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91-101616CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. 91-1580 RA OWNER'S NAME RONALD BAILEY SITE ADDRESS 30916 36TH AVE SW CONTRACTOR K & M HOMES ADDRESS 21305 98TH AVE S KENT CONT. PHONE 852-6324 CONT. REG. NO. KMHOM*100PA EXP. 1092 OWNER'S PHONE 661-0883 OWNER'S ADDRESS 30916 36TH AVE SW FEDERAL WAY 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. 05$577-0290-04 LEGAL DESCRIPTION LOT 29 RAYVTF.W ('n TNTRV F.STAF.S_ POR OF (SVT LOT 1 IN THE ISSUED BY .JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 11007-91 BUILDING INFORMATION 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 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 14,580 PLANNING DEPT APPROVAL: DB 11-12-91 162.01C PERMIT FEE PLAN CHECK FEE 105-01C PLUMBING FEE 35-0( ECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS l S.B.C.C. FEE 45 .� FIRE FEE DATE: OTHER FEES AMOUNT: 306-50 AMOUNT DUE 306.5 RECEIPT: 4 11 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 INFOEiMATION FURNISHED BY M 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 # DECEIVED • Perak NOV 0 7 1991 CITY OF FEDERAL WAY vmOFFF-uEPALwAY BUILDING PERMIT APPLICATION BUILD 4G DEPT. — Please Print — BOX 1 TENANT NAME: OWNERE Z Lc� SITE LOCATION � ' I_ OWNER'S ADDRESS 305'1 T� S� CITY i 4 PHONE — DESCRIBE JOB Gr" F - Q I -- THE PROPERTY IS OWNED BY: SING ARRI PARTNERSHIP CORPO ATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # A2 --k ,, Card MUST be presented CONTRACTOR'S ADDRESS ��3�Si % th sc� CITY /` r// c l PHONES EXPIRATION DATE —OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFT I NS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON PHONE ��`�— � z&r3£ BOX 4 SEWER DISTRICT c�/'�%�Z (.L"��/ WATER DISTRICT iflTl% BASIC FEE $ BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BATHTUBS BOX 6 PROPERTY TAX ACCOUNT NUMBER 05 75 5 —OZ4i() _ 0 S HOT WATER HEATE $ LEGAL DESCRIPTION 4.&T Z9 77�' S i c� 5, 6Cr./ ; c c T� $ ZSINKS BOIL , SIZE BTU $ DISHWASHERS (If necessary, please submit a separate page with the legal description.) $ ELECTRIC HOT WATER HEATER K.C. Plat Recording # $ LAUNDRY WASHER OUTLET BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR FLOOR / $ 3RD FLOOR / BASEMENTS/ 3-L/ r— (10Z, DECK t GARAGE / BOX 8 (INGLE FAMILY ( )NEW CONSTRU �fION 1 ( )MULTIFAMILY (N0. OF UNITS = ) L4—EXISTING STR CTURE $ ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PR ERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. WATERCLOSETS GAS PIPIN FEET $ BATHTUBS NO. URNACE, ELEC. S $ SHOWERS S HOT WATER HEATE $ AVATORIES CO VERSION BURNE $ ZSINKS BOIL , SIZE BTU $ DISHWASHERS AIR HA DLING ITS $ ELECTRIC HOT WATER HEATER HEAT P P , SIZE $ LAUNDRY WASHER OUTLET UNIT HE RS $ URINALS AIR C ING NITS, SIZE $ DRINKING FOUNTAINS CO ERCIAL OD $ _SUMPS, SPRINKLER VACUUM BREAKERS HER $ > DRAINS $ OTHER $ _TOTAL FIXTURES $ ;, 3S . 00 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: C Pc"C"' ANP -008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELO90THIS LINE) ZONE k515,0 SETBACKS: FRONT 0' SIDE 5 ' ' REAR J` HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL / / REMARKS: IVO Cbz-ne-Z-" SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: DA PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: ` �A J 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 OCCUPJNCY &b TYPE OF CONSTRUCTION �SII STORES (A BUILDING SQ. FT. 0 @ :77,.50 = 7ZQQ 0 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ AA 0 j i lel 6' Zo BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: Amount 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 II BY h�—' DATE �I ' q 1 ACCEPTED FOR FILING 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 NEWCOMMERCIAL 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. SO. 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 PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: 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 SET BACKS AND FOOTINGS DATE . .... ... -_ -...BY OX TO POUR FOUNDATION WALLS DATE PLUMBING GROUNDWORK DATE . ..... . . . ...... - BY PLUMBING ROUGH IN DATE -1 ,BY . �5_.._._._.._..___..--_-BY, WATER LINE O.K. . ... .. . GAS PIPING O.K.__ MECHANICAL INSPECTION DATE. . O.K. TO ENCLOSE FRAMING DATE/ -2-./ INSULATION DATE IWIV,4t . . ....... B Y9z WALL BOARD AND FIRE WALL DATE '/ . .._...BY _7F FINAL O.K. TO OC 1UPY DATE DCD PSD D 0 0