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91-101580F_ L 4 CITY OF FEDERAL WAY First Way South Feder g lJ ILDING P Federal Way, WA 98003 REVISION TO 91-711 NR BU /-- /o/ 5 -g -o BUILDING INSPECTION 9/_/c)/.5-;,4/ 661-4140 91-711 OT TMB BLDRS 30937 37 PL SW PERMIT N0.�B _OWNER'S NAME BLDRS SITE ADDRESS CONTRACTOR ADDRESS 1911 SW CAMPUS DRIVE #104 FEDERAL WAY 98023CONT.PHONER3R-8626 T14BBUI*100CA 6/92 SAME SAME 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. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER REVISION TO EXISTING PERMIT (RE—ENGINEERED---&- TAX ACCOUNT NO. 0558755-0040 LEGAL DESCRIPTION ADDED 2 WINDOWS) ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION SEE 91-711 ZONE 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 BLDG DEPT APPROVAL = KEVIN ELLIS PERMIT FEE $30.00 "l HR PLAN REVIEW OF REVISION @ $30.00 PER HR" PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PART P/C FEE EPA REVIEW PUBLIC WORKS S.B.C.C. FEE FIRE FEE DATE: _ OTHER FEES AMOUNT: $30.00 AMOUNT DUE $10-00 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. r-+ _ f OWNER OR AGENT u _ _ __ DATE '-" h^ I RIP REVISION � Ormit # RECEIVED NOV i CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: OWNER '14fS UIID"EA-t- SITE LOCATION �' : �1 L Sw OWNER'S ADDRE CITY PHONE DESCRIBE JOB kJ510fA 7 V T (E46_,N N THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERS IP CORPORATION BOX.2 CONTRACTOR'S NAME Iua-.gS CONTRACTOR'S REG. # TJA A3�Uj (-k Card MUST be presented CONTRACTOR'S ADDRESS U`�- 0+CITY r' -1 L- WLw( PHONE C>3.6 - EXPIRATION DATE v 13 'c —OR— I HAVE READ CHAPTER 18.27.010 RELATINVODEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON ' L-1 MIMa14't-aPHONE 571L BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST BOX 6 PROPERTY TAX ACCOUNT NUM LEGAL DESCRIPTION ' - I EXISTING BUILDING VALUATION '4"0 (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK_____J_ GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT :1 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 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 FEE $ S 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 OFTHE 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: DATE: ANP -008 3/90 .CITY OF FEDERAL 35530 First Way South Federal Way, WA 98003 WAY Qs ya ,�zrL BUILDING PERMIT BUILDING INSPECTION �? � 5 � 661-4140 I IDIS3o 9t— 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. 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 tlpP�L SETBACKS: FRONT - SIDE_ _ _ ---REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO._____ TYPE OF HEATBLDG. SQ. FT. STORIES UMBING 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 ;U.D s DEPT APPROVAL :: KEVIN E. L1.1 !1 RP PIAN REVIEW Off" ,'VISION $30.00 PPR lgPw PERMIT FEE PLAN CHECK FEE PLUMBING FEE ECHANICAL FEE ART 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 t E MET. -OWNER OR AGENT DATE SET BACKS AND FOOTINGS DATE _......— .......—...... BY _..—. — OX 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 -- BY FINAL O.K. TO OCCUPY DATE _ .BY DCD PSD TFD /? -1/ 9/ C. A, 1,/ LvG LL �GLI�s //t1 f' a rr o1> Tr<" s - //2/i �'L/��/c c //>'tii� /z Al Z C/,r-lV Q 4G 0,/V, S z4a im re o /p a �./ S C . 6y I -7 y/ =<vox c'�sr �.� z -L ��z/� - %/2 Loon T ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: • l . 