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91-101050CITY OF FEDERAL WAY BUILDING PERMIT "YF.T.T.0WSTnNF. TNVF:STMF.NT" G I -1o1 c5c BUILDING INSPECTION 941-1555 PERMIT NO. 91-1004 CA OWNER'S NAME TENANT SPACE JOB ADDRESS 34815 PACIFIC HWY S "BLEIG B STE CONTRACTOR B & B PEARSON CONST ADDRESS 1407 WILLOW WAY FIFE CONT. PHONE 9 2 9 —3-399 00" CONT. REG. NO. BOBPECIO93C6 2192 OWNER'S PHONE 874-9507 OWNER'S ADDRESS 402 S 333 ST FEDERAL WAY 9003 TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD.INDUSTRIAL ADD. -NEW PUBLIC PUBLIC ADD. DEMISING 70 LIN FT" NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN__ GRADING OTHER WALL_ TAX ACCOUNT NO. 202104-9423 LEGAL DESCRIPTION LOT A OF REVISED RING CO LOT LINE. AD.T NO 8602004 SUED BY ELIZABETH SNYDER rz,O DATE OF ISSUE DATE OF APPLICATION 7.199191 BUILDING INFORMATION NEBC OCCUPANCY B-2 TYPE OF CONSTRUCTION ,5—N BLDG. SQ. FT. _- SET BACKS: FRONT NA SIDE NA REAR NA STORIES NA HEIGHT LIMIT 19A 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 rjOp7� VALUATION $3.9;00.00 RMIT FEE $63-00 PLANNING DEPT APPROVAL = BILL KINGMAN ;N CHECK FEE 41-00 PLUMBING FEE FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS MECHANICAL FEE _ TOTAL BLDG. FEES "70 LIN FT" PART PIC FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE 4.50 c G , 2 DATE PD — Il AMT 111.65 RE' CT > 7�, OTHER FEES FIRE D. 3.15 9 I( AMOUNT DUE $111.65 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: % N L L \� 4 OWNER OR AGENT �� - DATE CITY OF FEDERAL WAY BUILDING IN 55ECTION BUILDING PERMIT 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 Now ZONE OCCUPANCY_ TYPE OF CONSTRUCTION BLDG.SO.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 PERMIT FEE _ — - PLANAINC Dl -«P.° APPROVAr. :ILL XlW4-%1q PLAN CHECK FEE LUMBING FEE FIREPi/�is C DrFT "P ?O%AT, WEVIN EILLV _CHANICAL FEE TOTAL BLDG. FEES T�T •� LIN PART P/C FEE SEPA REVIEW _ WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE 'WYE. PD AmT I i I . O� OTHER FEES -- - - - — — AMOUNT DUE ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITI E YEAR AFTER DATE OF ISSUANCE. 1 CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDG AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT DATE 0 0 SET BACKS AND FOOTINGS DATE BY OX TO POUR FOUNDATION WALLS DATE __ __.. BY PLUMBING GROUNDWORK DATE PLUMBING ROUGH IN DATE-__-, __.BY WATER LINE O.K. GAS PIPING O.K. MECHANICAL INSPECTION DATE --BY O.K. TO EN LOSE FRAMING DATE BY INSULATION DATE___. -BY WALL BOARD AND FIRE WALL DATE . . ........ .. . . ..... --_BY FINAL O.K. TO OCCUPY DATE _--BY DCD PSD FD 7 PermitL° RECEIVED JUL 29 1991 CITY OF FEDERAL WAY 0ff*V0F1;F_DEAALWAY BUILDING PERMIT APPLICATION QQ 81,11wINQ DEPT — Please Print —4:�42 IS- 2 �A W_ P; � 1 i✓✓ BOX 1 TENANT NAME: (f )t'U7U�ZP if 4Te_ OWNER iN ENT Go . SITE LOCATION ef2ooI4 LN4E V 1L1 Ry E" 3TA /41ur OWNER'S ADDRESS f92- 5;P, 333rl CITY Ise` WA j( PHONE 99 4-475-04Tp DESCRIBE JOB 9.1.CT D%M ISl hS w !* G (15' e -Pei Cy juITF_ 0 THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION ✓' BOX 2 CONTRACTOR'S NAME i3 - gRs Soar e,ug?poL7lyN CONTRACTOR'S REG. # F--�015 POC -16 95G� Card MUST be presented CONTRACTOR'S ADDRE S� CITY lwlF0 PHONE EXPIRATION DATE —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 M 6C 4,4£L 0. j4o1/L A/u O , ACJ• iTEc i PHONE O 2 2 BOX 4 SEWER DISTRICT F. w • WATER DISTRICT w , BOX 5 ESTIMATED PROJECT COST?'L-;500- OC) EXISTING BUILDING VALUATION �P �G6C) 0 0 BOX 6 PROPERTY TAX ACCOUNT NUMBER 'Z -D 2 10-4 9 fZ�2 LEGAL DESCRIPTION L>rTTAC449!(D (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: WExistinProposed) 1ST FLOORJ`W 2ND FLOOR / 3RD FLOOR_____J ENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) j EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 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 RAINS (iTHER 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 EMPLOYE, UPON THE ACCURACY OF THEAFORMATMIN SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. ANP -008 3/90 ZONE__W _,SETBACKS: FRONT_ PLANNING DEPA TMENT APPROVAL REMARKS: rt OFFICE USE ONLY (PLEASE DO NOT VIRITE OW THIS LINE) SIDE_N_ _ REAR ,%+- HEIGHT LIMIT . 2.1 -e, t. iek— SEPA: EXEMPT___W_ NOT EXEMPT FIRE DEPARTMENT APPROVAL C. DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL 4DATE 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 "L TYPE OF CONSTRUCTION VV STORES (AlBUILDING SQ. FT. 70 I/, Ft c = 3 sc BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION ' G BUILDING DEPARTMENT REMARKS: a g � A.- iWCEIVED ASSIGNED ADDRESS: 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 T P Fee AMOUNT DUE PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY �/I//� DATE L q I ACCEPTED FOR FILING