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90-100461CITY OF FEDERAL WAY BUILDING PERMIT c[o - t oa Lq c.Q l BUILDING INSPECTION 941-1555 90-632MH HAZEL CANNON 2102 S 324 ST #263 PERMIT NO. OWNER'S NAME JOB ADDRESS DUTCH MOBILE SERVICE 20302 SE 289 ST KENT 631-0653 CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. DUTCHM254KA 5/91 OWNER'S PHONE 941-5317 OWNER'S ADDRESS 3001 S 288 #205 FEDERAL WAY 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 MOBILE HOME TAX ACCOUNT NO. 162104-9037 LEGAL DESCRIPTION LOT 263 BELMOR ESTATES ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 5/21/90 BUILDING INFORMATION NE RM3600 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N _ BLDG. SQ. FT 980=LIVING ET 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 GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) SHOVv'ERJ URINALS - FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER _ LAVATORIES DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWHSHER� TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT ATONE VALUATION $4312.00 PLANNING DEPT APPROVAL = BILL KINGMAN ON 6/13/90 PERMIT FEE $72_00____ PLAN CHECK FEE 47-00----- "SETBACKS PER PRIOR KING COUNTY APPROVAL" PLUMBING FEE MECHANICAL FEE TAL BLDG. FEES $119.00 PUBLIC WORKS FIRE DEPT, SEPA REVIEWS = NOT NECESSARY , RT P/C FEE SEPA REVIEW BUILDING DEPT APPROVAL = KEVIN ELLI S ON 6/6/90 WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE 4.50 r.,,, �� OTHER FEES DATE PAID D AMOUNT PAID RECEIPT # AMOUNT DUE $123.50 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 INFORMAT ON FURNISHED Y E 1 RUE 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 BUILDING PERMIT �f BUILDI94 IN 55ECTION 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 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. I LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION lE 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 L i*:+l�lii'i.LiW�Y td;:: s i IF53,t i3ra BILL rtZw{-t3a: ON 6/13/90 PERMIT FEE PLAN CHECK FEE *SETRACKS PER PP -TOR KING t. AR'I` Y JkPPP..CNAL o PLUMBING FEE CHANICAL FEE _ AL BLDG. FEES Pulmic Q.� rIRZ DE=Prviy sErti PxYiE+war1, x W_Vf '-NECESSARY PART P/C FEE SEPA REVIEW BUILDING "PIMA.L = KEVIN ELLIS ON 6/6/90 WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE �� OTHER FEES pial)`4 i %3 - AMOUNT PAID .'' x wr R; 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 a ON SE BA FQOTI�J�,'/�Gc� Ns DATE/ 1�`._S�.B//Y NiL_ O.K 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 ___ _ Y FINAL O.K. TO OCCUPY ((� (� � / DATE _ f /�)_.... BY DCD PSD FD ZW 7, P �f��z /� ��5 . N 4/�i /�' �/ / ��%l �'c �/til /7 0�✓✓ �/ D/zcTiaN � Oc'c��f' /y z �UT yecee e v 6T Cc c C�,IticTicr ��T/< /LL1�T/G.f(J /�Mf�L /L /hS /ILT�d/US z2 - /z/lfa/z `y/z s/�j Ti LG moi- o 1/1 / cc /z i -L ASf/iii C- T f'/'/' Z fig/z /u Lam! e/v o/ Jia ix 17IZ17 T1 /j- /Jo ec,/V Gtr/ L G /L %t is L /> -/L' et;, -/L Z/L > O/ "G/7/L 5--�4 It 2 M IT f_ il LA �Z :TD :,AD 11 A T -?-q -q I �' ould L4,,',- t Vklo"" 4— 6A bq Ld M -i kAnCl DI -J G ) 6(dc oA"__JQ- ' qa 33 u pec, RECEIVED � MAY z 1 1990 Oermit # 90 - ��_amp CITY OF FEDERAL WAY ®ITY®RREDERALWAy BUILDING PERMIT APPLICATION MA BUILDING DEPT - Please Print - CCI VED �- BOX 1 TENANT NAME: i c D 5 i4A 11 3 / uvr�.�ING DEPT• OWNER H OTEC,, (1PJJ )J'D V SITE LOCATION Kjf j .k)k_ Mct�,l�� !•. OWNER'S ADDRESS c r. t Srn, �1 cis CITYfi�6Ft i u," -PHONE YS//-nji� DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # J),j NI 21 4< it Card MUST be presented CONTRACTOR'S ADDRESS J v3 k� � S �. �i �rw SV. CITY 'i -J9_ 7?0'4 PHONE 6<3� EXPIRATION DATE S- 1` 9 i —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 tlx fl+t�XA ' `\aL oNZ _PHONE `S �� I L1 ,,- BOX 5 BOX 6 PROPERTY TAX ACCOUNT NUMBER'' -`--=`='_� I ( g *11 Q�- ` ,, LEGAL DESCRIPTION _ 1 'NN Q i) -q X All T"v `� 1 C`-•"'Jc•F4)71:-- •',3z Qj�AA-vk (If necessary, please submit a eparate page with the legal description.) K.C. Plat Recording # :I= BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR'_ 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK ' 3 '`' "" GARAGE / BOX 8 ( ) SINGLE FAMILY (p�-(VEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING 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 BOILER, SIZE _ BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ MPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES 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, $tJT 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: DATE: ANP -008 3/90 ;X. 0 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE RtA_VWCbSETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING. DEPARTMENT APPROVAL % 13'9dBk� r REMARKS: '5 t 44u-5 VC. APProvA2® . BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: S� Amount PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE 7Z ' oD PLAN CHECK FEE 00 SEPA: EXEMPT Y NOT EXEMPT MECHANICAL FEE 0 FIRE DEPARTMENT APPROVAL DATE REMARKS: A , 4 S.B.C.C. FEE qlS O OTHER FEES AMOUNT DUE PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: A/ 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 V41 STORES BUILDING SQ. FT. qQQ) U @ S C)Q BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. TOTAL SQ. FT. @ TOTAL VALUATION 3 Z BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: S� Amount PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE 7Z ' oD PLAN CHECK FEE 00 PLUMBING FEE O MECHANICAL FEE 0 TOTAL BLDG. FEES PART P/C FEE v SEPA REVIEW S.B.C.C. FEE qlS O OTHER FEES AMOUNT DUE 3 Receipt # BUILDING DEPARTMENT APPROVAL p BY C- DATE 'b _ (O ~ 1 ACCEPTED FOR FILING • F,� ve -p—If yle,J O -fiF=? w WA� v,\