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91-100979CITY OF FEDERAL WAY BUILDING PERMITa BUILDING INSPECTION 941-1555 91-/069-74 PERMIT NO. 91-935 FSS OWNER'S NAME DIACONOU JOB ADDRESS 3.&&ff 20 PL SW PACIFIC FIRE PROTECTIOV'DDRESS 4210 B ST NW AUBURN CONT. PHONE 622-0484 CONTRACTOR CONT. REG. NO. PACIFF 4500 10/91 OWNER'S PHONE OWNER'S ADDRESS SAME TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NTIAI' FIRE SPRINKLER NEW MULTI -FAMILY UNITS ) MULTI. ADD. SIGN GRADING OTHER RESIDENTIAL SYSTEM TAX ACCOUNT NO. 012103-9115 LEGAL DESCRIPTION NA 0911 ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 7/12/91 BUILDING INFORMATION NE NA OCCUPANCY NA TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 5898 BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT NA 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 $8,304.00 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS PERMIT FEE $108.00 PLAN CHECK FEE 70.00 PLUMBING FEE MECHANICAL FEE BLDG. FEES $178.00 PARTAL T P/C FEE 1 SEPA REVIEW WATER SERVICE DATE PD AMT $267.00 RE' CT WATER MAIN CHG. S.B.C.C. FEE OTHER FEES FIRE D. 89.00 $267.00 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,5"ET: l/ � 6 DATE -7 l - OWNER OR AGENT ,8 A RECEIVED J U L 12 1991 CITY CHS Ikgl �AL WAY X f C14 ff0F FEDERAL WAY Ormit # �r�Z3 s �� BUILDING PERMIT APPLICATION — Please Print — OWNER 1/1dc_ "AN I/ �• OWNER'S ADDRESS S00`M DESCRIBE JOB THE PROPERTY IS OWNED BY: SI CONTRACTOR'S ADDRESS EXPIRATION DATE U." ..0, on Nrubull N CITY 01W PHONE 622- - 04f 9 9 —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 P MITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON PHONE BOX 4 SEWER DISTRICT WATER DISTRICT r&712c/cAt-_ VIA)- (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 FOUNTAINSCOMMERCIALJIOOD $ SUMPS, SPRINKLER VACUUM BREAKERS 4ML-k_OTHER YC5e,S $ 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.0 M`YY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS JADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES; AND ATTORNEYS' CES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUD.!ING THE UNDERSIGNED, ID FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING HTS PCERS AND EMPLOYEES, UP01y THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. DATE: ?_/z - �/ ANP -006 3/90 ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: -1 Z9 OFFICE USE ONLY (PLEASE DO NOT LOW THIS LINE) SIDE REAR HEIGHT LIMIT L SEPA: EXEMPT - NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT--, NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS_) (dt^-- MULTIFAMILY ADD/ALT TENANT IMP. OTHER S s OCCUPANCY TYPE OF CONSTRUCTION 1%l STOFA BUILDING SQ. FT. rsq 5? @ (,Goa - BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @_ ° cf- ®K BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION 530q- 3 9 BUILDING DEPARTMENT REMARKS: RECEIVED JUL 12 1991 rV OF FEDERAL WAY 8UiILWa DEPT: RECEIVED ASSIGNED ADDRESS: _S C -e- Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # BUILDING DEPARTMENT APPROVAL BY _f� DATE -7 PERMIT FEE (e , PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES i -'C IR -e- P24. 0 AMOUNT DUE 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 ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION _ BLDG. SO, 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 MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL _ AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE UMBING FEE cCHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW ?fit t.,.. i26: I�' WATER SERVICE _ j. _., WATER MAIN CHG. S.B.C.C. FEE OTHER FEES 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 SET BACKS AND FOOTINGS DATE BY O.K TO POUR FOUNDATION WALLS DATE BY PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE BY WATER LINE Q.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 Z- BYy(�r(�"/ DCD PSD FD