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91-100354CITY OF FEDERAL WAY BUILDING (434) "RENEWAL OF 90-40" PERMIT ?/,/003sy BUILDING INSPECTION 941-1555 PERMIT NO. 91-313 RE OWNER'S NAME DORENBUSH HOMES JOB ADDRESS 1218 SW 347 PL CONTRACTOR OWNER ADDRESS 18000 72 AVE S #206 RENT CONT. PHONE 251-9877 CONT. REG. NO. DORENI*21 OM3 6/91 OWNER'S PHONE SAME OWNER'S ADDRESS SAME 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 RENEWAL OF 90-40 TO CONSTRUCT NEW RESIDENCE TAX ACCOUNT NO. 192104-9048 LEGAL DESCRIPTION LOT 31 PARKLANE ESTATES SUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/20/91 BUILDING INFORMATION ZONE RS 7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 2346 SET BACKS: FRONT 20' SIDE 5' EACH REAR r' STORIES 2 HEIGHT LIMIT 30' MAX _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. 100 ' FT BOILER RECEIVED _ BATHTUBS 1 LAUNDRY DRAINS �- COMPRESSOR TANK(S) SHOWERS 1 URINALS _ FORCED AIR FURNACE ( 1) AIR HANDLING UNIT NUMBER _ LAVATORIES 4 DRINKING FOUNTAINS _ GAS HOT WATER HTR. 1 MISC. RETURNED SINKS 1_ _ MISC. CONVERSION BURNER BASIC FEE DISHWASHERS -_1 TOTAL FIXTURES _1.2 UNIT HEATER TOTAL MECHANICAL BET -OW AMOUNT VALUATION $ 1 21 .748-00 THIS PERMIT WILL EXPIRE ON APRIL 1, 1992 PERMIT FEE $358-50 PLl N CHECK FEE UMBING FEE '(- 00 ,-CHANICAL FEE --1-0-00 FEES DUE ARE OF THE ORIGINAL AMOUNT COLLECTED FOR THIS PROJECT. TOTAL BLDG. FEES $398-50 PART P/C FEE SEPA REVIEW WATER SERVICE/ WATER MAIN CHG. S.B.C.C. FEE / e% ((( DATE PD AMT $398.50 REC' T OTHER FEES AMOUNT DUE $398 5O 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 INFORMATIO NISHED 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 AGENTS DATE 0 1_ Ormit # CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — _5OL (t,- 31 ADD/' BOX 1 TENANT NAME: OWNER Ocl"iJ sH ir/ES SITE LOCATION /,-)/5 5t& 3,17,L OWNER'S ADDRESS leg 6 -- 72nd 911E S # 2-0 CITY PHONE_ P '7877 DESCRIBE JOB SiJ e Fpm// E-s/'Qr'vC.E THE PROPERTY IS OWNE BY: SINGLE/MA RIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME /dins- CONTRACTOR'S REG. # � lb 1;"7 3 Card MUST be presented CONTRACTOR'S ADDRESS ,Sgmt� _ CITY EXPIRATION DATE (; - al PHONE S?" —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 PERSON - T,; , SL hlnp,, 4- � z- PHONE �:� - `% b7 7 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION L If (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR e-/ 2ND FLOOR 3RD FLOOR / BASEMENT / DECK / GARAGE BOX 8 (vf SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT .m PLUMBING FIXTURES (including rough -ins) NO. WATERCLOSETS / BATHTUBS SHOWERS `f LAVATORIES SINKS i DISHWASHERS ELECTRIC HOT WATER HEATER I LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TOTAL 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 CITE' 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: ANP -DOB 3. PJ • C _, 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: DA PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: 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 STORES BUILDING SQ. FT. @ BUILDING SQ. FT. @ — BUILDING SQ. FT. @ — BUILDING SQ. FT. @ — BUILDING SQ. FT. @ - BUILDING SQ. FT. @ — TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: �Q � .0 Q- �a RECEI D ASSIGNED ADDRESS: Amount GY1 PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # BUILDING DEPARTMENT APPROVAL DA 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 ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING IN 55ECTION 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 NE OCCUPANCY_ TYPE OF CONSTRUCTION .__ BLDG. SO. FT ----- T _ET ETBACKS: FRONT SIDE REAR------- STORIES HEIGHT LIMIT --- PL UMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. y BOILER _ RECEIVED _ BATHTUBS LAUNDRY DRAINS COMPRESSOR __ TANK(S) SHOWERS URINALS FORCED AIR FURNACE, _. AIR HANDLING UNIT _ NUMBER _ GAS HOT WATER HTR. MISC LAVATORIES DRINKING FOUNTAINS _ RETURNED - SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS - TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL — AMOUNT VALUATION Tji1"1 PY:W11T WILL RXPIPT ON APRIL 1, 199 PERMITFEE .._. _...`... .,_ ._ate _. _,. _, .... ._...y.._....._ _. . PLAN CHECK FEE PLUMBING FEE FERS DUE ARE OF THF ORIGINAL AMOUNT COLLFXTED FOR THIS PRWFC f. MECHANICAL FEE — OTAL BLDG. FEES _ PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE DATE PD � AMT OTHER FEES � ._.._$396.50 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 CITY OF BUILDING FEDERAL WAY q I - _-�l -_� p__r_ PERMIT BUILDI941NG 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 ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG.SQ.FT. ET BACKS: FRONT SIDE REAR_ STORIES HEIGHT LIMIT LUMBING 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 ART P/C FEE EPA REVIEW -- T'AZT' IN FULL LL Qin 7L_ WATER SERVICE WATER MAIN CHG. - oUNT ?AID; L -3. S.B.C.C. FEE OTHER FEES RMIPT h 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 • • SET BACKS AND GFOOTINGS DA'i E I _ -_± BY _7�1 _ OX TO POUR FOUNDATION WALLS DATE _ /- (- LIL_BY PLUMBING GROUNDWORK DATE _.— -- -- — BY PLUMBING ROUGH IN DATE 15- BY f� WATER LINE O.K. GAS PIPING O.K._7'l� MECHANICAL INSPECTION _ ��mac DATE v '_' `" _ _BY O.K. TO ENCLOSE FRAMING DATE BY �V� __— INSULATIONpp,,cc DATE I'_".ly_. ._ _BY WALL BOARD AND FIRE WALL DATE— 25 BY FINAL O.K. TO OC UPY DATE �_- BY DCD PSD FD 3/-�U a1/ L Gc�irUG 1�r//iiv� Tud ��ti/Z2 Cc��✓j2ot1 /L/Z�/> "- t S% O�v S%/7/" /Z/z C2/Z /UO1+J /L 3�� /Z/Z S cf .r /Z1/t'C� �. �/°Z /- 2/ G/til 1l- gd " 7-✓ 3-17-A 7 i