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90-1007677o - >v o ?,/,7 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 INSPECTION REQUEST LINE - 946-6794 PERMIT NO. 90-1339 CA OWNER'S NAME HOLIDAY SPA JOB ADDRESS 29100 PACIFIC HWY S #1 CONTRACTOR HATCH CONSTRUCTION ADDRESS 16912 19 AVE CT S SPANAWAY CONT. PHONE 536-3515 CONT. REG. NO. HATCHC110PK 10/90 (OK) OWNER'S PHONE 941-3800 OWNER'S ADDRESS 30806 PAC HWY S FEDERAL WAY 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 COMMERCIAL ALTERATION (TENANT IMPROVEMENT) TAX ACCOUNT NO. 042104-9073 LEGAL DESCRIPTION NW 4-21-4 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 8/10/90 BUILDING INFORMATION ZONE NA OCCUPANCY B-2 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. NA T 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. CQNVERSION BURNER BASIC FEE _ •_1SHWASHERS TOTAL FIXTURESOUNIT HEATER TOTAL MECHANICAL _11NONlF AMOUNT NONE. VALUATION $ 2, 5100 00 BUILDING DEPT APPROVAL:KEVIN ELLIS ON 8/13/90 PERMIT FEE $108-00 _ PLAN CHECK FEE 35-00 PLANNING DEPT APPROVAL: NO CHANGE IN USE/OCCUPANCY PLUMBING FEE _ MECHANICAL FEE _ FIRE DEPT APPROVAL: KEVIN ELLIS ON 8/13/90 TOTAL BLDG. FEES 148 _ nn RT P/C FEE COPY TO FIRE DEPT SEPA REVIEW WATER SERVICE WATER MAIN CHG. r S.B.C.C. FEE OTHER FEES F.D. 5,4013"'DATE PAID I ` AMOUNT $Y RECEIPT / 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 i ) q AGENT DATE ( 6 V Permit # �0 ,,a3a, CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — k k BOX 1 TENANT NAME: OWNER SITE LOCATION r C L GWA % OWNER'S ADDRESS C, CITY L) c H E . Q DESCRIBE JOB Tlc _ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME c c' ��� H iC� CONTRACTOR'S REG. # //4,t <, c: I/O,'/r' Card MUST be presented CONTRACTOR'S ADDRESS ld'rla 19/4 ave &IS CI TYSlld1JQwa i PHONE s s1i� EXPIRATION DATE /10--17'/— _ Q % c —OR —f `���QM 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. PROPERTY TAX ACCOUNT NUMBE 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—L4 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) XW CONSTRUCTION '-Yp f ( )�dfULTIFAMILY (NO. OF UNITS = ) ( EXISTING STRUCTURE ,, ( � COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY �V4&J7 �1L` SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS ATHTUBS f i SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER PA T TA FIXTURES tt. � 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 $ =0 I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KOWLEDGE 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 ZONE SETBACKS:FRONT PLANNING DEPARTMENT APPROVAL REMARKS: OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) y SIDE REAR HEIGHT LIMIT 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 CONSTRUCTION 1,'V STORES BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION `- ct BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: s + PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # IID PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES :rP AMOUNT DUE BUILDING DEPARTMENT APPROVAL DATE �, — 13 ` 0l— ;S�. of ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT BUILDI41 NG 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 NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.--- DD.-NEW NEWMULTI -FAMILY (UNITS-) MULTI. ADD. SIGN__ GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE_ DATE OF APPLICATION BUILDING INFORMATION 'NE OCCUPANCY _ TYPE OF CONSTRUCTION BLDG.SO.FT. T 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 IT HEATER TOTAL MECHANICAL _ AMOUNT _ VALUATION 2. BUILDING BKPT APPROVAL: KEVIN JZWS ON Sl13/90 PERMIT FEE a _ PLAN CHECK FEE J . , I',;G DEPT APPROVAL: `t CHGJ� IN USN/OCC: ,, PLUMBING FEE MECHANICAL FEE _ / 'TRE�� APPROVAL: APL: XWTN ELL,'rS ON 8/13/90 BLDG. FEES OTAL RT P/C FEE ,ti. i y TO rim DEQ ._.._ ._ ..,._.,_. SEPA REVIEW WATER SERVICE l WATER MAIN CHG.�- w .f j S.B.C.C. FEE' f t OTHER FEEST IR PAT 4 mg,*r 4 3 7. st 0 ire x j 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 . . .. ..... . ........ - OX TO POUR FOUNDATION WALLS DATE _-__-_BY PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE __ __ __ ,BY . . . ..... WATER LINE O.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. TOO CUPY DATE BY DCD PSD FD