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90-1012279o-io/11) FCITY bF EDERAL WAY BUILDING PERMIT BUILDI94 IN 55ECTION BLDG 9 1528 P YOUNG DEVELOPMENT 31500 - 33RD PLACE SW PERMIT NO.90- OWNER'S NAME JOB ADDRESS PUGET SOUND MECHANICAL 10015 19TH AVE E TACOMA, WA 537-8900 CONTRACTOR ADDRESS CONT. PHONE * 2 1 7LQ 854-9610 10803 RENT KANGLEY ROAD KENT CONT. REG. NO.PUGETI 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. I ( C% 3 :b3 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE J DATE OF APPLICATION 8-30-90 BUILDING INFORMATION OCCUPANCY TYPE OF CONSTRUCTION BLDG.SQ.FT.SEBACKS: ;NE FRONT SIDE REAR STORIES HEIGHT LIMITPLMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 8 ELEC. HOT WATER HEATER 8 GAS PIPING FT. BOILER 8 8 RECEIVED _ BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ LAVATORIES 8 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC SINKS 8 MISC. permit fee 20.00 CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 8 TOTAL FIXTURES 56X5= 56.00 UNIT HEATER TOTAL MECHANICAL AMOUNT 76.00 VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE 76-00 CHANICAL FEE QTAL BLDG. FEES DATE: PART P/C FEE SEPA REVIEW AMOUNT: �� WATER SERVICE a WATER MAIN CHG. RECEIPT: S.B.C.C. FEE OTHER FEES AMOUNT DUE 7 6. Q 0_ 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: a , J ` - ��7 - 0 OWNER OR AGENT DATE 0 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER Y?o,_) cz -n E ✓. SITE LOCATION 3 /S a a 33 a.o . ►ma c, , !sQ. OWNER'S ADDRESS ies o 3 KE'tir 1<AN Gr-E'Y CITY <E -j -r PHONE $54 - 14. td DESCRIBEJOB PLuI.,_O Bw - 9 THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION ,k BOX 2 CONTRACTOR'S NAME {w 6FT ti o E -c H . CONTRACTOR'S REG. #PufC-T z ;al-lLq Card MUST be present CONTRACTOR'S ADDRESS 100 IS 19 a► vE. E-. CITY Ti1Lo f► PHONE 53-1-81 EXPIRATION DATE 1,� - 3 t - '10 —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. woe BOX 3 CONTACT PERSON -DAN ALLIso n� PHONE 53-7- 4Aiao BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBE 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 = S ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) NO.WATERCLOSETS _BATHTUBS 05SHOWERS _RLAVATORIES _SINKS 8 DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET --tURINALS 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: 8-30 -'Ro ANP -008 3/90 CITY OF FEDERAL WAY BUILDING PERMIT BUILDI41 NG IN 55ECTION T 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. SO. 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 DISHWASHE�::S TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES _ ATE PART P/C FEE T SEPA REVIEW WATER SERVICE WATER MAIN CHG. :ZC lPT 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 DATE .__.__..._- ------ -_BY --_ -- O.K TO POUR FOUNDATION WALLS DATE .....--..-.____BY _......_-.._.-_ PLUMBING GROUNDWORK DATE BY PLUMBING ROUGH IN 6< DATE _3- ?____V_ BY - WATERLINE 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 Ja?1� 1%�_- DCD PSD FD 3 7- e1/ � �e ,� T 1 L t2nv /�'��