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91-101821CITY OF FEDERAL WAY First Way South Feder BUILDING PERMIT Federal Way, WA 98003 RRVTRTOW TO fXTSTTNr 4l _l �f2S2 BUILDING INSPECTION 661-4140 91-1388 OT THOMAS/LUCILLE MAHONEY 31012 36 AVE SW PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR TOM BRAATEN CONST ADDRESS 33415 4 PL SW FEDERAL WAY 98023 CONT. PHONE 927-3998 CONT. REG. NO. TOMBRCI142DR EXP. 1/93 OWNER'S PHONE SAME OWNER'S ADDRESS 29854 1 AVE S FEDERAL WAY TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.-- NEW PUBLIC_ PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER REVISION TO ORIGINAL PERMIT TO CHANGE FLOOR TAX ACCOUNT NO. 058755-0220 LEGAL DESCRIPTION FRAMING IN THE LIVING ROOM SUED BY ELIZABETH SNYDER DATE OF ISSUE _ DATE OF APPLICATION 3130192 BUILDING INFORMATION rONE SET BACKS: FRONT____ SIDE REAR HEIGHT LIMIT CCUPANCY 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 NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION BLDG DEPT APPROVAL = KEVIN ELLIS PERMIT FEE LAN CHECK FEE $30.00 "1 HR OF PLAN REVIEW @ $30.00 HR" UMBING FEE MECHANICAL FEE gBUILDER—OWNER SHALL MAINTAIN MINIMUM SETBACKS AS REQUIRED BY THE PLANNING DEPT" PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: $30.00 OTHER FEES AMOUNTDUE $30.00 AMOUNT: 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. -- �— cj OWNER OR AGENT DATE — I 0 CITY OF FEDERAL WAY Perm 1 �1 1992 BUILDING PERMIT APPLICATION SAL WAY — Please Print — ReCE ED JAN 3 Q 1992 BOX/TEIIANT NAME: �Ncn,As t' L_VC-ILL /�AkVF- PQ; # �� 1 I �e OWNER 'T'fk as 4 c -u cIc F- M*0tj£Y SITE LOCATION 3 1 a Z 7!o t` AJ'f S-,,)' OWNER'S ADDRESS 8 5 . CITY -WAY PHONE S'91- 3 80 DESCRIBE JOB 450",tJ%1 - SioNr_hAA)41A Ftoolt, FAm vvL 1N L vIN(, 0 THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME o 4AA < oaMT I r✓C. CONTRACTOR'S REG. #T0M FkCX 14Z Df, Card MUST be presented CONTRACTOR'S ADDRESS �3`>t ' S ��c, sJ CITY r*Fi SIL w.9Y PHONE %7-3-19b' EXPIRATION DATE l/-- —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 � PHONE TZ -7-7199 BOX 4 SEWER DISTRICT rig Y WATER DISTRICT _.AUM,4 BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 05'875'5'1 07-7-0 LEGAL DESCRIPTION Lzv 4tt 7-zV,"i Caunn KY &S ra.'fE� (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 I GARAGE / BOX 8 (SINGLE FAMILY ( kNEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT Il • PLUMBING FIXTURES (including rough -ins) NO. WATERCLOSETS _BATHTUBS Z SHOWERS 5—LAVATORIES Z SINKS DISHWASHERS ELECTRIC HOT WATER HEATER IL NDRY WASHER OUTLET INALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET / $ NO. FURNACE, ELEC. GAS y $ 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 IANDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MYOOWLENE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT AP LICATION 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. ANP -008 3/90 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BE�W THIS LINE) ZONE SETBACKS: FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: SIDE HEIGHT LIMIT DATE 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: 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 BY DATE (✓ Z ACCEPTED FOR FILING CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. 