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90-101292CITY OF FEDERAL WAY #328 BUILDING PERMIT BUILDING INSPECTION 941-1555 9o—/o/-?4J 90-1490 MUELLER DEVELOPMENT 35420 25TH AVE S PERMIT NO. OT OWNER'S NAME JOB ADDRESS CONTRACTOR MUET,ET.R DEET.OPMF.NT ADDRESS 19550 PACIFIC HWY S SUTTE 300 SF.A'.BTLlEPHONE R24-2112 CONT. REG. NO. MUP..I.T.DC16 1 MK OWNER'S PHONE 874-2112 OWNER'S ADDRESS 19550 PACIFIC WHY S #300 SEATTLE 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 BUILDING FOR TV SATELLITE, EQUIPMENT TAX ACCOUNT NO. 252103-9060-9061 RECORDING NUMBER LEGAL DESCRIPTION TOTS 2 F, 3 SHORT PLAT NO 8104970541 PORTION OF GOVMT LOT I SEC 25, TWN 21 RG, 3 RART 978016 RECORDED UNDER IN K -C Q cy—U UED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 9-14-90 BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION_ BLDG. SQ. FT. 100 S F SETBACKS: 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 2 . o o o BUILDING APPROVAL: KC 9-27-90 PERMIT FEE 4500 PLAN CHECK FEE 2900 MBING FEE HANICAL FEE 9C(E TOTAL BLDG. FEES DATE: [/ PART P/C FEE SEPA REVIEW AMOUNT: Ff/ b�— WATER SERVICE �I �` L12- WATER MAIN CHG. RECEIPT: 17 S.B.C.C. FEE 4.50 OTHER FEES AMOUNT DUE 78 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 TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: (f:)—"– OWNER OR AGENT DATE C� CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION `l —Please Print — / o r 0l is BOX 1 TENANT NAME: CE-a�rs 1 5'afeCe VYte rcn( v OWNER SITE LOCATION OWNER'S ADDRESS �s O F'-c��`. �v�-< 'S�' r -Z PHONE DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME M.a,ec_� CONTRACTOR'S REG. # tA V- ..1 cw Card MUST be presented - CONTRACTOR'S ADDRESS `� ��' `'1�c-= CITY ` �' PHONE-� EXPIRATION DATE Lo - 1-it K —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. y BOX 3 CONTACT PERSON PHONE BOX 4 SEWER DISTRICT WATER DISTRICT r BOX 5 ESTIMATED PROJECT COST 'J.} STING BUILDING VALUATION X BOX 6 PROPERTY TAX ACCOUNT NUMBER Z) :-> io 3 -'A t 5 C w I. LEGAL DESCRIPTION ?L4. '-r 40 0 -j�'j04,a-t 3 ?GSL-r�cre c� C°z Lcs"e i SCC- ejs 'tw W .� i 1.� . (Z � CASA i 1-1 • ic_ C. - (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR l 00 2ND FLOOR / 3RD FLOOR / BASEMENT / 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) N0. WATERCLOSETS BATHTUBS RIES SI ELECTRI OT WATER HEATER LAUNDR ASHER OUTLET URINA DRIN G F NTAINS SUM S, SPRI LER VACUUM BREAKERS DR INS 0 HER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPI FEET $ N0._1 IRNACE, ELEC. GAS $ GA HOT WATER ATER $ CON SION B NER $ BOILER, Z BTU $ AIR HAN UNITS $ HEAT MPS, E $ UNI HEATERS $ COOLING UNITS, IZE $ 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. '' OWNER/AGENT: 0J�--= DATE: ` k 4 ANP -008 3/90 ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: ,1.4 A OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIDE REAR HEIGHT LIMIT ar✓- 6 c.0 Ck J/ C( v_ 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 ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTIONSTORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION Q BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: le -t `' fS PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY DATE r1 �7 qu ACCEPTED FOR FILING y5 PERMIT FEE PLAN CHECK FEE c" PLUMBING FEE MECHANICAL FEE 0 TOTAL BLDG. FEES 7 V 00 PART P/C FEE & SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE < S-0 ASSIGNED ADDRESS: le -t `' fS PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY DATE r1 �7 qu ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT BUILDI41 NG IN 55ECTION ic) 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. INDtISTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER_ TAX ACCOUNT NO. LEGAL DESCRIPTION r 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 �� J PERMIT FEE PLAN CHECK FEE to UMBING FEE _CHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE 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 ex 0 0 SET BACKS AND FOOTINGS DATE BY - X45 OX TO POUR FOUNDATION WALLS DATE BY -A-7-7 — PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE -_BY WATER LINE O.K. . .... ... . . . . ......... GAS PIPING O.K. MECHANICAL INSPECTION DATE _._--BY TO ENCLOSE FRAMING DAT It- Z.._ (.o - By INSULATION DATE BY WALL BOARD AND FIRE WALL DATE BY -ANAL O.K. Tq OCCYPY DATE _/i�W/�BY DCD T PSD :D 1c)/3 ell t,2 A-L/i