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91-101046CITY OF FEDERAL WAY BUILDING PERMIT I I - jtil Lt -1 q° BUILDING INSPECTION 941-1555 "BROOKLAKE VILLAGE" PERMIT NO. 91-1000 CA OWNER'S NAME SUBWAY JOB ADDRESS 34815 PACIFIC HWY S CONTRACTOR TAMARAC CONST ADDRESS 12745 39 AVE NE SEATTLE 98125 CONT. PHONE 362-7917 CONT. REG. NO TAMARC*099DH OWNER'S PHONE 661-8932 OWNER'S ADDRESS 1900 SW CAMPUS DRIVE #45-102 FED 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 TENANT IMPROVEMENT TAX ACCOUNT NO. 202104-9042 LEGAL DESCRIPTION LOT A OF REVISED KING CO LOT LINE ADJ # 8602004 SUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 2 BUILDING INFORMATION ZONE BC OCCUPANCY B-2 TYPE OF CONSTRUCTION 5—N BLDG. SO. FT. 1000 SET BACKS: FRONT NA SIDE NA REAR_ NA STORIES NA HEIGHT LIMIT NA _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER 1 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 SI' S 3 misc. DRAINS 4 CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES 8 X $5.00 UNIT HEATER TOTAL MECHANICAL NONE— AMOUNT NOME VALUATION $12,440.00 PLANNING DEPT APPROVAL = BILL KINGMAN PERMIT FEE $144.00 _ PLAN CHECK FEE 94.00 PLUMBING FEE 40-00 FIRE DEPT APPROVAL = CHRIS INGRAM MECHANICAL FEE TOTAL BLDG. FEES _ BLDG DEPT APPROVAL = KEVIN ELLIS PART P/C FEE SEPA REVIEW "MUST POST SUITE NUMBER" WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE 4.50 FIRE D 7.20 OTHER FEES • DATE PD AMT 289.70 RE'CT AMOUNT DUE $289.70 /} 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: z(Z // OWNER OR AGENT oG L DATE!" AY CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 941-1555 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 NEWINDUSTRIAL 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. 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 SINKS MISC. 13Rf%.at'i CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT a VALUATION PLA I. C DEPT ArPiiOW.! BILL KING", " PERMIT FEE PLAN CHECK FEE PLUMBING FEE FIR' DEr? APPROVAL r'ATRIS 1.PGRPiN ECHANICAL FEE OTAL BLDG. FEES _ LM DEPT APPROVAL TOWIN Y PART P/C FEE SEPA REVIEW "MUST POST ISUITE NfJ .��fi ;' Rw WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES PATE Viz � Axa r • „s�< ° ?pq„71D Rv y r . a I 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 PLUMBING ROUGH IN DATE �- y-9/ BY O.K. TO ENCLOSE FRAMING DATE 9-1-1 ' yl BY P7 FINAL O.K. TO OC UPY DATE BY • OX TO POUR FOUNDATION WALLS DATE WATERLINE O.K. _ GAS PIPING O.K._._ INSULATION DATE --- ----..... BY DCD PSD V PLUMBING GROUNDWORK DATE - _ -_ BY MECEjANICAL INSPECTION DA ►j�t( �� y y11 BY WALL BOARD AND FIRE WALL DATE ._ �r C/ ..... BY %/Z3 FD -�ivOS/� �� ,c r s' T/��rGs► c,� c/Zig iiv � D(710 Plon il: # tl ' 't:CIFI /e ro S u, �G` CITY OF FEDERAL WAY JUL BUILDING PERMIT APPLICATION cny 25 X91 — Please Print — �' ^,j ^ O wAY BOX 1 TENANT NAME: �, `� �iJ�c �, �1 Ir- e. ;� C6) �•�Jl��t] BOX 9 PLUMBING FIXTURES (including rough -ins) OWNER �' . e v`. v. }� cl 1 P.s SITE LOCATION.f/ 4 ,Akk b (_0Vn K ),K� N0. WATERCLOSETS OWNER'S ADDRESS r — D' CITY i r6f i✓u uJe/,'i PHONI' L(^/ —Zcf 3,4 BATHTUBS DESCRIBE JOB pct t SHOWERS THE PROPERTY IS OWNED : SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # SINKS 3 BOILER, SIZE BTU Card MUST be presented DISHWASHERS CONTRACTOR'S ADDRESS CITY PHONE _L,�SLECTRIC HOT WATER HEATER / EXPIRATION DATE $ LAUNDRY WASHER OUTLET UNIT HEATERS —OR— URINALS 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, � BOX 4 SEWER DISTRICT WATER DISTRICT 14 BOX 5 ESTIMATED PROJECT COST �,_G�� EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER ' " c — jC —� LEGAL DESCRIPTION Sf' s �{_� I j , TOTAL MECHANICAL FEE (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # �— BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 0-1 "12ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) 4*-rTXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET _ $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS 3 BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ _L,�SLECTRIC 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 $ �--DRAINS f $ OTHER $ TOTAL FIXTURES $ L16, C, Zd 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 EMPLOYEES, UPON T,bf1= ACCURAC)�OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: ANP -008 3/90 OFFICE USE ONLY (PLEASE DUXT ` ;TE BELOW THIS LINE) ZONE_ SETBACKS: FRONT SIDE AJ/44 REAR HEIGHT LIMIT 4i4}- PLANNING DEPARTMENT APPROVAL 7' 30 REMARKS: 4 SEPA: EXEMPT ,J NOT EXEMPT FIRE DEPARTMENT APPROVAL Com^ DATE 7 f( REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL A 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 1- TYPE OF CONSTRUCTION Jae ti�Glb� BUILDING SQ. FT. e:� IV -Al STORES @ iQZ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. BUILDING SQ. FT: TOTAL SQ. FT. @ @ TOTAL VALUATION 62 BUILDING DEPARTMENT REMARKS: i,'i v`si— 0 iia, c f D ASSIGNED ADDRESS: see_ Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # 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 Fb F e, Z c, AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY - DATE • ACCEPTED FOR FILING