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92-100138CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. 92-0077 RA OWNER'S NAME MRS K HELFER SITE ADDRESS 2101 S 324 ST #205 CONTRACTOR VALUE ALUMINUM AWNING ADDRESS 11809 86 AVE CT E PUYALLUP CONT. PHONE 770-0590 CONT. REG. NO. VALUEAAB9DD EXP. 193 OWNER'S PHONE UNLISTED OWNER'S ADDRESS SAME AS SITE 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 INSTALL AN AWNING TAX ACCOUNT NO. 162104-9037 LEGAL DESCRIPTION LOT 205 BELMORE MOBILE HOME PARK 3SUED BY ELIZABETH SNYDER DATE OF ISSUE c �( - �/ -DATE OF APPLICATION 1/21/92 BUILDING INFORMATION ZONE RM3600 SET BACKS: FRONT 201 SIDE 5'/51 _REAR 5' HEIGHT LIMIT NA OCCUPANCY M-1 TYPE OF CONSTRUCTION 5—N _ CENSUS NO. 434 _ TYPE OF HEAT NA _ _ BLDG. SQ. FT. 420 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. SINKS MISC. BBQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $4,841 PLANNING DEPT APPROVAL = DEB BARKER $72.00 PERMIT FEE PLAN CHECK FEE 47.00 _ BLDG DEPT APPROVAL = KEVIN ELLIS UMBING FEE _ MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS 4.50 S.B.C.C. FEE 1-3)- � /' / FIRE FEE DATE: $112/3.50 OTHER FEES $123' 50 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 INFO T N 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 AGE 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.--- DD.__NEW NEWMULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION NE - __ 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. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE �RT P/C FEE �J / [1 SEPA REVIEW (� PUBLIC WORKS S.B.C.C. FEE OP 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 R!�C%EIVED JAN 21 1992 O"V OF IFEDEfiAI. WAY SUILDWO DEPT 0 CITY OF FEDERAL WAY Perrr� BUILDING PERM IT'APPLICATION — Please Print — BOX 1 TENANT NAME: /11 Al S , '4/7 OWNER Ir, X, 3. j! H -/7 SITE LOCATION 2/G/ S. 7 �� OWNER'S ADDRESS 2 /G 2,-,, S— CITY PHONE DESCRIBE JOB — 1�1t2 11—kL� ' THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME .� CONTRACTOR'S REG. # Card MUST be resented / CONTRACTOR'S ADDRESS f % G' �1 ffG IAv c C% Z CITY / PHONE 7 C 2" -125—e7 EXPIRATION DATE rz — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DE I IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. 2, .-- BOX 3 CONTACT PERSON 7, r i -t- PHONE 9'7G° BOX 4 SEWER DISTRICT �� / Gti�y WATER DISTRICT BOX 5 ESTIMATED PROJECT COST 2 000 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBE LEGAL DESCRIPTION 5," (If necessary, please submit a separa� _page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD BOOR / BASEMENT / DECK / GARAGE / BOX 8 ( KSINGLE FAMILY ( ) NE,W CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT 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 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 KNQwCEDGE 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 THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: Z G{ DATE: ` 2 �— ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BE W THIS LINE) ZONEfF-III "'"SETBACKS: FRONT PLANNING DEPARTMENT APPROVAL REMARKS: '2V SIDE 5' 1 REAR HEIGHT LIMIT r (I»/q7. o jv 1-1 SEPA: EXEMPT ✓ NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALTS NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY M I TYPE OF CONSTRUCTION STORES L (/L BUILDING SQ. FT. 7,f� @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. BUILDING SQ. FT. @ TOTAL SQ. FT. @ TOTAL VALUATION �q L 76 BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: Amount t4 PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE 7 2 PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE LA, S—L OTHER FEES AMOUNT DUE BUILDING DEPARTMENT APPROVAL q q BY K:::'_ DATE � — 3A t Z ACCEPTED FOR FILING CITY OF FE DEPT. C.7 COMMUt "Flov--D BY A 1) All 4-X4 POST -T RCA MAXSPI-\C'---- 7' Pro L/ (,,d e41�je f o'st Usk C', C,& k MRS K. 14 L:* L f C K E3 EL �,l o K PA R S 10,A Lf F ';t.05- THERE ;t.05- THERE ARE TOZE-N.0-DEVIATIONS TO THE APPROVED DRAWINGS UNLESS OTHERWISE APPROVED BY THE FEDERAL WAY BUILDING DEPT. RAL WAY rDEVELOPME E APPR0VZD_____ U �; i 7 k RECSIVE0 JAN 2 1 1992 CM OF FEDERAL WAY BUILDING DEPT SEA TAC MALL N U. 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