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90-100412 qb-BOO i/ CITY OF BUILDING BUILDING INSPECTION FEDERAL WAY PERMIT 941-1555 PERMIT NO. 90-567 P OWNER'S NAME MEDALLION CONSTRUCTION INC JOB ADDRESS 4605 SW 328TH PL CONTRACTOR BERGH & GREGGS ADDRESS 19717 SE 320TH ST AUBURN CONT. PHONE 630-9482 CONT. REG. NO. BERGHGC 121NZ OWNER'S PHONE 854-5927 OWNER'S ADDRESS 3123 S. 268TH PL KENT 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. 802950-0080 LEGAL DESCRIPTION LOT 18 STONEBROOK DIV I ISSUED BY JOANNE JOHNSON DATE OF ISSUE 5 t// - ?O DATE OF APPLICATION 5-10-90 BUILDING INFORMATION SNE 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 3 ELEC. HOT WATER HEATER 1 GAS PIPING FT. BOILER BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED SHOWERS 2 _ URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ LAVATORIES 3 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. SINKS 1 MISC. BASIC FEE 20.00 CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS _1 TOTAL FIXTURES 14X5= 70-00 UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION 90.00 PERMIT FEE PLAN CHECK FEE PLUMBING FEE 90_00 AIIKCHANICAL FEE lipTAL BLDG. FEES PART P/C FEE / ( —�o SEPA REVIEW -5 DATE: WATER SERVICE WATER MAIN CHG. ,J9 S.B.C.C. FEE /� A C7�� OTHER FEES AMOUNT: �IU AMOUNT DUE 90.00 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 g OWNER OR AGENT / 1 VLbea/ . DATE -5— // / 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 ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION •NE 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 PERMIT FEE PLAN CHECK FEE _ PLUMBING FEE arCHANICAL FEE - TAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. 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 • . SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE .__ BY DATE - .... - BY -_ DATE - ... BY PLUMBING ROUGH IN WATER LINE O.K. __... -._.. MECHANICAL INSPECTION DATE _/14-.6/° BY ✓/ _.-_ GAS PIPING O.K._ . ._ DATE BY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE BY DATE BY DATE BY FINAL O.K. TO OCCUPY DCD PSD FD DATE Ci_+_"2 -C:i BY / .-_-- • �v CITY OF FEDERAL WAY mit # O REC- E��vED BUILDING PERMIT APPLICATION — Please Print— MAY 1 OE 1990 clry of��Df=RAJ�J WAY BOX 1 TENANT NAME: Bt11 f OWNER /1 o.,4.i!-! , . �. i�' , Gerry , SITE LOCATION �• / 5W. .3 =i,� . 1Ae OWNER'S ADDRESS I t _ CITY AL-411 PHONE s'5'y-592_7 DESCRIBE JOB n I / THE PROPERTY IS OWNED BY: INGL MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME gam, 3 h + GYi j JS CONTRACTOR'S REG. # 3er it—GC /4) VZ Q 14 Ward MUST bel resented CONTRACTOR'S ADDRESS ) 9117 SSE 3-2-0 .dam CITY at.,64.1-11./vi.) PHONE 63,0— 99'?2.- EXPIRATION DATE -7I%� g---c — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS I SUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON —► \ ..0.91L ►. PHON ��-� -�- BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT UMBER • e: C - •0.7 0 LEGAL DESCRIPTION _ .id. S c to»F_ bv-On Divi ci'rDn ane (1) (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 / GARAGE / BOX 8 SINGLE FAMILY (X) 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. 3 WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ 4- SHOWERS GAS HOT WATER HEATER $ 3 LAVATORIES CONVERSION BURNER $ I SINKS BOILER, SIZE BTU $ / DISHWASHERS AIR HANDLING UNITS $ Et{ C HOT WATER HEATER 6% HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS nn . '' $ 3 OTHER j/ems ,aJ4) ? $ r TOTAL FIXTURES $$.,e- 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 EMPLOYE S, UPON THE ACCU ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWJVER/AGENT: DATE: 5—IGS ` ANP-008 3/90 I OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: 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: 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 r`y'L/ 7 ASSIGNED ADDRESS: (1�d39j��0 /1 0� y\)/ -') PARTIAL PLAN CHECK FEE RECEIVED N> '1" 1/mount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE ACCEPTED FOR FILING