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90-101008CITY OF FEDERAL WAY BUILDING PERMIT go -10!88 $ BUILDING INSPECTION 941-1555 90-1022 NR REYM&M,AME GEORGE YBARRA 2407 SW 342ND PL PERMIT NO. JOB ADDRESS CONTRACTOR TERHUNE HOMES ADDRESS P O BOX 1078 AUBURN CONT. PHONE R54 -R 500 CONT, REG. NO. TERHUHI133J7 OWNER'S PHONE 874-3814 OWNER'S ADDRESS 34801 19TH T 4W FEDERAT. 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. 242103-9112 LEGAL DESCRIPTION LOT 4 KING CO SHORT PLAT 1283026 ISSUED BY JOANNE JOHNSON DATE OF ISSUE 11-19-90 DATE OF APPLICATION 6-29-90 BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. 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 VALUATION PERMIT FEE PLAN CHECK FEE 60.00 ADDITIONAL PLAN CHECK KC 11-19-90 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE / WATER MAIN CHG. S.B.C.C. FEE OTHER FEES l e r Ll AMOUNT DUE 60-00 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 � V DATE / A WAY CITY OF FEDERAL WAY (101) BUILDING IN 55ECTION BUILDING PERMIT INSPECTION REQUEST LINE- 946-6794 PERMIT NO. 90-1022 NR OWNER'S NAME GEORGE YBARRA JOB ADDRESS 2407 SW 342 PL CONTRACTOR TERHUNE HOMES ADDRESS POB 1078 AUBURN CONT. PHONE 854-8500 CONT. REG. No. TERHUHI1333J7 4/91 (OK) OWNER'S PHONE 874-3814 OWNER'S ADDRESS 34801 19 CT SW FEDERAL WAY TYPE JOB: NEW RESIDENCE YADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 242103-9112 LEGAL DESCRIPTION LOT 4 RING CO SHORT PLAT 1283026 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 6/29/90 BUILDING INFOR N , ONE RS7 . 2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N BLDG. SO. FT. 3 i 676 SF SET BACKS: FRONT 201 SIDE 5' EACH _ REAR 5' __ STORIES 2 HEIGHT LIMIT 30' PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING --FT. 2.00 BOILER BATHTUBS 3 LAUNDRY DRAINS �- COMPRESSOR TANK(S) RECEIVED SHOWERS 1 URINALS _ FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER _ LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED _ DISHWASHERS 1 TOTAL FIXTURES 14 X $5.0 UNIT HEATER TOTAL MECHANICAL 18.50 AMOUNT NONE VALUATION $ 182,897.00 PLANNING DEPT APPROVAL: CORY SMITH ON 8/19/90 (BOND SHALL BE PROVIDED PERMIT FEE $ 930.00 BUILDING DEPT APPROVAL: FOR ALL ROW IMPROVEMENTS. PLAN CHECK FEE 605 00 KEVIN ELLIS ON 8/20/90 FIRE DEPT APPROVAL: PLUMBING FEE 70.00 BELOW CHANICAL FEE _ 18_50 PUBLIC WORKS DEPT APPROVAL: SEPTIC SYSTEM (APPROVAL BY KING CO HEALTH) _FAL BLDG. FEES $ 1, 623 _ 50 PART PIC FEE FIRE DEPT APPROVAL = KEVIN ELLIS ON 8/20/90 (PROVIDE ACCESS ROAD 20' SEPA REVIEW MINIMUM WIDTH WITH 20' INSIDE AND 40' OUTSIDE WATER SERVICE CUL-DE-SAC AT END WITH ALL WEATHER SURFACE. WATER MAIN CHG. S.B.C.C. FEE $4.50 C OTHER FEES $ 1,628.0 DATE PAID AMOUNT $1,628. RECEIPT AMOUNT DUE ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INF RMATIOt4 FURNISHED BY IST AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE OWNER OR AGENT i DATE C� �` *it # 2- WAkp�< � CITY OF FEDERAL. WAY .