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92-100704CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT 9�-/00-20y BUILDING INSPECTION 661-4140 PERMIT NO. 92-0742 CA OWNER'S NAME TALT, TIMBERS TAVERN SITE ADDRESS 15 5 09 21ST AVE SW CONTRACTOR SELF ADDRESS CONT. PHONE CONT. REG. NO. -- EXP. OWNER'S PHONE 228-0862 OWNER'S ADDRESS 21000 SE 135TH STREET ISSAOUAH TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. XX INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER 252103-9002-02 (SEE ATTACHED) TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE Z; - -)- / ! ;2_ DATE OF APPLICATION 5-12-92 BUILDING INFORMATION NE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY A3 TYPE OF CONSTRUCTION VN __ CENSUS NO. TYPE OF HEAT _ BLDG. SO. 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 4,800 PLANNING DEPT APPROVAL: LS 5-15-92 VALUATION FIRE/BUILDING DEPT APPROVAL: KC 5-18-92 OCCUPANT LOAD 200 *144.00 PERMIT FEE 47.00 PLAN CHECK FEE PLUMBING FEE * REPRESENTS DOUBLE FEE -- STOP WORK CONSTRUCTION WITHOUT A PERMIT MECHANICAL FEE RT P/C FEE SEPA REVIEW PUBLIC WORKS 4.50 S.B.C.C. FEE 7.20 y S i t 7 2 FIRE FEE DATE: OTHER FEES AMOUNT: 202.70 AMOUNT DUE 202.70 RECEIPT: ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RNTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFOFjAQ�TION FURNI Y ME IS TR E AND COR T TO T E BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. ) OWNER OR AGENT DATE ` _J MAY 12 1992 • Penit # Q)--- -14- CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX TENANT NAME: \��\ \ —\ n`)(}�_-,`� OWNER vc-C kV, `- SITE LOCATION OWNER'S ADDRESS C C'C i r ' CITY -- PHONE DESCRIBE JOB C, VIt, "_c` r- THE PROPERTY IS OWNED BY: SINGLE/MARRIED k PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS EXPIRATION DATE CITY worm PHONE 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 �s ��`� C �� ^h '�— PHONE (,(A- BOX 4 SEWER DISTRICT `r L \ ` WATER DISTRICT `C (Le_ t-,\ k BOX 5 ESTIMATED PROJECT COST\-l�bC;P •C -)Q EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 2 5_Q 10 LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) '� G K.C. Plat Recording # / BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR:,---,-,, / ` 4 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS= ) (' EXISTING STRUCTURE () COMMERCIAL/INDUSTRIAL OTAL 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 $ NO. 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"HERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEESnUPON THE ACCURACY OF,YHE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: ANP -008 3/90 OFFICE USE ONLY (PLEASF, DO NOT WRITE BELOW T� LINE) ZONE SETBACKS: FRONT /% -Csnr °E^ HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: 2 'i a�•�l �t ,y iS �c �'-r' �P� 1i 1-�4��J11 Ful. SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: 72- PUBLIC zPUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: A 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 OCCUPANCY 3 TYPE OF CONSTRUCTION VN STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: ' ,,�l 1 b((v FOK i' load ZOO RECEIVED ASSIGNED ADDRESS: SeC�, f -- PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE ` Sd OTHER FEES i D 7• 2 - AMOUNT AMOUNT DUE PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL C� BY ' DATE S R 1 Z ACCEPTED FOR FILING CITY OF FEDERAL WAY 33530 First Way 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: NEWRESIDENCE 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 NE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SO. 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 VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE RT P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: OTHER FEES AMOUNT: AMOUNT DUE 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. OWNER OR AGENT DATE SET BACKS AND FOOTINGS DATE -_ -----,.,--BY OX TO POUR FOUNDATION WALLS DATE .BY__ -__-......_.. PLUMBING GROUNDWORK DATE .... . . . .. ....... __ __ _ - PLUMBING ROUGH IN DATE --,, _, __ 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 BY DCD PSD FD