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91-1002010 CITY OF FEDERAL WAY 434 BUILDING PERMIT 9l-ioadiql BUILDING INSPECTION 941-1555 PERMIT NO. 91-166RA OWNER'S NAME TERRY AND JUDY PAULSON JOB ADDRESS 31903 42 AVE SW CONTRACTOR DAVE BURGESS CONST ADDRESS 10417 147 ST E PUYALLUP CONT. PHONE 845-8358 CONT. REG. NO. DAVEBC*101NS 8/91 OWNER'S PHONE 874-4918 OWNER'S ADDRESS SAME TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER GOLF CART SHED ADDITION TO SFR TAX ACCOUNT NO. 873198-3080 LEGAL DESCRIPTION LOT 308 TWIN LRS NO 5 ACCRDNG TO THEJ PLAT THEREOF RECORDED IN VOL 85 OF PLATS, PG 91-95 INCLUSIVE IN K.CO, ISSUED BY ELIZABETH SNYDER DATE OF ISSUE - X �� DATE OF APPLICATION 2/14/91 BUILDING INFORMATION ZONE RS7 . 2 OCCUPANCY M-1 TYPE OF CONSTRUCTION 5-N BLDG. SO. FT. 84 SET BACKS: FRONT NA SIDE NA REAR NA _ STORIES NA HEIGHT LIMIT NA _ 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 NONE. UNIT HEATER TOTAL MECHANICAL NONE_ AMOUNT NONE. VALUATION $1,278-00 PLANNING DEPT APPROVAL= CORY SMITH ON 2/19/91 PERMIT FEE $_3 00 PLAN CHECK FEE 20 -on (ALL WORK IS WITHIN EXISTING SETBACKS) LUMBING FEE CHANICAL FEE TOTAL BLDG. FEES s S i _ nn BLDG DEPT APPROVAL = KEVIN ELLI S ON 2/19/91 PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE 4.50 OTHER FEES AMOUNT DUE $55.50 DATE PD 2 - 2 4 ! AMT�; Zr REC - T l % 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 - I ormit # CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER /E.e^i 4^oa SITE LOCATION OWNER'S ADDRESS CITY lyov. PHONE 2`7'1-V91E DESCRIBE JOB ��rnfric� - EF C�Pr .fNL�O THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # CONTRACTOR'S ADDRESS Card MUST be presented CITY PHONE 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 PERSONPHONE -'v&- -S-q--5"P BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST �`s!9y96--' EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBERL d --r j' r-) LV7 (_J -t ` j ,2 LEGAL DESCRIPTION .9 rT.4rNE0 TU f'G wits' (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existi/Propos) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEM / DECK / GARAGE / BOX 8 (X) SINGLE FAMILY (,kl NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS :::F&TTHER OTAL 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. DATE: L/-'�"�V-, ANP -008 3/90 lqw OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE ' 7 2 SETBACKS: FRONT N,/4 SIDE AIA REAR 111HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL 1�` Cj1 'a — /9- Y/ REMARKS: 4-4 SEPA: EXEMPT_____X_ NOT EXEMPT FIRE DEPARTMENT APPROVAL 4 YA DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL �Zk 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 OCCUPANCY TYPE OF CONSTRUCTION STORES �o e- BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ TOTAL SQ. FT. TOTAL VALUATION 7— Z& BUILDING DEPARTMENT REMARKS: 40 j RECEI D 2 -IQ" -41 ASSIGNED ADDRESS: S«- Amount PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE 31, c O PLAN CHECK FEE - a PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES ' C PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE Receipt # BUILDING DEPARTMENT APPROVAL DAT ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT BUILDING 941!N 55ECTION 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 DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION PLANNING DEPT APPROVAT^ CORY SMITH ON 2/19/91 PERMIT FEE PLAN CHECK FEE MLL WORK I;, WITHTN EXISTING SETRAC-KS) PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES BLDG DY APPROVAL = KEVIN ELLaIS ON 2/19/ 91 PART PIC FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES ')Al_'F. P- D AMT REC'sus 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 ANDFOOTINGS DATE �... 5'._�//_BY L ......-- O.K TO POUR FOUNDATION WALLS DATE BY PLUMBING GROUNDWORK DATE -..._..... . ..... ._...... .... BY ...... --------- PLUMBING ROUGH IN DATE _-BY _ WATER LINE O.K. GAS PIPING O.K. _ _ MECHANICAL INSPECTION DATE _..__ . ......_.. O.K. TO22EN LOS FRAMING DATE _. 7 _._.BY - INSULATION DATE BY - - WALL BOARD AND FIRE WALL DATE _ - - BY FINAL O.K. TO OC UPY ` 2 / DATE _ 1 �.�L.BY _.......��'L DCD PSD FD --