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90-100299 ..ITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 30 /DDZg9 PERMIT NO. 90-408P OWNER'S NAME HALLSTROM CONSTRUCTION JOB ADDRESS 508 SW 336 ST CONTRACTOR HALLMARK MECHANICAL ADDRESS 1616 12 ST SW PUYALLUP CONT. PHONE 243-7042** CONT REG. NO. HALLMM122BE 1/91 JJ OWNER'S PHONE 641-1237 OWNER'S ADDRESS SAME AS SITE TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADINGOTHER "PLUMBING ONLY" TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 4/25/90 BUILDING INFORMATION fiNE NA OCCUPANCY NA TYPE OF CONSTRUCTION NA _ BLDG. SQ. FT NA SET BACKS: FRONT NA SIDE NA REARNA STORIES NA HEIGHT LIMIT NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER _1 GAS PIPING FT. _ BOILER BATHTUBS 3 LAUNDRY DRAINS .1 COMPRESSOR TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE _ AIR HANDLING UNIT _ NUMBER _ LAVATORIES 5 DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC. SINKS 2 misc. TRAY 1 CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 17X5.00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE +20.00 BASIC FEE VALUATION NONE PERMIT FEE PLAN CHECK FEE PLUMBING FEE $105.00____ CHANIC FEE 6,20 02 1D �— TAL BLDG.G. FEES JK/��(l\ PART P/C FEE SEPA REVIEW L/��a- 3 WATER SERVICE Doi. 7 WATER MAIN CHG. // J //// 3/ /, S.B.C.C. FEE < / / OTHER FEES 62"---64712/1--fr �J / `I AMOUNT DUE $105.00 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: �,L 7/ OWNER OR AGENT �� `DATE -_ 6 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 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 CJ PERMIT FEE �� PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL 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 PERMIT-S 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 k r ^ a m a 0 a -0 o cn ill W D Z D x > r > m t. ilk • \ m D m m m co 'V op D 1/4t. •••s-.\ \`' c\ � 1. 0 mm z n t \ ------____<-51 x z 0 P R \ .� r- 1 70 cnD om 0 o E'_ \ m m P �� D D W z o W -< K -< -< z V� i. 1� % z 1 0 1 I a � w ti C r 2 % 1 1 a c ,� Nf la D z a S` > 0 m C -0 m-0 m m k \ Vn zz m AZ \ a� 1 I 0- 0 O m ti o z (� I a \` �, a CO o C r- .t7 F t, j\ \ i I \ a a K a _, N "1 D > m -I C 1� ^ M 1- m n 1 m K h a \J OD 0 0 . ti o z _ ` � C �o m m o 1 cil -. \ `I 0 0 ' -< D -< -< I CITY OF FEDERAL WAY Mayor Community Development Council Members Debra G. Ertel 31130 28th Avenue South Mary E.Gates Federal Way,WA 98003-5006 James V.Handmacher City Manager (206)941-1555 Joel R.Marks J.Brent McFall Robert E.Stead l Lynn J.Templeton Date : (0 - 1-3 - t O James E.Webster *Cr, No LJ --se- Sib 5 1u 3361'` Sf T c wit . ' 3D2-3 RE: Adj re-55 t `fit' U fly i\( aye - 1/ c v L S(c)k\ Dear AA4i^ • Be advised that the new address for the above referenced project is : S ( Lf S. w t 3 3 -11' S fi( This will be effective immediately. Please disregard any previous notation. If you have any questions , please call me at 941-1555 . Sincerely, 012-A- K.C. Ellis Plan Examiner cc: King County Police Fire District #39 Post Office King County E911 Program Office File • limit # rid - 4/0 r CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER 5 i`ti-oma Lo 4 5c SITE LOCATION So S u/ 3 34,1* OWNER'S ADDRESS IOo20 A MAt.-1 gr 3 ,1e. I CITY Px.0-51 >z.v PHONE 641- L2--;7 DESCRIBE JOB c L i THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME -taUivIMJ(-, Mtn-vf CONTRACTOR'S REG. # l-f U.M V 12Z 13 G_ccc��111 Card MUST be presented �? CONTRACTOR'S ADDRESS _ Ih .D l2- r sr 4.l CITY �)A�� PHONE Z13�-1O4t a EXPIRATION DATE 1/ t 2/ I I — 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 PERSONPHONE ..43 _`la 42 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( INGLE FAMILY ( EW 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 3 BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS _ GAS HOT WATER HEATER $ 5 LAVATORIES CONVERSION BURNER $ 'L- SINKS BOILER, SIZE BTU $ I DISHWASHERS AIR HANDLING UNITS $ I ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ I LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ 1 OTHER t /? 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 F I RAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEE rP► E ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: 412 $ `�c� (( ANP-008 3/90