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90-100083 9o-/00023 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 90-0124 OWNER'S NAME MR & MRS ROUBELE JOB ADDRESS 2424 SW 32.5 ST CONTRACTOR PACIFIC REMODELING ADDRESS 24334 21 AVE S DESMOINES CONT PHONL878-9309 CONT. REG. NO. PACIFRC121NZ 7/90 OWNER'S PHONE 661-2086 OWNER'S ADDRESS SAME AS SITE TYPE JOB: NEW RESIDENCE ADDITION XXXNEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 638660-0270 LEGAL DESCRIPTION LOT 27 OLYMPIC VIEW RIDGE 11 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/16/90 BUILDING INFORMATION •NE NA OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N BLDG. SO. FT. 238 NEW SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' _ STORIES 2 HEIGHT LIMIT 30' MAX _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 1 ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR _ TANK(S) SHOWERS 1 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ LAVATORIES 2 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. RETURNED SINK MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES 5 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $14,451-00 PERMIT FEE $162_00 PLAN CHECK FEE 1055_00 PLUMBING FEE 25_00 dENCHANICAL FEE igpirTAL BLDG. FEES $29.2.00 PART PIC FEE PAID IN FULL ON 4-2-[ `� ? 0 SEPA REVIEW WATER SERVICE AMOUNT PAIDn WATER MAIN CHG. ��� 7 .5.---D S.B.C.C. FEE 4.50 RECEIPT # 2�---- iol) OTHER FEES AMOUNT DUE $296.50 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 E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BEM .7 - • W OWNER OR AGENT _ , DATE /p CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 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 NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. SETBACKS: FRONT SIDE REARSTORIES _ 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 PERMIT FEE PLAN CHECK FEE PLUMBING FEE ECHANICAL FEE TAL BLDG. FEES PART P/C FEE � Y -. I i 'i /� TM !e!"1T i } { t SEPA REVIEW WATER SERVICE \. j A'" : i WATER MAIN CHG. - - s S.B.C.C. FEE ' •-.k � ° om OTHER FEES _ : t f 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: 1 OWNER OR AGENT DATE /~' D Z 11 O D C 11 Ti �1 m D m m �° m co D O Nv\ n I -E ; 1 z / . N O 1 p . t D � d I0 m = ��N. o DJ Z , i -I 9. Sc> cc;) +...k.) _j_ i -P n ? 4) C J v� �n11?S 0 (n D > > O •n D _ia m , �� ^ r m OS1D v 33 l � O5 LA NOZ z m -N O O ` m0ti•-N, ) `� z ci k. 1 co zP r i z _ ' � N 1 �,�., D D 0 m D �/ 4111 m r-m =m K z C �, _ l 0 0 0 I D n O I\s) p > O P � C� � � Z Z O (9 ..i t \sY 1 in 0 10 1 Z 0 DJ N i r \ 1s__,. fit.11-- _ \--, A's O > i • . 0\1)k ' A. 0<(• 1,7Y \\uAcIO c'�- �`` '/ /lam "9&./.<-,p/<,pc ,Ss, vQc,Q U CITY OF FEDERAL WAY oF,�Tty� BUILDING PERMIT APPLICATION '" lie.,' — Please Print— BOX 1 OWNE'!/I ' '5 ,/ -1' JOB LOCATION / OEL 4L e4-14 OWNER'S ADDRES - _ CITY a�7F/Z4L Cc/6- PHONv2(76S7(' DESCRIBE JOB I,2/f-1 a THE PROPERTY IS OWNED BY: SINGLE/ ARRIED V PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME -44'6' ;e-- / �/ id/,, 5Yt' 4'S7' CONTRACTOR'S REG. #'01;24 . ' _ NZ- /�2 2// / r� N:7-- Card MUST be presented CONTRACTOR'S ADDRESS, Y-00 Y` c2/ ' /t �` CITY �C3 /2/ /4, SHONE Y/ Y3677e EXPIRATION DATE 7/ /, / "76} 01, 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 -T ZA)/}/,'f/n42c PHONE '/Y (r`Se 7 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST I/,�> OCX2 vc) EXISTING BUILDING VALUATION -6"'",-----/ BOX 6 PROPERTY TAX ACCOUNT NUMBER , - A , 70--U _ LEGAL DESCRIPTION >47" a 7 y 41/0/C r £ LJ icer , / (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR , "¢ 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 (�SINGLE FAMILY (✓) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTUREv ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY p'i Yl SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. / WATERCLOSETS GAS PIPING, FEET $ 1 BATHTUBS NO. FURNACE, ELEC. GAS $ / SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ itrir 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 $ OTHER $ 5 TOTAL FIXTURES $ X S S < U 0 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 AI.D FURTHER THAT!AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER- FORM THE WORK FOR ; - H P APPL/ •TION IS MADE. �;-s OWNER/AGENT: 1 1 „�,� G.-- DATE: . 0 ANP-006 2/90 • 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: /11/X , /UO Ca (109e_ (ter '-4S Q_ GG- o( ( CA Itis. SEPA: EXEMPT NOT EXEMPT / FIRE DEPARTMENT APPROVAL �, ` DATE REMARKS: 1/ PUBLIC WORKS DEPARTMENT APPROVAL ,, / DATE REMARKS: ( v 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. ROOF OTHER OCCUPANCY F-3 TYPE OF CONSTRUCTION Vy STORES 1-( V t ri BUILDING SQ. FT. 2'3 S @ ( q� oe = 16 Lf i- ‘ o cc BUILDING SQ. FT. @ BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ Of a v� ( ,Kd 0 (er- z- O , g o BUILDING SQ. FT. @ TOTAL SQ. FT. TOTAL VALUATION l Lf t{Sf- 34 EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO. PERMIT FEE 1G Z- 0 0 PLAN CHECK FEE /CS. — PLUMBING FEE — 7-3.-.-4— MECH. FEE `''5" TOTAL FEES QRZ -00 SBCC SURCHARGE '-1, S Q ENERGY SURCHARGE , Ci AMOUNT DUE z 9'6 ..S'O BUILDING DEPARTMENT APPROVAL DATE 3 30 - q'p REMARKS: P ASSIGNED ADDRESS: Se-Q Q_K1 S �(t9 RECEIVED ACCEPTED FOR FILING