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91-101351CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 941-1555 91-1307 CA CAMILLE VANDEVANTER DDS MSDJOB 34617 11TH PL S #200 PERMIT NO. OWNER'S NAME ADDRESS IRISH HOMES INC RICHA 5503 17TH AVE NW #546 SEATTLE 546-3218 CONTRACTOR D469i9 CONT. PHONE CONT. REG. NO. IRISHH246DP OWNER'S PHONE 839-8935 OWNER'S ADDRESS 34617 11TH PL S #200 FEDERAL TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. XX INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER 215470-0110-02 SEE ATTACHED TAX ACCOUNT NO. LEGAL DESCRIPTION SUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 9-18-91 BUILDING INFORMATION ZONE OP OCCUPANCY B2 TYPE OF CONSTRUCTION VN BLDG. SO. FT. 1280 SET BACKS: FRONT 50' SIDE 20 REAR 20 __._ STORIES HEIGHT LIMIT 301 _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 1 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 I DRINKING FOUNTAINS GAS HOT WATER HTR. MISC 7 RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES 9X5 _AS:QO UNIT HEATER TOTAL MECHANICAL _ AMOUNT VALUATION 17, 382 _ 40 PLANNING DEPT APPROVAL: LS 9-30-91 FIRE DEPT APPROVAL: KC PK 10-1-91 PERMIT FEE 189_nn AN AN CHECK FEE KFFEE 123-0 n BUILDING DEPT APPROVAL: KC 10-1-91 3_Il0 'WUMBINGMECHANICAL UST SIGN BATHROOM AFFADAVIT FEE _ TOTAL BLDG. FEES I PART P/C FEE ` DATE: SEPA REVIEW WATER SERVICE AMOUNT: WATER MAIN CHG. $370-95, S.B.C.C. FEE 4.50 11-L41 OTHER FEES 9,45 AMOUNT DUE 37 L-95 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 INFO I FURNIS ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE ET: �� OWNER OR AGENT DATE WAY CITY OF FEDERAL WAY BUILDING PERMIT BUILDING 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. 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 171382.40 ANNING DEPT APPJOV� LS 9-30-91 VALUATION RE DEPT APPROVAL: Kc PK 10--1•-91 00 PERMIT FEE . s.00 PLAN CHECK FEE 'ILDING DEPT APPROVAL: KC I0-3.--91 PLUMBING FEE nr ST SIGN BATHROOM A'4`P'ADAVIT MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE r SEPA REVIEW WATER SERVICE ,� e�?_;..'�'. ;��• ���y� WATER MAIN CHG. .. ---•moi ' S.B.C.C. FEE ' _ L'.k.11LlT, 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 .-�l � � BY ____....- WATERLINE O.K. _ GAS PIPING O.K.---..... _....-.... ..... MECHANICAL INSPECTION DATE O.K TO/ENCLOSC�E !FRAMING DATE ! _...`. I._ BY _.._—. INSULATION a DATE ...�! .✓ ``,_. BY �_ .-� _ WALL BOARD AND FIRE WALL DATE r/�^9� BY Z73 FINAL O.K. TO OCCUPY DATEBY J� NO / Ir! DCD PSD FD d/a9 cert RECEIVED � Pe t # g � -- �:3 U -7 �7-1 SEP 18 1991 CITY OF FEDERAL WAY Q;I"!vOf f-LUERAL WAY BUILDING PERMIT APPLICATION SWIL01W DEPT — Please Print BOX 1 TENANT NAME: Camille VanDevanter D.D.S. , M.S.D. OWNER Camille VanDevanter D.D.S. M.S.D. SITE LOCATION 34617 - 11th Place S. # 200 OWNER'S ADDRESS 34617 - i1th Place South # 200 CITY Federal 4day PHONE 839-8935 DESCRIBEJOB Tenant Improvement of existing dental offices THE PROPERTY IS OWNED BY: SINGLE/MARRIED XXXX PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Irish Homes, Inc. - Richard D. King CONTRACTOR'S REG. # Ik-Is-HH 246DP 5503 - 17th Ave. N.W. #546 Seattle 546 -3218Cd MUST be presente CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE -7- 2 G -�� 1• 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 Mark Preston, AIA / Preston Architecture PHONE 927-1213 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST $25, 000 EXISTING BUILDING VALUATION 720,000 BOX 6 PROPERTY TAX ACCOUNT NUMBE LEGAL DESCRIPTION - 0110-4 0 (17 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 / 1280 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (X)j EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. -"1- WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ -1- LAVATORIES CONVERSION BURNER $ -7- 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 $ - DRAINSLzmirs - f'lro .e- $ _TOTAL FIXTURES ��' $ TPTAL 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 OFTHE 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 EMPLLY-EES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: j " /9 `7/ ANP -008 3/90 ZONE SETBACKS: FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: UFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) _76, SIDES REAR HEIGHT LIMIT SEPA: EXEMPT °s NOT EXEMPT FIRE DEPARTMENT A PROVAL 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 OCCUPANCY TYPE OF CONSTRUCTION 61 STORES <1/�r (cam BUILDING SQ. FT. If Z @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ ( e = Z Q TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: SSP � 8 1g91 BU RECEIVED ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # BUILDING DEPARTMENT APPROVAL BY DA' 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 rP Fee 1 S AMOUNT DUE ACCEPTED FOR FILING