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91-100541
91-/Go ,s-'f/ CITY OFBUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91-500 NR OWNER'S NAME DON GAGNON JR/GAGNON HOMES JOB ADDRESS 33635 5 PL SW CONTRACTOR GAGNON HOMES ADDRESS 19011 WEST VALLEY HWY KENT CONT. PHONE 251-0732 CONT. REG. NO. GAGNOHI151O3 1/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER GARAGE TAX ACCOUNT NO. 729805-0220 LEGAL DESCRIPTION LOT 22 DIV 6 THE RIDGE ISSUED BY ELIZABETH SNYDER DATE OF ISSUE ‘ �c -/ DATE OF APPLICATION 4/94/91 BUILDING INFORMATION0 // E RS 9.6 OCCUPANCY R-3/M-1_ TYPE OF CONSTRUCTION 5-N __ BLDG. SQ. FT. 4497 SET BACKS: FRONT 20' SIDE 5 REAR 5.v _._ STORIES_ 2 HEIGHT LIMIT 30MAX — PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS _A__ ELEC. HOT WATER HEATER GAS PIPING _ _FT. __241_0_ BOILER _ RECEIVED _ BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) SHOWERS 2 URINALS FORCED AIR FURNACE -1-0,_0..0 AIR HANDLING UNIT __ _ NUMBER _ LAVATORIES 1 DRINKING FOUNTAINS GAS HOT WATER HTR. —6- 5-0 MISC _ RETURNED SINKS 7 MISC. SUMP 1 CONVERSION BURNER BASIC FEE DISHWASHERS _ 1 TOTAL FIXTURES19 X $5-_00 - UNIT HEATER TOTAL MECHANICAL 18.50 AMOUNT NONE VALUATION $259,470 PLANNING DEPT APPROVAL = LORI SCHILL PERMIT FEE $1200.00 PLAN CHECK FEE 780.00 ----220.50 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS PLUMBING FEE 95. 00 *HANICAL FEE _ 18.50 PUBLIC WKS DEPT APPROVAL = TOM COLLINS AL BLDG. FEES $2093.50 PART P/C FEE (559.50) ----PD 4/24/91 SEPA REVIEW #2524 WATER SERVICE DATE PD ._) Lf �,� AMT $1573.50 REC'T „,a5-(:?WATER MAIN CHG. ` S.B.C.C. FEE 4.50 OTHER FEES P. WKS 35.00 AMOUNT DUE $1573.50 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 INFORMA ION FURNISHED BY ME IS TaUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE M / q OWNER OR AGENT `�� DATE �'/ 7/ T' / ; I . /in 64, . I T Y 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 v/ TAX ACCOUNT NO._ LEGAL DESCRIPTION Y- - -- lU SUED BY DATE OF ISSUE_ _. DATE OF APPLICATION BUILDING INFORMATION ZONE _ 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 - PLANNING DEPT APPROVAL = LO} .•CH1: - PERMIT FEE PLAN CHECK FEE FIRE/BLDG DEPT APPROVAL = KEVIN ELL]. *PLUMBING FEE MECHANICAL FEE _ - PUBLIC WKS DEPT APPROVAL = TOM COLT-T14 TOTAL BLDG. FEES -D 4/24/91 PART P/C FEE _ _...1p SEPA REVIEW WATER SERVICE DATE PDAa`T $1573.50 C,?}•`C' , 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 ‘.-1 ,, .‘ ) -1:3 v a " ^ '\1 \. v 4 - -a �. r \P .) o W -Dmi D .)z O Amt E m -i -J 4 ` \ \ 14\ !' ^ \ \ \N' '1 �i � O ,' o 1Z . . \\ 1.\ t . .-,, \. y \ r �• Z G7 C .I 0 ,.\ .., ..'w V\ - k,,, \ ''.. t.. ''e I % N. c. k.il (t.;.1 i --,-R v ,§ N� e ? c a Z \ ).,,,a .. . .,.,•c r' (\ ).- N\i \i < N N 8 °-.-1>2V c);; > )4 •7 * ,.., \. :. z .., x N ..,....„. ,„ . ,rnt c 73 Fri m 33 O 0 6tel a.. 0 X �'s' \• t 0 r �' c� o z Z �"� o (� t ` %� p rJ y e l� No ,.c (t Z 0 m 1 Y a S Z C =I 4cri. IND Fu, 1 Ni ," ,.. .. , k i'l \I , v s,..1) t, •I \N . , , --,,, ,, ' \, .‘. , ?n �� ) O pA p m D 0 \ 4 ^ Y ' 1,1 C m m = m C 1 u• cs, 14 \ i ' 1. 1•1 4 \ \ g - ,, ,i.N. ..H'N'k E � �^ co a � � 11\ \ -< -< '< ' i I \ N y\ a 1 1\ \ e. 0 \ 1n 6,, t' i ) V,, N N %..• \m: L'* 0 `'" \ P IN \., ,4% 1 sI.'i " &I • e P. , • Permit # 99 5-6-C) /W- RECEIVED CITY OF FEDERAL WAY Ac5, S�V APR 2 4 '1991 BUILDING PERMIT APPLICATION Sterl".+ 9'-21-I. + ITV QF FEDERAL WAY —Please Print— BUILDING DEPT 17/-- 1/- � yi BOX 1 TENANT NAME:D©K) M01 . _ R.