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90-100356CITY OF Al 9P& FEDERAL WAY BUILDING PERMIT BUIL; 6i6 555TI0N 90-496 RA PAUL & HEIDE GEISE 34254 36TH PL S.W. PERMIT NO. OWNER'S NAME JOB ADDRESS DWF CONSTRUCTION 10513 FRUITLAND AVE PUYALLUP 845-1133 CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. DWFCO*110PB OWNER'S PHONE 838-4091 OWNER'S ADDRESS 34254 36TH PL S.W. TYPE JOB: NEW RESIDENCE ADDITIONXX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 638515-0090 LEGAL DESCRIPTION LOT 9 OLYMPIC PLAIN ISSUED BY JOANNE JOHNSON DATE OF ISSUE �C7 DATE OF APPLICATION 5-3-90 BUILDING INFORMATION NE RS OCCUPANCY R3 TYPE OF CONSTRUCTION_ VN BLDG. SO. FT 690 SET BACKS: FRONT 20 SIDE 5 REAR_ 5 STORIES -1 HEIGHT LIMIT SITE VERIFIED - PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 1 _ ELEC. HOT WATER HEATER GAS PIPING __ FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS 1 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES 1 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC _ SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES 3X5 = 15.00 UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION 29, 955.20 PERMIT FEE 285.Q0_ PLAN CHECK FEE R S ._0_0_ PLUMBING FEE 15-00 CHANICAL FEE TAL BLDG. FEES PART PIC FEE DATE: -_ /(/� - �U SEPA REVIEW WATER SERVICE AMOUNT: / C O �- v WATER MAIN CHG. S.B.C.C. FEE 4. 50 RECEIPT: c D 3 -.2 OTHER FEES AMOUNT DUE 489.50 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 1414? ``� AGENTDATE iormit # CITY OF FEDERAL WAY PECK/ire. BUILDING PERMIT APPLICATION MAY 3 ©4 � — Please Print — 1�� CITY 4F �' BOX 1 TENANT NAME: OWNER r C' SITE LOCATION 36 l OWNER'S ADDRESS z 4> SUJ CITY F 6 3 PHONE L' "t DESCRIBE JOB kle - THE PROPERTY IS OWNED BY: SINGLE/MARRIED .Y ` PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �� (�`C C:U • 3 /`1/C CONTRACTOR'S REG. # 2f —) Card MUST be present CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE i 4-2 —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 PERS0ff" I"PHONE�� -/ BOX 4 SEWER DISTRICT BOX 5 ESTIMATED PROJECT COST 2 S�, 0,;'0 BOX 6 PROPERTY TAX ACCOUNT NUMBE LEGAL DESCRIPTION / ,7� (If necessary, please submit a se K.C. Plat Recording # WATER DISTRICT -)ii! �l EXISTING BUILDING VALUATION page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 16S�6 / / �4�2'2ND FLOOR `20251U/1y0 3RD FLOOR / BASEMENT / DECKJ 0 GARAGE / BOX 8 ( SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE 7 Q ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY (�� SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. 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 1 $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER _� �r�7 C�td16 $ DRAINS $ __- OTHER $ TOTAL FIXTURES $ 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: DATE: S/' A- 4% ANP -008 3/90 0 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE i -S SETBACKS: FRONT �" SIDE 5 REAR S HEIGHT LIMIT 3v PLANNING DEPARTMENT APPROVAL S-�u C�,j REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL 4 DATE REMARKS: l/ " PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT y NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER MECHANICAL FEE OCCUPANCY `' 3 TOTAL BLDG. FEES TYPE OF CONSTRUCTION ) STORES BUILDING SQ. FT. / 020 @ 6 7.con a " rloo BUILDING SQ. FT. SgO @A 6 - yl, O ©a BUILDING SQ. FT. @,f/(q .arch - BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. TOTAL SQ. FT. �� @ _ TOTAL VALUATIO BUILDING DEPARTMENT REMARKS:7S- RECEIVED ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE ©0 PLAN CHECK FEE _ -o0 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES /� S PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE = f= Receipt # BUILDING DEPARTMENT APPROVAL BY T�/A DA' ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT BUILDI41 NG INSPECTION 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 PERMIT FEE _ PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART PIC 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 Mr -D", Fvur2- i? SET BACKS AND F&O I'NGS DATE BY OX TO POUR FOUNDATION WALLS DATE BY PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN DATE -.Y0-BY WATERLINE O,K. GAS PIPING O.K.----. MECHANICAL INSPECTION DATE O.K. TO ENCLOS RAMING DATE �ZXe BY z - V, INSULATIOri DATE --ay WALL BOARD AND FIRE WALL DATE BY-77-�- FINAL O.K. TO OCJCUPY DATE, 111��i BY DCD PSD FID - A 15;