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90-101450CITY. OF FEDERAL WAY 44717 BUILDING PERMIT 9-b -/o/ � 5-v BUILDING INSPECTION 941-1555 PERMIT NO. 90-16)6)8 CA OWNER'S NAME THOMAS E JACKA D.D.S. JOB ADDRESS 700 S 320TH ST FEDERAL WAY CONTRACTOR W R HANSON, INC ADDRESS 12510 130TH LANE NF. KIRKLAND CONT. PHONE 821-6747 CONT. REG. NO. WRHAN**251B1 OWNER'S PHONE 272-9200 OWNER'S ADDRESS P_n_ Rnx 7; -4f 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 '> TAX ACCOUNT NO. M i/ () -Q� LEGAL DESCRIPTION LOT 1 SHORT PLAT #582078 (AUDITOR'S FILE #8209140579) ALL. IN THE SE 1/4 OF THS SW 1/4 OF SECTION 8, TWN 21, NR4E, W.M. KING CO WASH ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 10-16-90 BUILDING INFORMATION E OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 2 ELEC. HOT WATER HEATER GAS PIPING 100 FT. 3.50 BOILER RECEIVED _ BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS _ FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ LAVATORIES 2 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. SINKS 10 misc. DRAIN CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES15X5= -7-9-110 UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION 170163 _ 52 BUILDING DEPT APPROVAL: KC 10-23-90 PERMIT FEE 1 a 9_ o o PLAN CHECK FEE 123-00 PLUMBING FEE 75-00 FEE _ 3 _ 510 aCHANICAL TAL BLDG. FEES PART PIC FEE SEPA REVIEW DATE: WATER SERVICE WATER MAIN CHG. G� / AMOUNT: S.B.C.C. FEE 4.50 OTHER FEES F.D. 9 45 RECEIPT: I3 �? O AMOUNT DUE 404-45 _ :F.D. 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 FURNISHE BY IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WI L B T: ) G� q h a � 1 OWNER OR AGENT DATE I • �i ermit # �� � ' � � � f�• Ca �- CITY OF FEDERAL WAY 61? BUILDING PERMIT APPLICATION CITY OF FEi3E19A! �A'AY — Please Print — BUILD}I`vi'es DEFT BOX 1 TENANT NAME: 0 �� Tac -La B. b f . OWNER1 ua1e JJO Q SITE LOCATION t7 J A 3 OWNER'S ADORNS P. CITY ! '1 4o_+-% HONE a - O DESCRIBE JOB i to✓cs ; S THE PROPERTY IS OWNED BY: SINGLE/MARRIED--V—RTNERSHIP _c CORPORATION BOX 2 CONTRACTOR'S NAME V\/. R. AAay--,ory T kNc, CONTRACTOR'S REG. # 2ma/ Card MUST be pres, nt d CONTRACTOR'S ADDRESS IZSfd LaNE. N.E- CITY PHONE �- EXPIRATION DATE n(oI le,,'t / /9/ —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 Ri ar L146i PHONE 8Z1-6747 BOX 4 SEWER DISTRICT ii 2fd a WATER DISTRICT a BOX 5 ESTIMATED PROJECT COST iGO, 000 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER L AL DESCRIPTION a l.a fti d ✓ I �( a • i3 t~j tor's Ge- 00,o s t 4 (If necessary, please submit a separate page with t e legal description.) ')•qt hs�; al Norte �� t a�rf, W. rK K.C. Plat Recording # C► Coup W BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR n% 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) MECHANICAL APPLIANCES — BASIC FEE $ NO. Z WATERCLOSETS MfD1c4L-GAS PIPING, FEET a.Paox Ino' $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ Z LAVATORIES CONVERSION BURNER $ A) SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ &itrT ELECTRIC HOT WATER HEATER 1=)5T HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ _DRAINS $ BOTHER VACueAPA toR� 5sa2 $ ISTOTAL FIXTURES $ X S =- 7 5 . 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: �i DATE: _0// z90 ANP -008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT. FIRE DEPARTMENT APPROVAL REMARKS: SIDE REAR HEIGHT LIMIT [ «, t k,c (I _ 0 /_1 DATE PC— lc_� `'/0 PUBLIC WORKS DEPARTMENT APPROVAL 14A DA 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 Al STORES 0 BUILDING SQ. FT. @ S, ©, c G BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION 1 7tC 3 ' S_ Z BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: S -- 'e— --'6� PERMIT FEE 8 1 , --'o PLAN CHECK FEE Z' PLUMBING FEE 7S', MECHANICAL FEE s ` S� TOTAL BLDG. FEES o ` SD PART P/C FEE v SEPA REVIEW S.B.C.C. FEE OTHER FEES r r S AMOUNT DUE Lf G PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY �� DATE 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. 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. SQ. 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 § Y sr; a4 LO VALUATION _"'.11,11)ING DEPT APPROVAL: SCG""::3`"94, PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE _ TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW TF, 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 SET BACKS AND FOOTINGS DATE__ -_ -_._-BY_ OX TO POUR FOUNDATION WALLS DATE .. .... . ....... _ -, BY PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE //_'3-; U BY A15 WATER LINE O.K. GAS PIPING O.K. . .... . MECHANICAL INSPECTION DATE --BY O.K. TO ENCLOSE FRAMING DATE BYM _#TLATION DATE BY. .... WALL BOARD AND FIRE WALL DATE BY FINAL O.K. TQ OCPY DATE / �_Yf4�_ BY DCD PSD FD a -A-