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91-100207q, 400)0-7 CITY OF FEDERAL WAY BUILDING PERMIT BUILDING 941!N 55ECTION #101 PERMIT NO. 91-177 NR OWNER'S NAME LINH NGUYEN JOB ADDRESS 31005 36TH AVE SW CONTRACTOR JEFF HALLSTROM CONSTRVg%JQN INC 10020—A MAIN ST #159 BELLFWABPHONE 641-1237 CONT. REG. NO. r FEFFHC*187DR OWNER'S PHONE (W) 383/2576/ (H) 2XV77"OESS 1211 SOUTH 11TH TACOMA 98405 TYPE JOB: NEW RESIDENCE XX 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. 729816-0124 LEGAL DESCRIPTION LOT 50 BAYVIEW ISSUED BY JOANNE JOHNSON DATE OF ISSUE/ DATE OF APPLICATION 2-15-91 BUILDING INFORMATION ZONE RS 15.0 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SO. FT. 7765 SET BACKS: FRONT 20 SIDE 5 REAR 5 STORIES HEIGHT LIMIT '30, PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 5 ELEC. HOT WATER HEATER GAS PIPING FT. _33._50 BOILER BATHTUBS 2 LAUNDRY DRAINS �_ COMPRESSOR TANK(S) RECEIVED _ SHOWERS _3 URINALS 2�ORCED AIR FURNACE 2n _ oo AIR HANDLING UNIT NUMBER _ LAVATORIES 8 DRINKING FOUNTAINS 23AS HOT WATER HTR. 1.3�_.Q.D MISC _ RETURNED SINKS _3 MISC. CONVERSION BURNER BASIC FEE DISHWASHERS 1 TOTAL FIXTURES23X5 115-00 UNIT HEATER TOTAL MECHANICAL 3�, a AMOUNT VALUATION $40 -1.294 -Rn PLANNING DEPT APPROVAL: DB 3-18-91 FIRE & BUILDING DEPT APPROVAL: RC 3-6-91 PERMIT FEE 7 _Indnn PLAN CHECK FEE 1 1 U --(W 538.00 DUE PLUMBING FEE 11-5—" W DEPT APPROVAL: RC 3-5-91 MECHANICAL FEE _ 36.50 �. %� r SEWER OR/WATER W/CITY OF TACO DATE: �% TOTAL BLDG. FEES PART P/C FEE (570.00) AMOUNT: 2,398.00 SEPA REVIEW WATER SERVICE RECEIPT: 1 Z WATER MAIN CHG. S.B.C.C. FEE 4.50 OTHER FEES AMOUNT DUE 2,398.00 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: o� � � OWNER OR AGENT`` DATE iR &nit # C 11 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNERMLT-H6, L 14 /vAv SITE LOC ATIO + ' ` OWNER'S ADDRESS 2 l t- —CITY PHON 1) - -5176 DESCRIBE JOB S:T:A; 6 -LE t,-azf,)Eky_ - 4 -- 2-71- 1 THE PROPERTY IS OWNED BY: SINGL ARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME J �'� �(Srt'r^r7 r .1 -T-4C CONTRACTOR'S REG. # T SNL* / 9-7I>Q Card MUST be presented CONTRACTOR'S ADDRESS lon2o,q, HU -1't S • IflErl CITY RELt_E VUE PHONE EXPIRATION DATE -q —OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPS IALTY CO TRA T S AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. ' BOX 3 CONTACT PERSON Se 14-o1 i s f r� PHONE `t BOX 4 SEWER DISTRICT WATER DISTRICT TCC 11A 4L BOX 5 ESTIMATED PROJECT COST 3 Sb . C OCA EXISTING BUILDING VALUATION '— BOX 6 PROPERTY TAX ACCOUNT NUMBER Z 4 /(o _0 Izq LEGAL DESCRIPTION (If necessary, please submit a Is,)crate page wit the legal description.) 