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91-101248CITY OF FEDERAL WAY � 9/ /b/o2 y $ 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 �.� RENEWAL OF 90-1114 661-4140 PERMIT NO. 91-1222 RE OWNER'S NAME JOHN DIACONOU SITE ADDRESS 30024 20 PL SW _ CONTRACTOR HEBERT CONSTRUCTION ADDRESS 4302 B ST NW #D AUBURN 98001 CONT. PHONE 852-7950 CONT. REG. NO. HEBERCI131KB EXP. OWNER'S PHONE 838-0306 OWNER'S ADDRESS SAME AS SITE 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 RENEWAL OF 90-1114 TO DEMOLISH KITCHEN AREA TAX ACCOUNT NO. 012103-9115 LEGAL DESCRIPTION ISSUED BY ELIZABETH SNYDER DATE OF ISSUE t DATE OF APPLICATION 9/3/91 BUILDING INFORMATION gmiL'N SET BACKS: FRONT 20 SIDE 51/51 REAR 51 HEIGHT LIMIT 30 1 MAX CUPANCY R-3 TYPE OF CONSTRUCTION 5—N CENSUS NO. 434 TYPE OF HEAT NA BLDG. SQ. FT. NA STORIES NA 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. SINKS MISC. BBQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE $500.00 VALUATION THIS PERMIT EXPIRES 7/26/92 AND CANNOT BE RENEWED AGAIN! PERMIT FEE $7_50 PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE P/C FEE IT A REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: $7.50 AMOUNT DUE $77 -50 G RECEIPT: - D 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 9 L`'t tsGt'�� DATE RECEIVED BY COMMUNITY DEVELOPMENT DEM41t • Permit # CITY OF FEDERAL WAY SEP 3 19bUILDING PERMIT APPLICATION — Piease Print BOX 1 TENANT NAME: OWNER . 16 . 71014,1' 7)1A c N � _ SITE LOCATION OWNER'S ADDRESS,3,QA4 491tf17 13L S-4 CITY F(l)CRAL WAY PHONE 9.36- 0306 DESCRIBE JOB D6M0LtT10=✓ of k ALf 7CH6"j %1(3,64 o tto-UY( THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #HC-84(-AC1 13111,8 n v Card MUST be presenter,' CONTRACTOR'S ADDRESS /130;2 S 574cc-r ,✓"j CITY 9vaVAS✓ 9401 PHONE YSa - 79jc 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 JHS 114 &0Nev PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBE 01-3103 " yll j -Uy 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 / 3RD FLOOR / BASEMENT_____j_ DECK -------J— GARAGE / BOX 8 ( 1 SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT - PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ N0. 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 $ $ 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 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 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 ]EMPLOY UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. jV_;��-qJ OWNER/AGENT: C DATE: ANP -009 3PJ -CITYOF FEDERAL WAY BUILDING PERMIT 33530 First Way South (Q � BUILDING INSPECTION �. Federal Way, WA 98003 �� 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 ZONE 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 $500. c VALUATION THIS �y .y�r /p �y�ys a PERMIT EXPIRES ! %�.L 6 92 AND CANNO.[- BE �.�S�Mif"iia.l D AGAIN I % Y,3-;.- PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS EXPIRED S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: ` � AMOUNT DUE RECEIPT: DAT Y 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 REQUIREMF T L BE MET. OWNER OR AGENT DATE