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90-100092CITY OF FEDERAL WAY BUILDING PERMIT 9'6-i00os a BUILDING INSPECTION 941-1555 INSPECTION REQUEST LINE -946-6794 90-1244 RA STEVE/KAREN VERLATTI 31423 47 PL SW PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR OWNER ADDRESS SAME CONT PHONE 874-0407 CONT. REG. NO. NA OWNER'S PHONE SAME OWNER'S ADDRESS SAME XX TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. RESIDENTIAL ALTERATION NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 211572-0420-03 LEGAL DESCRIPTION LOT 42 DUMAS BAY ESTATES #3 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 7/26/90 BUILDING INFORMAT ZONE NA OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N BLDG. SQ, FT. LIVING --108 SF SETBACKS: FRONT 2011 SIDE 51 EACH REAR 5 v STORIES EXISTING HEIGHT LIMIT 301 _MAX 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) SHOWER: 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 $6,557.00 PLANNING DEPT APPROVAL:NO CHANGE IN USE/OCCUPANCY BUILDING DEPT APPROVAL:KEVIN ELLIS ON 8/3/90 (DOUBLE FEE PERMIT AMOUNT, PER44ITFEE $ 180.00 PLAN CHECK FEE 59.00 $90.00,) CONSTRUCTION STARTED WITHOUT PERMIT! uMBING FEE FIRE DEPT APPROVAL: -Cf'ANICAL FEE .iTAL BLDG. FEES $ 239.00 PUBLIC WORKS DEPT APPROVAL: NOT APPLICABLE PART FEE \ �� 3 C J RE SEPA REVIEW WATER SERVICE �f//\J i / r (� ` j( L !( qo WATER MAIN CHG. $4.50 3 1p / S.B.C.C. FEE OTHER FEES DATE PAID AMOUNT $243.50 RECEIPT / AMOUNT DUE $ 243.50 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT -S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: .'eiFR OR AGENT DATE �- ) "' L \-,/ I RECEIVED JUL 261990 CITY OF FEDERAL WAY BUILDING DEPT. w 0 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 OWNER SIL-Ai'E kl���L%' � '�tAiT'I JOB LOCATION QUJNQL S IN')DP-G S S $ OWNER'S ADDRESS 319 13 - H 11H RAU S . V J - CITY t t_D0ZJNL WAy PHONE GAS HOT WATER HEATER DESCRIBE JOB E"nn A L-' k I �; 'yi' i Dr: OF Nt7VSL CONVERSION BURNER $ THE PROPERTY IS OWNED BY: SINGLE/MARRIED fnAf -1L� PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # HEAT PUMPS, SIZE $ Card MUST be presented $ CONTRACTOR'S ADDRESS CITY PHONE COMMERCIAL HOOD EXPIRATION DATE OTHER f ` i I-- $ —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. < -_Z6 7 G' BOX 3 CONTACT PERSON ���EVt Vi�1�� 1�-i�ri PHON �,�7�i` BOX 4 SEWER DISTRICT�0)i=T2PfL. WM WATER DISTRICT _10(-01)1A PV &AC 0-R 6-B E S BOX 5 ESTIMATED PROJECT COST 3A S,000 EXISTING BUILDING VALUATION 1)-0, 000 BOX 6 PROPERTY TAX ACCOUNT NUMBER 2't I 12-' L, Li )jj - O3 LEGAL DESCRIPTION LOT L42., 0'\jrrlAS GIM I^. -OATS -S (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR �� / 12 ,,< 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (.x) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY C 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 C" t 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 f ` i I-- $ 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 PER- FORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE. -T OWNER/AGENT: Cwt A, --L 1 y WVU DATE: ANP -006 2/90 ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: N al OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIZE REAR HEIGHT LIMIT k- r) Gr o c c SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE— REMARKS:— PUBLIC ATEREMARKS:PUBLIC WORKS DEPARTMENT APPROVAL 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. ROOF OTHER OCCUPANCY .. 3 TYPE OF CONSTRUCTION L! ti STORES BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ J, o BUILDING SQ. FT. @ _ 5=,7 TOTAL SQ. FT. TOTAL VALUATION o EBUILDING PERMIT NO. PLAN CHECK FEE RECD RECEIPT NO. PERMIT FEE PLAN CHECK FEE --�_ — PLUMBING FEE ---` --- MECH. FEE O TOTAL FEES SBCC SURCHARGE �'(� G ENERGY SURCHARGE o AMOUNT DUE 2- 3 • S� BUILDING DEPARTMENT APPROVAL -----------------------_f DATE 6-31 YO REMARKS: Doul I e T-c-�_ ------- '�G� (� 1, 'q U,& C U_L , 110�_ Cc�(/� S I 3 �c_ k ASSIGNED ADDRESS: RECENED ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 941-1555 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--- THER_TAX TAXACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY_ TYPE OF CONSTRUCTION BLDG.SQ.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 Sc r z� A , on 'LAMBING DEPT APPRONTAL:,`io CHANCp. IN B.t F/OCCUPANCY VALUATION -WILVING DEPT KEVIN j:.It jS ON 8/3/90 ( UBLE i",_- PERMIT FEE .IAPPRf0V#),.L: PLAN CHECK FEE $90. CIO , I C NSTRUCTL'3.0N e�.�}'�'.�EZ'kil) N._` FI` �. ,T I:: � � .a FIRE A_'w!' W_A%AI, Z PILUMBING FEE MECHANICAL FEE _ t� e� PMLIC W0,RKS l&llwf APP�:CVA'e' NM. A—PFL1c:1kSLE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. i S.B.C.C. FEE Ja'1'E PAID kl+ C SNT R!PXEIPT OTHER FEES T.._$243.50 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: -cNT DATE SET BACKS AND FOOTINGS DATE--___--BY _-_._........ 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. TO ENCLOSE FRAMING i •X DATE. (1_._. BY -- INSULATIONWo'7 DATE ..._ BY _ WALL BOARD AND IRE WALL DATE ...._-BY FINAL O.K. TO OCC PY DATE —� j�BY (!� DCD PSD FD --- aw x f