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91-101299CITY OF FEDERAL WAY BUILDING PERMIT 9!- Iola BUILDING INSPECTION 941-1555 91-1357 CA CAFE PACIFIC 31205 PACIFIC HIGHWAY S PERMIT NO. OWNER'S NAME JOB ADDRESS SELF -- CONTRACTOR ADDRESS CONT. PHONE CONT REG. NO. OWNER'S PHONE 839-7303 OWNER'S ADDRESS 31205 PACIFIC HWY S FEDERAL WAY TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. XX INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS 1 MULTI. ADD. SIGN GRADING OTHER 082104-9185-01 TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 9-11-91 BUILDING INFORMATION ZONE CC OCCUPANCY A3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT 434 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 5,398.96 PLANNING DEPT APPROVAL: BK 10-1-91 VALUATION FIRE/BUILDING DEPT APPROVAL: KC PAT 10-1-91 162.00** :.RMITFEE PLAN CHECK FEE 53.00 ** DOUBLE FEE AS CONSTRUCTION WAS COMPLETED BEFORE PERMIT WAS OBTAINED PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE DATE: SEPA REVIEW WATER SERVICE AMOUNT: $223.55 WATER MAIN CHG. S.B.C.C. FEE 4.50 �n RECEIPT: OTHER FEES F . D . FEE 4.05 AMOUNT DUE 223.55 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 BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL ZFURNIED BE MET: j �� OWNER OR AGENT DATE 1 9 "NIL AAAS -141 lull; "�E 1991 HEAL ES'I'Mr .PERTPv � AX R p 10 KING Cf '-NTY ST )F wAsHipiGnON rVI"NIT f1l"R A r- =C1 500 FOU AVEC rLt WA 961,04-2387 .011MMM ME.! ! - 373 016 i som sct�ool Sur - 7 43 6 1 123,010 8S9-79 ?1 .09 496 122046 .para l rT"a nt 14? 68 Srecnbi oo vvgtb, ALL PAUITS Yr—EN Li N Pf, ,kl C 99 IC A U E L91 is H, p E S T PR NCIPA� A, p tv L Lam �6 rot. U, F F 12- T p 0. 02 rCiPAj pIN, J 4 7 A 0 p E.- T H 0 U T R � JRNED: -T( U L AE U alf JT, R J. F V L I- AM 0 PRIOR YFA—�� A' » IN Tk-,, I -�T PENALTY RECEIVED SEP 3 0 1991 111 � 4=}fRA�.1AiAY BOX 1 TENANT NAME: I too' 40 Permits �� l� /3 5 7 C_' � CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — SITE LOCATION 50, CITY PARTNERSHIP CORPORATION Gee rm, BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # i I f/ Card MUST be presented CONTRACTOR'S ADDRESS EXPIRATION DATE TY PHON 'I' OR — I HAVE READ CHAPTER 18.27.010 RE LA NG TO EFINI S OF OR CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS I RMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON _ PHONE 76� 03 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST fi ` EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER `_i 2— �1 — �j / SS- — U % ---LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 4 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 BOX 9 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 THER OTAL 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 $ SIR 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 KNOVVLEDGE 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. ANP -008 3/90 I OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE G` SETBACKS: FRONT NIA. SIDE NIA. REAR tlh! HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL l0 — l ' °! l • �� REMARKS: SEPA: EXEMPT_ NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: 0U tila— DA' BUILDING DEPARTMENT REMARKS: RECE JED SEP 3 4 1991 ASSIGNED ADDRESS: -�-� C x (S T_t L"(_ Amount BY PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # 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 BUILDING DEPARTMENT APPROVAL / DATE ACCEPTED FOR FILING PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: if i 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 S PIV �i LA � BUILDING SO. FT. `� '� STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. BUILDING SQ. FT. @ @ _ TOTAL SQ. FT. TOTAL VALUATION 3 F6. BUILDING DEPARTMENT REMARKS: RECE JED SEP 3 4 1991 ASSIGNED ADDRESS: -�-� C x (S T_t L"(_ Amount BY PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # 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 BUILDING DEPARTMENT APPROVAL / DATE ACCEPTED FOR FILING REN ENME ■�N..on as MWW ? rem Elio _ = CERTIFICATE OF O MH! ■ CITY OF FEDERAL WAY WE 0 re ME- WEM ■■ .0 This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of 1r OWN issuance this structure was in general compliance with the various ordinances of the City regulating building construction or use for the following: .■ ■ ■■ I# = Occupancy Name: �AFFPArTFT— `\ddrec : 31 205PACTFT��Y S *IN ■IIo Use Classification: RFSTAiTRANT Permit No: 1-1197 ■II■ Elio Group _gi Type of Construction —T_ U,5c Zone cc 8q. footage 3 o o o0 o Occcupant road 200 Owner of Occupancy: .T��N HATCHER Addrew: 1120S -PACIFIC Wa R. a WESTERNS STATES REALTY WE Owner of building: PETER JOUFLAS Address: 1111118Tu��1 RFLLEVUE ■ • a 98005 ME The oeus in the review and inspection made the Ci prior to issuance this Certificate was on those matters which ■ experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a review andinspeetion as is reasonably possible (within budgetary time andpersonnel limitations), the City neither guarantees nor 0110 OHM warrants to the owner/occupant or to any other person that this Cettifkate evidences strict compliance with each and ev p e7 Wordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon US Elio which 't is situated. Such cgmpliance the responsibility of the owner and/or occupant of the premises. Elio ME OF, Elio Building ial Date .'■iT.■ Post in a Conspicuous Place NO :1r:1T::7r::R::1G�i'::1r:1G: ::t%:1r: �T::7i:w:1T::iT: :ii::ir:W:ifi:�:1i::1�:W R"EMBE 7�::iT::1T:: .W.R:R.E.:If::YT::1T::1T: CITY OF FEDERAL WAY BUILDING INSPECTION BUILDING PERMIT 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. 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 // RE/WUII,oVI DEP"? bPNYVAL: Kc Pdtr`2 10-1--91 PERMIT FEE SYX FSE AS CONSTRIN ION WAS COMPIXTED SAE RE,, p'ERMI " n"rtAS C PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE _ TOTAL BLDG. FEES PART PIC FEE SEPA REVIEW WATER SERVICE .. S 2 3r WATER MAIN CHG. % l/ S.B.C.C. FEE OTHER FEES�� AMOUNT DUE�7 z"/f 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_._,._, -___BY WATER LINE 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 FD L --r1j15ae-c 7-toit/ 6e= :7a- :1�_ -3�NFi