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90-100298 4 OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 ....30 FD - /Obc)9' PERMIT NO. 90-407P OWNER'S NAME HALLSMOM CONSTRUCTION JOB ADDRESS 512 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 GRADING OTHER "PLUMBING ONLY" TAX ACCOUNT NO. NA LEGAL DESCRIPTION NA ISSUED BY ELIZABETH SNYDER DATE OF ISSUE_ DATE OF APPLICATION_ 4/25/90 BUILDING INFORMATION *NE NA OCCUPANCY NA TYPE OF CONSTRUCTION NA _ BLDG. SQ. FT. NA SET BACKS: FRONT NA SIDE NA REAR NA _ 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.OOJNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE + 20.00 BASIC FEE VALUATION NONE PERMIT FEE O2. /yam PLAN CHECK FEE aj \ �Jillt PLUMBING FEE $105_00 /CHANICAL FEE TAL BLDG. FEES Dai/ l �'PART P/C FEE 41----J--41----J--� ----'F 7 SEPA REVIEW WATER SERVICE (0.,t,j6a - / 3 ( WATER MAIN CHG. S.B.C.C. FEE OTHER FEES 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: / 7".- OWNER OR AGENT / // /— DATE 7 Z Zee' —� CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 c 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 L-G-� V;;'1 dl� p " 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 C TO - Geo 117 PERMIT FEE J h11 (AW PLAN CHECK FEE \1D 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 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 ( -.J V D m D O D � A u m D m T` -1 C m -I m m m W m D ` O 0 .b AAA h '7 � m \ O x G \1 H 0 0 ) 0 z `. 0 m -� O 0 � © 0m t co , coD co Z 07 : -< �_ -< -< Z \ z O j I 1 ti R 0 D Z D › > O }, 0 m C 73 m m —4 H - � O y \I 0 z z 0 I Z m -�� -n O h 0 K 0 K ts. Ts-\ 03 CO 0 Z ( O D I > D D m > C m r m= m K i- W 1 D o0 o \ Z Z y O DoD Z I up o 0 'o Z U\ m m 0 m v o m -I 03 D CO Z co 1 I \ 411 emit # ? 0- y0- 1' CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print- BOX 1 TENANT NAME: OWNER 1!)( Sr'^7 G0.-I 5-c- SITE LOCATION 'ZZ. 516/ 33 CD Tk OWNER'S ADDRESS IOOZO-k ['Vali sr S,�<<¢ i Sq CITY r2.314-ti-e___ PHONE (04)- 1�3 7 DESCRIBE JOB i ryr +--n 4e rA o, THE PROPERTY IS OWNED BY: SINGLE/MARRIED / PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME I-A41n0--(L /Yit c.LH- CONTRACTOR'S REG. # (-4 11 MII I22 13E- Card MUST be presented `110. CONTRACTOR'S ADDRESS 1(9 ((0 ("2-"-L51` `Ai CITY P'-'.1 AlLv0 PHONE 02 4-S-10 4L- i,, EXPIRATION DATE I. / 174 c) ( 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 PERSON doh,- PHONE ,z4 —'7o 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 / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( SINGLE FAMILY ( 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 $ 3 BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ S LAVATORIES CONVERSION BURNER $ Z. SINKS BOILER, SIZE BTU $ I DISHWASHERS AIR HANDLING UNITS $ 1 ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ 1 LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ 1 OTHER fi $ t 7 TOTAL FIXTURE $ 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 EMPLOY%•, HE ACCU'ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: ' DATE: % ANP-008 3/90