91-1388 NR OWNER'S NAME . THOMAS/LUCILE MAHONEY SITE ADDRESS 31012 36 AVE SW SELF CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. EXP. OWNER'S PHONE 839-3980 OWNER'S ADDRESS 29854 1 AVE S FEDERAL WAY 98003 yqy TYPEJOB: NEW RESIDENCEXXX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER .. AND GARAGE/DECK TAX ACCOUNT NO. 058755-0220 LEGAL DESCRIPTION LOT 22 BAYVIEW COUNTRY ESTATES PLAT RECORDED IN VOL 140 OF PLATS, PGS 16-19 INCLUSIVE IN KING CO WASH SUED BY ELIZABETH SNYDER DATE OF ISSUE (] -! - DATE OF APPLICATION 10/3/91 BUILDING INFORMATION ZONE RS 15.0 SET BACKS: FRONT 20 ' __ SIDE 5 /5 _REAR _5 HEIGHT LIMIT 30' OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5-N CENSUS NO. 101 TYPE OF HEAT GAS BLDG. SQ. FT. 4807 STORIES 2 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 4 _ ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 GAS LOGS BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACEGAS 1.0.00 DUCT WORK RECEIVED SHOWERS 2 URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER LAVATORIES 5 DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS 2 misc. —sstr**BOILER—SEE BELOW* BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 17 X--$-5.00 DRYER TOTAL MECHANICAL 20.00 AMOUNT NONE 2 486 $53 **STATE OF WASHINGTON REQUIRES DEPT OF LABOR & INDUSTRIES VALUATION • PERMIT & INSPECTION APPROVAL FROM THE "BOILER" DIVISION** PERMIT FEE $1179-00 LAN CHECK FEE 224. 00 766.00 PLANNING DEPT APPROVAL = MICHAEL THOMAS "SEPA EXEMPT" UMBING FEE 85.00 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS MECHANICAL FEE 20.00 (542.00) PART P/C FEE PUBLIC WKS DEPT APPROVAL = SUZI CUZZETO "DRIVEWAY TO ABUT & BE FLUSH SEPAREVIEW 45.00 WITH EXISTING SIDEWALK & NOT TO ENCROACH WITHIN THE SIDEYARD SETBACK. PUBLIC WORKS 4.50 APPROVED DRAINAGE SYSTEM IS TO BE USED FOR DOWNSPOUTS & ALL DRAINS" S.B.C.C. FEE FIRE FEE DATE: $1557.50 OTHER FEES AMOUNT DUE $1557.50 AMOUNT: RECEIPT: l �% 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. l�` OWNER OR AGENTFz��� ��_ DATE Perm' 1 ' l 3 yy Iye RECEIVIED CITY OF FEDERAL WAY 5 yam - 0 OCT 3 - 1991 BUILDING PERMIT APPLICATION 1-"1"4 16-3 -�7/ — Please Print U_ j CITY OF FEDERAL WAY NOT BOX 1 NT AME: A I'I'I v OWNERMq"kt'SITE LOCATION 1 Q'N— 5% \k OWNER'S ADDRESS -D-q 86-4 - is-�V e 5, . CITY ,,N,,A )!v� PHONE 3_:S` - DESCRIBE JOB Wevv THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION_ BOX 2 CONTRACTOR'S NAMECONTRACTOR'S REG CONTRACTOR'S ADDRESS EXPIRATION DATE h 1' CITY 1211P►la -•d MUST he presented 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,. Ma,\tieti PHONE 'I - 2A S O BOX 4 SEWER DISTRICT t-eay,r�\\Na.si WATER DISTRICT BOX 5 ESTIMATED PROJECT COST --l- (_-'L,/) (-,)/ X) EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER - V 7 — -- 0 -- LEGAL DESCRIPTION LOt "!) 'I V'1,0,, s�n��cn ES (If necessary, please submit a separate page with the legal des(cription.) K.C. Plat Recording # •X 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR'S / 2ND FLOOR / 3RD FLOOR / BASEMENTf� DECK 22GARAGE BOX 8 (X) SINGLE FAMILY NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY E 0 SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. 4 WATERCLOSETS GAS PIPING, FEET $ 3 BATHTUBS NO. I FURNACE, ELEC. GAS $ /F' - c ' _:;?