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91-100142CITY OF FEDERAL WAY BUILDING PERMIT [00 I y BUILDING INSPECTION 941-1555 91-0119 P BOB POLUS 30229 FIRST PL S PERMIT NO. OWNER'S NAME JOB ADDRESS INTERURBAN PLUMBING 36056 MILITARY ROAD S AUBURN 938-1463 CONTRACTOR ADDRESS CONT. PHONE INTERI*204CL 839-2230 30229 FIRST PL S FEDERAL WAY 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 PLUMBING ONLY 339180-0082 TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 2-4-91 BUILDING INFORMAT 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 BIw,HTUBS LAUNDRY DRAINS COMPRESSOR - _ TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC SINXS 1 MIsc.PERMIT FEE 20.00 CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 2X5 10._0 UNIT HEATER TOTAL MECHANICAL _ AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE -$-3o-no MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE __ •1 !� SEPA REVIEW - ATE: f/ WATER SERVICE WATER MAIN CHG. OUNT: $-10-no S.B.C.C. FEE _ OTHER FEES CEIPT: AMOUNT DUE 30.00 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 Li ����� _ DATE 2 CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSP�cTION 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS- DDRESS CONTRACTOR 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 If SEPA REVIEW. _ WATER SERVICE f WATER MAIN CHG. UNT: isin_gar _M_ ---_ _._ .,...,...... S.B.C.C. FEE R OTHER FEES ".SI'IPi`! w^ 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 -______ _13Y 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 ENCLOSE FRAMING DATE BY INSULATION DATE BY WALL BOARD AND FIRE WALL DATE BY FINAL O.K. TO OCCUPY DATE c7? BY DCD PSD FD Permit # q1-0 11/y L RECEIVED CITY OF FEDERAL WAY FEB U 1� 1991 BUILDING PERMIT APPLICATION CITY OF FL-O)ERAL WAY — Please Print — ( nawc n --PT BOX 1 TENANT NAME: OWNER 16, SITE LOCATION OWNER'S ADDRESS CITY PHONE839- .2.7 30 DESCRIBE JOB Add d,sh (AX-'Sne_r �u ef"h/h=ry cap/ rnov / ham,,, S ry r,uer A37 THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. #lnv>*cr! ii- 2ogcG Card MUST be presen CONTRACTOR'S ADDRESS hr,- kry 170 CITY fiv h, h� PHONE EXPIRATION DATEv/ —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 Rob P/�M c!'us PHONE Zvi! IgE- �, U. BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (If 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 / 3RD FLOOR —/ BASEMENT / DECK / GARAGE / BOX 8 (k) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT :1 PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES 1 SINKS 1 _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 IAM 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. ANP -008 3/90 ZONE SETBACKS:FRONT PLANNING DEPARTMENT APPROVAL REMARKS: OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIDE REAR HEIGHT LIMIT SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL 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 STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: RECEIVE FEB Q 4 1991 CITY OF F."_ RECEIVED ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED 4mount Date Receipt # BUILDING DEPARTMENT APPROVAL 3Y DATE_ DA' DAT 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 AMOUNT DUE ACCEPTED FOR FILING