2 K.C. Plat Recording #s O 2G' ET BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR Z05/ 2ND FLOOR 2 -IS/ 3RD FLOOR / BASEMENT 2 i t / DECKS GARAGE 9,50 / BOX 8 (x) SINGLE FAMILY (?y NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY t 50C' P SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. r WATERCLOSETS GAS PIPING, FEET $ -3 �S 0 2- BATHTUBS NO. "L FURNACE, ELEC. GAS t,�pr-, $ 2.0 SHOWERS L GAS HOT WATER HEATERuY L S i $ LAVATORIES CONVERSION BURNER $ 3—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 $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ �)TOTAL FIXTURES $ KS ! j )` `-" TOTAL MECHANICAL FEE $ j (7. 5-C' 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: 2 — A_ _ ` ANP -008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONEk-5y SETBACKS: FRONT x" SIDE `> ` REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL 2-/n& REMARKS: OK elt ri K&t -A-1 a6l� SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE 7 `S REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE -� REMARKS: / G r- -r-Q C 0C ---G TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT PLAN CHECK FEE NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MECHANICAL FEE MULTIFAMILY ADD/ALT TENANT IMP. OTHER _ 2-f & 3 0 PART P/C FEE OCCUPANCY r TYPE OF CONSTRUCTION STORES S.B.C.C. FEE I,,/, Gt q BUILDING SQ. FT. Zfl S @ AMOUNT DUE �' BUILDING SQ. FT. 2 LLI @ ir _ S� BUILDING SQ. FT. S @ Ir 5--q 3 S" BUILDING SQ. FT. 0 @ ], 3 = ( 70 S BUILDING SQ. FT. 1-70 @ O. o Oc� BUILDING SQ. FT. @ MD TOTAL SQ. FT. BUILDING DEPARTMENT REMARKS: TOTAL VALUATION %b3 ZZ ` S 0 PERMIT FEE l7o y PLAN CHECK FEE HOW PLUMBING FEE , ° G MECHANICAL FEE 3r, •s u TOTAL BLDG. FEES _ 2-f & 3 0 PART P/C FEE 5-70,0 eP SEPA REVIEW S.B.C.C. FEE �0 OTHER FEES AMOUNT DUE �' ASSIGNED ADDRESS: 31005- - ye_ S • L.I. PARTIAL PLAN CHECK FEE RECEIVED Amount Dat Receipt # 4�_ BUILDING DEPARTMENT APPROVAL BY ; DATE , ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT BUILDI41 NG IN 55ECTION 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 -- `SUED BY DATE OF ISSUE _ DATE OF APPLICATION _ BUILDING INFORMATION ZONE_ OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. 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 'w VALUATION € IRE >& n1JILDING MW "PROVA 3--f PERMIT FEE 38. 00 DUT PLAN CHECK FEE T ' $ 3-5—f", PLUMBING FEE ''4 � MECHANICAL FEE ` � fi�T9 P ! fi.3 17f4'kSl n : t4 •-> tivT rs.: :. U. :, TOTAL BLDG. FEES PART P/C FEE iPAi�.r'Ti. '3 ZGR_t� 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 _ 0 0 SET BACKS AND FOOTINGS ,DATE �%' 'g/ BY OX TO POUR FOUNDATION WALLS { � DATE -`j' �t' � BY LC1�._/rL...._ _ PLUMBING GROUNDWORK DATE __-5.�� ....-BY PLUMBING ROUGH IN DATE ��L"�rYy� __.BY� .-._-__.... WATER LINE O.K. _..._ _._...... GAS PIPING O.K. _- �G y�� _.._ __ MECHANICAL INSPECTION DATE �� _. BY Ae O.K. TTO__� ALO DATE _/_ / ' "-') 2--WBY 173 - INSULATION LL DATE .. �� ^ � 2 �(t3Y _.�� - ..._ WALL BOARD AND FIRE WALL DATE �� _Z T �._..-_ BY 4%� ........... - FINAL O.K. TO OCCUPY DCD PSD FD 1JUP Z- ry i5t,.ple L L✓CL- C A/ <<, 3C // cI 7a , , ,224 in I 7 Weed .S4Oil ( rruss yec`5 ,ct� , Y U j .. / 7 j Q' J G h ��QGN ✓ eed fa Ll.✓P 6 S �. a� �`.. ' lC �nS 2 C 1 s4sl C t c G,t /z Z e/•- t L i I