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91-100280 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91-237 MH OWNER'S NAME HAW &LEMPI SAMPLE JOB ADDRESS 32820 20TH AVE S #23 CONTRACTOR OVERSON CONSTRUCTTON CO ADDRESS 1908 S 341ST PL FEDERAL WAY CONT. PHONE 874-3400 CONT. REG. NO. 874-3400 OWNER'S PHONE 838-4944 OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY ) MULTI. ADD. SIGN GRADING�� OTHER TAX ACCOUNT NO. 797880-0500-01/0525-02/05 AL4 SCRIPTION 4 ppm . - •SUED BY JOANNE JOHNSON DATE OF ISSUE ita DATE OF APPLICATION 3-4-91 BUILDING INFORMATION11, ZONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 2376 SET BACKS: FRONT 24 SIDE 5 REAR 5 STORIES HEIGHT LIMIT 30' 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 17,730.15 PLANNING DEPT APPROVAL: DB 3-8-91 189.00 PERMIT FEE FIRE/BUILDING DEPT APPROVAL: KC 3-11-91 IPAN CHECK FEE 123.00 UMBING FEE MECHANICAL FEE TOTAL BLDG. FEES ka4 PART P/C FEE �Jy SEPA REVIEW DATE: 9 J WATER SERVICE WATER MAIN CHG. AMOUNT: $316.50 S.B.C.C. FEE 4.50 OTHER FEES RECEIPT: C�� 4 AMOUNT DUE 316.50 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: �? OWNER OR AG , . i - �/ -__,,,eile. - DATE ..7- 27"- 7/ (`)- Irh. )r) n 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 T 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 r""TMG DEPT APPROVAL: DU PERMIT FEE .`..J -31.1ILDIN ' DEPT APPROVAL: KC PLAN CHECK FEE - PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES '^) 4 PART P/C FEE I .tet_. SEPA REVIEW Jr�.a r.,'. _._�. _ ._�___ WATER SERVICE WATER MAIN CHG. - AO IT: $316.50 S.B.C.C. FEE _,..._ OTHER FEES it'YTP '. , 1 ....,„:4......\ 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 ,z:,, c,l A Z DO 0 A A Cr) ww � \ `} m m m K m co . + C.),1 r- O W i D W O 1 r �1D DO ID ~� O O O ?O I. ,11-.S � �� N. _ ‘--0 (m ' o p 0 �' k d 1,..._ .x , .,-- ) . (�, s S CC) O , > >> m C m m -1 D v 3 O n A -I Z r 13 O 1t 1_,,-- a/ t• �� zz O m c 1 J -n 9a �, I o .N a $ -. W CO I o 6 Ai. .r x-- , C z Q.1 r \1-1 O C ' C1 m r .a, 4 tN s. r% -C -,. . 0 0 K p r0 j m r m =m K 1 0 1 z I Z \� ik' .) 1- A %....-I P (v y ' D n I C) ((•.\ r .% O v Z ri 0 33 r Oco * coZ W 7 ••••j -G D G r r' ; c.."%4 1 -v. ,, , L 1 1 Pe 't # l — `I A/ RE � � RECEIVED 2 3 MAR �ggl CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION CITY OF FEDERAL WAY — Please Print— BUILDING DEPT. BOX 1 TENANT NAME: OWNER o f r e I e SITE LOCATION _'da _ =r •th : vt', OWNER'S ADDRESS .2\L 1 S 'a S# • CITY 'Re(1 cc.t Lkkk PHONE vT<{'-494tH- 5 �3 DESCRIBE JOB !`L'�c1��1 1--C,me Stf iA W I $, < > >�•1—,YfMemk5 J THE PROPERTY IS OWNED BY: SINGLEfARRIEQ) PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 0 v e es Q C_£;ti-d-Rv.c Cc; CONTRACTOR'S REG. # «- i '-I i 0(,� Card MUST be presented CONTRACTOR'S ADDRESS « f1 S .3'-1-1 -17 P CITY Fc4‹ca 1 Wray PHONE ?y - 'L EXPIRATION DATE .3/i 019! — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. D-345.�� BOX 3 CONTACT PERSON ..'-e (-t\c'eCj, t 'r j PHONE 'D :;C BOX 4 SEWER DISTRICT 1€Ae:c \ l �.y WATER DISTRICT a 1h�a BOX 5 ESTIMATED PROJECT COST 15,n6 v EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 791' O OSbc _ LS,�. } -_0D- / G .r - LEGAL DESCRIPTION Sec 44-t}�+.c(,Ne (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR_ I K F15 3 L 2ND FLOOR / 3RD FLOOR / BASEMENT / / 954; i4T'GARAGE / 5 BOX 8 (X) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES —,BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. "--FURNACE, ELEC. GAS $ ^\`� SHOWERS GASNOT WATER HEATER $ LAVATORIES CONVERIQN BURNER $ SINKS BOILER, SI • // BTU $ DISHWASHERS AIR HANDLING 1 ITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: ..t. DATE: ANP-008 3/90 1110 • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE PS1.2- SETBACKS: FRONT 24 I SIDE 5.I REAR ( HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL 31811/ REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL /fr DATE REMARKS: TYPE OF JOB: NEW RESIDENCE A- RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY �3 TYPE OF CONSTRUCTION STORES �\-k071 Ofri. BUILDING SQ. FT. f6 O @ r- o o = 78 c jota- BUILDING SQ. FT. c( S— @ 17 -30 = ? u7J ` SC C rt fi'�ow BUILDING SQ. FT. 36 ( @ 1 Z ` 'fQ = yq 7E ` BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ _ BUILDING SQ. FT. @ -" dt qec = 0 Pt TOTAL SQ. FT. TOTAL VALUATION / 7 730, ( S' BUILDING DEPARTMENT REMARKS: PERMIT FEE PLAN CHECK FEE 12—3 PLUMBING FEE MECHANICAL FEE f' TOTAL BLDG. FEES 3 f Z PART P/C FEE SEPA REVIEW S.B.C.C. FEE 11 OTHER FEES AMOUNT DUE 3JG . 5-0 ASSIGNED ADDRESS: -- JSViy PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY • DATE ACCEPTED FOR FILING