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92-100368CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT 01 D-1 t -b �s c0 8 BUILDING INSPECTION RRT_MnP DAPY 661-4140 92-0318MH SALVADOR VAZQUEZ 2101 S. 324TH #29 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR DETRAY' S PACIFIC HOIq 3801 PACIFIC AVE OLYMPIA 833-3940 CONT. PHONE DETR4QH253KH 5/92 824-2502 2101 S. 324TH FEDERAL WAY CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER MOBILE HOME SETUP TAX ACCOUNT NO. 162104-9037 LEGAL DESCRIPTION SEE ATTACHED ISSUED BY JOANNE JOHNSON DATE OF ISSUE o DATE OF APPLICATION 3-3-92 BUILDING INFORMATION RM 3600 27 51/91 39 ZONE SET BACKS: FRONT SIDE REAR_HEIGHT LIMIT R3 VN 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. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT PLANNING DEPT APPROVAL: 3/11/92 DB VALUATION 6,864 FIRE/BUILDING DEPT APPROVAL: 3/12/92 KC PERMIT FEE 90.00 PLAN CHECK FEE 59.00 PLUMBING FEE MECHANICAL FEE ART P/C FEE W_PA REVIEW PUBLIC WORKS S.B.C.C. FEE 4.50 -7 C - FIRE FEE DATE: $153.50 OTHER FEES AMOUNT: AMOUNT DUE 153 . 50 RECEIPT: G' 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 INFORMAT F RNISHED 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 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 ONE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTIONCENSUS 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. BBQ BASIC FEE _ DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT xAW3.[,n i)t;kr AP PkOVA ., e 3% 1 i i 9 f i)! VALUATION 4 PERMIT FEE zRB/BlUILIDING DEPT APPROVAL: 3/ 2/92 Kc PLAN CHECK FEE or PLUMBING FEE —' g ECHANICAL FEE ART P/C FEE SEPA REVIEW PUBLIC WORKS L S.B.C.C. FEE ^ /_ �� t v D• FIRE FEE DATE: OTHER FEES 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. OWNER OR AGENT DATE ,k_',,:1/,A c 7`/r Oa-�&ti l GS DATE 3 ? 7`* 2 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 ENCLOSE FRAMING DATE BY __—____—. INSULATION DATE .__BY —....._ WALL BOARD AND FIRE WALL DATE _ _BY FINAL O.K. TO OCCUPY DATE _..._- DCD PSD FD 33 �z .� •' r/' omit # JN� CITY OF FEDERAL WAY BOX 2 CONTRACTOR'S NAME b�' i r2 •4 (i �Jf3�� - �t tAK- CONTRACTOR'S REG. # bF LEI -4Cvtj-- 2-55 W 1,4 Card MUST be presented CONTRACTOR'S ADDRESS ', ��4C_ - C %_ CITY C�c i PHONE EXPIRATION DATE '1 -- -OR- I HAVE READ CHAPTER 18.27.010 RELATIN FINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON�� - f E7 �z PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST 1, 11)L -) EXISTING BUILDING VALUATION �— BOX 6 PROPERTY TAX ACCOUNT NU LEGAL DESCRIPTION Ot I-, (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FL(OR./—_)2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / Ems{ BOX 8 ( ) SINGLE FAMILY (,__)-16W CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT 11 • PLUMBING FIXTURES (including rough-irt� N0. WATERCLOSETS BATHTUBS SHOWERS O� 1 LAVATORIES DISHWASHERS IV4.14,1' ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS RAINS OTHER TOTAL FIXTURES MECHANICAL APPLIANCES - BUILDING PERMIT APPLICATION $ O.FURNACE, ELEC. GAS $ — Please Print — $ BOX 1 TENA NAME: ,5A( i'A��t2_ 1,44'a-0Luz - OWNER SA >0rL L�4-2--Ai1.-,_T_ SITE LOCATION 2_4- r_ OWNER'S ADDRESS 1 CITY , U4 PHONE MZ-#-- Z1 �-- DESCRIBE JOB &16y COMMERCIAL HOOD $ OTHER THE PROPERTY IS OWNED BY: SINGLE/MARRIED POTNERSHIP CORPORATION__________ BOX 2 CONTRACTOR'S NAME b�' i r2 •4 (i �Jf3�� - �t tAK- CONTRACTOR'S REG. # bF LEI -4Cvtj-- 2-55 W 1,4 Card MUST be presented CONTRACTOR'S ADDRESS ', ��4C_ - C %_ CITY C�c i PHONE EXPIRATION DATE '1 -- -OR- I HAVE READ CHAPTER 18.27.010 RELATIN FINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON�� - f E7 �z PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST 1, 11)L -) EXISTING BUILDING VALUATION �— BOX 6 PROPERTY TAX ACCOUNT NU LEGAL DESCRIPTION Ot I-, (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FL(OR./—_)2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / Ems{ BOX 8 ( ) SINGLE FAMILY (,__)-16W CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT 11 • PLUMBING FIXTURES (including rough-irt� N0. WATERCLOSETS BATHTUBS SHOWERS O� 1 LAVATORIES DISHWASHERS IV4.14,1' 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 $ O.FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCIAL HOOD $ OTHER $ TOTAL MECHANICAL FEE $ 2_ 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 EMPL YEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO E CITY AS A PART OF THIS APPLICATION. OWNE GENTA )�'\ DATE: 7 Z'6/� Z ANP -008 3/90 ZONESETBACKS: FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIDES_ REAR HEIGHT LIMIT SEPA: EXEMPT_ " NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: DATE 3 %2— Z PUBLIC WORKS DEPARTMENT APPROVAL 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 t� TYPE OF CONSTRUCTION STORES ol�C V BUILDING SQ. FT. 15-6 c. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ - � BUILDING SQ. FT. @ TOTAL SQ. FT. TOTAL VALUATION L� 6 BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: <P Amount I �lm FAA n—, - % 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 AMOUNT DUE BUILDING DEPARTMENT APPROVAL / BY DATE 5 ` / Z — q,2— ACCEPTED FOR FILING THERE A TO THE UNLESS THE FED I 4sI 9 J 1• THE MILE HOME SHALL DISPLAY A PERMANENTLY AFFIXED DEPT. OF L & 108 H.U.C. INSPECTION UWEL 2. INSTALLATION OF THE MOBILE HOME SHALL BE PER MANUFACTURER'S RECOMMENDATIONS. & PROVIDE A JOB SITE COPY OF THE MANUFACTURERS SET-UP BOOKLET: C"? OF FEDERM.1 .'W DEF d '.J`E'AdiUNITY E; _ �.,,VEMT Q I ADDS E. -DA PLA;:3 F0`71 A OWNER[ Sl •.:. ��DATE APPROxIcD� (ROVED BY B EiN DEVIATIONS ERAWINGS jxmAPPROVED BY �-r car user /I 1c0sr— MAR 03192 8u FlioA6,*opgvr Y