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92-100420CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 REVISION ONLY BUILDING PERMIT 9)-/00y.2o BUILDING INSPECTION 661-4140 92-346 OT SEIS 28236 MILITARY RD S PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR OWNER ADDRESS CONT. PHONE-- HONE_CONT. CONT.REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC _ __ PUBLICADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER REVISIONS ONLY TAX ACCOUNT N0231240-0230 LEGAL DESCRIPTION _ SSUED BY E B SNYDER DATE OF ISSUE DATE OF APPLICATION 1 /1 9.2__ _ 6/11-9-2-- BUILDING INFORMATION ONE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. _TYPE OF HEAT BLDG. SQ. FT. STORIES-------- TORIES_____PLUMBING PLUMBINGNO. 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 VALUATION BLDG APPROVAL = KEVIN ELLIS PERMIT FEE $30.00 PLAN CHECK FEE FEE CHANICAL FEE IAUMBING RT P/C FEE „EPA REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT:30 - 00 AMOUNT DUE $30.00 RECEIPT: 12) ci 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 INFORMA N FURD BY M IS TRUE NIS AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. ��� �� 41NNER OR AGENT /�"'— dry' — DATE�I�' W ► +�rTV 00 �# q2_34L0 JUN - 1 g CITY OF FEDERAL WAY '�C `S��.j BUILDING PERMIT APPLICATION c) ��vd� — Please Print — X 1 TENANT NAME' A- <,:7,5 OWNER /" SITE LOCATION OW -1-5 6 ta— OWNER'S ADDRESS ITY PHONE=/ DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP ie-" CORPORATION 2 CONTRACTOR'S NAME a �ST�I.1C�iv CONTRACTOR'S REG. # ' l Card MUST be presented CONTRACTOR'S ADDRESS Ste" AMT19 CITY ���AO PHONE ;2,7Z EXPIRATION DATE —OR— I HAVE READ CHAPTER 18.27.010 RELATI EFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION 6 PROPERTY TAX ACCOUNT NUMBER 2 W — D.230 LEGAL=RIPTiON—__ (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK______J_ GARAGE / 8 ( ) 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 $ :RTIF'(UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MANOWLEDGE D FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS DE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY ASTO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS' :S INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, D FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS :KERS AND EMPLOYEE4UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. INER/AGENT: DATE: ANP -008 3/90 ZONE SETBACKS: FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: OFFICE USE ONLY (PLEASE DO NOT WRITE BELOT i ,LINE) SIDE SEPA: EXEMPT NOT EXEMPT / FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT APP REMARKS: IGHT LIMIT". TYPE OF JOB: NEW RESIDENCE ES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. D/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT T ANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION STORES ILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION DA DA BUILDING DEPARTMENT REMARKS: PERMIT FEE iirQ (�� ��,({ (S ©14 ✓ PLAN CHECK FEE PLUMBING FEE �' MECHANICAL FEE TOTAL BLDG. FEES PART P/GHEE S,EPAX E I E W S.B.C.C. FEE OTHER FEES AMOUNT DUE RECEIVED Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # � BUILDING DEPARTMENT APPROVAL (/ BY 4 li DATE (0 �_ Z 7 Z' ACCEPTED FOR FILING CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. 92-346 NR OWNER'S NAME DAVE SEIS SITE ADDRESS 28236 MILITARY RD S CONTRACTOR OWNER ADDRESS 11641 SE 188 ST PENTON CONT. PHONE 271-8864 CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS y TYPEJOB: NEW RESIDENCE XXL ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING_ OTHER• ..AND GARAGE TAX ACCOUNT NO. 231240-0230 _ LEGAL DESCRIPTION LOT 13 BLK 2 ELLENWOOD MANOR ADDITION ISSUED BY E SNYDER DATE OF ISSUE 22 DATE OF APPLICATION 3/15/92 BUILDING INFORMATION Z ONE RS 9.6 rPLUMBING SET BACKS: FRONT 201 SIDE 5 ' /5 ___REAR 5 HEIGHT LIMIT 30 OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5—N CENSUS NO. 101 TYPE OF HEAT GAS BLDG. SQ. FT. 2248 STORIES 3 NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND 3.50 WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS BATHTUBS-- LAUNDRY DRAINS DUCT WORK FORCED AIR FURNACE 10,.006.50 RECEIVED SHOWERS URINALS 6 GAS HOT WATER HTR. .50 AIR HANDLING UNIT NUMBER LAVATORIES 3 DRINKING FOUNTAINS CONVERSION BURNER MISC. I RETURNED SINKS - MISC. BBQ BASIC FEE DISHWASHERS I TOTAL FIXTURES 11 X_$�_5.00 DRYER TOTAL MECHANICAL 2_O_.._00 AMOUNT NONE $118,652 VALUATION PLANNING APPROVAL = DEB BARKER $706.00 PERMITFEE $130.5 59.00 "PAVE DRIVE & ROW ACCESS. FENCE/PROTECT TREES PER ATTACHED PLAN CHECK FEE 55.00 PWZC 90.15.4 �� PLUMBING FEE 20.00 ECHANICAL FEE 3/5/92 (328.50) BLDG/FIRE APPROVAL = KEVIN ELLIS RT P/C FEE #4908 PAPA PUBLIC WKS APPROVAL = JEFF S SEREVIEW 35.00 PUBLIC WORKS 4.50 "TIGHTLINE ROOF/FOOTING DRAINS & IMPERVIOUS SURFACES TO SWALE TO BE S.B.C.C. FEE GRADED TOWARD DRAINAGE EASEMENT. RUNOFF SHALL NOT ADVERSELY IMPACT FIRE FEE DATE: � r,2 2 -) 2 ANY OTHER LOTS" $951.00 OTHER FEES AMOUNT DUE $951.00 AMOUNT: RECEIPT: �. 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 INFORMATIQ� FURNISHED AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. YE OWNER OR AGENT "`' DATE .S��� ir Ute 51992 Perm # 1 CITY OF FEDERAL WAY��/ BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: %L.11a-- OWNER _j�O-tr t_1 `i e 1:5 OWNER'S ADDRESS_ 11611 DESCRIBE JOB WeW &A-5fTHE PROPERTY IS OWNED BY: SINGLEffl—AF BOX 2 CONTRACTOR'S NAME SITE LOCATIU LA AN 111i I Taf O = CITY entc tN w PHO .97/ deni-► rict _Pam 1' u .x PA NERSHIP CORPORATION_ %►_ CONTRACTOR'S REG. # AW56 CONTRACTOR'S ADDRESS `i I CITY e 1A 0, f\ PHONE g 3 O 5 5 EXPIRATION DATES S - 5R 7/- $$ —OR— I HAVE READ CHAPTER 18.27.010 RELATING TO IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. ` BOX 3 CONTACT PERSON DaN t, Or cLy\ S' e l S — O,F 565 0rA VIA4c" PHONE �`lf—S.Y6Y BOX 4 SEWER DISTRICTctKC_1)�Ve-n S eW er WATER DISTRICT Water- ,St• /.2 BOX 5 ESTIMATED PROJECT COST 00 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER I sZ 4 O O Z,3 O -- on� LEGAL DESCRIPTION 1-c_ t 131 1210CK. Z, P-11ENWOOD MAUR1 I o � �t keftrJeJ Y R MUM& 70 11-C n12i-Z; .. 7i ct .ZZ L h 4(. C , \hJA<h, ACt' Pn (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # g9 k ;L Sq ©0 C. BOX 7 BUILDING SQUARE FOOTAGE: (E-W"/Proposed) 1ST BOOR / 63 2ND FLOOR / 3RD FLOOR /_ BASEMENT� � DECK / GARAGE / BOX 8 pO SINGLE FAMILY (X) NEW CONSTRUCTION Q po. pP) ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY --La, , -AW- 21 SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. WATERCLOSETS GAS PIPING, FEET $ 3,1-o _BATHTUBS NO.FURNACE, ELEC. GAS $ �a' - C>O _SHOWERS GAS HOT WATER HEATER $ r. s 3 LAVATORIES CONVERSION BURNER $ I SINKS BOILER, SIZE BTU $ DISHWASHERS &_+8;FRIC HOT WATER HEATER to's Q AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ _LAUNDRY WASHER OUTLET 0 UNIT HEATERS $ _URINALS AIR COOLING UNITS, SIZE $ d DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS COMMERCIAL HOOD OTHER $ $ QDRAINS $ QOTHER $ TOTAL FIXTURES X = Es Ci TOTAL MECHANICAL FEE $� ' I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THEACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: ANP -006 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE'fk SETBACKS: FRONT ;ZGr SIDE TJ REAR �' HEIGHT LIMIT 1 PLANNING DEPARTMENT APPROVAL 20 a REMARKS: o 1)U110ing Sliall ancroacri onto any louilding seloaCK line or easement, shown or not s owr3-" SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE� T ✓ TZ REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: _716f/6 r4,rAy45 o=or Q�fj�NS 4 /�xOd2tJ�t�JS TYPE OF JOB: NEW RESIDENCE_ RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANgY R'� TYPE OF CONSTRUCTION 111V STORES .II L&d LST. BUILDING SQ. FT. 3 z @ �166o� S Zµ4 BUILDING SQ. FT. 6 o @ 3 ° BUILDING SQ. FT. ? ?i(o @ rt = L�- T a BUILDING SQ. FT. S 3 Z @ (b -,3O = R 7 3S BUILDING SQ. FT. @ _ 0- so BUILDING SQ. FT. @ TOTAL SQ. FT. TOTAL VALUATION X BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: 2$ Z PARTIAL PLAN CHECK FEE RECEIVED Amount 321.fo Date Receipt # BUILDING DEPARTMENT APPROVA BY DATE PERMIT FEE PLAN CHECK FEE13'D PLUMBING FEE MECHANICAL FEE -TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW M- S.B.C.C. FEE OTHER FEES AMOUNT DUE c� 0 ACCEPTED FOR FILING ff ..A CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 REVISION BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. 