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92-101762 CITY OF FEDERAL WAY B U I L D I N G PE R M IT PERMIT NO.: BLD92-22 94 33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 12/10/92 Federal Way, WA 98003 BY: FLF 661-4000 SITE ADDRESS: 817 SW 356TH ST PARCEL NO.: 440560-0186 PROJECT DESCRIPTION: FOUNDATION FOR GARAGE TO BE MOVED PER PERMIT #141892-2002 — OWNER — CONTRACTOR — LENDER HORACE ARROWOOD 817 SW 356TH ST FEDERAL WAY WA 98023 I= NOTES BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •SR FEES: TYPE OF WORK:? USE:? 1ST.: 0: 440:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS? .7 FINAL PLAN CHECK...* $ 22.75 CENSUS CATEGORY •? 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •? BUILDING PERMIT....* $ 35.00 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm SBCC SURCHARGE * $ 4.50 :M1 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft PUB WORKS-PLAN CHECK $ 35.00 TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 1500 SIDE • 5.00 ft WATER SERVICE..:TAC :5N :? :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:SEP OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:10/12/92 . 0: 0: 0: 0: TOTL: 0: 440:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 97.25 GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 GAS HUT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0 ,h BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 y < ` " GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 �. ` _ ...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 : OGS , 1 m ink 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 ET. OWNER OR AGENT 41,, ,,, qt7(? / In 6,,y A3p,-re � znC, ,I/ rC!r DATE P-c_ G V IDld_prmt 10/23/92 �� 8 SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE J2 /2(-7V2 BY /-11 DATE BY DATE BY PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION DATE BY GAS PIPING O.K. DATE BY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE BY DATE BY DATE BY FINAL O.K. TO OCCUPY DCD PSD FD DATE BY • de •mit # 222 / RECEIVE D CITY OF FEDERAL WAY OCT 9 19` U�LDINC PERMIT APPLICATION O K FEQE — Please Print— DePt BOX 1 TENANT NAME: OWNER `-tovcAGtL 4rv-©Lova, SITE LOCATION ?I7 5(4) 356 St f-o4-w6-1 OA- OWNER'S ADDRESS S a.....-4-- CITY PHONE ', DESCRIBE JOB MOV-L ?0' i-. 1 -4..' C',c,v&-<y_;.. e,,.;,• . ,y r- rouwaoA i e,f THE PROPERTY IS OWNED B�nYee: SINGLE/MARRIED S',U. PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME PAo1n a.vC k Coµ Sc4--- CONTRACTOR'S REG. # fMOIVA/RC.- ; ILIObs Card MUST be presented CONTRACTOR'S ADDRESS ,Z9 -.3 574' ,t. NE- CITY PHONE 5' 7 34179 EXPIRATION DATE 3 - 2. 5 5i3f c -ffr; , — 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. BOX3 CONTACT PERSON Gerry 14081 r!(;SS _ PHONE 92? -3 L/) '- BOX - ? -3(/) '- BOX 4 SEWER DISTRICT `' 14.) Z WATER DISTRICT F BOX 5 ESTIMATED PROJECT COST /, 4 " EXISTING BUILDING VALUATION3y,0 BOX 6 PROPERTY TAX ACCOUNT NUMBER "4' 566- O/klo -a LEGALQESCRIPTION L'6RIGAN Near MAO 1:SI-.1(-3 Lo-t- 1 N.E. L.Y /00 4t- MEAS -A — NW L.V ,f- , E 1 - LN TP O . , -I..s S For RA 5, (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /'I -Pe7` 2ND FLOOR I - - 3RD FLOOR / BASEMENT / DECK v / 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. WATERCLOSETS - GAS PIPING, FEET _ $..-_ . BATH UBS NO. FURNACE, LEC. i GAS $ SHOW S GAS HOT W ER HEATER — $ -- - LAVATOR'ES - CONVERS'ON B, NER - ____ $ - SINKS BOILER, SIZE" BTU $ DISHWASHERS _ AIR HANDLING UNITS - $ -__-- - ELECTRIC HOT,,WATER HEATER HEAT PUMPS, SIZE', ____ $__ LAUNDRY WASRER OUTLET UNIT RATERS $ URINALS - AIR COOLING UNITS, SIZE - - - $ ----- - - DRINKING FOUNTAV,NS --- - COMMERCIAL HOOD . $ SUMPS, SPRINKLE• VACUUM BREAKERS OTHER $ DRAINS -- - - OTHER _ . --- $ - - -- - —TOTAL FIXTURES • $ TOTAL MECHANICAL FEE $ Q 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. OWNER/AGENT: X DATE: (6 1 " Z_ ANP-c'O ,po