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92-100706 CITY OF FEDERAL WAY ,a, JO()7 0 (o 33530 First Way South BUILDING PERMIT661-4140BUILDING INSPECTION Federal Way, WA 98003 PERMIT NO. 92-746 RA OWNER'S NAME JACK BUSS SITE ADDRESS 660 S 305 ST CONTRACTOR RON HOFFMAN ADESS 2626 SW 122 ST BURIEN CONT.PHONE 246-1009 CONT.REG.NO. EXP.'6 rq OWNER'S PHONE OWNER'S ADDRESS 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. 232950-0180 LEGAL DESCRIPTION LOT 18 EMBERWOOD ADDN II ISSUED BY E SNYDER DATE OF ISSUE LGA DATE OF APPLICATION 5/13/92 BUILDING INFORMATION *ONE_ RS 7.2 - SET BACKS:FRONT 20' SIDE 5' /5' REAR 5' HEIGHT LIMIT 30 II OCCUPANCY M1/M2 TYPE OF CONSTRUCTION 5-N CENSUS NO. 434 TYPE OF HEAT - NA BLDG.SQ.FT. 670 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 $7,796 PLANNING APPROVAL = DEB BARKER $99.00 PERMIT FEE 64.00 "NO BLDG SHALL ENCROACH ONTO ANY BUILDING SETBACK LINE OR EASEMENT, PLAN CHECK FEE SHWN OR NOT SHOWN' PLUMBING FEE MECHANICAL FEE "NO STORAGE OF VEHICLES PERMITTED IN REQUIRED SIDE YARDS PER FWZC 115.11_5" *ART P/C FEE PUBLIC WKS APPROVAL = JEFF SHARP SEPA REVIEW 35.00 BLDG APPROVAL = KEVIN ELLIS PUBLIC WORKS 4.50 S.B.C.C.FEE FIRE FEE DATE: OTHER FEES AMOUNT: $202.50 AMOUNT DUE $202.50 RECEIPT: nd-- --- rq ( q t' -- 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 INFATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. /6',1,.. %�I OWNER OR AGENT �, -L DATE CITY OF FEDERAL WAY 'Feder First Way BUILDING PER 1111 I T BUILDING INSPECTION Federal Way, ay 98003 661-4140 1 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 BUILDING INFORMATION •ONE __ __ ___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 PERMIT FEE PLAN CHECK FEE PLUMBING FEE AiihMECHANICAL 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 4 BE MET. OWNER OR AGENT ___ __ . DATE SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK . DATEQ44Z. BY '1Z. DATE BY DATE BY PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION DATE BY GAS PIPING O.K. DATE BY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE .2/. 5Z.7BY 6;1-11 DATE BY DATE BY FINAL O.K. TO OCCUPY DCD PSD FD DATE -2) ,./ 441 • V ��Gs Per 't # ��'�' MAY 13 f992 CITY OF FEDERAL WAY V- °oFFEDEBUILDING PERMIT APPLICATION P' -Please Print- BOX 1 TENANT NAM[ OWNER o -=.r.�`'_ SITE LOCATION 1 D - , err, - - `} OWNER'S ADDRESS G'© ‘ c-f--i- CITY F tA,Jy PHONE DESCRIBE JOB --�li-._ /. 412) -tr►C_L �= ';- THE PROPERTY IS OWNED BY: SINGLE/MARRIED Mf - ilii PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME . '- s N U�r1%/t/ ( CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS '262?C., �),j "' CITY 1:31..1.4?--VS-.4"--i PHONEZ4 - 1009' EXPIRATION DATE lc= 275--ti"- e' - OR - I HAVE READ CHAPTER 18.27.010 RELATING TO I' I I IT NS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON 2.)1,1 lk_tr+ L-v 'OI--i:_ PHONE F-3-7C,"Q?7 BOX 4 SEWER DISTRICT a 10.1... w WATER DISTRICT -(e..ell (,;L)(4 BOX 5 ESTIMATED PROJECT COST lz-:4— EXISTING BUILDING VALUATION -I i (,T, ,„-; -- BOX BOX 6 PROPERTY TAX ACCOUNT NUMBER ZZZ Q i& LEGAL DESCRIPTION L....67- 1£� XNA,O= 0nicrjCa 1-- - L (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: Existin Proposed) 1ST FLOOR (09'2 / 2ND FLOOR 104 Z. / 3RD FLOOR / EMENT / DECK / GARAGE / BOX 8 1><LSINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY 1O, 72.-C.) 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 $ 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 $ r DRAINS $ OTHER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ I CERTIFY UN ER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY K WLEDGE 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: , __.....1:5->-1-7 DATE: .5-- 1 i.5-72- ANP-008 ANP-008 3/90 V er 11°P •ICE USE ONLY (PLEASE DO NOT WRITE BELO�THIS LINE) 41)"� � . ZONE 2- SETBACKS: FRONT (3�1 SIDE REAR HEIGHT LIMIT 30 PLANNING DEPARTMENT APPROVAL ]/ i2 // 3 REMARKS:"No budding shaft encroach on o an uildfng setback ffne or easement,shown or not.shown." No nbvtuy, of V'ehI 1 O po'r't itce i r rere S;c1-c (i 'Lf c 5 fe4, 6162-G +15./La SEPA: EXEMPT V NOT EXEMPT FIRE DEPARTMENT APPROVAL /� DATE REMARKS: /V / PUBLIC WORKS DEPARTMENT APPROVAL cf/5 DATE 5:—/9-9Z- REMARKS: l9`9LREMARKS: i✓f TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT K NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY 441 / /4 Z. TYPE OF CONSTRUCTION V AJ STORES BUILDING SQ. FT. 4.,( @ ( 0 = 6 I 6 0 ,f, ! o r BUILDING SQ. FT. S tl @ 5-6/i/k F It = 276 d BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. L, to o @ �N�1 r' ` �'-(r=— 0�,,0s�8 TOTAL SQ. FT. — TOTAL VALUATION `!-�' ' 8 77g6 , t BUILDING DEPARTMENT REMARKS: ? Tq PERMIT FEE PLAN CHECK FEE 1 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE y` S OTHER FEES -- AMOUNT DUE -4:1)L. 0 ASSIGNED ADDRESS: S fit✓ e->( S fig& PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY 4 DATE 5✓ LO - 1 Z ACCEPTED FOR FILING