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92-100281CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT 9';I_ )00j ) BUILDING INSPECTION 661-4140 92-220 RA VIRGINIA KUHLMAN 33403 43 AVE SW PERMIT NO. OWNER'S NAME SITEADDRESS CONTRACTOR GARAGE ' S ETC ADDRESS 11721 MERIDIAN AVE E #161 PUYALLUP CONT. PHONE 539-1010 CONT. REG. NO. &`B� N EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. CONSTRUCT 400 SF DETACHED GARAGE NEW MULTI -FAMILY TAX ACCOUNT NO. (UNITS ) MULTI. ADD. SIGN GRADING OTHER 142103-9050 LEGAL DESCRIPTION SW 14-21-03 IE;SUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 2/11/92 BUILDING INFORMATI N RS 15 20 5, /5 1 5' 301 NE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY M-1 TYPE OF CONSTRUCTION 5-N CENSUS NO. 438 TYPE OF HEAT NA BLDG. SQ. FT. 400 STORIES NA 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 NONE DRYER TOTAL MECHANICALON NE AMOUNT NONE $6,441 VALUATION planning dept approval = deb barker PERMITFEE $90.00 "DRIVWAY SHALL BE GRAVEL" "NO BUILDING SHALL ENCROACH ONTO ANY PLAN CHECK FEE 59.00 BUILDING SETBACK LINE OR EASEMENT, SHOWN OR NOT SHOWN" PLUMBING FEE FEE FIRE DEPT APPROVAL = KEVIN ELLIS/PAT KETTENRING 6ECHANICAL FIT P/C FEE PUBLIC WKS DEPT APPROVAL = KAREN LANCASTER SEPA REVIEW 35.00 PUBLIC WORKS S.B.C.C. FEE 4.50 FIRE FEE DATE: $188.50 OTHER FEES AMOUNT: AMOUNT DUE $188-50 RECEIPT: I 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. !� l� C OWNER OR AGENT - DATE ell Permit # _ 1 ° pgotIVEID CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION CC 1 1 1992 — Please Print — OWNER 1i I : SITE LOCATION 53 -IC, 7.3 `'Lltt i c -S L't ; OWNER'S ADD SS pct rYt CITYfEJt►, I tt PHONEb (j2 11 —q-21 DESCRIBE JOB (�Lo I J7 �J L ` " I i dtCt YQ U e THE PROPERTY IS OWNED BY: SINGLE/MARRIED v'14 c- PARTNIERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Cxi.'(_E�'C - CONTRACTOR'S REG. # - �'Card MUST be presented CONTRACTOR'S ADDRESSI I -7a1 n��l�'un�' /�� CITY + PHONE_S,� —/L / (S EXPIRATION DATE 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 - PHONE '2, 1 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION ��L> BOX 6 PROPERTY TAX ACCOUNT NUMBER I L -I -) 0 y / C `� L LEGAL DESCRIPTION ")c, C �kf6 r h -P C: (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 (1 j NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT :1 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 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. / e OWN ER/AGEW `{,L DATE: 1 / ANP -008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE& dtC SETBACKS: FRONT ZL, SIDE 5' REAR HEIGHT LIMIT �� T„�r�';� PLANNING DFS TM��VT APP�OVAL REMARKS: -°°Q�ul nTq sha'I encroach onto any buildind setback Irne or easement, shown or not shown.,, 7)r)v&4� 5fiz.,C araVel SEPA: EXEMPT ` NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: Z PUBLIC WORKS DEPARTMENT APPROVAL - DATE 3` S I Z 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 , s , ` TYPE OF CONSTRUCTION VAJ STORES �'— BUILDING SQ. FT. @ LZ -3 = ? 3 7-0 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ TOTAL SQ. FT. TOTAL VALUATION 01111' 6 a BUILDING DEPARTMENT REMARKS: RGG FEB 11 1992 ' OM OF FEDERAL WJ Y BUIU)NO DEP. RECEIVED E SSIGNED ADDRESS: PARTIAL --- mount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE O PLAN CHECK FEE S PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW la cam,. f �.e �S �= S.B.C.C. FEE OTHER FEES AMOUNT DUE BUILDING DEPARTMENT APPROVAL Y' DATE 3 _ -3 ` 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 PUBLICPUBLIC 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. SQ. 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 0— SETBACKS AND FOOTINGS C SETBACKS DATE Z .�..._� BY _ _._ OX 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 _--BY O.K. TO ENCLOSE FRAMING DATE .__ /��Z_ __BY � INSULATION DATE .. _ — .-BY .__.__ —.__ WALL BOARD AND FIRE WALL DATE __.BY FINAL O.K. TO OCCUPY +fir DATE _sJ�`��. �Y DCD PSD FD ! a c,-., ►"S 3'ro L wr r� i