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90-101212CITY OF FEDERAL WAY (O/S) BUILDING PERMIT go-io---)-l-.�- BUILDING INSPECTION 941-1555 90-1417 (FSS) DR KOCH 33801 1 WAY S PERMIT NO. OWNER'S NAME JOB ADDRESS SMITH FIRE SYSTEMS 4519 S ORCHARD ST TACOMA 473-6967 CONTRACTOR ADDRESS CONT. PHONE SMITHFS1360T 9/24/90 646-6065 10500 NE 8 ST 11950 BELLEVUE 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 1UNITS ) MULTI. ADD. SIGN GRADING OTHER FIRE SPRINKLER SYSTEM 916504-0150 NA TAX ACCOUNT NO. LEGAL DESCRIPTION SUED BY ELIZABETH SNYDER DATE OF ISSUE `/ - 4',L) DATE OF APPLICATION 8/28/90 BUILDING INFORMATION NE NA OCCUPANCY NA TYPE OF CONSTRUCTION AUTOMATIC SPRINKLER SYS BLDG. SO. FT. 1800 SF 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 $2,376.00 PERMIT FEE $54.00 PLAN CHECK FEE 35.00 UMBING FEE -CHANICAL BLDG/FIRE DEPT APPROVAL = KEVIN ELLIS ON 9/11/90 FEE TAL BLDG. FEES $89.00 PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE 4.50 9 G DATE PAID �f /Z - AMOUNT %� Cj S�RECEIPT ( Ifo OTHER FEES F. DEPT 4.45 $97.95 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 INFORMATION FURNISHED BY ME IS TMCORRECT CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: j �� �'Z� 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. 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. 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 $2,376.00 VALUATION 5 .00 PERMIT FEE PLAN CHECK FEE PLUMBING FEE BLDG/FIRE DEPT APPROVAL KEVIN rLLIS ON 9/11/90 CHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE i�T1? ?7i ' is Y4f?#7tiTsp a?+4{.rgT F . _ 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 -... PLUMBING ROUGH IN DATE - - BY _ _..._. O.K. TO ENCLOSE FRAMING DATE FINAL O.K. TO O CUPY DATE _ f� BY OX TO POUR FOUNDATION WALLS DATE _...- .---._....BY - WATER LINE O.K. GAS PIPING O.K. INSULATION DATE BY DCD PSD 0 PLUMBING GROUNDWORK DATE - - - _-__ BY MECHANICAL INSPECTION DATE _ _ BY _ WALL BOARD AND FIRE WALL DATE _ _____ -.__. BY FD REFCCIV Ed as 4Wit # �o AUGCITY OF FEDERALVAY C17Yo1zFEDER � BUILDING PERMIT APPLICATION BUILDING p,AOT Ay - Please Print - BOX 1 TENANT NAME: Dr. Koch �`- OWNER 0r+i1we5-t Payr+ner5 I SITE LOCATION 33 01 - I st W" So.-'Fedefa-I UJB OWNER'S ADDRESS log 00 ►J.E. 0 -t -k W1950 CITY Bellevue wA PHONE e410 - (aoGG - DESCRIBE JOB RernOd21 - Ire 5 Dei n K ie+' THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION x BOX 2 CONTRACTOR'S NAME '7M I -1-h FI r e by sT ��n 5 1 n c- • CONTRACTOR'S REG. # SH i T H FS 13 /o o T Card MUST be presented CONTRACTOR'S ADDRESS 4'519 . OrOha-r-d St CITY -T'Lco ma M A PHONE 4-13 -69 (,7 EXPIRATION DATE cl-25-90 —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 PERSON PHONE 4-13-696 1 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ES ST EXISTING BUILDING VALUATION BOX 6. PfRMBTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (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 ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT W 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. OWNER/AGENT: DATE: 8- ZS -50 ANP -008 3/90 A* M go OFFICE USE ONLY (PLEASE 00 NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT AP REMARKS: DATE y k -- DA TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS f ) k MULTIFAMILY ADD/ALT TENANT IMP. OTHER fG V e-5S(CIA j OCCUPANCY TYPE OF CONSTRUCTION STORE BUILDING SQ. FT. (2 do @ I`fd = 2 - BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SO. FT. @ „Z4 r) f f ✓_ = U' BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION 2_37G BUILDING DEPARTMENT REMARKS: PERMIT FEE V--0 PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE G SEPA REVIEW S.B.C.C. FEE OTHER FEES '�' Y S AMOUNT DUE 7' ASSIGNED ADDRESS: Amount BY i/--_ 4fi PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # BUILDING DEPARTMENT APPROVAL DATE S 1C 1 ACCEPTED FOR FILING