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90-101106 96- 101/0 CITY OF ' BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 434 PERMIT NO. 90-1297 RA OWNER'S NAME DARCY SIMNIONIW JOB ADDRESS 4622 SW 328TH PL CONTRACTOR OWNER ADDRESS CONT. PHONE CONT. REG. NO. NA OWNER'S PHONE 927-3866 OWNER'S ADDRESS 4627 SW 328TH PT. FEDERAL WAY TYPE JOB: 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__ TAX ACCOUNT NO. 807950-0040-01 LEGAL DESCRIPTION LOT 4 STONEBPOOS ISSUED BY JOANNE JOHNSON DATE OF ISSUE g— ' O DATE OF APPLICATION 8-3-90 5 BUILDING INFORMATION ZONE OCCUPANCY R3 TYPE OF CONSTRUCTION _ VN BLDG. SO. FT 221 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 13,419.12 PERMIT FEE 153.DQ- PLAN CHECK FEE 99.00 UMBING FEE ECHANICAL FEE TOTAL BLDG. FEES DATE: 'G J PART P/C FEE L SEPA REVIEW AMOUNT: , S(. - 5 U WATER SERVICE �/ WATER MAIN CHG. RECEIPT: 11'r/b + U S.B.C.C. FEE 4.50 OTHER FEES AMOUNT DUE 256. 50 ALL PERMITS EX RE 18 DAYS AFTER ISSUANCE F NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT T E INF RMATION FURNISHE BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICAB E CITY OF 'EDERAL WAY REQUIREMENTS W L B ET: deo OWNER OR AGENT L DATE A- Ai )/ o (< 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 T' 5"� 9C) DATE OF APPLICATION ISSUED BY DATE OF ISSUE 410 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 VALUATION 111 PERMIT FEE PLAN CHECK FEE WLUMBI NG FEE ECHANICAL FEE TOTAL BLDG. FEES _ DATE: PART P/C FEE _ SEPA REVIEW Amo{J ' WATER SERVICE WATER MAIN CHG. RECEIPTS 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 0 rn D O 0 "O 0 (!) Q 0 m co D O m m D '�----- O _1 i--, \ V) �4_ R m Z o `� O i 71 c % t 17Z t 2 cid N Zi 1 I ' 1 \ I k., o o Z 0 g o 0 om mm' ,11 F Om C ....4 O t N.1 ° 0 ' , N, O D --3 S C \,1 coZ v 'h D r— G \ {� m f- m = m K h' \ IVW Z Z � `V D O � ) 0 0 ii (4 ,f\ ‘'\ Nz coc o z T m Z {1\-, -a0 0m 0 CO CO11 z W r \j RECEIVED 0 emit # 0, - c -9 -- AUG 0 3 1990 CITY OF FEDERAL WAY .---?--0 art OF BUILDING DEPT. AY BUILDING PERMIT APPLICATION — Please Print— A-tt'3N BOX 1 TENANT NAME: OWNER Dar cS%mn%on :t.J SITE LOCATION q-ba Sul 3 S5 t-K Ot-cz c OWNER'S ADDRESS QS 03 33 ts}v. P14.c e CITY T-C.c&a.LcLl W+� PHONE 41 2:7 3 26 ( DESCRIBE JOB Ltt.lett,-C a i 1r On yr THE PROPERTY IS OWNED BY: SlNGL IVj&i.ARRIED 1 ✓ PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME CLO►'1eR 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 -paLi JON.n%r 1 cry1+ t.c.• % r PHONE 911 - q" c BOX 4 SEWER DISTRICT '1.P d L.L)• WATER DISTRICT / c ! 2 , BOX 5 ESTIMATED PROJECT COST It s5C00 EXISTING BUILDING VALUATION /`T • ' BOX 6 PROPERTY TAX ACCOUNT NUMBER 80 9S"0 00 VO 0) LEGAL DESCRIPTION lot 'f, ,51V71e)3eooK acidi n •ttilt /a f 7�iereo F aCOk6( 07 iN dol1,c xCLI. O elF P%cciS1 Ja©�S6 S? )1,c47-74-5 A_ i,4, /4cii,Si' -, i,,J k .( Ccg (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (E /Proposed) 1ST FLOOR 3s /6 l 22NB- FtOOR'- J --3`RRB----FLOOR- / - -BASEMENT -1 -DEet / GARAGE- -- /- BOX 8 ()6 SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (t) EXISTING STRUCTURE (7 I ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY l°C SQ FT BOX 9 PLU BING FIXTURES (including rough-ins) ` MECHANICAL APPLIANCES — BASIC FEE$ NO. WATERCLOSETS / GAS PIPING, F $ \ BATHTUBS NO. FUR ,,CE, ELEC. GAS $ SHOWERS GAS HI' WATER HEATER $ L, £TORIES CONVERS c BURNER.; $ SINK` / BOILER, SIZ BTU $ DISHW, ERS AIR HANDLIN TITS $ EL `TRIC • IT WATER HEATER HEAT PUMPS, SIZ $ UNDRY WA ER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SI $ DRINKING FOUNTA S COMMERCIAL HOOD $ SUMPS, SPRINKLER •CUUM BREAKERS .- OTHER $ DRAINS - $ OTHER $ TOTAL FIXTURES $ 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 ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: Likidi DATE: g 90 ANP-008 3/90 • • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) LOG,; SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL `"- q, ...�.. .: -�'' REMARKS: /tii1n AI C-Gta 1(/ A,se 0(f 0 CL a Qtrt- C SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: &)/f- PUBLIC WORKS DEPARTMENT APPROVAL 4'J/,4 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 '14) STORES LlV ( fiL�] BUILDING SQ. FT. az T @ 6 e c.)0 = (SZk{ C( J BUILDING SQ. FT. @ BUILDING SQ. FT. @ = BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ /r0 ( ‘ = 0 i Od l'Q 1 BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION 11 t4( `r' ( 2-- BUILDING DEPARTMENT REMARKS: PERMIT FEE i 'v0 PLAN CHECK FEE qq, `> o PLUMBING FEE 0 MECHANICAL FEE 0 TOTAL BLDG. FEES )..„5-7_,..vc.. PART P/C FEE 0 SEPA REVIEW O S.B.C.C. FEE LI` c OTHER FEES 0 AMOUNT DUE /-5C.;- SG ' 14 ASSIGNED ADDRESS: 5_ --- LK( S+(c 4(y X60 ^> os� do V' co \>> 0 PARTIAL PLAN CHECK FEE RECEIVED 0 cp O -0 Amount Date Receipt# J BUILDING DEPARTMENT APPROVAL 'RECEIVED BY DATE ACCEPTED FOR FILING