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90-101634CITY OF FEDERAL WAY BUILDING ELECTRIC CITY HOME CTR ADDRESS 4150 B PLACE #105 AUBURN CONT. PHONE 852-4503 PERMIT BUILDING INSPECTION 941-1555 (4341 TAX ACCOUNT NO. -19600-3410 LEGAL DESCRIPTION LOT 1 THRU7BLOC 31 PLAT BUENNA ADDN LESS SO 15' INSPECTION REQUEST LINE -946-6794 PERMIT NO. 90-1847 RA OWNER'S NAME GLENN & SHERRY NUTTER JOB ADDRESS 29411 1 AVE S ELECTRIC CITY HOME CTR ADDRESS 4150 B PLACE #105 AUBURN CONT. PHONE 852-4503 CONTRACTOR CONT. REG. NO. ELECTCH137DW 3/91 OWNER'S PHONE OWNER'S ADDRESS SAME TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN _ GRADING OTHER RESIDENTIAL ALTERATION/ CONSTRUCT DECK TAX ACCOUNT NO. -19600-3410 LEGAL DESCRIPTION LOT 1 THRU7BLOC 31 PLAT BUENNA ADDN LESS SO 15' ESS NO T. ISSUED BY ELIZABETH SNYDER _ DATE OF ISSUE t bf t i DATE OF APPLICATION 11/30/90 BUILDING NFORMATI N ZONE _ NA OCCUPANCY M-1 TYPE OF CONSTRUCTION 5-N CR) BLDG. SO. FT. DECK = 1215 SF ET BACKS: FRONT NA SIDE NA REAR__ NA.___ __ STORIES NA _ HEIGHT LIMIT 30' MAX 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 NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $ 12, 150.00 PLANNING DEPT APPROVAL: NA BUILDING DEPT APPROVAL: MIKE MONEN ON 12/06/90 PERMIT FEE $ 144.00___ PLAN CHECK FEE 94.00---- 4.00____PLUMBING PLUMBINGFEE -___ FIRE DEPT APPROVAL: n n n MECHANICAL FEE TOTAL BLDG. FEES $ 238.00 PUBLIC WORKS DEPT APPROVAL: NA ART PIC FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE $4.50 r �� 1. 'A OTHER FEES DATE PAID AMOUNT $242.50 RECEIPT AMOUNT DUE $ 242.50 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 PPRNI ED BY ME Iq TRUE A CORK TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: >l% OWNER OR AGENT DATE CITY OF FEDERAL WAY BUILDING PERMIT BUILDI41 NG IN SSECTION PERMIT NO.OWNER'S NAME JOB ADDRESS LES t+ 4'C Com" 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------ PPLICATION_ __BUILDING BUILDINGINFORMATION ONE _ OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT-------- T.—__--_ET ETBACKS: 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 APPROVAd, UILDING DFP'i APPFAM : Mitat vi0ogn ON 12/06/90 PERMIT FEE _ PLAN CHECK FEE PLUMBING FEE IRRE DEPT APPROVAL: MECHANICAL FEE TOTAL BLDG. FEES C WORX5 VIE" AL: NUN ART P/C FEE _ SEPA REVIEW WATER SERVICE WATER MAIN CHG. S. B.C.C. FEE t,, �R o' 1,,•%.-...���(iW �a+{2.tJt%M OTHER FEES .%T3.%T3p�ii __.-.._...�_II_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 DATEBY _ _-......._--._-- 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 J_� �__�_�._-BY ���� __ DCD PSD FD A2�• _ Wermit # d / 7a� CITY OF FEDERAL WAY ��.. ® �A �� BUI DI G PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: S �% e., �. , A yi _ _ I n n OWNER r SITE LOCATION S � !� I I t `t'J V `(_L _ OWNER'S ADDRESS Ls-r CITY PHONE DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED carr/`gd PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Fledy,c i' CONTRACTOR'S REG. # 4-Iec tc.fl 13 ? DW Q1 j Card MUST be presented CONTRACTOR'S ADDRESS 7% S� IRCe �D CITYLLe-1 PHONE'RSR- EXPIRATION SR -G/5TJ EXPIRATION DATE pic_-A —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 /19e ); SsLA_- Ro55 PHONE g 52 'Z5_6_) 3 BOX 4 SEWER DISTRICT tg Gj4LT 15t*,y,✓ WATER DISTRICT BOX 5 ESTIMATED PROJECT COST TEXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMB LEGAL DESCRIPTION Zn�_ (If necessary, please submit a separ to page with the 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 ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERT SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS RAINS 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 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, OPON CURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: ANP -008 3/90 ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: • J OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIDE REAR HEIGHT LIMIT SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE 124-W 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 /77 TYPE OF CONSTRUCTION Gam' STORES BUILDING SQ. FT. �d �S @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ _ TOTAL SQ. FT. �S TOTAL VALUATION 4-f O BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: SCC_ o4-"-✓ si 0-4e_ Amount 1:37 PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # BUILDING DEPARTMENT APPROVAL DATE PERMIT FEE y PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ACCEPTED FOR FILING