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90-101315IC�3is CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 TENANT- T.AWCR C_ (IRAN TZAR NATTnWAT. PWaTNR RYrHAMaR PERMIT NO. 90-1503 CA OWNER'S NAME EVERSPRING INC JOB ADDRESS 35400 PAC HWY S. CONTRACTOR LANE DEAN (OWNER) ADDRESS CONT. PHONE CONT. REG. NO. NA OWNER'S PHONE 525-5566 OWNER'S ADDRESS 35400 PAC HWY S_ (P.O. BX 15511 S 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. 292104-9125 —09 LEGAL DESCRIPTION UED BY JOANNE. JOHNSON DATE OF ISSUE_ DATE OF APPLICATION 9-18-90 7� BUILDING INFORMA ION ZONE VN OCCUPANCY TYPE OF CONSTRUCTION _ BLDG. SQ. FT. 3,456 SETBACKS: 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 BUILDING DEPT APPROVAL: RC 10-15-90 VALUATION 23.984-64 243.00 PERMIT FEE PLAN CHECK FEE 15 it n n MBING FEE CHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW _ DATE: WATER SERVICE WATER MAIN CHG. 4.50 AMOUNT: $417.65 S.B.C.C. FEE OTHER FEESF . D, F'RR 19 -3-5 RECEIPT: AMOUNT DUE d 1 7 5 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: �6�Gz< OWNER OR AGENT /"/7Yy� -c'�%��✓� _-- i DATE EA) CITY OF FEDERAL WAY B�"°'94 INSPECTION 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 -- SUED 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 �y VALUATION PERMIT FEE _ PLAN CHECK FEE UMBING FEE ECHANICAL FEE TOTAL BLDG. FEES PART RFEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. AMUNT: �Y S.B.C.C. FEE 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 DATE ___ _-_BY ._------.- WATERLINE O.K. _- -__ _ .-.... GAS PIPING O.K._-__..._.... _ _- _-_ -_ MECHANICAL INSPECTION DATE _ -_-BY O.K. TO ENCLOSE FRAMING DATE ._- _____-----BY -_ INSULATION DATE -- _...BY ....---.._ -_- _ WALL BOARD AND FIRE WALL DATE - --_- BY -_ FINAL O.K. TO OCCUPY DATE DCD PSD FD e' R 4 [ ( D.te' �� IV K w ` r�NiidPortal Fire ,xti qgu herg-Per UFC Sta dard 10-1 f � � 3'�` xC' o p m v �► m cn m o N z C I� v m Ir y a � F_ w i ud o- s� y (e CC e, s _ - ------------ - --- Q �� v 17 -3 �( r O r Wo c X c" mm ,cpm co 1F " < —N O c < " p Z � c 4 O r c X o ° c z n7 0 ,cpm co ITj i 1�1 40 Avc �J 5i V rn 0 Roy! u -�-i ,�� I1 �14 M- o lA n <0 �J 5i m v` Arl RECEIVEd P 18 1900 C" OF FEDERAL WAY BUILDING DEPT. /B U 1! � g � ( �/_� CITY OF FEDERAL WAY it# 4 LDING PERMIT APPLICATION \ — Please Print — BOX 1 TENANT NAME: ,L d,Ati oA'o /�, ;/SAA )-A .l ►.�rn,c �.4' / fc�()/i:U/� .�kk/' ✓ice OWNER EVIIU6 SITE LOCATIONLAC, AJ OWNER'S ADDRESS To&x 1 SS / l CITYS � PHAE - - SLo(�y DESCRIBE JOB EILC 6✓A / l t 9k - THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME /4 C41- 6e)qAj C L. CONTRACTOR'S REG. # Card MUST bsented CONTRACTOR'S ADDRESS IA�� �10 SC�� CITY PHON - K'/Se pr 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 1249L&L46;= W PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST ?M• EXISTING BUILDING VALUATION ki BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION n (If necessary, please submit a separate page wiffifhe 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 ( ) MULTIFAMILY (NO. OF UNITS = ) (' ) COMMERCIAL/INDUSTRIAL BOX 9 PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS Q� ( ) NEW CONSTRUCTION ( EXISTING STRUCTURE TOTAL PROPERTY SQ FT MECHANICAL AF /8-(5`4(0 c0cci r_nc PIP1f7'*—„4:FT A—t—fig (,) Q &,1,- SHOWERS LAVATORIES Pilo SINKS firs DISHWASHERS caet ELECTRIC HOT WATT �� 1 ELEC.- NATER HE ON BURNE YWQt5 IZE (t1�tQVX ftc- LING UNIT:® �� I ,D �o 9PS, SIZE _ fF LAUNDRY WASHER( S / + TERS tt URINALS �/� 0 �e�e iNG UNITS, SIZE $ DRINKING FOUNTAIN � V ;IAL HOOD $ SUMPS, SPRINKLER��� LI ®� e $ DRAINS tv $ OTHER ��” $ TOTAL FIXTURES $ NICAL FEE $ � b I CERTIFY UNDER PENALTY OF PERJURY T "J° a ,S (-�%/� �- E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY i nt Uvvivtn yr i i iL. r,Lj., _... _ -iM 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. OWNER/AGENT: ti - (y�'"� DATE: '� ^ ANP -008 3/90 0 i ,* 0 OFFICE USE ONLY (PLEASE DO N6`T WRITE BELOW THIS LINE) ZONE ' SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: � 1 VN IO' V _ 1(3., AUL SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL L DATE IL REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL 4,1��i� 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 OCCUPANCY TYPE OF CONSTRUCTION Vv STORES BUILDING SQ. FT.,� y� @ 3 7y = LD BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ 4to (F - TOTAL TOTAL SQ. FT. TOTAL VALUATION 3 BUILDING DEPARTMENT REMARKS: ,�t�� /'ter,►--,��I.-�--� �� ASSIGNED ADDRESS: Amount m IS PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE -2'q 3 PLAN CHECK FEE S PLUMBING FEE o MECHANICAL FEE D TOTAL BLDG. FEES O PART P/C FEE SEPA REVIEW S.B.C.C. FEE S� OTHER FEES' (`- AMOUNT DUE Receipt # BUILDING DEPARTMENT APPROVAL DATE (0 75- q- l0 ACCEPTED FOR FILING