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90-101329CITY OF FEDERAL WAY #437 BUILDING PERMIT TENANT: TEMPURA KITCHEN qo - ;ION BUILDING INSPEC 841-1555 90-1523 CA IN SU SONG (FED WAY SHOPPINGJOg:WARA§C)31205-A PACIFIC HWY S. PERMIT NO. OWNER'S NAME CONTRACTOR OWNER ADDRESS CONT PHONE CONT. REG. NO. OWNER'S PHONE 455-9000 OWNER'S ADDRESS 1111 118TH AVE SE BELLEVUE 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. 082104-9185-01 LEGAL DESCRIPTION BEG AT PT 260 FT W & 30 FT S OF NE COR OF NE 1/4 OF SE 1/4 TH S 120 FT TH S 29-33-12 E 120.70 FT THE E 150.30 FT TO WLY MGN OF HWY TH N 225 FT TH W 210.24 FT TO BEG ETC ISSUED BY JOANNE JOHNSON DATE OF ISSUE �" J DATE OF APPLICATION 9-19-90 BUILDING INFORMATION E OCCUPANCY A3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 1670 SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC, HOT WATER HEATER 1 GAS PIPING 41- FT. 2 _ 00 BOILER BATHTUBS LAUNDRY DRAINS COMPRESSOR COMM v T. TNMD 6-5 RECEIVED SHOWERS URINALS I FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. 6-90 MAKE UP AIR FN 4 0RETURNED SINKS -6- MISC. CONVERSION BURNER BASIC FEE DISHWASHERS _1 TOTAL FIXTURES 9X5= 45-00 UNIT HEATER TOTAL MECHANICAL 1-.50 AMOUNT VALUATION 19,672_60 FIRE/BUILDING DEPT APPROVAL: KC 10-1-90 NOTE: RECEIVED VERBAL APPROVAL FROM F.W. WATER & SEWER MS M. COSSETTE PERMIT FEE 207_00_ -1r; ON 11-1-90 - KC. 11-1-90 PLAN CHECK FEE 1 _ 00 MBINGFEE 45_00 HANICAL FEE _ JC 1 9 _ 5 0 AL BLDG. FEES _�' l PART PIC FEE DATE: V SEPA REVIEW < WATER SERVICE AMOUNT: J WATER MAIN CHG. S.B.C.C. FEE 4 _ 50 CEIPT: OTHER FEES F. D. 10 - i 5 AMOUNT DUE 491 _35L_ CC: 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 CF9TIFY THAT THE INFORMATION FURN ED BY ME S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY R1461REMENTS WILL BE MET: �v �� =-z OWNER OR AGENT DATE �/ RECEIVED SEP `l 91990 CITY OF FEDERAL WAY BUILDING DEPT. ermit# CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION ` — Please Print — II BOX 1 TENANT NAME: INj , --Zn9 DI -1, 14 A 11 . ",,— f OWNER WA /I CA ITE LOCATION ' 3/205- -,If W c w 5-a OWNER'S ADDRESS 111/ - l 8 e 5-6 CITY 17 k Q wA- PHONE 40SS - fe>b 0 DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRI D PARTNERSHIP CORPORATI BOX 2 CONTRACTOR'S NAME % CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE —OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPEC14TY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. r BOX 3 CONTACT PERSON -55-0PHONE BOX 4 SEWER DISTRICT "` WATER DISTRICT l "4h BOX 5 ESTIMATED PROJECT COST `EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 0e.2-/ a4z - q/ PS - / LEGAL DESCRIPTION eG (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR&.20 / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK-----/— GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW STRUCTION /1,f ( ) MULTIFAMILY (NO. OF UNITS = ) ( ISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET f $ 0 Vl= BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ 6-S-6 LAVATORIES SINKS CONVERSION BURNER $ _BOILER, SIZE BTU $ / DISHWASHERS AIR HANDLING UNITS $ / ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET _UNIT HEATERS $ a' URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS i COMMERCIAL HOOD $ -.5 SUMPS, SPRINKLER VACUUM BREAKERS OTHER vq--- t Y' l , $ . DRAINS $ OTHER $ TOTAL FIXTURES $ j�57 1�_ L( e' (1 TOTAL MECHANICAL FEE $ 11- �-o 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 EMPLOYE UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. _, J OWNER/AGENT: DATE: ` 'J ANP -008 3/90 ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: 0 �w M • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIDE REAR HEIGHT LIMIT IT -A v 1 R SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL G DATE 10 ' YC REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL / .Q- DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT S_ NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY I TYPE OF CONSTRUCTION �� STORES • V�V BUILDING SQ. FT. @ _ S 6 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ c Vie- = d BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS:�p C `�'- j t/ E' li it P'� PERMIT FEE ' PLAN CHECK FEE A(- Cff PLUMBING FEE I ef <'._ to ! { MECHANICAL FEE y 3, - TOTAL BLDG. FEES ` 5-8 PART P/C FEE SEPA REVIEW t� S.B.C.C. FEE`S OTHER FEES F b AMOUNT DUE 6 yo e �b RECEIVED ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL/,- BY DATE ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT -,.- BUILDING .-- BUILDING INSPECTION 941-1555 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 ONE 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 VALUATION 't 7, n At",'/ J3:J.TLD7.Wa DEFT PROV i6.. KC 10-1-90 : RECEIVED "VEP ML A'TROVAL FROM F.W. 14ATE-R & SMWEER u; t% PERMIT FEE ON 11-1-90 Ir.c. I?,,,,1'"90 PLAN CHECK FEE PLUMBING FEE -CHANICAL FEE OTAL BLDG. FEES PART P/C FEE SEPA REVIEW )MIT: WATER SERVICE WATER MAIN CHG. 1'.%C 1 }'9/}� _" 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 & 0 SET BACKS AND FOOTINGS DATE . . ... ... —BY ___ . .. ........ OX TO POUR FOUNDATION WALLS DATE —...,BY PLUMBING GROUND ORK D A T E - �7:�z BY PLUMBING ROUGH IN DATE OX�� BY WATER LIN E 0, K. GAS PIPING O.K. 1 111-w-41, MECHANICAL INSPECTION DATE --BY O.K� TO ENCLOSE FRAMING DATE 1. V_ BY / ;e 000/- 9;X, INSULATION DATE ___BY WALL BOARD AND FIRE WALL DATE FINAL O.K. TO OCCUPY DATE BY DCD PSD Za Ida All azi I., Z"l let, VE , / oo3z