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91-100717CITY OF FEDERAL WAY BUILDING PERMIT C/ /-1007/7 BUILDING INSPECTION 941-1555 91-670 FSS PACIFIC FIRST BANK 33702 B 21 AVE SW PERMIT NO. OWNER'S NAME JOB ADDRESS BRONZE MECHANICAL 4158 148 AVE NE REDMOND 98052 882-0422 CONTRACTOR ADDRESS CONT. PHONE BRONZMI142LD 5/92 622-1666 33702 21 AVE SW FEDERAL WAY 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 SPRINKLER SYSTEM TAX ACCOUNT NO. 242103-9099 LEGAL DESCRIPTIO ISSUED BY ELIZABETH SNDYER DATE OF ISSUE DATE OF APPLICATION 5/21/91 BUILDING INFORMATION OCCUPANCY B-2 TYPE OF CONSTRUCTION_ 5—N SPRINKLERS BLDG. SQ. FT 650 'RowE 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 _ SAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. RETURNED _ SINKS MISC, CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $915.00 FIRE DEPT APPROVAL = KEVIN ELLIS/CHRIS INGRAM PERMIT FEE $25-00 BLDG DEPT APPROVAL = KEVIN ELLIS PLAN CHECK FEE 16 _ 00 PLUMBING FEE ECHANICAL FEE AL BLDG. FEES $41-00 T P/C FEE SE REVIEW J /� WA R SERVICE WATER MAIN CHG. DATE PD (' AMT $66.00 REC'T,_3_44 S.B.C.C. FEE 4.50 OTHER FEES F. DEPT 20.50 AMOUNT DUE $ 66.00 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: ' S, C L y L C, '� OWNER OR AGENT C .' DATE I is # RECEIVED � � MAY 21 1991 CITY OF FEDERAL WAY I MY OF FEDERAL WAY BUILDING PERMIT APPLICATION BUILDING DEPT — Please Print — BOX 1 TENANT NAME: f:�(eJ A4 e j e r ( Fo d e -a I uk) PCkL'-'P)L F; r's+ Rek, k OWNER 1 -req IV 144' V a SITE LOCATION :2 `5 f; ,A I !•\Ve- OWNER'SADDRESS 37Cl Avg CITY PHONE DESCRIBE JOB 1c c_q 6r k l e4,ecta ' 4'^ r '�vi' i- v kec-fion THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 3 O nzz Me4)a % Cc0 CONTRACTOR'S REG. # Brcv)z,APL4 2LD ii Card MUST be presented CONTRACTOR'S ADDRESS q r S 1 ci 1 Ave NE. CITY Red Mu hU PHONE_ 35P -0q 22 EXPIRATION DATE S - _�2 1 - 1 1' 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:)(✓v\ Wo, ( le%ct PHONE ",�1 ':� -U Y'2 2 BOX 4 SEWER DISTRICT WATER DISTRICT �— ,-BOX 5 ESTIMATED PROJECT COST BOX 6 PROPERTY TAX ACCOUNT NUMB R=# i� EXISTING BUILDING VALUATION - 9v 99 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 0 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) COMMERCIAL/INDUSTRIAL ( ) EXISTING STRUCTURE ( ) TOTAL AREA OF PROPERTY" SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ 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 $ C/2 TOTAL FIXTURES $ 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: ►��Ii+'L DATE: ` ANP -008 3/90 ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: OFFICA ONLY (PLEASE DO NOT WRITE BELOW THIS LINE SIDE REAR HEIGHT LIMIT BUILDING DEPARTMENT REMARKS: ASSIGNED ADDRESS: ``- Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE ZS PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES �L PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES r h T_ AMOUNT DUE BUILDING DEPARTMENT APPROVAL L`� C� DATE (9 I ACCEPTED FOR FILING SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL r REMARKS:_ r DATE s ``��� Z- 7 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 i'"(� - I �4"—#S St-� OCCUPANCY 15 2, TYPE OF CONSTRUCTION UAJ S ORES BUILDING SQ. FT. b C @ �� 6 D BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. BUILDING SQ. FT. @ _ @ C) TOTALSQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: ASSIGNED ADDRESS: ``- Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE ZS PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES �L PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES r h T_ AMOUNT DUE BUILDING DEPARTMENT APPROVAL L`� C� DATE (9 I ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT BUILDING 941!N SSECTION 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. 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 "T t ' VALUATION "'7 EX�� �?� DEPT APPTt('! � = KIN BLDG DEPT "PROVAL = XEWN T L�:sISiLHRIS INtRRAM ELLIS PERMIT FEE PLAN CHECK FEE ` PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW _ ' WATER SERVICE LAMT WATER MAIN CHG. V iT!''. pf) $66. Cl o REC�T_----_-�M� 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 SET BACKS AND FOOTINGS OX TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE__ __ - _-BY DATE __ _BY DATE BY PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION DATE __ ___. - BY GAS PIPING O.K. DATE _BY OX� TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE -_ __.. ________.BY DATE BY ------ DATE BY FINAL O.K. TO OCCUPY DATE BY DCD FID