� JUS 2 g BUILDING PERMIT APPLICATION 1990 — Please Print — CITY OF F 6UILDING E WAY BOX 1 TENANT NAME: fzr_v7- OWNER s SITE LOCATIONk r 4 OWNER'S ADDRESS = r CITY ✓ PHONE r77k--38/y DESCRIBE JOB + S THE PROPERTY IS OWNED BY: SING ARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # %�Z-#011, -7''J% Card MUST be presente CONTRACTOR'S ADDRESS �'0 B - CITY PHONE EXPIRATION DATE I' 7 —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 PHONE asst--&0<� BOX 4 SEWER DISTRICT-'„pf"%`C_ WATER DISTRICT BOX 5 ESTIMATED PROJECT COST &TU EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER '-t y2l/, LEGAL DESCRIPTIONl�( (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR % ZVi / 2ND 3RD FLOOR / BASEMENT / DECK - FLOOR mac. GARAG Q3`J / BOX 8 (') SINGLE FAMILY (' NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ✓ ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY IJICC h f-� SQ FT -(±A-SQ BOX 9 PLUMBING FIXTURES (including rough -ins) M.ECH NICAL APPLIANCES — BASIC FEE $ NO. WATERCLOSETS GAS PIPING, F1 $ cc BATHTUBS N0. FURNACE, ELEC. GAS $ �Q- I SHOWERS i GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ iRfATER 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 WTO AL FIXTURES $ $ 70.03 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: �r z. DATE: Jai ANP -008 3/90 ' OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE 107 7,7 SETBACKS: FRONT – — IDE REAR_5__ HEIGHT LIMIT 33 PLANNING DEPARTMENT PPROVAL C' �f 9° REMARKS: - > SEPA: EXEMPT_ NOT EXEMPT FIRE DEPARTMENT APPROVAL LC- DATE REMARKS: �1i7 eS ✓' u-ir GJl ZO r e a oz(�- t.-/.. ..,f. Jc,-e_„ ON . if .,I iJ,,el ,o 1, --- PUBLIC , PUBLIC WORKS DEPARTMENT APPROVALDATE 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 R' TYPE OF CONSTRUCTIONy Q) STORES c� 19,1410 _ BUILDING SQ. FT. .22 9!1 @(01-00 – 7 .1 F/oor BUILDING SQ. FT.6 �� @ 6T.loc _ 11 -04 BUILDING SQ. FT. @ 1 7, 3fl = L O BUILDING SQ. FT. @ _ BUILDING SQ. FT. @��� �g BUILDING SQ. FT. @ _ TOTAL SQ. FT. 3 7 G' TOTAL VALUATION �9 61 BUILDING DEPARTMENT REMARKS: 7-2-90 T S RECEIVED Jul N 2 91990 RECEIVED 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 ASSIGNED ADDRESS: y1 (_, S W S y ?, "t f -.e Amount BY + { .... PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # BUILDING DEPARTMENT APPROVAL ;(, DATE ACCEPTED FOR FILING „ 1� Permit # CITY OF FEDERAL WAY�t BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER �7'7E-C_)—y 07- 7 a �'� � y � k_K SITE LOCATION OWNER'S ADDRESS.-) I j C7— > x. ar CITY ,` Ls;,4 'PHONE DESCRIBE JOB z—o T 4— el& cz ev k' "I Z. THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAMEf t 1.,� hoE kZ CONTRACTOR'S REG. # � �% 14 L-1- I ,+ Card MUST be presented CONTRACTOR'S ADDRESS P&” S 16 -7v CITY ,f fdl '4& PHONE 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 PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NU LEGAL DESCRIPTION — _711 (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # z 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 _ 'z. 6, 2 "—, SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANI AL APPLIANCES — BASIC FEE $ t. N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS — NO. FURNACE, ELEC. GAS $ r1 SHOWERS GAS