92-0346 OWNER'S NAME DAVIS F. SEIS SITE ADDRESS 28236 MILITARY RD S CONTRACTOR DF SEIS CONSTRUCTION ADDRESS 11641 SE 188TH RENTON CONT. PHONE 271-8846 _ CONT. REG. No. DFSEIC141KE EXP. 5/93 OWNER'S PHONE 271-8864 OWNER'S ADDRESS 11641 SE 188TH RENTON 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 2ND REVISION TAX ACCOUNT NO. 231240-0230 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE —tel - L DATE OF APPLICATION 7-6-92 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 VALUATION ONE HOUR PLAN REVIEW AT $30.00 PER HOUR PERMIT FEE PLA;! CHECK FEE $30.00 BUILDING DEPT APPROVAL: KC 7-13-92 PLUMBING FEE ECHAN CAL FEE ART P/C FEE rp EPA REVIEW UBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: $30.00 AMOUNT DUE 3 00 RECEIPT: 9 — % 7 `( 2 S 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 INFORMATIO FURNISHED ME IS ^E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. f` S �� OWNER OR AGENT DATE Permit # �-- 'S' k RECEIVED � V I AJL 61992 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION Va �� �Y —Please PrintWLDW— BOX 1 TENANT NAME: OWNER BASIC FEE $ SITE LOCATION 66 OWNER'S ADD �" CITY Id PHONE DESCRIBE JOB -) oG BOILER, SIZE BTU $ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATIONd° BOX 2 CONTRACTOR'S NAME G°'/.S A,)S, -1ZC CONTRACTOR'S REG./��k COMMERCIAL HOOD % f Card MUST be presented �� CONTRACTOR'S ADDRESS —p CITY PHONE X7/–JZ10' EXPIRATION DATE 97� f -06g $ —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 Zf�Aaez' ,SFJ.S PHONE eX —��� Y BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 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 / 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 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 FURTHERTHAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHIQ11 PERMITAP"P'LI'CAtION 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 C Y OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING, ITS OFFICERS AND EMPLOYS UPON THE ACXRACY OAF THE INFORMATION SUPPLIED TO THE CITY AS A PART OE7H11S APPLICATION. OWNER/AGENT: DATE: ANP -008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: 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 STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: k V RECEIVED J U L 61992 OM ( F;EUERAi. WA BiURDMIG DEPT. RECEIVED ASSIGNED ADDRESS: 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 AMOUNT DUE PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL ( q BY ��/ r DATE 7✓ l 3 L �— ACCEPTED FOR FILING CITY OF FEDERAL WAY x3530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 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__ 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 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 VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: 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. V OWNER OR AGENT DATE �'1 y�n CITY OF FEDERAL WAY 3.3530 *st Way South Federal Way, WA 3 BUILDING PERMIT BUILDING INSPECTION 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 VALUATION HW, G APPROVAL KEVIN rT 'IS PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: 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 CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 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 MUL TI -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 � � � � VALUATION P3..AId'Ad.T..NG APPROVAL = DEB RARKEP PERMIT FEEIii . `PAVE DRIB .R & f ACCESS. FENCE/PROTECT TRE PE -i< es� j -_ft ;ttri1 PLAN CHECK FEE PWZC 90.15.4* PLUMBING FEE MECHANICAL FEE I j5/92 5/92 BIJ)G/rIRE APPROVAL - KEVIN ELLIS PART P/C FEE n Ar' Rw PUBLIC WKS APPPOVAL - J �+ SEPA REVIEW PUBLIC WORKS "TIGHT1,TNE ROOF/FWTING DRAINS & T PERVIOUS SUMCE.S TO S ALF, TO B3. S.B.C.C. FEE ��DJWL+� rt+e r_4 _. a ..s °='", AOs ". EASEM�a R 1 0 SHALL NO V4 a aY Z C� FIRE FEE DATE: OTHER LMSO OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: 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 r l/ S/ BY OX TO POUR FOUNDATION WALLS DATE 4(J ILA,...Z.-..BY ...—_... PLUMBING GROUNDWORK DATE _Cy..._` �_G r Z ..BY ..A45 PLUMBING ROUGH IN DATE .... `6.... � 7...-�i 7."...BY ._Z:�.$. WATER LINE O.K. ........ __...... —._ =l..2-..� 1._...�:' �' GAS PIPING O.K.--f MECHANICAL INSPECTION DATE /_ � .._BY / 3 O.K. TO ENCLOSE FRAMING DATE(- �..z .....BY /1P1 V —... INSULATION DATE '>q7.... _.... BY ._. Y�N ....... _........ ._ WALL BOARD AND FIRE !MALL / DATE c' �J.J 2 BY FINAL O.K. TO OCCUPY / DATE ..���._ q�— BY__�� DCD PSD FD +� T r ii_ eel q e i` Qs e -e Cd// rr-eG s