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92-100970CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT � ;) -/00 97a BUILDING INSPECTION 661-4140 92-0992 RA GEORGE CHAPPELL 1625 SW 330TH PL PERMIT NO. OWNER'S NAME SITE ADDRESS SELF CONTRACTOR ADDRESS CONT. PHONE 874-0881 1625 SW 330TH PL FEDERAL WAY 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. SHED NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER 010457-0420-09 TAX ACCOUNT NO. LEGAL DESCRIPTION JOANNE JOHNSON 777 7-2-92 ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION RS 5.0 201 5 , 51 301 ZONE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT M1 VN 434 160 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 LANNING DEPT APPROVAL: NO VEHICLE PARKING IN REQUIRED 5—FOOT SIDEYARD VALUATION 2,618.88 SETBACK PER FWZC 115.115. MAINTAIN REAR YARD 54.00 SETBACK. NO BUILDING SHALL ENCROACH ONTO ANY PERMIT FEE 35.00 BUILDING SETBACK LINE OR EASEMENT, SHOWN OR NOT PLAN CHECK FEE SHOWN. DB 7-9-92 PLUMBING FEE MECHANICAL FEE UBLIC WORKS DEPT APPROVAL: DOWNSPOUT, FOOTING DRAINS, AND RUN—OFF FROM PART P/C FEE IMPERVIOUS SURFACES SHALL BE TIGHTLINED TO THE SEPA REVIEW 35.00 APPROVED STORM DRAIN CONNECTION AS REQUIRED PER PUBLIC WORKS 4.50 CONDITION OF APPROVED PLAT. DB 7-9-92 S.B.C.C. FEE FIRE FEE DATE - OTHER FEES AMOUNT: $128.50 128.50 U D 5 AMOUNTDUE 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. L OWNER OR AGENT - r F C DATE" J RISCIFIVO Permit # � ' _ i JAL Z ` 1992 CITY OF FEDERAL WAY 0"0FFEj*RAL*Av BUILDING PERMIT APPLICATION el LDM MPT. — Please Print — BOX 1 TENANT NAME: G A_;0 r t; E OWNER '-i>=✓ ck-6 it C_ K APf G(_L SITE LOCATION OWNER'S ADDRESS 1 b IS _SCJ '3 '?<1 ' h P �_ CITY fLOL AL W lAy PHO +- DESCRIBE JOB Q" W `N k 06' ' 0 1 �_, CSI,.A THE PROPERTY IS OWNED BY: SINGLE ARRIED2 PARTNERSHIP CORPORATION BOX 2 e R NAME P.ot3CII[R I SNP,3 s C' fLt- '� ACS CONTRACTOR'S REG. # -1) ) A Card KAJST be presented CONTRACTOR'S ADDRESS CX JQEV_ WILD CIT`' t1 /1 PH000 L2,�5 0�-4S EXPIRATION DATE QUA -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 G563�0 -1A FL LL PHONELA` CZA- 0-44-T BOX 4 SEWER DISTRICT VC-01E(ZNr_ WATER DISTRICT at EfN_y) BOX 5 ESTIMATED PROJECT COST t I i EXISTING BUILDING VALUATION 13 IA BOX 6 PROPERTY TAX ACCOUNT OAl?4S— -o%;LD oq DUMBER LSE/GAL DESCRIPTION (G` z5°l .A it . 1d4. I'>tt l�iii �S"i0 a4 it bbjw%6 15jo of IATS , 0,� 3' b�e $ SHOWERS (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # CO RSION BUR BOX 7 BUILDING SQUARE FOOTAGE: (E*im&4 WProposed) 1ST FLOOR 2ND FLOOR "�-- -- 3RD FLOOR BASEMENT— -- DECK ------L GARAGE -=�= BOX>8S<INAMILY ()o NEW CONSTRUCTION AMILY (NO. OF UNITSRCIAL/INDUSTRIAL ELECTRIC HOT WATER HEATER HEAT PUMP , ZE TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXT RES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N TERCLOSETS GAS PIP G, FEET $ ATHTUBS NO._ URNACE, ELEC. GAS $ SHOWERS HOT WATER HE R $ LAVATORIES CO RSION BUR $ SINKS BOILER, IZE BTU $ DISHWASHERS AIR HANDL NITS $ ELECTRIC HOT WATER HEATER HEAT PUMP , ZE $ AUNDRY WASHER OUTLET UNIT HE ERS $ INALS AIR CO ING UNITS, IZE $ DR KING FOUNTAINS COM ERCIAL HOOD $ SUM S, SPRINKLER VACUUM BREAKERS 0 ER $ DRAT $ OTHER $ TOTALF TURES $ 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 PERM ITAPPLICATION 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/�#�- DATE: ANP -008 3/90 Vo OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE 5-0 SETBACKS: FRONT 2-0' SIDE S� REAR HEIGHT LIMITO� PLANNING DEPARTMENT APPROVAL ? 92 REMARKS: AD ✓eh !c%Azyklhq n 5edatcl . SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL 1 4 DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL REMARKS: �Lmvr ouf fnoffncldrafnS and nm=off rn ID the approved storm drain connection as imncn surfaces shaft required per condition of DATEL be lighigmd approved plat. ' S PLUMBING FEE MECHANICAL FEE TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT S_ NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OC UPANCY /i/l ( TYPE OF CONSTRUCTION V STORES ✓ 6 e-- BUILDING SQ. FT. @ fig: C = 2-17 G 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: __� e— e �ss?-I PARTIAL PLAN CHECK FEE RECEIVED unt Date PERMIT FEE S PLAN CHECK FEE ' S PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW &ig"G cooejc-s" S.B.C.C. FEE OTHER FEES AMOUNT DUE Receipt # BUILDING DEPARTMENT APPROVAL BY K:: DATE l - (S 2' ACCEPTED FOR FILING CITY OF FEDERAL WAY 33530 First Vvay 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 FONE BUILDING INFORMATION 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 BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK RECEIVED SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS MISC. BBQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT Y Vff-,!.F4%j IJ.".sie-.j. .fi+ Ll7:ij1-A' t'. r*Q bluailcist. L0 ii•.Zi:-! ', �';l'i_{ ' 471. VALUATION SE 3. S✓.ACN PEP FvFZC. 115.115 • MAlMAX I :..`dal": Sfl.'fiHA CX. 1'10 BULIAING SHA,L11, ETICRQACH 011"W My PERMIT FEE BUTWINII, 1W.13ACK LINE OR PLAN CHECK FEE SHCK'Tx1. IDD 7-9-9-4PLUMBING FEE MECHANICAL FEE f3LIC WORKS DEPT APPROVAL: DOWNSPOUT. POMING DRAINS, AND RUIN --0171 F- RT P/C FEE IMi kRVIOUS SU"AiLES SAM, PF, 'TTGHTLINEM TO T PA REVIEW APPROVED STOR14 DRAIN CQMMC""rf%N AS RdeQNIRRV� nra PUBLIC WORKS CONFiITIO:3 OF AP?RflY^P P.'`.ai'�tT• nn 7".q—q2 S.B.C.C. FEE FIRE FEE DATE: j OTHER FEES AMOUNT: y `VA AMOUNT DUE 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. OWNER OR AGENT DATE SET BACKS AN�WFOT - _f , __/ /�AY DATE -7 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 DATEATE &/Z�?__BY C.S.�� INSULATION DATE --,BY,. WALL BOARD AND FIRE WALL BY FINAL O.K. TO OCCUPY DATE BY DCD PSD FD 0