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92-100913CITY OF FEDERAL WAY 9')'/oo 9/3 33530 First Way South WA 98003 BUILDING PERMIT BUILDING INS PECTION Federal Way, 661-4140 PERMIT NO. 92-0947 P OWNER'S NAME HELMER PACIFIC SITE ADDRESS 30941 37TH PL SW CONTRACTOR DELTA PLUMBING ADDRESS 13122 HTH STREET E. #1 SOMNER CONT. PHONE 927-7620 CONT. REG. NO. DELTAPH167QP EXP12/92 OWNER'S PHONE OWNER'S ADDRESS 22035 SE WAS RD #14 MAPLE VALLEY 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. 058755-004010050 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE e3 °-_I- 7 - BUILDING INFORMATION DATE OF APPLICATION 6-19-92 ZONE 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 6 2 WATER CLOSETS _ ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS _ 4 2 RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK 2 SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER 8 LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. 4 DRAINS 11 RETURNED SINKS Mlsc. BBQ BASIC FEE DISHWASHERS 2 TOTAL FIXTURES41X$5= 205. O DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE OTHER FEES AMOUNTDUE DATE: AMOUNT: 205-00 RECEIPT: 6- ?(-/,- '2�&__ 205.00 6 -->- (9 32- t 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. OUVNER OR AGENT DATE 6. 2 V'_ 9 2-� Pf nit # f ` 7 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER I t E1 ,I ' E 9 C, SITE LOCATION'` OWNER'S ADDRESS .)5 / r— C �' I CITY I -1 I I('" V PHONE DESCRIBE JOB IIY IC — i LG I Liji r L) THE PROPERTY IS OWNED BY: SI GLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME m CONTRACTOR'S REG. �0 D I j\ Card MUST be presented CITY � U rYll"1C�' PHONE CONTRACTOR'S ADDRESS �' �) �a b� I (I )—I —71 �� O EXPIRATION DATE I-) I�l—Cl —OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AN CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON I -A uI i �l_ I J PHONE l — -1 -�� BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST lU, �f )_.00 EXISTING PUILDING VALUATION BOX 6 PROPERTY TAX ACCOU T NUMBER D5sv3u 0o4—o 0 _, ` C)OS(D LEGAL DESCRIPTION Ot ") 4 I-- F) (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) NO. WATERCLOSETS BATHTUBS 41 SHOWERS P-) LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS„SPRINKLER V�CUJJM BREAKERS 11 DRAINSLO F loo+ ►0 cvc,-V. a OTHER IJUDC11 V 1)11)14— WI TOTAL )1Il14WTOTAL 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. �l�i9il9.T/_TdM, DATE: U I I c I c .y ANP -008 3/90 CITY 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 ONE 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 .y. PERMIT FEE PLAN CHECK FEE F PLUMBING FEE FEE ART P/C FEE EECHANICAL PA REVIEW rp UBLIC WORKS S.B.C.C. FEE Y ^ - FIRE FEE DATE: D ilix OTHER FEES AMOUNT: AMOUNT DUE 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 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 r i 'i hu 7,IAII r3 cif L A SET BACKS AND FOOTINGS DATE _...... _.—_ __. BY _ _ _ OX TO POUR FOUNDATION WALLS DATE ___ BY __ PLUMBING GROUNDWORK DATE 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 _ 6N; -X i 0 0