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92-100725 CITY OF FEDERAL WAY 9)-' /0 0 7.1,S" 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMIT NO. 92-759 RA OWNER'S NAME HANK GOSSELIN SITE ADDRESS 2400 SW 325 ST CONTRACTOR P.B.C. ADDRESS 11621 DES MOINES WAY SEATTLE CONT.PHONE--BBe eB- CONT.REG.NO. PBC121OB EXP. 7/92 OWNER'S PHONE OWNER'S ADDRESS 241-1640 TYPE JOB: NEWRESIDENCF ADDITION XXX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN _ GRADING OTHER TAX ACCOUNT NO. 638660-0230 _ LEGAL DESCRIPTION LOT 23 OLYMPIC VIEW RIDGE NO 1 (- ISSUED BY EBS _ DATE OF ISSUE (0 4:( 7( :` _. DATE OF APPLICATION 5�15�92 BUILDING INFORMATION 111kNE RS 7.2 SET BACKS:FRONT 20, SIDE 5' /5' REAR 5' HEIGHT LIMIT 30' CCUPANCY R-3 TYPE OF CONSTRUCTION 5—N _.. CENSUS NO. 434 _TYPE OF HEAT GAS BLDG.SQ.FT. 134 STORIES NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER _ GAS PIPING FT. GAS LOGS BATHTUBS - LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK _ 6.50 RECEIVED SHOWERS _ URINALS GAS HOT WATER HTR. AIR HANDLING UNIT _ NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS 1 MISC. BBQ BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 2 X $5.00 DRYER _ TOTAL MECHANICAL 6.50 AMOUNT VALUATION $8,726 PERMIT FEE $108.00 PLANNING APPROVAL = DEB BARKER PLAN CHECK FEE 70.00 PUBLIC WKS APPROVAL = JEFF S PLUMBING FEE 10.00 MECHANICAL FEE 6.50 BLDG APPROVAL = KC ELLIS .T P/C FEE LPA REVIEW PUBLIC WORKS 35.00 S.B.C.C.FEE 4.50 > FIRE FEE DATE: OTHER FEES AMOUNT: $234.00 AMOUNT DUE $234.00 RECEIPT: ® 2_ - S c` > S ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. CERTIFY THAT THE INFORMATION FURNISHED :Y 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 `= `'e= '-'- L 6i . Ls �=—� �� 7� DATE CITY OF FEDERAL WAY Federal ECTION 33530 First Way, WA 98003 BUILDING PERMIT661-4140BUILDING INS PERMIT NO. OWNER'S NAME SITE ADDRESS _ ,-- CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. EXP. 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 0 BUILDING INFORMATION 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 _ PLANNING APPRARAL = DE33 BARKER PERMIT FEE PLAN CHECK FEE PU1 bIC WKS APPROVAL = JEFF S MPLUMBING FEE wui APPROVAL = KC ELLIS ECHANICAL 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 �v h k i, it SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING PLUMBING GROUNDWORK DATE / 7/ BY�u __. DATE 1�1.._ Y ._..C�?S _._-_ DATE - BY PLUMBING ROUGH IN WATER LINE O.K. _ _..... MECHANICAL INSPECTION _ DATE 74°_,3/3/ BY BY..�'� ..-___ GAS PIPING O.K.--- ..---_ _._ DATE _ O.K. TO ENCLOSE// FRAMING INSULATION /y, WALL BOARD�// ANDDFIRE WALL w.._ _..BY �S DATE ... .. �Z.BY ___f..-Gf .._._ DATE l` Z�`� ��- BY DATE ... ' . L FINAL O.K. TO OCCUPY I/ DCD PSD FD DATE/071:2°"t'2-. BY 12��1v of C P6"114,c„-, v/sem cx1.4 SA PG r �,, ,7�.1 cj &-ri i'eAg rL S Vo ke-tz r� • t om , qca Recet, - • vED 0 Pai i t # 1 c--7- ' 1 lip c-p MAY 1 51992 CITY OF FEDERAL WAY , 8OF FEDE IMLD WAY BUILDING PERMIT APPLICATION FT — Please Print— BOX 1 TENANT NAME: OWNER f-4 JK C�DSS !