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91-100899 9) -Am 89`3 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91-851 OT OWNER'S NAME CAROLYN / RAY PERO JOB ADDRESS 5112 SW 311 PL CONTRACTOR SELF ADDRESS CONT. PHONE -- CONT. REG. NO. -- OWNER'S PHONE 838-2588 OWNER'S ADDRESS 5112 SW 311TH PL FEDERAL WAY 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 FENCE TAX ACCOUNT NO. 321020-0205-09 LEGAL DESCRIPTION ISSUED BY_ JOANNE JOHNSON DATE OF ISSUE 7 7 `q/ DATE OF APPLICATION 6-25-91 0 BUILDING INFORMATION ZONE RS 15 OCCUPANCY M2 TYPE OF CONSTRUCTION VN 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 1200.00 PLANNING DEPT APPROVAL: CS 7-11-91 PERMIT FEE 29.00 BUILDING DEPT APPROVAL: KC 7-8-91 PLAN CHECK FEE 19.00 PLUMBING FEE NOTE: OWNER INDICATES THAT THE 7-FOOT HIGH FENCE DOES NOT RETAIN ila MECHANICAL FEE ANY SOIL PER 7-8-91 TELEX TODAY. KC TOTAL BLDG. FEES PART P/C FEE . SEPA REVIEW DATE: . I 7 ` I WATER SERVICE WATER MAIN CHG. _ AMOUNT: $52.50 S.B.C.C. FEE 4.50 I OTHER FEES RECEIPT: 3 5-11 AMOUNT DUE 52.50 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 ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WI t BEMET: c 9, OWNER OR AGENT -��L�� DATE ' �_ 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. 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 _aAs4NING DEPT APPROVAL: ('r 7-11-91 PERMIT FEE - 'JTU I G DEP' APP VAL. KC 7-2-91 PLAN CHECK FEE PLUMBING FEE NOTE: OWNER INDICATES THAT THE 7—FOOT Rima FENC17. DOES t'OT MECHANICAL FEE ANY SOIL PER 8 7—A-91 TELEX TODAY. C TOTAL BLDG. FEES _ PART P/C FEE _ ` ^7 • q SEPA REVIEW ---- --- -� WATER SERVICE WATER MAIN CHG. `0 $52.50 S.B.C.C. FEE ---- `- CG..�� OTHER FEES :,FIT.. !: ...� (J.-._ .._ 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 I J m z CJ0 °° CC 0 O H w a U - ti CD w z a o O Cn z Q CC J a O a m O 0 a z 2 m D D F 0 F J I- --1 w < a < 2a < 1 1 J J COCO a z O ~a m m z 1 0 O 1LL Y Y m I O O D Z (} z a 2i z O - a O w — a F L1.1 w QU) o < <a < 0 LD z ~o m z m a m L. m Cr 0z 0 j 0 111 co 00 �I Q cc U 1- Y z w Y O m 0 • O ' N. co w 2 w 1— w - w F- I— D h I I- W W Q J < < z Q <n 0 a 0 0 a u. o FIVE ' emit # Cf' / -SS`S"/ O7— Jjtsi 2 5 1991 CITY OF FEDERAL WAY ; T Av BUILDING PEReMeIPT rint APPLICATION (4# BOIN9 BOX 1 TENANT N,ME: OWNER I I I if mo- 411 ITE LOCATION OWNER'S ADDR S S Lc.. I 0_ A __1 , : 'HONEe3 d'— o`? 5-738 DESCRIBE JOB/ ep/4Ce TDZteiv &DA2 D ivCe With -6" e 4 7PD po/mss THE PROPERTY IS OWNED BY: SINGLE6IARRIE PARTNERSHIP CORPORATION BOX 2 CONTRA' I•'S NAME 4 J CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRES CITY PHONE EXPIRATION DATE — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITI I I GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WIT iUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSONUA a/CJ/U o-a re- /116 AJ D PCS`r e PHONE 838=ca�5�� BOX 4 SEWER DISTRICT WATER DISTRICT 7A C O<1'1 f jilizZi s BOX 5 ESTIMATED PROJECT COSI'I� on --, #4,c9a. EXISTING-aid:It VALUATIONTdo Zeeip, to e to ate. Q BOX 6 PROPERTY TAX ACCOUNT NUMBER 3a / 0 C C — 0 ? LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE Eli = . : (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / MENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL I : A OF PROPERTY SQ FT BOX 9 PLUMBING FIXTU•• including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. WATERCLO 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 I , HEATERS $ URINALS AIR COO G UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL ' IID $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ 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 E IYEES, UPON THE ACCURACY OF TH ORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: cc3 ANP-008 3/90 OFFI 9 SE ONLY (PLEASE DO NOT WRITE BELOW TRINE) ZONENS is SETBACKS: FRONT SS� _� REAR A1/7- HEIGHT LIMIT /11/APLANNING DEPARTMENT APPROVAL (/ 7- 11- 9/ REMARKS: SEPA: EXEMPT X NOT EXEMPT FIRE DEPARTMENT.APPROVAL. ..41(4 - 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 ' Mi TYPE OF CONSTRUCTION \N STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ = BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION 11,00 BUILDING DEPARTMENT REMARKS: 6 W�e,,,,r itAa , (A s PERMIT FEE r � J _ L ' 7 "'I L `ice d S PrOfr PLAN CHECK FEE -1 PLUMBING FEE .tl (n Q.V 5 e 1 I 1 Q-117- 7 - 6 -'f f 'c- MECHANICAL FEE fc)aktyCTOTAL BLDG. FEES (" PART P/C FEE SEPA REVIEW S.B.C.C. FEE _1' S—0 OTHER FEES AMOUNT DUE ( ASSIGNED ADDRESS: • € tr._(Sr(C' r�r++GrvG�� PARTIAL PLAN CHECK FEE RECEIVED ERv Amount Date Receipt# JUN 25 1991 BUILDING DEPARTMENT APPROVAL p� G � f:RAL WAY DATE (7 ~ V ( / CITY1 OEPT. BY ACCEPTED FOR FILING