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90-101410CITY Of FEDERAL WAY BUILDING PERMIT 9o-/a/y/o BUILDING INSPECTION 941-1555 -INSPECTION REQUEST LINE -946 -6794 - PERMIT NO. 90-1627 P OWNER'S NAME MOUNTAIN DEVELOPMENT JOB ADDRESS4923 SW 330 ST CONTRACTOR R & M PLBG ADDRESS 4008 BROUSE BLVD N TACOMA 9 CONT. PHONE 565-0090 CONT. REG. NO. KMPLUSI161SD 9/91 OWNER'S PHONE 643-5579 OWNER'S ADDRESS POB 7602 FREIRRAT, WAY 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 PLUMBING ONLY TAX ACCOUNT NO. -*Ar- 802951-0230 LEGAL DESCRIPTION NA ISSUED BY ELIZABETH SNYDER DATE OF ISSUE /0 DATE OF APPLICATION 1019/90 BUILDING INFORMATION ZONE NA OCCUPANCY NA _ TYPE OF CONSTRUCTION PLUMBING ONLY BLDG. SO. FT. NA T BACKS: FRONT NA SIDE NA REAR_ NA _ STORIES NA HEIGHT LIMIT NA UMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER 1 GAS PIPING FT BOILER 2 1 RECEIVED BATHTUBS LAUNDRY DRAINS _ COMPRESSOR _ TANK(S) SHOWERS 1 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. SINKS 3 MISC. BASIC FEE 20.0 CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 17 X $5.00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION NONE PERMIT FEE _ PLAN CHECK FEE PLUMBING FEE $ 105-00 MECHANICAL FEE TOTAL BLDG. FEES 105 00 P/C FEE QT A REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE DATE PAID/ AMOUNT , �� �1 3 Z z $105.00 RECEIPT � Z / / OTHER FEES OTHER AMOUNT DUE $ 105.00 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 INFORM ION FURNI ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE M I6 - I L Fo OWNER OR AGENT DATE RECEIVED Permit # QCT 9 1990 CITY OF FEDERAL WAY CITY OEEEDERAL.W Ay BUILDING PERMIT APPLICATION BUILDING DEPT — Please Print — BOX 1 TENANT NAVE: < OWNER 4240'j7(,,4tiir L SITE LOCATION OWNER'S ADDRESS CITY Gbh 1J 1 PHONE &Y " 5f, Z DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/ ARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NA CONTRACTOR'S REG. #ktav3.r_ IL-1 -i) Card MUST beeresented CONTRACTOR'S ADDRESS %SIr �'���'� CITY 7?f4;'1PHONE S6 —a� 0 EXPIRATION DATE —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 BOX 4 SEWER DISTRICT --- WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION — - BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (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______J_ GARAGE / BOX 8 (--) SINGLE FAMILY NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) NO. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS _DISHWASHERS ELECTRIC HOT WATER HEATER _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 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: ANP -008 3/90 CITY OF FEDERAL WAY BUILDING PERMIT BUILDI41 NG IN55ECTION 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 NEWINDUSTRIAL 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 e, ✓ L� 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 SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED 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 WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE DATT PAID AMiIW-, OTHER FEES_»�5.,X 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 _..... ..—BY OX TO POUR FOUNDATION WALLS DATE ....--- BY - —__ PLUMBING GROUNDWORK DATE -__ — -__.. BY PLUMBING ROUGH IN DATE /C�lS-fid 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 l=j`'1"'�.�I .BY DCD PSD FD c c