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91-101015CITY OF FEDERAL WAY BUILDING PERMIT ql- I CIO is BUILDING INSPECTION 941-1555 PERMIT NO. 91-961 CA OWNER'S NAME WINDERMERE REAL ESTATE JOB ADDRESS 33438 1 WAY S CONTRACTOR J E CUMMING CORP ADDRESS POB 658 REDMOND 98073 CONT. PHONE CONT. REG. NO. JECUMC148JH 4/1/92 OWNER'S PHONE 824-3883 OWNER'S ADDRESS 242 SW 193 PL SEATTLE 98166 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 TENANT IMPROVEMENT TAX ACCOUNT NO. 926500-0350 LEGAL DESCRIPTION LOT 35 OF KCSP # 475010 RECORDED 750609382 UED BY ELIZABETH SNYDER DATE OF ISSUE / / DATE OF APPLICATION 7/19191 BUILDING INFORMATION ZONE OP OCCUPANCY B-2 TYPE OF CONSTRUCTION ___ -5 -N _ BLDG. SQ. FT 16661 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 MECHANICANONF__ AMOUNT $17,792.00 VALUATION PLANNING DEPT APPROVAL = BILL KINGMAN PERMIT FEE $189.00 AN CHECK FEE 123.00 UMBING FEE FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS MECHANICAL FEE _ $312.00 TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE 4.50 DATE PD AMT 325.95 RE' CT 37 OTHER FEES FIRE D. 9.45 $325.95 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 INFORMAT)ON FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET f �' "� L-- �� % OWNER OR AGENT DATE CITY OF FEDERAL WAY BUILDINGPERMIT BUILDI941 � SSSECTION 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.------ DD.______NEW NEWMULTI -FAMILY (UNITS ) MULTI ADD. SIGN GRADING _ OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY _._ DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION NE 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 VALUATION ILASNINC DL, a H,''i'f GVAL BILL KI 4AN RMIT FEE AN CHECK FEE :UMBING IR3Fli3u�= BEET .,'iPPROVP.L = ", VI i ELLIS FEE _ CHANICAL FEE TAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE — y ZAri i2a 325.95 .c..Ci 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 PLUMBING ROUGH IN ........--........BY __... .... -__.._... WATER LINE O.K. GAS PIPING O.K. MECHANICAL INSPECTION DATE _..... - ___BY O.K. TO EN LOS FRAMING „ . J DATE _'�' L�BY .��.._ INSULATION DATE _..-_ BY _..._- ....._.-....._ WALL BOARD AND FIRE WALL DATE � L� L__.. BY FINAL O.K. TO OC UPY DATE __ ! y, BY DCD PSD FD i mit#gl- 241 rt CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: tom; r=7MC,i`—,Zug ( � {- _ �5' r (-4 — C OWNER N c I t✓(SITE LOCATION 334 3 r, l s; Feu�ftlyk ?.4 OWNER'S ADDRESS l -t3 j CITYS,�fi##is:. "; iP, ► PHONE_ F; DESCRIBE JOB Tt-1s^np,ti%�*-, i\&c_-rt-.5 THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP X CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S ADDRESS EXPIRATION DATE CITY CONTRACTOR'S REG. # 111 Card MUST be presented 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 117(\ 3 h3 E::�;bc--PHONE BOX 4 SEWER DISTRICT f - 4 WATER DISTRICT h W , BOX 5 ESTIMATED PROJECT COST -t% 2 15 00C, it BOX 6 PROPERTY TAX ACCOUNT NUMBER f LEGAL DESCRIPTION Le T 35 < e F (O i' 34 I %A. &# e► c W 2.4500 — O EXISTING BUILDING VALUATIONS 330,0oo SO - O '7 Q.15� (If necessary, please submit a separate page with the legal description.) 7 6 - i S- - 0 73 WeZT% K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 14,66/ 2ND FLOOR ZEC 3RD FLOOR / BASEMENT /� �C / DECK " vc- GARAGE `L -P-- / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT '1 PLUMBING FIXTURES (including rough -ins) NO. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS ISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET V 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 $ e 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 ASTO 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. OWN Ef� GENT -�y1 DATE: -j-A V ANP -008 3/90 OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW LINE) ZONE SETBACKS: FRONT -*J SIDE CJI#"' REAR NIS HEIGHT LIMIT AOf PLANNING DEPARTMENT APPROVAL 1"3o REMARKS: �y SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: 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. OTHER OCCUPA,� TYPE OF CONSTRUCTION STORES C C� BUILDING SQ. FT.@ 3 , �� _6 Eq Cr BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ TOTAL SQ. FT. TOTAL VALUATION 1 772 BUILDING DEPARTMENT REMARKS: RECEIVF-D J U l 19 1991 Psr o r e ,l- 1617-1 RECEIVED ASSIGNED ADDRESS: � Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES Fee - AMOUNT DUE // BUILDING DEPARTMENT APPROVAL �7 BYDATE �J Z _s_G ACCEPTED FOR FILING