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91-100691CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 941-1555 91-646 MH HAWARD & JEANIE ELLIOTT 2101 S 324TH #281 PERMIT NO. OWNER'S NAME JOB ADDRESS RED CARPET MOBILE HOMESADDRESS 1619 AUBURN WAY AUBURN 852-4060 CONTRACTOR CONT. PHONE REDCAMH135JM 241-0217 911 SW 124TH SEATTLE 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 162104-9037 SPACE 281 OF SE I OF NWj AND PTNS OF SW a OF TAX ACCOUNT NO. LEGAL DESCRIPTION NE } AND PTNS OF NW a OF SEI LYING WEST OF INTERSTATE 5 ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-17-91 BUILDING INFORMATION E RM 3600 OCCUPANCY R3 _ TYPE OF CONSTRUCTION VN BLDG. SO. FT. 15_68 SET BACKS: FRONT 7 SIDE 5 REAR 5 __ STORIES HEIGHT LIMIT _30 _ 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 PLAWNG DEPT APPROVAL: DB 5-20-91 VALUATION 6,899.20 FIRE/BUILDING DEPT APPROVAL: RC 5-28-91 90.00 PERMIT FEE 59.00 PLAN CHECK FEE PLUMBING FEE HANICAL FEE AL BLDG. FEES _ 9 PART P/C FEE SEPA REVIEW WATER SERVICE DATE: WATER MAIN CHG. S.B.C.C. FEE 4.50 AMOUNT: $ - _ Sp OTHER FEES AMOUNT DUE 153.50 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 C CT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: I f� OWNER OR AGENT DATES CITY OF FEDERAL WAY BUILDING PERMIT Cl I - , o `- ci j BUILDING INSPECTION 941-1555 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.____ 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. 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 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 qe�n nA .�iri+ aitz i3x 1"t nPPROVAL: Lith 5-20--91 VALUATION iRF:/i3tlT.s`a i)i��' a,?,� RC 5-28-91 PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW 3AB' WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES 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 rd//6��1i SET BACKS AND FOOTINGS /?/oc/[.. ` Tie DATE _.G��q�l___BY Zil_DATE O.K TO POUR FOUNDATION WALLS -_--.____-_-BY _-_ PLUMBING GROUNDWORK DATEBY 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 DATEO16( BY DCD TPSD FD � I� � d" ECEIVEd 0 CITY OF FEDERAL WAY mit # MAY f 7 1991 BUILDING PERMIT APPLICATION CITY o1 x- )ERAL WAY - Please Print BUILDING 0EPT- BOX 1 TENANT NAME: OWNER � "SITE LOCATION 5 '? u''*J OWNER'S ADDRESS S' CITY S�,x 7 k10, P ONE t DESCRIBE JOB `' ' i THE PROPERTY IS OWNE BY:r�MARRIED � PARTNERSHIP CORPORATION �i sem- w BOX 2 CONTRACTOR'S NAME / _ TRACTOR'S REG. # ='11—' /� taraMBST be presented CONTRACTOR'S ADDRESS CITY �z c-- PHONE , ?- '1D Z) EXPIRATION DATE 7OR 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 - PHONE `/ f� BOX 4 SEWER DISTRICT ��ez­WATER DISTRICT BOX 5 ESTIMATED PROJECT COST J . L EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER IZ r LEGAL D��ESCRIPTION 01' h' 1 ' (If necessary, please submi(a sep5i K.C. Plat Recording # page with the- legal ption.) BOX 7 BUILDING SQUARE FOOTAGE: (€�/Proposed) 1ST FLOOR/ 2ND FLOOR ===—L - 3RD FLOOR ---/— BASEMENT -_ L— DECK t -- GARAGE —I - BOX- BOX 8 ()✓)'SINGLE FAMILY NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES 1 BASIC FEE $ N0. WATERCL ETS GAS PIPING, FEET $ ' BATHTU S N0.FURNACE, LEC. GAS $ SHOW S GAS HOT W ER HEAT $ �L' VA RIES CONVERSION NE $ Sl BOILER, SIZE BTU $ DI ASHERS AIR HANDLING IT $ -— ECT C HOT WATER HEATER HEAT PUMPS IZE $ LAUNDR WASHER OUTLET UNIT HEAT S $ URINALS AIR Coo G UNITS, SIZE $ DRINKING FO NTAINS COMM CIAL HOOD $ SUMPS, SPRIN ER VACUUM BREAKERS 0TH \ $ 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, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE FORMATION SUPPLIED TO THE CITY AS A PART OF THIS/APPLICATION. OWNER/AGENT.- DATE: ANP -008 3/90 OFFIGOSE ONLY (PLEASE DO NOT WRITE BELOW TANE) ZONE TBACKS: FRONT SIDE � t REAR q( HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL _ _ % �' �� REMARKS: SEPA: EXEMPT bi NOT EXEMPT FIRE DEPARTMENT APPROVAL K=K DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL N I DATE REMARKS: 411 TYPE OF JOB: NEW RESIDENCE x 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 Ilk STORES CAd BUILDING SQ. FT. t S�, �: @ - dy BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ G O a TOTAL SQ. FT. TOTAL VALUATION 6g �9• ZO BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE PLAN CHECK FEE PLUMBING FEE o MECHANICAL FEE O TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE ' SL OTHER FEES AMOUNT DUE Receipt # BUILDING DEPARTMENT APPROVAL pr BY k —, DATE 7— "` l l ACCEPTED FOR FILING 0 0 FILE SEA TAC MALL th —LPARK & RIDE -5, 324 St 114 e -F -I-- 'v o -s vV L:-- S'7- /67' ',2-- 90-3 7 "4FRE ARE TO BE NO nFVIAT!—lq T =HE APPROVF-D UR",',,._, 3 L OTHERWISE APPRC\JY 7 FHl-DERAL WAY BUILL,,,.G E)LPARTMENT. Q co F?LzCEIVED MAY 17 1991 CITY OF FEL)EMA BUILDING DEFT EPT. WAY 4 oft • FtE I� t! 1