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91-101254CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION RENEWAL OF 90-646 661-4140 PERMITNO. 91-1213 RE OWNER'S NAME CHAFFEY CORP SITE ADDRESS 2918 SW 342 PL CONTRACTOR CHAFFEY CORP ADDRESS POB 560 KIRKLAND CONT. PHONE 822-5981 CONT. REG. NO. CHAFFC*150NG EXP. 7/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER RENEWAL OF 90-646 TO CONSTRUCT RESIDENCE TAX ACCOUNT NO. 294450-0350 LEGAL DESCRIPTION LOT 35 GROUSEPOINTE ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 914191 BUILDING INFORMATION ZONE RS 7.2 SET BACKS: FRONT 201 SIDE 5' EACH REAR 51 HEIGHT LIMIT 30' MAX OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N CENSUS NO. 434 TYPE OF HEAT GAS BLDG. SQ. FT. 3272 STORIES 2 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER BATHTUBS 1 LAUNDRY DRAINS 1 GAS PIPING FT. XXX GAS LOGS FORCED AIR FURNACE XXX DUCT WORK RECEIVED SHOWERS 1 URINALS GAS HOT WATER HTR. XXX AIR HANDLING UNIT NUMBER LAVATORIES 5 DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS 2 MISC. BBQ BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 14 DRYER TOTAL MECHANICAL BELOW AMOUNT NONE VALUATION $170,773.00 THIS PERMIT EXPIRES 6/20/92 AND CANNOT BE RENEWED AGAIN!! PERMIT FEE $444.00 PLAN CHECK FEE PLUMBING FEE 35.00 MECHANICAL FEE 10.00 PART FEE /j SEPA REVIEW RE PUBLIC WORKS S.B.C.C. FEE / FIRE FEE DATE: OTHER FEES AMOUNT: $489.00 AMOUNT DUE X489' 0_0L_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 INFORMATI FURNISHED BY ME IST E AND CORRECT TO THE BES OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. r OWNER OR AGENT � DATE ` 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 SQ FT :M PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ po it # g© -64.) RECEIVED $ SEP 4 0 CITY OF FKDERAL WAY $ BUILDING PERMIT APPLICATION $ CITY OF FEDERAt. WAY — Please Print — E` BUILDW Mpt zfy BOX 1 TENANT NAME: $ OWNERSITE LOCATION $ OWNER'S ADDRESS L, 0, ITY L PHONE DESCRIBE JOB 2, THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #CM-ITClf- CONTRACTOR'S ADDRESS P ,0, CITY �CC� Cqard MUST be presented PHONE ��C�2 –� 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 NUMBER �G%�C� �' e��O LEGAL DESCRIPTION � �T `� _&/61 (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 = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT :M PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ N0. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCIAL HOOD $ OTHER $ 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 EMPLO)�EJS, UPON 1�5AC�CURACY OF THE I�FORMFP� SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION OWNER/AGENT: �� DATE: L ` ( ql G� ANP-008 3/90 ?Y 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. OWNER'S PHONE OWNER'S ADDRESS 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 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 ""His P�",VIMIT F.XP.iR3! S 6/20/92 MIJ,, ;-E F ."4 w'- PERMIT FEE PLAN CHECK FEE PLUMBING FEE ECHANICAL FEE ART P/C FEE t SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: tw 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