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92-100900CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMITNO. 92-0928 RA OWNER'S NAME RICHARD KELTNER SITE ADDRESS 865 S. 326TH STREET CONTRACTOR OWNER ADDRESS 865 S. 326TH ST FEDERAL WAY CONT. PHONE 839-2892 CONT. REG. NO. -- EXP. OWNER'S PHONE 839-2892 OWNER'S ADDRESS 865 S. 326TH STREET FEDF.RAT. WAY TYPEJOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC-- PUBLIC ADD.__ NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER BEDROOM ADDITION TAX ACCOUNT NO. 326070-0420 LEGAL DESCRIPTION LOT 42 HERITAGE WEST ISSUED BY JOANNE JOHNSON DATE OF ISSUE -7 - GU `t L DATE OF APPLICATION 6-17-92 BUILDING INFORMATION ZONE RS 7.2 SET BACKS: FRONT 201 SIDE 5 ,..___- REAR 51 HEIGHT LIMIT 30' OCCUPANCY R3 TYPE OF CONSTRUCTION VN CENSUS NO. 437 TYPE OF HEAT BLDG. SQ. FT. 920 STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND 1 WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS 1 RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS 1 URINALS GAS HOT WATER HTR. AIR HANDLING UNIT _ NUMBER LAVATORIES 1 DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES 4X5= 20.00 DRYER TOTAL MECHANICAL AMOUNT VALUATION 59,944.72 PLANNING DEPT APPROVAL: NO BUILDING SHALL ENCROACH ONTO ANY BUILDING SETBACK LINE OR EASEMENT, SHOWN OR NOT SHOWN. 460.00 PERMIT FEE DB 7-9-92 PLAN CHECK FEE _ nn 220 PUBLIC WORKS DEPT APPROVAL: JS 7-7-92 PLUMBING FEE �n _ nn MECHANICAL FEE BUILDING DEPT APPROVAL: KC 7-8-92 PART P/C FEE SEPA REVIEW PUBLIC WORKS 35nn S.B.C.C. FEE 4.50 FIRE FEE DATE: OTHER FEES 818.50 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 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. AGENT OWNER OR DATE CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION661-4140 40 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 PUBLICADD. 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 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 OF CHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE 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 SET BACKS AND FOOTINGS DATE _-......_.1 -_ _BY _.�_......-._...._. OX TO POUR FOUNDATION WALLS DATE - __- ...BY--...........-__ PLUMBING GROUNDWORK DATE - - . - BY - _ _ PLUMBING ROUGH IN DATE 7" � 3� Y ��..��pp .__ �._lP --___ WATER LINE O.K. --... ...._._-...__..._ GAS PIPING O.K. _ --....__ MECHANICAL INSPECTION DATE 1-� - �= rT . -BY .----..-.......... _.......... . O.K. TO ENCLOSE FRAMING DATE -%�� Yz_. BY /7`3 - INSULATION DATE BY `1�- - - WALL BOARD AND FIRE WALL DATE1BYC*-? _ FINAL O.K. TO OCCUPY 7 DATE r_- 3 BY / DCD PSD FD /4_ ri. Permit #�! �� I v /41 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: _77514 � OWNER kAe- hcx rCl 0 -t� he r SITE LOCATION OW nc-r-S 4t0C[ re r OWNER'S ADDRESS � S CITY F=d WA -W PHONE Z DESCRIBE JOB ►wl` -A 0-i bed xrerv% THE PROPERTY IS OWNED BY: SINGL ARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME OW r%e_v0' CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE —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 0 w { r' f lei, PHONE c BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER C) _. LEGAL DESCRIPTION 4a' z4a r. +w -.e 2 C,0 L4 h (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing osed 1ST FLOOR /V.20 2ND FLOOR / `_.?0 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 (>q 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 — BASIC FEE $ NO. / WATERCLOSETS GAS PIPING, FEET BATHTUBS N0._ _FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ /� D SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLIN ITS $ ELECTRIC HOT WATER HEATER HEAT P S, SIZE $ LAUNDRY WASHER OUTLET UNI EATERS $ URINALS _ COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS _ $ OTHER Ll TOTAL FIXTURE — $ $ S = '-z 0, 0 C, 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 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 EMPLQYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT DATE: 4 q/, z___ ANP -008 3/90 V_ OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ° / ZON 2 SETBACKS: FRONT 20' SIDE G, R REAHEIGHT LIMIT PLANNING ""IV0 6U1[ding ShlPPP iC 0 REMARKS: IV0 6 uWt1 h P, SEPA: EXEMPTy NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE 2 7-- `3 Z REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT----:—NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) TOTAL BLDG. FEES MULTIFAMILY ADD/ALT TENANT IMP. OTHER SEPA REVIEW OCCPPANCY TYPE OF CONSTRUCTION V /L STORES 1 l- e t, ST BUILDING SQ. FT. @ 4•. �� = 3 C� i—, �7. BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ A46 clef Q TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: RECEIVED JUN 171992 or" �� u�u,, �FEDERAL V ""R�CEI PPT ASSIGNED ADDRESS: 5 - 1 Amount PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW AJ34G wo4wll' 3� S.B.C.C. FEE OTHER FEES AMOUNT DUE Receipt # BUILDING DEPARTMENT APPROVAL BY DATE ACCEPTED FOR FILING SITE PT, A." ®--- DINOTES EIXIST. GRAM ,;a By: , i�- DENOTES FIN. GRADE Date: --�— DEMOTES SQFCE. SLOPE Comments: w10 5326*Qf� y x w X6.99, i AWA WICK HOMES, INC. DATE REVISION a rel RECEIVED JUN 1 71992 My OF FEDOUIL WAY BUILMIG MPT LEGAL LOT 42 }E�erTACie wesT DSCRPTN. KING coukrrY ADDRESS 865 "524' ST PLOT PLAN DATE J03 N0. SCALl- Ig2O' ,LILY' 13,tg14 Hw • 42 91-12 E lilTAGE WEST' • SECTION 17, TWP. 21 N., R.4 E., W.M., KING COUNTY$ WASHINGTON .v SCALE: 1" ■ 100' 63 J7 S-9 I—,— Ab vs Rr_u -,0,'7A1L JUN 17 1992 WY ()F FEDtRAL AM SHEET 2 OF 2 SHEETS BUILDM DEPT