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90-100770 96-/00 770 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 INSPECTION REQUEST LINE-946-6794 PERMIT NO. 90-1163 RA OWNER'S NAME RICHARD POTTER JOB ADDRESS 2702 SW 351 ST CONTRACTOR OWNER ADDRESS SAME _ CONT. PHONE 874-5516 CONT. REG. NO. NA OWNER'S PHONE SAME _ OWNER'S ADDRESS SAME TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. _ SIGN GRADING OTHER RESIDENTIAL ALTERATION TAX ACCOUNT NO. 351800-0040 LEGAL DESCRIPTION LOT 4 HUMANE WOODS ACCORDING TO THE PLAT THEREOF RECORDED IN VOL 115 OF PLATS, PGS 95/96 KIN KING CO WASH ISSUED BY ELIZABETH SNYDER DATE OF ISSUE__ — DATE OF APPLICATION 7/16/90 BUILDING INFORMATION ONE NA OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 448=LIVING T BACKS: FRONT 20' _._ SIDE 5' EACH REAR 5' STORIES EXISTING HEIGHT LIMIT 30' MAX 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 NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $ 27,202.00 PLANNING DEPT APPROVAL: NO CHANGE IN USE/OCCUPANCY PERMIT FEE $ 272.00 BUILDING DEPT APPROVAL: KEVIN ELLIS ON 7/26/90 PLAN CHECK FEE 177.00 PLUMBING FEE FIRE DEPT APPROVAL: NOT APPLICABLE MECHANICAL FEE TAL BLDG. FEES $ 449.00 PUBLIC WORKS DEPT APPROVAL: NOT APPLICABLE ART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE $4.50 ) �] OTHER FEES DATE PAID ' AMOUNT $453.50 RECEIPT / t 5 G 1 AMOUNT DUE $ 453.50 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 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: C� OWNER OR AGENT .4- eri DATE ety/ 0 CITY OF g BUILDING INSPECTION BUILDING D I N FEDERAL WAY u G 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 ) PT *PPNOV1 .. ,:#,GL: IN VALUATION _ PERMIT FEE ''U1LDZNG DEPT *PP VAL VL1 LIS OW 7/26/ C PLAN CHECK FEE PLUMBING FEE IRE DEPT APPROVAL: APPLICABLE MECHANICAL FEE uniac worxs DtPT APPKWA.1a" NOT APPLICABLE LILE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.0 FEE we PAID - "i ` $453 r ► ' C' `.i '" 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 J ¢ CO Z m' CO ki.'1V o w , 0 Z CL o\`la CC z U Q ` a m Z mm Q S J _J WU.I < G < �) I� I- C-) 6., Ii o 4 J t.'A CO vs :N \r--; W Ci_ J Z O Q \` ,,\4&�CC u a a J ~ CO V o Q Q Q Q U \ �l bo C.� Z 0 0 -i\k ,,,, , _,,,, ..., ,J 1 ......., O iIc.,, „. v Z a '''' '‘,,,%„: Z On Q J b O r I U" cn k U W �y r C° < d O Y O GW D y \ '''''.C!-"" .. _ - mit # ID i I , � JUL 1 6 1990 CITY OF FEDERAL WAY TA CITYOFFEDEPALBUILDING PEReMIPTtAPPLICATION BOX 1 TENANT NAME: OWNER a ' aa ■ ' SIT LOCATION ' L ii-', imp1 • . e OWNER'S ADDRESS . 411 .i CITY ' . 111__ PHONE 4 j (o DESCRIBE JOB I c On oc (9ec.r UoVY\ and master 0Ecttroo rr THE PROPERTY IS OWNED BY: SINGLE/m,ARRIED X PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME SL\ 4- CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE — 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 110 ' • PHONE 74 5l. 0___ BOX 4 SEWER DISTRICT WATER DISTRICT ' BOX 5 ESTIMATED PROJECT COST J1.o1000 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER I ea) CJ tea, O( LEGAL DESCRIPTION 4 .l •& . A ' ....7r ' , CCC_Occk i n 4o'-t-he. ? G -}- 4hereoe c'Cor(Wto iG , i 1 ' 0 p a 3/pa cS Gtnd c((o h ri' K► ,c© ,,t sh i rc tvn. (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) .1ST FLOOR roc) I IA' to 2ND FLOOR 3RD FLOOR___NI+A BASEMENT lJ/A DECK . a GARAGE- 74— BOX ARAGEf'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. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ .\._yl - 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 H00i� $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER !I41.`.} !-S i ' $ DRAINS hal_ ! j $ OTHER $ 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 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. `---r---- 1/ / 00, OWNER/AGENT: _ 2 w / _ _ DATE: _s ANP-008 3/90 / • - • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: AO- No CAC ye qk aSe Or b(c cygtty 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 R-,z, TYPE OF CONSTRUCTION STORES L.-( Vil BUILDING SQ. FT. -ica @ = 30 q( a BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ zt/tOd( _ Q= d S BUILDING SQ. FT. @ = TOTAL SQ. FT. TOTAL VALUATION 27 Z°z, 14 BUILDING DEPARTMENT REMARKS: PERMIT FEE 2-7 2 ` >o PLAN CHECK FEE /77, 0c PLUMBING FEE e MECHANICAL FEE b TOTAL BLDG. FEES 1f'1 9 ' e G PART P/C FEE e SEPA REVIEW 0 S.B.C.C. FEE `/;.S c OTHER FEES o AMOUNT DUE _-1 S 3, s C. 7. ASSIGNED ADDRESS: Sem'- e.j( is 7-(/ 4., J 21- 1 l" d1a PARTIAL PLAN CHECK FEE RECEIVED CP 1- Amount Date Receipt# 0 O?; BUILDING DEPARTMENT APPROVAL y5� R VED , BY DATE ACCEPTED FOR FILING