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIDE REAR HEIGHPLIMIT SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: 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 STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: ha k k -g- J i e�p -e- 12 -3o RECEIVED ASSIGNED ADDRESS: S' �- el< < Amount BY �.. PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE 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 BUILDING DEPARTMENT APPROVAL Gj DATE 11 71—V ACCEPTED FOR FILING CITY OF FEDERAL WAY BUILDING PERMIT BUILDI41 NG IN 55ECTION PERMIT NO. 91-711 NR OWNER'S NAME TMB BUILDERS JOB ADDRESS 30937 37 PL SW CONTRACTOR TMB BLDRS ADDRESS 33305 1 WAY S #202 FEDERAL WAY CONT. PHONE 838-8626 CONT. REG. NO. TMBBUI*100CA OWNER'S PHONE 838-8626 OWNER'S ADDRESS SAME AS ABOVE TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER . • • AND DECK AND GARAGE TAX ACCOUNT NO. 058755-0040 LEGAL DESCRIPTION LOT 4 BAYVIEW COUNTRY ESTATES ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 5/30/91 BUILDING INFORMATION NE RS 15 OCCUPANCY R -3/M-1 TYPE OF CONSTRUCTION 5-N BLDG. SO. FT. 5394 SET BACKS: FRONT 20' SIDE 5' EACH REAR_ 15 STORIES 2 W/ BSMT HEIGHT LIMIT 30' -MAX -- MAX_PLUMBING PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 4 ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER 2 1 RECEIVED BATHTUBS LAUNDRY DRAINS _ COMPRESSOR TANK(S) SHOWERS 2 URINALS FORCED AIR FURNACE GAS 10 .Q0 AIR HANDLING UNIT NUMBER _ LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. 6_9 MISC. _ 1 RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS 1 TOTAL FIXTURES 16 X $5.0 UNIT HEATER TOTAL MECHANICAL 2,0_00 AMOUNT NONE. VALUATION $232,151.0O PLANNING DEPT APPROVAL = DEB BARKER PERMIT FEE $1105.00 PLAN CHECK FEE 718.00-----$164.00 "NO BUILDING SHALL ENCROACH ONTO ANY BUILDING SETBACK PLUMBING FEE 80-00 - LINE OR EASEMENT, SHOWN OR NOT SHOWN. PILLARS ARE NOT HANICAL FEE 20.00 PERMITTED IN FRONT YARD SETBACK' AL BLDG. FEES $1923. OO PART P/C FEE (554.00) ----PD ON 5/30/91 FIRE DEPT APPROVAL = KEVIN ELLIS SEPA REVIEW WATER SERVICE PUBLIC WKS DEPT APPROVAL = TOM COLLINS WATER MAIN CHG. 4.50 BLDG DEPT APPROVAL = MIKE MONEN S.B.C.C. FEE OTHER FEES PUB WK. 235.00 DATE PD I -k--� I AMT $1608.50 RE' CT AMOUNT DUE $1608.50 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 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 EC51VED A MAY 3 Q 1991 CITY OF FEDERAL WAY BUILDING DEPT. r� F„it # 1/- 7 / / N2 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — S j q. Cl 1) BOX 1 TENANT NAME.- AME:OWNER OWNER2 -MI -3 914/4D,64es rtijG SITE LOCATION , T OWNER'S ADDRESS CITY F 7 PHONE 15 3S 9GzZG DESCRIBE JOB - ;1AJ aLE FAr dj[.y Sivgooc;fi THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 1219 da t LOCI S , (Ake_- CONTRACTOR'S REG. # 114elS l pv�% c'® <-A Card MUST be preserl�_' CONTRACTOR'S ADDRESS 1— t7d'Z CITY F W PHONE 2639 962-(, h EXPIRATION DATE CvTT`l - 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. l BOX 3 CONTACT PERSON AJKJE 61URMN C PHONE'T BOX 4 SEWER DISTRICT n�nv `zd* WATER DISTRICT, BOX 5 ESTIMATED PROJECT COST R?AazdUD EXISTING BUILDING VALUATION . BOX 6 PROPERTY TAX ACCOUNT NUMBrFS-S 753-- DOSGO ER LEGAL DESCRIPTION vrE o�2 c o D Uvcu S CL) (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # i ?CZ ZS"i Z Z / BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /1,K,7 Z 2ND FLOOR 3RD FLOOR / BASEMENT / 7G[- DECK l 7 GARAGE /i'.S 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 — BASIC FEE $ NO.q_WATERCLOSETS GAS PIPING, FEET $ 3T6 z. BATHTUBS NO._ / FURNACE, ELEC. GAS $ L� 7_ SHOWERS % GAS HOT WATER HEATER $ So A— LAVATORIES CONVERSION BURNER $ j 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 $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS U4_r-sLaAJ $ OTHER $ h. TOTAL FIXTURES _ $ k I,— - "J t ee TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNC':rL'LDGE 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, 'SND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS =FICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. i • � OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZON456,0 SETBACKS: FRONT 20' SIDE S� REAR `� HEIGHT LIMIT 30 PLANNING DEPARTMENT APPROVAL�6 REMARKS. _1Ah? G1----.-- SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: DATE _ 9Z PUBLIC WORKS DEPARTMENT APPROVAL DATE 7_ !O 4 f REMARKS: 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 3 TYPE OF CONSTRUCTION ZA STORES BUILDING SQ. FT. 777 @ 71 = 13($33. 30 anc� Lon✓ BUILDING SQ. FT. /941 @ f° = 4/ 9076 • 110 BUILDING SQ. FT. 70-0 @ / Vo _ /a '71Vb . 60 OecV, BUILDING SQ. FT. %y3 @ /0 lee = 71`30t00 ya�4fc BUILDING SQ. FT. 8/3 @ /�3' _ /q (177 90 BUILDING SQ. FT. @ _ TOTAL SQ. FT. -S39 TOTAL VALUATION )L(63 SCJ` O BUILDING DEPARTMENT REMARKS: RECEIVED PERMIT FEE PLAN CHECK FEE _ PLUMBING FEE _ MECHANICAL FEE _ TOTAL BLDG. FEES PART P/C FEE _ SEPA REVIEW _ Pw' S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: '3oq37 3 7 S, PARTIAL PLAN CHECK FEE RECEIVED Amount - Date C �Receipt # BUILDING DEPARTMENT APPROVAL BY �l M DATE 7 -z-S-` 23.E 0,0 y Ja ACCEPTED FOR FILING CffY OF FEDERAL WAY BUILDING PERMIT BUILDI41 NG INSPECTION 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 SSUED BY DATE OF ISSUE_ DATE OF APPLICATION BUILDING INFORMATION ZONE 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' gg��p 'a �}'� qq��''yy�(T7� ii }� yy �uj pp ��yjyyc�``,, DIPT "PRP AL = DR8 DT�.iiKER PERMIT FEE _.._.. '64.00 "NO BUILDING, SHALL ENCROACh ONNTO MlY PLAN CHECK FEE LINE OR EASM-gNT, SROM. OR NOT M� N. PZ: _UMBING FEE —_ .S! PL3tiUTTED IN FRONT YARD SETBACK* ECHANICAL FEE _ TOTAL BLDG. FEES ^^N 5/30%�y / —PD O 91 PART P/C FEE �1 y+ FIRE DEPT "PROVAL = IN F..LLIS SEPA REVIEW , PU13.LIC WS DEPT APPROVAL '= TOM COLLINS WATER SERVICE WATER MAIN CHG. BLDG DEPT iWPilOVAL MIKF k++:t?NSN S.B.C.C. FEE f+ OTHER FEES I"A# v,' '!T' j • Z WIT R? 0;0R',.'s43 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: 0WNER OR AGENT DATE r E SET BACKS AND FOOTINGS��,,,,qq DATE �`�' BY _. _ci'!J —_ OX TO POUR FOUNDATION WALLS DATE 5?= BY Z17 —_ PLUMBING GROUNDWORK DATE :_ �J– Y� BY PLUMBING ROUGH IN DATE//_f f�$//BY.�... __...— WATERLINE O.K. _ GAS PIPING MECHANICAL INSPECTION DATE ._2_- ..�' �._ _.BY _Alt3..._ ._.. ---- O.K. TO ENCLOSE FRAMING DATE ..�—_�_2791E..BY /73 CI 'N m //- INSULATION DATE ...L 3 Z_ BY f _......_— _ WALL BOARD ANDFIREWALL DATE —1 – _-/ BY ..- FINAL O.K. TO OCCUPY DATE< DCD PSD FD �- A. -0 O% %%- c,41l) ' j L T %'/ r s !�% 1J – G/n/ 2 /1 • �L- 2 c:.c. L 1 L !JG �•. ti j � � %/ N ` 5 'Fo ce N 04 ?/a N a2, t < TT iv 3G "� / �-/Xv/2 1�c 1 is- 91/e •Gc� T �i�v Z '' /�' /Z n,U O /` /i fJr:// �//i �.� � U/�� d`ry/� t/L 1 .r- (� /�/i i � c• v/Z �.c.J71 L � j=i�2/z .Pt /t - O:iI_�-7 c� /yI&IZ - 1>6v /i2 1 ��r�. sa w� xnrz ;ey.�/lis GN 4/7�/lJ1 x%12 /Z 102 i4C /'? 4/1 7- eel lAel 5.0. N /Lle viJiunf itis 1S0 /111 Qy//2/r0 7" A,,t1 /l/GiU/jL / a/Z do Z. J 1S S r ex lsed t'4 A, 2z J., C 2 tt. s/I /�/vT 1ZX' Tv d' /t dZ 1y171v7- c x A� U 41^/z3- /N 5'04�611- 61 d/zr k-