HOT WATER HEAT $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE B $ — SHWASHE AIR HANDLING UNI $ EL T OT WATER HEATER HEAT PUMPS $ L Y WASHER OUTLET UNIT HE RS $ URINALS AI OLING UNITS, SIZE DRINKING NTAINS MMERCIAL HOOD $ SUMPS, SPRI LER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ l X .OTHER FIXTURES $ TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT TH'E J,NFORMATION 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 CITYVF 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: ANP -008 3/90 ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIDE REAR HEIGHT LIMIT 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 REMA RECEIVED AJ51liNtU AUUMi 0: 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 PAKI IAL FLAN l;Htl;K f-tt HtI;tlVtU Amount Date Receipt # BUILDING DEPARTMENT APPROVA C/ BY E DATE I �� ACCEPTED FOR FILING CITY OF FEDERAL WAY BU I L D I N G PERMIT BUILDI941 �N SSECTION 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. e • iuu BOILER _ RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) SHOWERS URINALS - FORCED AIR FURNACEAIR 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 VALUATION i R ALL Raw ;" 'r r -NTS. PERMIT FEE .Sir.l<i�i BU LDIN.-.t DEM APPROVAL-, 605.00 � INI RLLIS 8/20/90 PLAN CHECK FEE FIRE - 6! lii i lXV XB'7L{.� s ---- t� PLUMBING FEE e 0 V� ar3JO`"' Ste• MECHANICAL FEE rhe PUBLIC WOWS DRJPT APPROVAL: '+EPTIC SYSTEN (APPROW.T, BY X714 " CTI i TOTAL BLDG. FEES _ y� g+� / FIRE €1 t %7Ce KMN .le�eIsS'►. +� f 20/ 0 JP�D�; ACCES'�` +w PART PIC FEE HD?aPM6 WIDTIR WTTR 20' =91DEMMI 40' 0MISI ,_. SEPA REVIEW CUL—DF—SAC AT END WITH ALL WEATHER SUPFACE. WATER SERVICE WATER MAIN CHG.I S.B.C.C. FEE OTHER FEES' ,v W jl Tial i E )� t4�fsc'1>I4 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 DATEDATEq_71g­ . ... ... BY _war—.- .. TO POUR FOUNDATION WALLS 9ro ( BY PLUMBING GROUNDWORK 2- B DATE Y PLUMBING ROUGH IN DATE A _2"-"._BY WATER LINE O.K. GAS PIPIN __1 (Q MECHANICAL INSPECTION DATE --BY O.K. TO ENCLOSE FRAMING DATE BY . . . .... .... . . INSULATION DATE WALL BOARD AND FIRE WALL DATE BY FINAL O.K. TO OCCUPY DATE- _____ BY__..___ DCD JPSD FD 1712- 12 &1,7 YC,,< 1-21j-a)4 1121ZI) 7-e, IZ7-- 3' C) t-_ OKI f c' 5 cir LAj of re- Af -_ C . (6 - qo rtef &t,-, f 0 6t C) K, Lro 4 e, 'f kw z q #s- -croj, AOAJIZ 2/,/`/� Aelow u 1,7 Alo '04x'e 67 /Z o Z' -4/111Z1j -/v sle­✓v I iv-' ?� CITY OF FEDERAL WAY BUILDING PERMIT BUILDING 941!N 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. SETBACKS: 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 VALUATION PERMIT FEE PLAN CHECK FEE ADDTI TWdAL PJAM CRECK Kc 11--17"9gt PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW 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 WATER LINE O.K. GAS PIPING O.K.-___ MECHANICAL INSPECTION DATE --BY . . . ...... ... .. O.K. TO ENCLOSE FRAMING DATE ----,,BY ____ . .. ..... .. INSULATION DATE . . .... ... WALL BOARD AND FIRE WALL DATE y. �BY .... . . .. ... FINAL O.K. TO OCCUPY DATE BY -1 DCD PSD FD K W A LC T) FtW- C e, MZAI ,4_:;X /u IETZ' 6 17W211F