- SHOWERS GAS HOT WATER HEATER $ - ^ C x, LAVATORIES CONVERSION BURNER I oo app $ K SINKS _BOILER, SIZE � g.D . BTd1 $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ 1 LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS :�:AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER 1Ti DRAINS ! ;`e -f i. 0 L '64 � $' ' �' C-4 C v' 41 =-., F j-�dw $ TOTAL FIXTURES ' $ TOTAL MECHANICAL FEE $ u -I c'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 I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS' f_DE. S 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 QVHE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: ` DATE: ANP -008 3/90 • 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE S t'�;.OSETBACKS: FRONT 2u ( SIDE S REAR 5 f HEIGHT LIMIT ° PLANNING DEPARTMENT APPROVAL REMARKS: .kL SEPA: EXEMPTS NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE /D -3� - Fj. REMARKS: PUBLIC WORKS DEPARTMENT APPROVALCzv.� DATE ' -' 7 REMARKS: w,­e,- fe -V— W iS c1 %, �►�-C��-�-C� _b Grew Sc�f �G� G.ItLL A*Pit-,617� _!e OtZWI— /O 4e hxe ti 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 CONSTRICTION STORES l,t v(t �Sr BUILDING SQ. FT. S @ 72- 137gq 2k BUILDING SQ. FT. f `$ 3 @ (f = 3) 6a e, BUILDING SQ. FT. 65- @ l 1 6 B. ZO ne K BUILDING SQ. FT. Lfz @ l7, 7 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @Z�(I�(� TOTAL SQ. FT. TOTAL VALUATION '55 3���`O� BUILDING DEPARTMENT REMARKS: PERMIT FEE It 77 PLAN CHECK FEE 7 PLUMBING FEE 95 - MECHANICAL SMECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE { OTHER FEES AMOUNT DUE PF—cS- NED CC, 3 - A99A ASSIGNED ADDRESS: 3 10 f Z 3 Vy- S. Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # BUILDING DEPARTMENT APPROVAL BY DATE 11 18 - q ACCEPTED FOR FILING 'ITY CF FEDERAL WAY 3530 First Way South =ederal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. OWNER'S NAME _ _. SITE ADDRESS CONTRACTOR ADnRESS 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 PEMNIZIT. & IM;PFCT.; ON 1�..I PPOVAL ?'x ilii G 1-i eT APPROVAL ae "_•UCHARL Tii(.MM *l. PERMIT FEE PLAN CHECK FEE PLUMBING FEE ' %Y �?F sl :a i}? -°PT APPROV - "I --FTN F`s {' MECHANICAL FEE PART P/C FEE `r ,e- �. r•e+ ,cs:u etx4 zT .r;".' :r ' l AnJTc �.'Y+v i ,^.s1 SEPA REVIEW .PPROVAT,-- s:�� T�, eai=l�x :i'k'u�.: bt PUBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: 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 FOOTINGS DATE ...../1 _ 9 BY _.....- - - O.K TO POUR FOUNDATION WALLS DATE_..- .-BY - PLUMBING GROUNDWORK DATE ... - �7 92 __BY PLUMBING ROUGH IN DATE ..-3'"/: fl...BY ...--..... WATER LINE O.K. _..._ /q_-_._ _ GAS PIPING O.K. __/_/-....yZ __ _ MECHANICAL INSPECTION �+ DATE 11 5<-4..2 BY CU ll O.K. TO ENCLOSE FRAMING DATE /" 2BY _ ....._- INSULATION DATE ....L `�Z.._BY -_ WALL BOARD AN FIRE '� WALL �� J DATE -.......-.���BY FINAL O.K. TO OCCUPY j DATE _ ..-- -- _�BY DCD PSD F FID ITY OF FEDERAL WAY 3530 Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION661-4140 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 BLDG DEPT J,rrv:vVAL = Kk-. N ELLIS PERMIT FEE ~ HR OF PLAN REVIEW $30.00 Rw PLAN CHECK FEE PLUMBING FEE q SHALL MAINTAIN XINIMUM S AB AS PKO.UIRED BY THE MECHANICAL FEE ABUILDFiR'"'/"IER iCKS PLANNING DEPT" PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: 4 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 ......_—_—_BY —_...—_.._—.... PLUMBING GROUNDWORK DATE _—_... BY 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 ,-C 3 - z,y - c' �oc� a ( s s /e- v �_. -41 s L �/1 ' S .N ; C iZ — >.'� s r_ fe — � Z �� S 3' �iL✓� ' /�'S� //1 .. � � ate,.-"