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91-100110CITY OF FEDERAL WAY ,,,. BUILDING PERMIT BUILDING INSPECTION 941-1555 91-0090 RA ROBERTA JONES 32951 22ND AVE SW PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR RULE CONSTRUCTION ADDRESS 4214 S 284TH AUBURN CONT. PHONE 854-8215 CONT. REG. NO. RULECC136PA OWNER'S PHONE OWNER'S ADDRESS 32951 22ND AVE SW FEDERAL WAY TYPE JOB: NEWRESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 894500-0810-01 LEGAL DESCRIPTION LOT 81 VILLAGE PK DIV ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 1-22-91 BUILDING INFO ATION ZONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT 280 SET BACKS: FRONT 201 SIDE S REAR 51 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 DUCT -6.5(1 RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWHSHERS TOTAL FIXTURES 3X5= -15-_D-0 UNIT HEATER TOTAL MECHANICAL 6_-_5D AMOUNT VALUATION 17, 001.60 PLANNING DEPT APPROVAL: DB 1-28-91 189.00 PERMIT FEE FIRE/BUILDING DEPT APPROVAL: KC 2- 4-91 PLAN CHECK FEE 12 3-00 LUMBING FEE AD .CHANICAL FEE v _ I TOTAL BLDG. FEES DATE: 9l PART P/C FEE 368.00 SEPA REVIEW AMOUNT XX�XX� WATER SERVICE WATER MAIN CHG. RECEIPT: S.B.C.C. FEE 4 _ 50 OTHER FEES AMOUNT DUE 368,003= 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 mit # 9,1-6)0�0 , CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER K_C)JSF� �_� nl�C SITE LOCATION OWNER'S ADDRESS PHONE DESCRIBE JOB �— THE PROPERTY IS OWNED BY I GL ARRIED PARTNERSHIP (nRPnRATinN CONTRACTOR'S Al EXPIRATION DATE Card MUST be presented CITY A:�tAi ti'gj)j PHONE S �1 (142-j � 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 :!j;Z_EPs.; 1 PHONE- bS �f t,Z S BOX 4 SEWER DISTRICT ° WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER ft> "fS n` '" r) o --- 0 1 LEGAL DESCRIPTION (_X -T P, I l /i i7:>�._LN V, A 1,-7 . i>_3� Li 1. Y -/JA (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existingifroposed-T 1ST FLOOR Z_P)/ 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 (includi Trough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. l WATERCLOSETY,S GAS PIPING, FEET $ � f BATHTUBS ._°' N0. FURNACE, ELEC. GAS $ A SHOWERS// GAS HOT WATER HEATER $ Y� LAVATORIES CONVERSION BURNER $ SINKS,/ ' BOILER, SIZE BTU $ Ts- 4WASHEI 'TRIC H( NDRY WI DRINRNG FO SUMPS;` PRI DRAINS OTHER to cts o1�E /C_j� AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ n—COMMERCIAL HOOD $ V OTHER $ TOTAL FIXTURES 1., TOTAL MECHANICAL FEE $ 7-1 ;- 61 C - 'v 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: DATE: ANP -008 3/90 OFFICE USE ONLY (PLEASE DO NOJWRITE BELOW THIS LINE) ZONE C 1Z. SETBACKS: FRONT SIDE r REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT AP REMARKS: DATE Z __ Y �ZZ/ DAT BUILDING DEPARTMENT REMARKS: I(?_\,j F -(> e , rc'_\) c S r a L. (Z+ ' 3 0 = J7 V' Gi c LA RECEIVED ASSIGNED ADDRESS: Amount Im PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE �' oa PLAN CHECK FEE I ap PLUMBING FEE TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT - o NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) SEPA REVIEW MULTIFAMILY ADD/ALT TENANT IMP. OTHER OTHER FEES OCCUPANCY TYPE OF CONSTRUCTION STORES I' 'U �c� BUILDING SQ. FT. - @ 6� °O = 3 LCA BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ - TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: I(?_\,j F -(> e , rc'_\) c S r a L. (Z+ ' 3 0 = J7 V' Gi c LA RECEIVED ASSIGNED ADDRESS: Amount Im PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE �' oa PLAN CHECK FEE I ap PLUMBING FEE f r o 19 MECHANICAL FEE - o TOTAL BLDG. FEES �63, 5- PART P/C FEE SEPA REVIEW S.B.C.C. FEE `} C' OTHER FEES AMOUNT DUE Receipt # BUILDING DEPARTMENT APPROVAL (1 DATE 2 1 ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT BUILDI94 IN 55ECTION 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 NEWCOMMERCIAL 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 h'lpXv* PrPT'w'i` Flo 4A 1 ,'RE/BVILDINCT DEPT RlIpplitovi"; SCC 1-28-97, 2-.. 4-9-', PERMIT FEE PLAN CHECK FEE FEE t 6UMBING CHANICAL FEE TOTAL BLDG. FEES. +f PART P/C FEE .2L 368. W SEPA REVIEW WATER SERVICE WATER MAIN CHG.(,'3° S.B.C.C. FEE _✓� Doff OTHER FEES AMOUNT DUE �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 (' REQUIREMENTS WILL BE MET: eLJ xl� OWNER OR AGENT DATE ,-In tj uA_ 0 6 SET BACKS AND FOOTINGS DATE , BY - - OX TO POUR FOUNDATION WALLS DATE _BY PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE BY LYf WATERLINE OX. GAS PIPING O.K. MECHANICAL INSPECTION DATE - ___ ----.,,--BY O.K. TO ENCLOSE FRAMING DATE --BY,ZZ17.,/..........BYDATE INSULATION ;It . ..... WALL BOARD AND FIRE WALL DATE BY FINAL O.K. TO OCCUPY DATE-_____ _BY - See dim- 71251-71 DCD PSD FD 19 e 71 91' ,21 LIAW 411 e- 1Z S 1 6 ti i Z'D cwcv— ("z' 0�- 2o