`,1 SITE LOCATION ,2 5 w =„S `j' ST— OWNER'S TOWNER'S ADDRESS 3/4-14-1-1-- CITYPHONE. DESCRIBE JOB {Kerr-/ :, ./ n/iA/6 f9-/gyp/7i” -- ',5f, 1-1--, THE PROPERTY IS OWNED BY: SINGLE/MARRIED /1/4/7-41C=.4 PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Pi 6 , C I CONTRACTOR'S REG. # A /x/06 Card MUST be presented CONTRACTOR'S ADDRESS //"a/ Dzs ma/4s L(Jqy CITY S€ PHONE Sr EXPIRATION DATE 741/94A I- ,'L/l,l6,16 — OR — I HAVE READ CHAPTER 18.27.010 RELATING EFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON lS`i GU//heir,/S _ PHONE 4/-7(4'`/° BOX 4 SEWER DISTRICT O�-leq-/ a-A- / v WATER DISTRICT i----- _/.94 GU'9y BOX 5 ESTIMATED PROJECT COST o2C'1, Oov EXISTING BUILDING VALUATION 344600 . 15-300/7/21300 BOX 6 PROPERTY TAX ACCOUNT NUMBER fli(o311(aloo - Oa v -00 �Anp B (- LEGAL DESCRIPTION LOT ad, DLy!�,<G -,-J U, e106E /VO I ( r(� 4, (,o) L) SSI—4,-7 (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # VO I. - (-(off / Cp5k(0(06, BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 650 / SF 2ND FLOOR go?41 / S1 L_ezrv244Rtr FLOOR `i 40 / S iz BASEMENT / DECK / GARAGE 'Y'// / S t- BOX 8 (:SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 2q0J SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO._ FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ I 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 ---k --44-'0r\ ► Li-e-' Zr $ OTHER $ - TOTAL FIXTURES $ ?cc = IC< dL TOTAL MECHANICAL FEE $ h -SO 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 INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: _ / , ,�L�_____ DATE: .31/-579-c=.1-. ANP-008 3/90 oFFE USE ONLY (PLEASE DO NOT WRITE BELOW S LINE) ZONEX5f Z SETBACKS: FRONT ' 1 SIDE S 1 REAR HEIGHT LIMIT ----30 WREMAPLANNING DEPARTMENT APPROVAL -7F-/9Z ,W----- REMARKS: RKS: SEPA: EXEMPT '- NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: /1)/A PUBLIC WORKS DEPARTMENT APPROVAL -MS DATE 4./ii--- REMARKS: /(/ 6i . 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 P3 TYPE OF CONSTRUCTION VA/ STORES ‘1.6)0^-) BUILDING SQ. FT. (i" I @ -74' = ?T BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ r = BUILDING SQ. FT. @ BUILDING SQ. FT. @ A40d( c(`t_r = © - 8 $ TOTAL SQ. FT. TOTAL VALUATION '2) 72-6.- 0E1 BUILDING DEPARTMENT REMARKS: PERMIT FEE ( O $ AJkeks +t S (jk S o dt&_k tc,- _PLAN CHECK FEE 7 0 JJ PLUMBING FEE IC Gq f fc o c t!i f MECHANICAL FEE b-'-O TOTAL BLDG. FEES PART P/C FEE j SEPA REVIEW FOauc- 14, , 3S_.0¢..) S.B.C.C. FEE t° s o OTHER FEES 37 ,� Db AMOUNT DUE , ASSIGNED ADDRESS: 5 .--.'e-- �)c. ( S 1-t v PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# tr_____cBUILDING DEPARTMENT APPROVAL RECEIVED BY DATE 6- 2----7 Z ACCEPTED FOR FILING