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90-1012199e-1o1.7/S CITY OF FEDERAL WAY BUILDING PERMIT BUILD1NG 941!N 55ECTION BLDG 12 PERMIT NO. 90- 1530 P OWNER'S NAME YOUNG DEVELOPMENT JOB ADDRESS 31500 — 33RD PLACE SW CONTRACTOR PUGET SOUND MECHANICAL ADDRESS 10015 19TH AVE E TACOMA, WA CONT. PHONE 537-8900 CONT. REG. NO. PUGETI*217LQ OWNER'S PHONE 854-9610 OWNER'S ADDRESS 10803 KENT RANGLEY ROAD RENT TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. _ NEW MULTI. ADD. OTHER TAX ACCOUNT NID �UNI�TS� / LEGAL DESCRIPTION - � � ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 8_10-90 BUILDING INFORMATION ONE 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 2 ELEC. HOT WATER HEATER 1- GAS PIPING FT. BOILER BATHTUBS LAUNDRY DRAINSRECEIVED _6_ COMPRESSOR TANK(S) SHOWERS URINALS _ 1 FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ LAVATORIES Z DRINKING FOUNTAINS _ I GAS HOT WATER HTR. _ MISC RETURNED SINKS _� MISCPERMIT FEES 90-00 CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES15X5= 75- 00- UNIT HEATER TOTAL MECHANICAL AMOUNT 95.00 VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE _9 5 . 0 n ECHANICAL FEE FOTAL BLDG. FEES ! , \ `� �J PART P/C FEE DATE: SEPA REVIEW CA) �� AMOUNT: WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE RECEIPT: 3 :L OTHER FEES AMOUNT DUE 95-00 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: �� 0 OWNER OR AGENT DATE (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 / 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 1 URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER --- TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ ormit # $ GAS HOT WATER HEATER CITY OF FEDERAL WAY ' $ BUILDING PERMIT APPLICATION $ IR HANDLING UNITS — Please Print — r1_ JL BOX 1 TENANT NAME: $ AIR COOLING UNITS, SIZE OWNER ' oe o ►-j 6 SITE LOCATION 315 00 33 ►eo - 'PI- 4 . $ OWNER'S ADDRESS Jobo3 KENT KAiJ6,-EYCITY Kms'^jT PHONE 85y -9(to DESCRIBE JOB -PL-V—!3 -a Lo. 46 (t THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME Po c 6-7' So u"j:;) Yvi F --c, H . CONTRACTOR'S REG. ORVs*_ -T = I ..C� Card MUST be pre ent0 CONTRACTOR'S ADDRESS I oo (S 19"'Avg . E. CITY -F4 -o w. ►a PHONE 53-7 - EXPIRATION DATE 1c1- 31-9 0 —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. L,)n(Z BOX 3 CONTACT PERSON -Dl'Nw PLL 1 S o n PHONE S 3 -1 - 85 o0 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 / 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 1 URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER --- TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ NO. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ IR 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 -3� _ Qt o ANP -008 3/90 CITY OF FEDERAL WAY BUILDING PERMIT BUILDING 941'"55E�': 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 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 _ DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION �0A PERMIT FEE PLAN CHECK FEE J �; PLUMBING FEE MECHANICAL FEE _ TOTAL BLDG. FEES DA'i PART P/C FEE SEPA REVIEW WATER SERVICE��'� WATER MAIN CHG. RECEIPT: 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 OX TO POUR FOUNDATION WALLS DATE — __,__BY PLUMBING GROUNDWORK DATE BY ol PLUMBING ROUGH IN DATE __BY__._ 5 /' __ WATER LINE O.K. GAS PIPING MECHANICAL INSPECTION DATE BY O.K. TO ENCLOSE FRAMING DATE BY INSULATION DATE BY... . . . ....... WALL BOARD AND FIRE WALL DATE BY FINAL O.K.T OC UPY DATE By DCD PSD FD