� SITE LOCATION dZE11 Z J1` - OWNER'S ADDRESS o&Z r CITY PHONE o DESCRIBE JOB F THE PROPERTY IS OWNED BY. NGLE ARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # Q and MUST be presented CONTRACTOR'S ADDRESS CITY PHON EXPIRATION DATE —OR(777:_� — 1 HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACT S�cIQD SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PRO GISTRATION. BOX 3 CONTACT PERSON PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (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 ( ) 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 $ DRAINS $ 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 W TION IS MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY ASTO ANY CLAIM (INCLUDING COSTS, ���NEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH WHICH MAY BE MADE BY ANY PERSON, INCL THE �j,S AND FILED AGAINST THE CITY OF FEDERAL RE SUCH CLAIM ARISES OUT OF THE RELIANCE OJt@ CIS, IIQ NG TS OFFICERS AND EMPLOYEES, UPON T , URA INFORMATION SUPPLIED TO THE CITY AS A PART, TBI SPP I;C, 11 / tOWHEIM), I S{ OWNER/AGENT: •I DATE: 12 �i�I.est,�� ANP -008 3/90 OFFICE USE ONLY( PLEASE DO NOT WRITE BELOW THIS LIN ZONE KI--2SETBACKS: FRONT IM -- PLANNING DEPARTMENT APPROVAL REMARKS: Vek'i des h AUS+ 39 REAR 0 V HEIGHT LIMIT '5 ; �1 SSI fIJFInt/il��=,V7Y0.l1fff�N^ 71tF,E.!!Ilgft'- .I'Lli.alis►�:��'�iV/ 02,rii -fl.AI 'Aff 4i/I8&' Il A , J – EXEMPT NOT EXEMPT— FIRE DEPARTMENT APPROVAL REMARKS: DATE PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: a i [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 TYPE OF CONSTR CTION STORES BUILDING SQ. FT. Z @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ & (Q (% ` S TOTAL SQ. FT. TOTAL VALUATION �— BUILDING DEPARTMENT REMARKS: RECEIVED DEC 18 W GM OF FEDERAtr ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE Z 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 fes_BUILDING DEPARTMENT APPROVAL CUBY 1� C, DATE I Z ACCEPTED FOR FILING CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING INSPECTION BUILDING PERMIT 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 NE 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 $ s V7 VALUATION TITHING DEPT APPROVAL DEB EAPXER PERMIT FEE PLAN CHECK FEE g MVEUICLES MUST ARK IN OFF—SITE SPACE; #46 -- PLUMBING FEE PLAN) OR MUST PARMT) ADJACENT TO COACH IN SIDE YARD. NO 042,-.­ 4 ._MECHANICAL MECHANICALFEE STREET ,PARKING IS PEP1I°11-ITE 7 PER FIRE CODE REQUIREMENTS - RT P/C FEE SEPA REVIEW `LDG DEPT APPRONTAL. = K IN ELLIS IC W PUBLORKS "CALL €61--4140 FOR A BLOCKING/SKIRTING/TI�9�OMN INSPFZTIOF* B.ICE S.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. OWIdER OR AGENT DATE I SET BACKS AND FOOTINGS DATE__.—BY PLUMBING ROUGH |N DATE BY 0.x,TOENCLOSE FRAMING DATE BY FINAL O.x.TOOCCUPY DATE =- sY OXTDPOUR FOUNDATION WALLS DATE WATER LINE OX. GAS p|P|wG 0.K. INSULATION ME 0 PLUMBING GROUNDWORK oxrE BY MECHANICAL INSPECTION DATE BY WALL BOARD AND FIRE WALL DATE BY 0 m