�{- OWNER VO )1_6661W______ LOCATION (Xc1 OWNER'S ADDRES `3l�S 3– ` . . CITY7EL- PHONE 2-51 "0'73 Z- DESCRIBE JOB 51(U6L_`[. FP Wt t THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME 6 11\-)010 1�O 1l1 TtJ 0 CONTRACTOR'S REG. #M ! 0�1L 15I 03 `-i, 1/�. Card MUST be presented CONTRACTOR'S ADDRESS ISO)1-N'1ST�TLW? HATh D I CITY 1KI PHONE 2 )-073 2 EXPIRATION DATE 1/ C112., —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 P00 67A6tJv t\-) 4` PHONE 25 )-0132- g?&5535 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION 19- BOX 6 PROPERTY TAX ACCOUNT NUMBER /23g05- –022-.0 LEGAL DESCRIPTION T 'D - – LOT 2 a. PAL (, f e-9_ W.hq tijh Go)fJ a ►o& (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2076 2ND FLOOR --- /1173 91, 3RD FLOOR -- /— BASEMENT — / -- DECK / — GARAGE — / D%J" BOX 8 () SINGLE FAMILY ( ) NEW CONSTRUCTION + , ' .3& S3 Fe MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY j2, 000 SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO.A_WATERCLOSETS GAS PIPING, FEET ,5 $ BATHTUBS NO. 1 FURNACE, ELEC. GAS V $ to'` a SHOWERS GAS HOT WATER HEATER $ 1-. LAVATORIES CONVERSION BURNER $ SINKS --- BOILER, SIZE BTU $ I 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 $ J SUMPS, SPRINKLER VACUUM BREAKERS — OTHER $ — DRAINS $ - OTHER $ TOTAL FIXTURES $ ,�� X C/L`' ' TOTAL MECHANICAL FEE $ ' a 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,EX' S,AND ATTORNEYS' FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCL f; 'f. i~' ED, #\ND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF Trj1,� CITY,IN'CLUD NG FFICERS AND EMPLOY S, UPON THE ACCURAC OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF T>It1&APPL1CATION. ,/ YAW jr.: : NER/AGENT: , ") 'I ✓..!2/A _ _ _ DATE: •14 ; . ;,,, r/ ANP-008 3/90 AI P-i ,k • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LIN_. w `3V13043P ZONE 1• SETBACKS: FRONT 2-1 ' SIDE S1 REAR S---/ HEIGHT LIMIT r (Q Pt ; PLANNING DEPARTMENT APPROVAL REMARKS: sle': C---cSc .L rk-iLr o it, K-c.._ e e.4.4 s F2o.ti c__4/..-1 e---,911-i- le>_ YAW JA ljt,:i , 1�.. ;,, -Dpivt_kciAle S.r130-e-/z. z e- u..-../ix, S. avis--D sig Pe , OtIV. 4°1t+ -n gSu 73x1--e177 b • SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL g- '-- DATE (o`S - Gt REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE 61/07`27 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 R3 TYPE OF CONSTRUCTION fit/ - . STORES I ' •41.eic:: BUILDING SQ. FT. 0107C- @ -7,2•96 = 1 5 1, 3YO 2'4) -cL BUILDING SQ. FT. / `d t1 @ 7,2.n_ = l 3 2• 9.5'q &ttra,A-_ BUILDING SQ. FT. t.Oy @ /$ 3‘' = 11 O. 3 BUILDING SQ. FT. @ = e , 8.52 BUILDING SQ. FT. @ ,/Y1ed4rtif— X , V?" = BUILDING SQ. FT. @ = 41 TOTAL SQ. FT. 40177 ' TOTAL VALUATION a Cc( /7O BUILDING DEPARTMENT REMARKS: PERMIT FEE /ate PLAN CHECK FEE ii-D. 780 PLUMBING FEE 7c'6 MECHANICAL FEE / $ s c TOTAL BLDG. FEES Q o q3• PART P/C FEE - 45-c--5..5 , ) SEPA REVIEW 3�d� S.B.C.C. FEE t s� OTHER FEES , AMOUNT DUE 7 r, 1 S13 i ASSIGNED ADDRESS: _ . S'-r^ pe. S. 1✓, PARTIAL PLAN CHECK FEE RECEIVED RECEIVED Amount 1 5v Date 1-(4</ 9/ Receipt# -ik2..S" 2 `1$1 APR 2 4 ' 1 BUILDING DEPARTMENT APPROVAL ?J' .•E tRALWAY.] BY DATE 6 - 6 ---c(( ACCEPTED FOR FILING . 13/,38 I oUooG.FA c 0 t 006 FLK .g3,0o `--- DDoJGJ - - - -- - -- --- -- ----- - -0 0U6.F',!K I 25I-CT431 2 iol. fl. .<_1! _ _ _ _ __ " � Ii 1 ► ! ► I 2 .20 - �1-- Ali1 ) ! 10 }i',,,,,,,,r.J z[_�JP._ i I II 1 x� ,,► s 58.19' I H _ 3�,1�► ► .00 0 =)-1" .-FLA c.. s,W. *- A-Le. FILE — IMSI OI\J 61 REVISION RECEIVED /4 11 L MAY 0 9 1991 1-f. ALUJA , WA PERMIT# G( t 5� h K►r�Y: C .