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90-100620 9.0-/to 6da CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 90-862RA OWNER'S NAME JANE WHALEN JOB ADDRESS 28217 22 AVE S CONTRACTOR OWNER ADDRESS SAME CONT. PHONE 941-5879 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 TAX ACCOUNT NO. 422220-0480-09 LEGAL DESCRIPTION LOT 48 LAURELWOOD NORTH #3 KING CO WASH ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 6/11/9 0 BUILDING INFORMATION SONE NA OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N . BLDG. SQ. FT. LIVING=840 SF ET BACKS: FRONT 20' SIDE 5' EACH REAR 5' STORIES 2 HEIGHT LIMIT 30' MAX PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 2 ELEC. HOT WATER HEATER GAS PIPING FT. BOILER BATHTUBS 1 LAUNDRY DRAINS COMPRESSOR TANK(S) RECEIVED HOWERS S 42 URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER VATORIES 2 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. _ RETURNED KS MISC. CONVERSION BURNER BASIC FEE HWASHERS TOTAL FIXTURES 9X...5_._(11)_ UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION 51,004_00 PLANNIN G DEPT APPROVAL = NOT APPLICABLE (NO CHANGE IN USE/OCCUPANCY) PERMIT FEE $474-00 PLAN CHECK FEE 976-00 PLUMBING FEE 45.00 MECHANICAL FEE TAL BLDG. FEES $745.00 ART PIC FEE 149 , cc SEPA REVIEW WATER SERVICE e� WATER MAIN CHG. J v l S.B.C.C. FEE 4.50 �5� a 111 OTHER FEES I2 ^ - ' f 4- ALLAMOUNTDUE $749.50 U 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: t dW OWNER OR AGENT ' (\.JC DATE \.a. . _ _ 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 GRADINGOTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE _ DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION _ - BLDG. SQ. FT. 'ET BACKS: FRONT SIDE REAR - STORIES HEIGHT LIMIT LUMBING 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 PLANNIN is DEPT APPROVAL as NOT APPLICABLE {NO CHANGE IN USE/OC( i- PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES *EPA RT P/C FEE 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 't\) <1\ P'':*. \-') .1k,2(k) v-' - " i.i,„ ,,,„() g \I 1-, .14 11 ,., Ti Cr) '\.,, 0 1.,,...c.., r-T-i —„rziss! ,\ i 0 1\ ) 1,„ \,,s,(J\ N .. ›1, . r\ I ; J .? st-:_. z 0 . (7) i '' ( x c 11 1q o cz v �` co` { co Z m z N. ) e \ z 1 .. ,,,‘ 7,.,. . h e 1� c , r. j ct. \� . N 0 o Z 0 S� o O 3 ^ r` Ls. x \' O D u, D D D -, ... o m c w m —1 ^' n \ D v 70 O • i �c 1` n \ tr, `i o Z Q '1 )tx N t ,)'X4 \'• .41: f; p m ''N .;\* ) • ', IV 1 z t) ''� y A �r �' I Z \ \4 N ....)1 - •. u, . 1 r- 1 cn ) iii lt% , c \'. N. 3 fit C` n \r, \\C‘( - `C 0 0 m 0 \ 7 r- nm m m C V Q7 Iz z 4111 30 ki,A 1,11 J o r \t Cs o m o-13y T NJ ''\ `-'• 0 ` r\. , ' , ,it # CITY OF FERE AL WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 TENANT NAME: OWNER , rve- ( -)11 A Ie — P1 k) I.,;, SITE LOCATION OWNER'S ADDRESS i CITY PHINEC ~ • DESCRIBE JOB ..— '' #� i - .1.; I►, r-0 ARRI THE PROPERTY IS OWNED BY: SINGLE (PARTNERSHIP CORPORATION, BOX 2 CONTRACTOR'S NAME 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 . _ • _ PHONES' �T_ BOX 4 SEWER DISTRICT - _ _ -r WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER y g 9 '2-0— o S 6 — O� LEGAL DESCRIPTION c-r- 1..#4 rid LA' Yr (' t\irft' -I-3 (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR c/)v ix 2ND FLOOR 9c7 /" 3RD FLOOR / BASEMENT I DECK J GARAGE BOX 8 (k )"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 C $ BATHTUBS NO. FURNACE, ELEC. GAS $ L. 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 UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ G'_' TOTAL FIXTURES $ _. Lf dd 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. OWNE AGEN �� [�� DATE: ! �' ANP0083/90 0 OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: k 4)/4- /Jv c fu vy (u SSL cy 0- e Cc Liak__.c. SEPA: EXEMPT NOT EXEMPT - _ - FIRE DEPARTMENT APPROVAL DATE REMARKS: N/A- 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 KT TYPE OF CONSTRUCTION 114/ STORES 'L`N 1 BUILDING SQ. FT. i7L-1 6 - @ 6 ¶- oz) - = _5-7 1I C o- c'a BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ A4001t / L'IP — - % 25 TOTAL SQ. FT. TOTAL VALUATION 5—/ (90 `/ go BUILDING DEPARTMENT REMARKS: PERMIT FEE (17-y, Oa PLAN CHECK FEE 2;76- 0 6 PLUMBING FEE -`/S1 Oa MECHANICAL FEE - 0 TOTAL BLDG. FEES 7`/s. `"-, PART P/C FEE o SEPA REVIEW U S.B.C.C. FEE 'I`_re) OTHER FEES d AMOUNT DUE 7 (49- N--.1.) ASSIGNED ADDRESS: Sem C.K(LC4-1Pj Ec 7IVED PARTIAL PLAN CHECK FEE RECEIVED CITYJUN 1 1 1.9 O Amount Date Receipt# OF FED RAL VV,, BUILDING DPT. BUILDING DEPARTMENT APPROVAL p RECEIVED BY _ . i DATE 2'41 G ACCEPTED FOR FILING