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92-100560CITY OF FEDERAL WAY '3530 First Way South Federal Way, WA 98003 BUILDING PERMIT 9'�- /DoSGd BUILDING INSPECTION 661-4140 92-0584 CA DUANE JONES 1700 S. 320TH SPACE #EF PERMITNO. OWNER'S NAME SITE ADDRESS ATWOOD CONSTRUCTION 19106 43RD SE BOTHELL 487-0250 CONTRACTOR ADDRESS CONT. PHONE ATWOOC132RH 12/92 956-303;WNER'SADDRESS 100 CALIFORNIA ST SAN FRAN CONT. REG. NO. EXP. OWNER'SPHONE(415) 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 092104-9208-03 TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 4-10-92 BUILDING INFORMATION ONE CC SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY B2 TYPE OF CONSTRUCTION _ VN 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 _5_.00 MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES IX$ 5= S_._0_0 DRYER TOTAL MECHANICAL AMOUNT VALUATION 25,802.00 PLANNING DEPT APPROVAL: BK 4-14-92 FIRE DEPT APPROVAL: CI 4-15-92 259.00 PERMIT FEE 168.00 PLAN CHECK FEE FIRE/BLDG DEPT APPROVAL: KC 4-16-92 5.00 PLUMBING FEE CHANICAL FEE RT P/C FEE SEPA REVIEW PUBLIC WORKS 4.50 S.B.C.C. FEE FIRE FEE 12=9-5 DATE: OTHER FEES 449.45 AMOUNT: 449.45 AMOUNT DUE RECEIPT: q I n-1, qo 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 IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. / .00" OWNER OR AGEN,Ts; —�i % — DATE Z '- app � o iss2 R' 1019 wAY CITY OF FEDERAL WAY cl eMig BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: _DCw +--k L p d=0=71 C_c_, OWNER i D i R A o (%u 't` f � SITE LOCATION OWNER'S ADDRESS ,!tytM i` CITY�_5 LW -Wei-Sc� PHONE %Z -.3ci3i DESCRIBE JOB cW-4-vrr- THE PROPERTY IS OWNED BY: SINGLE/MAARIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME "C'' 'd f✓S [c; CONTRACTOR'S REG. # AiTj, c' 'I 3z-)zN Card MUST be presented CONTRACTOR'S ADDRESS 43 ek -467 G CITY B W PHONE 4�� Z G 2- 90' EXPIRATION DATE ' —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 PHONE7a a BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST /C3 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMB LEGAL DESCRIPTION ' % ZC-,6 -0 (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 = ) (v4­6ISTING STRUCTURE (i�OMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES fArSINKS CONVERSION BURNER 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 $ S • C. U 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, ANDFILED 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_.CWRACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. ANP -008 3/90 B/ ZONE 66-' SETBACKS PLANNING DEPARTMENTV REMARKS: OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW IS LINE) FRONT SIDE REAR HEIGHT LIMIT PROVAL -I - 2_" t3 SEPA: EXEMPT "'� NOT EXEMPT FIRE DEPARTMENT APPROVAL i DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAI REMARKS: DA' TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT -'V NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER occgNCY 6 *Z TYPE OF CONSTRUCTION STORES % U( O F_�G 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: RECEIVED ASSIGNED ADDRESS: S e, Amount PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE Z� PLAN CHECK FEE 6 PLUMBING FEE S G G MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE ` Sv OTHER FEES 7::' D F y -Q— IZ, 25 - AMOUNT DUE Receipt # BUILDING DEPARTMENT APPROVAL/ Cl BY ti. - _. DATE � " l b — _I -' ACCEPTED FOR FILING CITY OF FEDERAL 33530 First Way South Federal Way, WA 98003 WAY 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 f- 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 NE 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 FEE CECHANICAL T 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 MECHANICAL INSPECTION C7�7_ ca- 0_6�r_ DATE --BY O.K. TO ENCLOSE FRAMING DATE INSULATION DATE -BY . . ... .... . . . .... .. . . ...... WALL BOARD AND FIRE WALL DATE BY FINAL O.K. TO OCCUPY DATE 09//0 B Y (!f� .... ... - DECD/ PSD FID Iml 3