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90-101483CITY OF FEDERAL WAY (O/S) BUILDING PERMIT 9o-/ofyk3 BUILDING INSPECTION PC RE wl_, ;�, PERMIT NO. 90-1699 MH OWNER'S NAME ALICE HERNANDEZ JOB ADDRESS 31813 21 AVE SW (SPACE 3) CONTRACTOR BRYCE BARTHOLQKEW ADDRESS10702 43 CT E PUYALLUP CONT. PHONE 845-3910 CONT. REG. NO. BMKOBHS124D8 -$It ER'S PHONE 393-7723 OWNER'S ADDRESS 28623 MILITARY RD S #A-4 FEDERAL TYPE JOB: NEW RESIDENCE ADDITI NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER MOBILE HOME SET—IIP TAX ACCOUNT NO. 420037-5622 LEGAL DESCRIPTION THE SO 3/4 OF THE SO i OF THE E i OF THE SW OF THE SE I OF SEC 12 TWNSHP 21 NO. R 3 EAST WM EXCEPT THAT PORTION THEREOF LYING WITHIN THE E 417.42 FT OF THE W 1294.24 FT OF THE SO ISSUED BY ELIZABETH SNYDER DATE OF ISSUE L :- DATE OF APPLICATION 10/23/90 BUILDING INFORMATION NE RM 3600 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N FOUNDATION BLDG. SO. FT. 720 SF SET BACKS: FRONT 31 SIDE 31 EACH REAR 31 STORIES NONE HEIGHT LIMIT NONE 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 NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $3, l 68 - 0n PLANNING DEPT APPROVAL = BILL KINGMAN ON 11/7/90 PERMIT FEE $63-00 PLAN CHECK FEE 41-00 PLUMBING FEE CHANICAL FEE CHBLDG. BUILDING DEPT APPROVAL = KEVIN ELLI S ON 10/30/90 FEES 104 n n PART PIC FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE 4 _ 50 OTHER FEF,s'DATE PAID AMOUNT $108.50 RECEIPT 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 TR AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: 14�l OWNER OR AGENT DATE WY • ? 4ermit # `"/ y -/ (. 214 0 RECEIVED CITY OF FEDERAL WAY OCT 2 31990 BUILDING PERMIT APPLICATION on OF FEDERAL WAY — Please Pant — n No BOX 1 TENANT NAME: ,�� OWNER . SITE OCATION 3 5, W.S%; OWNER'S ADDRESS 'es� 79 CITY-/ PHONE7-2 DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME AeCONTRACTOR'S REG. # p l,;2,//Dycard MUST be presented CONTRACTOR'S ADDRESS 70 t5? CITY �_ PHONE V6 A6zJrYl0 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 3- ZZ93 BOX 4 SEWER DISTRICT WATER DISTRICT 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 # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR I 3RD FLOOR / BASEMENT / 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) 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 OFTHE 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 ATTDRNEYS' 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 ACC RACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: ANP -006 3/80 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONEUW SETBACKS: FRONT 00 3 SIDE REAR 3 � HEIGHT LIMIT 2jo � • + PLANNING DEPARTMENT APPROVAL REMARKS: SERA: EXEMPT_ NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL ,44a DA REMARKS: TYPE OF JOB: NEW RESIDENCE 2C RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT- NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY X 3 TYPE OF CONSTRUCTION VAI STORES ra 7R'/yI� BUILDING SO. FT. @ O C) = 3600 BUILDING SO. FT. @ _ BUILDING SO. FT. @ _ BUILDING SO. FT. @ _ BUILDING SO. FT. @ ( 6 - -S b BUILDING SO. FT. @ _ TOTAL SO. FT. TOTAL VALUATION 3 o BUILDING DEPARTMENT REMARKS: RECEIVED OCT 2 3 1990 N OF FEDERAL WAY BUILemp . ASSIGNED ADDRESS: .S(&- e Amount PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE (q 6 PLAN CHECK FEE • d o PLUMBING FEE 0 MECHANICAL FEE CED TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW 6 S.B.C.C. FEE 0 OTHER FEES AMOUNT DUE S- 0 Receipt # BUILDING DEPARTMENT APPROVAL q BY DATE 10-)6 l ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT BUILDING 941!N SSECTION 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 SSUED 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 MISG. _ CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION ?14,ANiITAN 4 DEPT APPROVAL 7/90 BILL KING O .11/7/90 PERMIT FEE PLAN CHECK FEE UMBING FEE ECHANICAL FEE — '$U! _DING DEPT APPR rAj, y 90 KWIN ELLS S ON 10/30/90 TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE DATE PAID AMOUNT $108. Jo PAC R.1 OTHER FEES AMOUNT DUE ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT -S 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 AC -1�� D!C 7"� /Z7)rZ- SET BACKS AND FOOTINGS DATE BY OX TO POUR FOUNDA DATE BY N WALLS PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE BY WATER LINE O.K. GAS PIPING O.K. MECHANICAL INSPECTION DATE BY O.K. TO ENCLOSE FRAMING DATE BY INSULATION DATE BY WALL BOARD AND FIRE WALL DATE BY _ FINAL O.K. TO OCCUPY DATE �%�o��BY DCD PSD FD I