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92-100460CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT q'.�_ Joov/'fo BUILDING INSPECTION 661-4140 92-382 RA S R WAGENHALS 30643 21ST AVE SW PERMITNO. OWNER'S NAME SITE ADDRESS CONTRACTOR S R WAGENHALS ADDRESS 30643 21ST AVE SW FEDEAL WAY CONT. PHONE 874-4031 CONT. REG. NO. WAGENC141NR EXP_ 8/92 OWNER'S PHONE 874-4031 OWNER'S ADDRESS 30643 21ST AVE SW FEDERAL WA TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER RF.MODET. -- Ann nFTACHED SHED /GRADING TAX ACCOUNT NO. 416770-0010-04 LEGAL DESCRIPTION LOT 1; LAKOTA PALISADES DIV 1 ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 3-12-92 BUILDING INFORM TIO ZONE RS SET BACKS: FRONT 20 SIDE -51 REAR 51 HEIGHT LIMIT OCCUPANCY Ml TYPE OF CONSTRUCTION VN CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. 440 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 PLANNING DEPT APPROVAL�I. DRIVEWAY TO CARPORT PARKING AREA SHALL BE PAVED VALUATION 7,085.76 PER FWAC - 10 5 6.10 5 . PAVING TO SHED NOT REQUIRED. HEMLOCK SHALL BE RETAINED AND PROTECTED PER 99.00 PERMIT FEE 64.00 FWZC 90.15 (ATTACHED) DB 4-17-92 PLAN CHECK FEE PLUMBING FEE PUBLIC WORKS DEPT APPROVAL: PROOF OF SEPTIC TANK PUMPING SHALL BE PROVIDED ECHANICAL FEE PRIOR TO FOOTING APPROVAL. JS 4-17-92 FWRT P/C FEE SEPA REVIEW BUILDING DEPT APPROVAL: KC 4-16-92 PUBLIC WORKS S.B.C.C. FEE 4 - -tin FIRE FEE DATE: OTHER FEES AMOUNT: $167.50 AMOUNTDUE 167-Sn RECEIPT: J 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 F FINISHED 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 Q Q DATE _ �L '! Peep - qq r 3 6-;� el �pR 12199,.E CITY OF FEDERAL WAY �r BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: W ,je�� OWNER S,1=• WA6tEMKA;t_S SITE LOCATION 5CIC-f'`t3 ZA Psvc OWNER'S ADDRESS 3&&43 Z1 4U6 :W CITY 6 V PHONE 879 DESCRIBE JOB RaM12ML — AINQ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERS IP I CORPORATION BOX 2 CONTRACTOR'S NAME '- WA rte r+ALS CONTRACTOR'S REG. # 444SN C, 141 W �. Card MUST be presented CONTRACTOR'S ADDRESS 50(,13 M I Ay 15� S,\h/ CITY F- k1 PHON 37 EXPIRATION DATE S' —1 S-9 Z� —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 �T )1) PHONE n1-40 3 1 BOX 4 SEWER DISTRICT `4% S WATER DISTRICT F5 BOX 5 ESTIMATED PROJECT COST ��,� "� EXISTING BUILDING VALUATION 110,5-00 s BOX 6 PROPERTY TAX ACCOUNT NUMBER 4 l (eM — c0t I> LEGAL DESCRIPTION I.Lr I "Ia A pALi S ji (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR t �/ CQD 2ND FLOOR I CW /IC 3RD FLOOR ---------I -, BASEMENT --------J '-- DECK LT_Z / i 242 GARAGES / BOX 8 ( 'SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (✓f EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY C :3 1 SOC) 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 CORRECTTO THE BE0,46F MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERRlI APPLICATION IS MADE. I FURTHER AGREE TO SAVE HARM LESS THE CITY OF FEDERAL WAY AS TO ANY CLAI M (INCLUDING COSTS; EXPENSES,'* ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, NCWDING 7'HE 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: :?�, -- ra-T z ANP-(= 3/90 OFFICE USE ONLY PLEASE DO NOT WRITE BELOW T?iIS LINE ZONE SETBACKS: FRONT SIDE �� REAR �� HEIGHT LIMITO PLANNING DEPARTMENT APPROVAL 4Yti:� SUR AML 21��� If/1yA, Wa buMna shall enemaefi onto anv bulydrna setback trop er paSemcnt *"AlAm nr "^$. "qam Y SEPA: EXEMPT --V- NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL Q DATE REMARKS: hemr- DF Sa:orc io,,JX &),m ,,fyg, S14,IGC RG IO Z oV6 14&-& U4 -t- , 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 CONSTRUCTION AJ STORES 6" e. BUILDING SQ. FT. � ® @ 3 O = A C) 5- 2 - BUILDING BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @b _ TOTAL SQ. FT. TOTAL VALUATION 70 g -c 7 BUILDING DEPARTMENT REMARKS: RECEI ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE T I 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 j/ BUILDING DEPARTMENT APPROVAL BY DATE r ACCEPTED FOR FILING CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 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 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 VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE f PART P/C FEE � SEPA REVIEW 1 PUBLIC WORKS S.B.C.C. FEE L qFIREFEE DATE: 1 OTHER FEES AMOUNT: ID AMOUNT DUE RECEIPT: V 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 Ax 6 A (i — 9 o celz SET BACKS AND FOOTINGS "- DATE OX TO POUR FOUNDATION WALLS DATE BY PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE--_ __ BY WATER LINE OX. . ... .... . .... .. 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 __.__BY DCD PSD FD