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91-101224CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 941-1555 PERMIT NO. 91-1188 CA OWNER'S NAME NW RADIOGRAPHY JOB ADDRESS -44617 1ITH 'PT. S CONTRACTOR ALDRICH & ASSOC INC ADDRESS 810 240TH SE BOTHELL CONT. PHONE 483-1 313 CONT. REG. NO. ALDRIA202R4 OWNER'S PHONE OLD STONBAMKDRESS 3605 132ND AVE SE STF. 100 BFLLFVU1 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 AX ACCOUNT NO. 215470-0110-02 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE _ �" DATE OF APPLICATION 8-29-91 BUILDING INFORMATION ZONE OP OCCUPANCY B2 TYPE OF CONSTRUCTION VN BLDG. SQ. FT_ 1008 SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT 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 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC _ RETURNED SINKS 3 MISC. CONVERSION BURNER BASIC FEE DISHWASHERS _ TOTAL FIXTURES 4X5 20-0 UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION 13,688.64 PLANNING DEPT APPROVAL: BK 9-3-91 FIRE/BUILDING DEPT APPF._ JAL: KC 9-4-91 ERMIT FEE 153.00 PLAN CHECK FEE 99.00 MUST SIGN RESTROOM AFFADAVIT PLUM FEE 20.00 ME ICAL FEE OTAL BLDG. FEES _ PART P/C FEE DATE 14 SEPA REVIEW WATER SERVICE AMOUNT: 2 g 4.15 WATER MAIN CHG. $ 4.50 S.B.C.C. FEE OTHER FEES FD FEE 7.65 RECEIPT: AMOUNT DUE 284.15 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: % p/ �� 7 OWNER OR AGENT S / DATE CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 941,1555 PERMIT NO. OWNER'S NAME JOB ADDRESS /a 0 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 VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. 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 �j DATE _ �`l 'I'l 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 - Z-- 91 BY FINAL O.K. TO OCCUPY BY DATE BY DCD PSD FD N/ l b RECEIVED * Permit # AUG 2 91991 CITY OF FEDERAL WAY OrrYOFFEDE AL WAY BUILDING PERMIT APPLICATION WILW* DIM. — Please Print — BOX 1 TENANT NAME: /(/'. ILf, W o 1j'0A' _ OWNER S%e n SITE LOnC� N 3�/ 7- 1/ I—V'�07/ OWNER'S ADDRESS -26_1 0 - �- U10, 3.1 -iii `CIT. llto / PHONE DESCRIBE JOB .✓ 7- `cU�nt=►��'` ��, - ,�' ,S',�� THE PROPERTY IS OWNED BY: SINGLE/MAR IED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Aldkce4 d Xi i �c�. it/e. CONTRACTOR'S REG. #A 4 _ Card MUST be presented CONTRACTOR'S ADDRESS 41 0 S' {f CITY&, r41/ PHONE EXPIRATION DATE O —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. q `f G BOX 3 CONTACT PERSON PHONE-444*3 BOX 4 SEWER DISTRICT red er,as w 4!j WATER DISTRICT BOX 5 ESTIMATED PROJECT COST q EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER I / ")f 70 "011) -0.2 - LEGAL DESCRIPTION mfr 'F x hl/ swi 9;�' (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # "- BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR2ND 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 BOX 9 PLUMBING FIXTURES (including rough -ins) NO. 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 Kg@W�EDGE 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 OFFICE USE ONLY (PLEASE DO NOT WRIi� BELOW THIS LINE) t , ZONE6_1P_ SETBACKS: FRONT Nla SIDE PLANNING DEPARTMENT APPROVAL el " 3 '9l REMARKS: SEPA: EXEMPT �*- NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: REAR_ P�%4 _ HEIGHT LIMIT MAW ,a DATE %` te ` `7ll PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: BUILDING DEPARTMENT REMARKS: /L\u l� +- S 1 G 1--\ U.P--Yiv'd C, w` a fjC-Bt da y i\ -/- ASSIGNED ADDRESS: Amount vi PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE ( s3 PLAN CHECK FEE IT TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT k NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER PART P/C FEE OCCUPANCY i� I TYPE OF CONSTRUCTION V� STORES OTHER FEES' BUILDING SQ. FT. 1 DO @ V L/ BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. BUILDING SQ. FT. @ @ _ TOTAL SQ. FT. TOTAL VALUATION 36 °yg• 6 BUILDING DEPARTMENT REMARKS: /L\u l� +- S 1 G 1--\ U.P--Yiv'd C, w` a fjC-Bt da y i\ -/- ASSIGNED ADDRESS: Amount vi PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE ( s3 PLAN CHECK FEE IT PLUMBING FEE ZO MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES' �° S AMOUNT DUE Receipt # BUILDING DEPARTMENT APPROVAL BY K --L- DA ACCEPTED FOR FILING