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92-1005574 4 's CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. 92-571 RA OWNER'S NAME ERIC/WAGNER & CHERYL SITE ADDRESS 838 S 299 PL OWNER SAM CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. EXP. OWNER'S PHONE 946-2001 OWNER'SADDRESS SAME TYPEJOB: NEWRESIDENCE ADDITION XXX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 5.5160-0175 LEGAL DESCRIPTION LOT 11 AND EAST I OF LOT 12 BLK 4 MARINE HILLS #1 ACCD TO THE PLAT RECORDED IN VOL 56 OF PLAT PG 58 IN KING CO ISSUED BY E SNYDER DATE OF ISSUE ~ DATE OF APPLICATION 4/9/92 BUILDING INFORMATION ZONE RS 9.6 SET BACKS: FRONT 20 SIDE 5 /5 REAR 5v HEIGHT LIMIT 30' OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5-N CENSUS NO. 431 TYPE OF HEAT GAS BLDG. SQ. FT. 509 STORIES EXISTING 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 1 DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES 3 X $5. 00 DRYER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $17,037 PLANNING APPROVAL = DEB BARKER $189.003.00 PERMIT FEE "NO BLDG SHALL ENCROACH ONTO ANY BLDG SETBACK LINE OR EASEMENT, SHOWN PLAN CHECK FEE 5.00 OR NOT SHOWN' PLUMBING FEE MECHANICAL FEE PUBLIC WKS APPROVAL = JEFF S "TIGHTLINE NEW WORK TO EXISTING ROOF DRAIN SYSTEM" PART P/C FEE SEPA REVIEW 35.00 BLDG APPROVAL = KEVIN ELLIS PUBLIC WORKS 4.50 S.B.C.C. FEE / l� FIRE FEE DATE: $366.50 OTHER FEES $366.50 AMOUNT: AMOUNT DUE ff RECEIPT: c> ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO W IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT HE INFORMA ION FU HE Y MEI RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR NT DATE - CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDINGPERMIT BUILDING INSPECTION661-4140 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. EXP. OWNER'S PHONE -946, 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 DNE 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 PLAMING tD.. ;` its , DEP iAE'1i 44KET, PERMIT FEE *NO BLDG SHALL J:iXROACH ONTO A.4x RLDr. SETBACK LINE OR EA_st"w-.'", PLAN CHECK FEE VS. 00 OR NOT Scat v' t PLUMBING FEE PUBLIC t4KS APPROVAL JEFF S 'TIG7 ECHANICAL FEE } ART P/C FEE SEPA REVIEW BLDG APPROVAL '—=!IN SiLLIS PUBLIC WORKS S.B.C.C. FEE % - Q FIRE FEE OTHER FEES DATE:, 1 AMOUNT: DA{ 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 '-" 6 le (Z' e67 SETBACKS AND FOOTINGS DATE _�? 9_I._BY _�_ OX TO POUR FOUNDATION WALLS DATE .... ... . . . .... __ . ..... BY . .... ... PLUMBING GROUNDWORK DATE . .. ... ..... - BY PLUMBING ROUGH IN DATE ..... . .... ... ____ _BY WATERLINE 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. TO OCCUPY DATE ____.__..........-BY ... . . ... .... DCD PSD I'D • Ormit # i �_ -!�j 1 gA CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER SITE LOCATION /-Z OWNER'S ADDRESS 9,;38 5- 1 ei ,'�`" rc CITY "f A, PHONE DESCRIBE JOB A19r_a 64^ G01-2194jZT �De)„'csi EkT&_7vs, Z, Ely 6X., THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S ADDRESS EXPIRATION DATE E CITY CONTRACTOR'S REG. #. PHONE Card MUST be presented 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 8flA^1 % if3t3 T PHONE `>511 ` BOX 4 SEWER DISTRICT 1571e -101,0e- ;A” C WATER DISTRICT 6>> k Z L 1,,t,A" BOX 5 ESTIMATED PROJECT COSTZU, Dt�n `G EXISTING BUILDING VALUATION /C7 54) e) BOX 6 PROPERTY TAX ACCOUNT NUMBE LEGAL DESCRIPTION Zv'r // (It necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 5�-) `-r-v' 2ND FLOOR -�r4,.� = � 3RD FLOOR / BASEMENT / DECKGARAGE A7 l —313 BOX 8 (vj SINGLE FAMILY ( ) N CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (0 --EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 6,7 1 Z 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 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 $ `X = f � , v 0 TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KvWLEDGE 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 FEDERALY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND-RAPJLOYEES,,,I�Pf}t_THE AQ9URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGE '``-- � DATE: t� z1__ f ANP -008 3/90 • 6 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZON '?,(0 SETBACKS: FRONT PLANNING DEPARTMENT APPROVAL REMARK§ ' � a.. ' :o ri1 SEPA: EXEMPT ( NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: SIDE J5 ' REAR �F ' HEIGHT LIMIT 36 " or easeme DATE PUBLIC WORKS DEPARTMENT APPROVAL DATE Z4 L REMARKS: 'IleWr Uti % Ew c.�a2aC ?b L-~Xi57�NG c F D2A S 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 3 TYPE OF CONSTRUCTIONy/ii STORES L- `v f BUILDING SQ. FT. @ /PWA .6 of ryd el, BUILDING SQ. FT. -3 ZS @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @d TOTAL SQ. FT.)Uj TOTAL VALUATION 7 17037.7 BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: Amount S PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE �$ PLAN CHECK FEE z PLUMBING FEE IS MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE `sem OTHER FEES AMOUNT DUE Receipt # BUILDING DEPARTMENT APPROVAL BY DATE ACCEPTED FOR FILING