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90-101152CITY OF FEDERAL WAY BUILDING PERMIT ctO-�DI l5� BUILDING INSPECTION 941-1555 INSPECTION REQUEST LINE — 946-6794 PERMIT NO. 90-1363 CA OWNER'S NAME JAY JACOBS JOB ADDRESS 1927 SO SEATAC MALL CONTRACTOR ALGENE CONSTRUCTION ADDRESS POB 1353 LYNNWOOD 98046 CONT. PHONE 774-3115 CONT. REG. NO ALGENC*306BE ( t/ / y )OWNER'S PHONE 622-5400 OWNER'S ADDRESS 1530 5 AVE SEATTLE 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 COMMERCIAL ALTERATION (TENANT IMPROVEMENT) TAX ACCOUNT NO. 762240-0010 LEGAL DESCRIPTION ATTACHED ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 8/15/90 Ls. BUILDING INFORMATION NE NA OCCUPANCY_ B-2 TYPE OF CONSTRUCTION_II-N _ BLDG. SQ. FT. 3,000 SF T 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 1 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 DUCTWK 6-50 SINKS MISC. _ CONVERSION BURNER4_50 RETURNED DISHWASHERS TOTAL FIXTURES 3 X $5_00 UNIT HEATER TOTAL MECHANICAL 11-00 AMOUNT NONE VALUATION $ BUILDING DEPT APPROVAL: KEVIN ELLIS ON 9/4/90 PERMIT FEE _ 234 - n n PLAN CHECK FEE i-,9_n0_ PLANNING DEPT APPROVAL: NO CHANGE IN USE/OCCUPANCY PLUMBING FEE 1 ri nn MECHANICAL FEE�i nn FIRE DEPT APPROVAL: KEVIN ELLIS ON 9/4/90 TAL BLDG. FEES ART P/C FEE COPY TO FIRE DEPT SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE $4.50 OTHER FEES F.D. 11.70 DATE PAID _ AMOUNT428 • 20 RECEIPT / - .a AMOUNT DUE $ 428-20 ALL PERMITS EXPIRE 180 DAYS IF NOWORK IS ARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATHED BY ME IS TR D ORRECT TOTHE EST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY ZAFTERANCE REQUIREMENTS WILL BE MET: ^_T OWNER OR AGENT L V �ti, �.. DATE / FCITY OF EDERAL 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 NEWINDUSTRIAL 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 NE OCCUPANCY_ - TYPE OF CONSTRUCTION__ _ BLDG. SQ. FT. T 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 SINKS MISC CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES S `� • ` UNIT HEATER TOTAL MECHANICAL ► . AMOUNT VALUATION Mi 19�l.i Ei Vtl , w!;'1 WIN ELL IS CW 9 i 4 i 9 o PERMIT FEE PLAN CHECK FEE DEPT "PROVAL : NC CMUME IN USE/OCCUPAP= PLUMBING FEE MECHANICAL FEE _ # FIRC DEM "PRO�rAL: VIN BLL16r ON S/4/ 90 TAL BLDG. FEES Pp ART P/C FEE COPY TO FIRE DEPT__.. SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES ++* �•a Plat) �`4INT 20 RM�ZP;'� AMOUNT DUE �$42 ` 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 O.K. TO ENCLOSE FRAMING DATE ID /[ BY FINAL O.K. TO OCCUPY DATE OX TO POUR FOUNDATION WALLS _-- DATE _ __ _ __ —_BY WATER LINE O.K. GAS PIPING O.K. INSULATION DCD PSD 'leL.kdl_ Lj PLUMBING GROUNDWORK DATE ---- _.BY MECHANICAL INSPECTION DATE _ ___BY WALL BOARD AND FIRE WALL J DATE �� ___BY FD c v/% o O _ a _."�//_ /J g4l< 11 r Ormit # 9J - / 3 (3 (� /# CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER ITE LOCATION OWNER'S ADDRESS IG?U C rOAd-lG - CITY PHONE ;1 _ 5¢�✓U DESCRIBE JOB I N TIMI M , fu0h.; " S 1 P-V6MVAL, -U&l GN LS71 Aka cif THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION .X!t- BOX 2 CONTRACTOR'S NAME OC` CONTRACTOR'S REG. # CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE 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 is uN4I P -EN (F�J li{ "aA47--K, PHONE 6---Z `5qq/Ci BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST i , � EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBERIUj 7 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 = ) STRUCTURE ( ) COMMERCIAL/INDUSTRIAL (EXISTING TOTAL AREA OF PROPERTY ��'� 17`� SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS —LAVATORIES GAS HOT WATER HEATER $ CONVERSION BURNER $ t SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ _ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER A DRAINS =Zcl�o��5't` �u ►� $LI.S 0 OTHER $ _TOTAL FIXTURES $ I.1 - C_0 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: ANP -008 3/90 ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: ,.%It{- OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIDE REAR HEIGHT LIMIT O L vc c .4 nark SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL Y_C DATE 4 _L/ REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL L)M 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 MECHANICAL FEE o OCCUPANCY TYPE OF CONSTRUCTION PART P/C FEE ZL 4j STORES iLeFRr 1 BUILDING SQ. FT. 3oc?c> @ 7' OTHER FEES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION Z y 2-6 G BUILDING DEPARTMENT REMARKS: RECEIVED PERMIT FEE 23 PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE o TOTAL BLDG. FEES PART P/C FEE d SEPA REVIEW 0 S.B.C.C. FEE d OTHER FEES ((,70 AMOUNT DUE LlZ Hzg• zU ASSIGNED ADDRESS: sS1-( PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY DATE ACCEPTED FOR FILING