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91-101221CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT GSI -- it, < I BUILDING INSPECTION 661-4140 91-1167 CA FOSS CAR AUDIO 34225 PACIFIC HWY S PERMIT NO. OWNER'S NAME SITE ADDRESS OWNER 10514 BRIDGEPORT WAY TACOMA 584-7645 CONTRACTOR ADDRESS CONT. PHONE NA SAME SAME CONT. REG. NO. _ EXP.NA_ OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. TENANT IMPROVEMENT NEW MULTI -FAMILY (UNITS ) MULTI. ADD._ _ SIGN GRADING OTHER 202104-9063 THE S OF THE N I OF THE S j OF THE SE j OF THE TAX ACCOUNT No. NE j OF LEGAL DESCRIPTION S 20 T21N R4E WM IN RING CO WASH ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 8/28/91 BUILDING INFORMATION ZONE BC SET BACKS: FRONT 20 SIDE 09/09 REAR Oy HEIGHT LIMIT OCCUPANCY B2/H4 TYPE OF CONSTRUCTION 5—N CENSUS NO. 437 TYPE OF HEAT NA BLDG. SO. FT._ A STORIES _NA___-- PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS _ MISC. BBQ BASIC FEE 1.6WASHERS TOTAL FIXTURES NONE_ DRYER TOTAL MECHANICAL NOME- AMOUNT 10,500 VALIDATION PLANNING DEPT APPROVAL = LORI SCHILL $126.00 PERMIT FEE 82.00 PLAN CHECK FEE "PROPOSED IMPROVEMENTS ALLOWED UNDER CHAPTER 165 FEDERAL WAY PLUMBING FEE ZONING CODE EXEMPT FROM SITE PLAN REVIEW" MECHANICAL FEE PART P/C FEE BLDG DEPT APPROVAL = REVIN ELLIS SEPA REVIEW PUBLIC WORKS 4.50 "MUST S GN RESTROOM AFFADAVIT" S.B.C.C. FEE 6.30 - FIRE FEE DATE: 218.80 OTHER FEES $215.80 AMOUNT: AMOUNT DUE RECEIPT: 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. % �ti OWNER OR AGENT ___ __. DATE CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. OWNER'S NAME SITE ADDRESS _ CONTRACTOR ADDRESS CONT. PHONE CONT, REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: 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 SET BACKS: FRONT SIDE _ _- REAR HEIGHT LIMIT OCCUPANCY - TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS _ _ ELEC. HOT WATER HEATER GAS PIPING __FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS _ URINALS GAS HOT WATER HTR. AIR HANDLING UNIT _ NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBO BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT 10 ' s o n VALUATION PT.,MNING DEPT APPROVAL = LORI SCHILL $1- PERMIT FEE PLAN CHECK FEE "PROPOSED IMPROVENXNTS ALLOWED UNDER CHAPTER 165 E. P_ � PLUMBING FEE ZONING CODE EXEMPT FROM SITE PLAN pxvIEWN MECHANICAL FEE PART P/C FEE BLDG DEP`' APPROVAL = KEVIN ELLIS SEPA REVIEW PUBLIC WORKS W1< IGN RESTROOM AFia&DIAVI`_'!1° S.B.C.C. FEE r FIRE FEE DATE: OTHER FEES AMOUNT: U AMOUNT DUE RECEIPT: 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 WATER LINE O.K. .... ... __ ... GAS PIPING O.K. _- ....-.......-......._. _..__ MECHANICAL INSPECTION DATE ----_BY - O.K. TO EN LOSE FRAMING DATE ..... BY I�....._-._ INSULATION DATE;...-[�! .�_BY ...-�=6�---...._ WALL BOARD AND FIRE WALL DATE BY FINAL O.K. TO OCCUPY 1 .��( BY DATE 11111151,01- DCD PSD FD �� G �/z 2 1, c it /=vl2 RECEIVED %_Permit # SSI '- I I [(� ' AUG 1991 CITY OF FEDERAL WAY c-� o,-�zIRALWAYBUILDING PERMIT APPLICATION ®�Pr— Please Print — BOX 1 TENANT NAME: Fo—o � __ C A k) n 7 >> 1 t - OWNER e SITE LOCATION ?9YZZ5 j , S 01f,=/��1 OWNER'S ADDRESS 10,5�111 CITY �Ve_cazl PHONE DESCRIBE JOB l; Fet Y-fxt zv"f e' - THE PROPERTY IS OWNED BY: SINGLE/MARRIED_ PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME C1 ),UF x" CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS EXPIRATION DATE CITY PHONE —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 PHONE 5EY V66z BOX 4 SEWER DISTRICT d w WATER DISTRICT BOX 5 ESTIMATED PROJECT COST c'z^ rCEXISTING BUILDING VALUATION 1 ra l E BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION / a L= �2 -1 �Z (If necessary, please submit a separate page with the legal description.)'e /r1 626,6 met i�ere� c K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR—0_2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE I COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT � 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 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 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: DATE: �r /% ANP -008 3/90 OFFICE USE ONLY (PLEASE;JO NO-. WRITE BELOW THIS LINE) ZONES SETBACKS: FRONT E C REAR HEIGHT LIMIT PLANNING DE RTMENT APPROVAL G REMARKS: /u�O c SEPA: EXEMPT ✓ NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL 41 ILL DA REMARKS: If I 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 a2 /i -F ` TYPE OF CONSTRUCTION i STORES 7 �Otr� BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ — BUILDING SQ. FT. @ TOTAL SQ. FT. TOTAL VALUATION 0 S O BUILDING DEPARTMENT REMARKS: N_,N n- � r 2-( S 0 it) So0 AA u,, �-- s (" . r 4-rco cA.- Q (7� dd U r, / ASSIGNED ADDRESS: See' �-j<- ( S k PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # PERMIT FEE PLAN CHECK FEE Z PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY L (__ DATE ' � Z ( ACCEPTED FOR FILING .� _jCL� Uj Lb Co U N LLIZ u 05 ECEEIIVm ASSIGNED ADDRESS: See' �-j<- ( S k PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # PERMIT FEE PLAN CHECK FEE Z PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY L (__ DATE ' � Z ( ACCEPTED FOR FILING ��.ls��'�., � �l��s ' �