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91-100195CITY OF FEDERAL WAY BUILDING PERMIT BUILDING INSPECTION 941-1555 PERMIT NO. 91-160 MH OWNER'S NAME DORIS KELLOGG JOB ADDRESS 1660 S 333 ST #20 CONTRACTOR PETE' S TOWING ADDRESS 21841 PACIFIC HWY S SEATTLE CONT PHONE824-2811 _ CONT. REG. NO. PETERNC243M8 7/91 OWNER'S PHONE 839-0822 OWNER'S ADDRESS SAME 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 SET-UP MOBILE HOME TAX ACCOUNT NO. 797820-0081 LEGAL DESCRIPTION LOT 16 OF STATE PLAT IN SEC 16-21-4 T.F.SS SO 150' OF W 2001 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE ` DATE OF APPLICATION 9.113191 BUILDING INFORMATION ZONE RM3600 OCCUPANCY R-3 TYPE OF CONSTRUCTION BLDG. SQ. FT,_ 679 - SET 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) 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 NONE- UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $2,956. OO PLANNING DEPT APPROVAL = CORY SMITH ON 2/19/91 PERMIT FEE _ $534-00 PLAN CHECK FEE Sri _�O LUMBING FEE FIRE/BLDG DEPT APPROVAL= KEVIN ELLIS ON 2/19/91 CHANICAL FEE TOTAL BLDG. FEES PART RFEE SEPA REVIEW WATER SERVICE WATER MAIN CEG. rl DATE PD ' AMT REC' T�-- S.B.C.C. FEE 4.50 OTHER FEES AMOUNT DUE $93 . SO 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 % v7� fZ OWNER OR DATE DATE CI 9 Y OF FEDERAL WAY BUILDING PERMIT 01--ir c.Y-} BUILDING INSPECTION %V1140 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---- THER___TAX TAXACCOUNT 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 7 o VALUATION ,,,A1'w+4T�Gv DEPT A€'PROVAI CORS: SMTP ON 2/19/91 PERMIT FEE _ PLAN CHECK FEE PLUMBING FEE -- r"IRF/BLDG DEPT APPROVAL- KNIT 3"IS ON 2/1419 9 MECHANICAL FEE TOTAL BLDG. FEES _ PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. DAT -PD 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 tiL � Ciie41-Kw-, _ iLe//2//^ L G5 DATE 0-K-1 BY -1-71-1411- -_ F(lI1NDATION WAi i S DATE 3-/G^�12 BY /Y�_..._ 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 QATE 3✓/�" �� � BY DCD PSD FD uQ /td G vI//VC- /z /Z 3 3 /Z S -Lt / S Y &v4 $-5-00 3 -.47!:- 0 2 3 7 <t/Z/ L+/z o w T iT - S S U/7l/ N0 c c' 3 ,Z1/2T/iv L- Tia�r /54.x/- ``u/�rv7- /}121119 4/1&v//1.e0. 'yJ /l., O ///1 gzljic .2/I11/1 i/Z ;'y Gtr vF G114101 a5. --asl/i .0 lvaT occ C., d �%il /Z%LJii7,e NT D/1C/ !� 1 t�/f�l/�ii r/t+l.Ly S'�j o/LTC/,' -- lS //�;.ivF d.•cJ `N12 ^ i LsK/L fj5 S/i/� w /�A/`/ ti L GlZl2 2 v 7 - S N FqzG/jig _fir �- ',=r/V y -A l QV% 0tLO-17cT/t'hS 2/N f�G/y/f, Uh'/1 i 1411 ltd/VC/T.O e'l r Al- /L l �Z c,/' Z �4/ii /t,� C//2CYr,►si RECEIVED FEB 13 1991 E rmit # 9�-ac / N CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — OWNER ".c t i S .f4 SITE LOCATION OWNER'S ADDRESS CITY ii %erkaI Lt)e 41K -"PHONE 3z<l - DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. x CONTRACTOR'S ADDRESS �l CITY '75 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 � L=L -1=i` -•1 - (—�Lt_ PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER C X LEGAL DESCRIPTION _ Lo -� / ` v V 0S -t -- i 17 a -- Les s s s -a 1= -t r--7- (It necessary, please submit a separate page with the legal description.) K.C. Plat Recording # - e BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR, i7 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 (V SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough - N0. ATERCLOSETS —ATHTUBS TORIES SINS DISH ASHERS ELECT C HO WATER HEATER LAUNDR SHER OUTLET URINALS _DRINKING 0 T SUMPS, RINK DRAT OTHER TOTAL FIXTURES AINS R VACUUM BREAKERS MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ N0._ FUR CE, ELEC. GAS $ GAS T WATER HEA ER $ CON VE ION BORNE $ BOILER, IZE BTU $ AIR HAND ING U TS $ HEAT PUM , S E $ UNIT HEATE $ AIR COOLIN NITS, SIZE $ COMMERCI L OD $ OTHER $ S 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 ACC RACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: -,ti; 7 DATE: �J�— /�� / ANP -008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE -BELOW THIS LINE) ZONE_ . SETBACKS: FRONT N I, SID A REAR HEIGHT LIMIT t✓�� PLANNING DEPARTMENT APPROVAL _ .2 - /lr ~ S/ REMARKS: SEPA: EXEMPT ,A NOT EXEMPT FIRE DEPARTMENT APPROVAL DATEr`=�� REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL d_1 A S CSG DATE REMARKS: MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT OTHER FEES NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCYTYPE OF CONSTRUCTION STORES d BUILDING SQ. FT. @ S', 336 6) BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. BUILDING SQ. FT. @ @�� _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: ECEIVED F E B 13 1991 Y OF FEDERAL -WAY BUILDM DEPT RECEIVED ASSIGNED ADDRESS: Sem- 42-K ( Amount _ BY PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE S CSG 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 Receipt # BUILDING DEPARTMENT APPROVAL q DATE 2- rq - l It ACCEPTED FOR FILING S Zn _... CITY ry: FEDERAL WAY BUILIANU DEPARTMENT UMBER ______ -q p DATE APPRO EDZ- � / _� DAI L -- : `ED_2 -j-a-J � I APPROVED FILE Lz�" THERE ARE TO BE NO TO T HE APPRCV!FD UNLE-33 OTHERWIz�• APPRL THE FEDERAL WAY gUliu.NJ DEPARTMENT. FEB 13 199, .j.V 01�.D NG DEPT AY gUl CITY OF FEDERAL WAY BUILDING DEPARTMENT NOTICE ADDRESS 14�' 6 G 5 333 `1h 517- S1/4 CJiyr12C THIS STRUCTURE/TENANT SPACE IS NOT APPROVED FOR OCCUPANCY BY PEOPLE OR MERCHANDISE. coo NOT OCCUPY YOU MAY CONTACT THE CITY OF FEDERAL WAY BUILDING DEPARTMENT (PHONE 941-1555) FOR OCCUPANCY REQUIREMENTS. POSTED THIS % % ' DAY OF j-h.�/� y19 4 jy , 199.2 Building Inspector DO NOT REMOVE THIS TAG