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92-100723CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT �a-�a6�a3 BUILDING INSPECTION 661-4140 PERMITNO. 92-763 CA OWNER'S NAME KIM E BRAIN DDS SITE ADDRESS 720 S 320 ST #1 CONTRACTOR WHIPPLE CONST ADDRESS 22625 SE 16 PL ISSAQUAH CONT. PHONE -947-6439 CONT. REG. NO. WHIPPC211N9 EXP. 6/99 OWNER'S PHONE 272-9200 OWNER'S ADDRESS 1811 S K ST TACOMA TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRASSDIIN�NG OTHER TENANT IMPROVEMENT (MED OFFICE) TAX ACCOUNT NO. 082104-9266 LEGAL DESCRIPF4lJPaT 2 SHORT PLAT # 582078CAPITOL SQUARE FED WAY WASH ISSUED BY ELIZABETH SNYDER DATE OF ISSUE ` DATE OF APPLICATION 5/15/92 BUILDING INFORMATION SONE PO SET BACKS: FRONT 201 SIDE 5 ' /5 REAR 10, HEIGHT LIMIT NA OCCUPANCY B-2 TYPE OF CONSTRUCTION 5—N CENSUS NO. 437 TYPE OF HEAT NA BLDG. SQ. FT. 1437 STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 1 ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK RECEIVED SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES 1 DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS MISC. BBQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES 10 X $5 • 00 DRYER TOTAL MECHANICAL 0 AMOUNT 0 $19,801 VALUATION PLANNING APPROVAL = MIKE THOMAS $207.00 PERMIT FEE PLAN CHECK FEE 135.00 FIRE APPROVAL = CHRIS INGRAM/KEVIN ELLIS PLUMBING FEE 50.00 MECHANICAL FEE BLDG APPROVAL = KEVIN ELLIS ART P/C FEE PA REVIEW PUBLIC WORKS 4.50 S.B.C.C. FEE 10.35 2— FIRE FEE DATE: OTHER FEES AMOUNT: $406.85 AMOUNT DUE $406.85 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 qtdelveD 0 Ormit x41- �j(E 3 OA MAY 151992 CWFE�� ems„ , My CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print — ` til � r ' n��_ BOX 1 TENANT NAME: KIM E. BRAIN D.D.S. OWNERrAPIT-?L SQUARE 11 ASSOCIATES SITE LOCATION • , Sutte AY OWNER'S ADDRESS I g I S. K Ste. CITY TACQMA4A PHONE i - DESCRIBE JOB Tn�eNT IMPROVEMENT_/REMODEL THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION x BOX 2 CONTRACTOR'S NAME si`h''e-7161V C= 6'. CONTRACTOR'S REG. #W,'IIF,C Z///1! ACard MUST beApresee CONTRACTOR'S ADDRESS Z Z h^ 5 " �' �� f� CITY PHONE EXPIRATION DATE J u'Ni /Y OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIO S OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON A PHONE BOX 4 SEWER DISTRICT FEDERAL WAY WATER DISTRICT FEDERAL WAY BOX 5 ESTIMATED PROJECT COST 'VS, OC>G EXISTING BUILDING VALUATION $8680000, BOX 6 PROPERTY TAX ACCOUNT NUMBE I LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording #1. BOX BUILDING SQUARE FOOTAGE: (Existing/Proposed) iST FLOOR `/ / /q.37 --"'"2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (O -EXISTING STRUCTURE ( COMMERCIAL/INDUSTRIAL T(jTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. / WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, LEC. 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 FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS — OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES $ k S 56 , C- C, 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: DATE: S Z/� ANP -008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT �"`� SIDE S� REAR l a HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL 12, (�l2-- REMARKS: k(oy- SEPA: EXEMPT 2�1 NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT APPROVA REMARKS: DATE -5--- �cl' '( C' C- -(qugZ DA 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 6 2 TYPE OF CONSTRUCTION VN STORES d Q/( E , ( 'BUILDING SQ. FT. 1'f 3 7 @ Co '- a0, = � C -I , 3 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ M 11 ( TOTAL SQ. FT. TOTAL VALUATION £' (` 9_5 BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE ' c'7 PLAN CHECK FEE 3 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE �` a OTHER FEES)' t" i AMOUNT DUE Receipt # BUILDING DEPARTMENT APPROVAL BY I `._- DATE .) _ I q _ - ACCEPTED FOR FILING 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.3 OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE 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 ONE 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 ti! VALUATION PLANNING APPROVAL = MIKE THOPAIS PERMIT FEE PLAN CHECK FEE FIRE "PROM.A:', = C ITIS INGR'/KEVIN ?' bfil ": PLUMBING FEE ECHANICAL FEE TALDG APP VAL - K- I ALUS ART 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 SET BACKS AND FOOTINGS DATE . .._..._-._._._.....__BY . .... - --- -- OX TO POUR FOUNDATION WALLS DATE . . ..... _-BY PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE WATER LINE O.K. . ... .... . ... .. . . ..... ... GAS PIPING O.K.-.. .... . ..... . . .... .. MECHANICAL INSPECTION DATE --BY O.K. TO ENCLOSE FRAMING DATE //4) B Y INSULATION DATE . ... .. . . .. ... -..-BY . .... .... WALL BOARD AND FIRE WALL DATE BY FINAL O.K. TO OCCUPY DATE ---7-BY DCD PSD FD 0 kmmw� 0