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92-100472 CITY OF FEDERAL WAY I I0b1-f7a 33530First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMIT NO. 92-433 CA OWNER'S NAME LAURELWOOD GARDENS APTS SITE ADDRESS 29505 21 AVE S CONTRACTOR H DAHLB Y CO ADDRESS 1402 MAPLE AVE SW RENTON CONT.PHON271-5110 CONT.REG.NO. HDAHLI225MU EXP. 792 OWNER'S PHONE 235-1830 OWNER'S ADDRESS SAME AS SITE 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 FIRE DAMAGE REPAIR TAX ACCOUNT NO. NOT LISTED IN MICROFILM LEGAL DESCRIPTION TRACT A LAURELWOOD SOUTH DIV 6 TRACT B/C ISSUED BY ELIZABETH SNYDER -DATE OF ISSUE 3— )7 -5'2 DATE OF APPLICATION 3/24/92 BUILDING INFORMATION ZONE _ SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION - CENSUS NO. 434 TYPE OF HEAT NA BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING _ FT. GAS LOGS BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE 10.00 DUCT WORK RECEIVED SHOWERS _ URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS _ CONVERSION BURNER MISC. RETURNED SINKS _ MISC. BBQ _ BASIC FEE DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL 10.00 AMOUNT NONE VALUATION $37,000 BLDG DEPT APPROVAL = KEVIN ELLIS PERMIT FEE $330.00 215.00 "ANY NEW CONSTRUCTION SHALL BE 1 HR FIRE RESISTIVE PER FEDERAL WAY PLAN CHECK FEE ORDINANCE # 15. 08. 090. PROVIDE SMOKE SEAL PRIOR TO FRAMING INSPECTION: PLUMBING FEE CHANICAL FEE 10.00 "NO PLANS REQUIRED PER NORM BRAY, SENIOR BUILDING INSPECTOR" PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE 4 50 S FIRE FEE - DATE: 3 -,--7- / 2 OTHER FEES AMOUNT: $559.50 AMOUNT DUE $559.50 RECEIPT: ��/ 9)"' J kotyp ALL PERMITS EXPIR 1 0 DAYS A - R ISSUANCE IF N• WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE I F RMATI eN FU' IS ED B ,+k S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. 4 OWNER OR AGENT -. r DATE- 27 v CITY OF FEDERAL WAY 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE _ CONT.REG.NO. EXP. 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 SET BACKS:FRONT _ SIDE REAR _ HEIGHT LIMIT / OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. _ TYPE OF HEAT BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING _ FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE - DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS _ MISC. BBQ BASIC FEE - DISHWASHERS _ TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT it/1 Onn VALUATION BLDG DEPT +,i=i'ituvAL = KEVIN ELLIS F PERMIT FEE *ANY NEW CONSTRUCTION SHALL BE 1 HR FIR RESISTIVE PER FEDERAL WAY PLAN CHECK FEE -- ORDINANCE * 15.08.090. PROVIDE SMOKE SEAL PRIOR TO FRAMING _ Nt;PEC° '_w C,•_; PLUMBING FEE MECHANICAL FEE I PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE FIRE FEE DATE: OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: 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 _ ___ SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE -..... BY - 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 27//2_d_,./ _BY � ......_-... DATE 7 / _ ...BY 0 //://7Z--- DATE BY 77.47 FINAL O.K. TO OCCUPY DCD PSD FD DATE_._...... -......__.BY - 14//54-7_ CJi, l'J-;e 27/W1-4 elfre-7 ll/ 6 Fr kg( o< • Peilit # 92 — </33 ('-4 RECEIVED CITY OF FEDERAL WAY MAR 24 1992 BUILDING PERMIT APPLICATION — Please Print— CfrVp�OgF�FEDERAL WAV BOX T TE10ANT NAME: / OWNER °&a- �/ -• c✓ � ash SITE LOCATION Fr_.de--'--/ OWNER'S ADDRESS cz -`)SOS /s tie- S. CITY PHONE ‘),-" 5----/S3 D DESCRIBE JOB Fd�'� KQrvu' THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME l7'. . CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS /10 - 4/ 4� fe- 5. k% CITY PHONE EXPIRATION DATE I 1 ,1131q I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND h'\ CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON UG-✓� /710-7--2' � y s-��f PPHONE -=) C BOX 4 SEWER DISTRICT l WATER DISTRICT BOX 5 ESTIMATED PROJECT COST 3-7, 6-Oa . /(-1-L EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 2'9 LEGAL DESCRIPTION %/ 74 4- �yre-/woo Soca Zi'd. rea_c-A (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 635 / 2ND FLOOR / 3RD FLOOR _/ BASEMENT / DECK I 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 $ BATHTUBS NO. I FURNACE, ELEC. t, 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 UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE S . $ 16 • "O 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 FEDE'AL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, U`O :'ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. �1 /' OWNER/AGENT: �/ ''��.II■ DATE: l ANP-008 3/90 111 . OFFICE USE ONLY (PLEASE DO NOT WRITE BELO/PHIS LINE) ' !- ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT ``1 t'f ' ' PLANNING DEPARTMENT APPROVAL /074 l's:et p REMARKS: VAW. Ate:?(l SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL /11/4DATE REMARKS: • PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: ' A //- 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 K I TYPE OF CONSTRUCTION V /S1 V STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION 3 7( Do a BUILDING DEPARTMENT REMARKS: PERMIT FEE 3.3 �,�3-t��.� 1 ut ( 6 c ( ( b PLAN CHECK FEE 74 5--PLUMBING FEE i k(r' lc('Ir--t__ v €- 13 f 1 J �'- 't-' F rc I MECHANICAL FEE 10•d 4 Qa D (f �� /5c 0 i , O t0 avid TOTAL BLDG. FEES Y c , ' PART P/C FEE 1Iu_p e- ('€_.4 V` ar fo i �(.f t/C i !.i s' e C-tiof•( SEPA REVIEW k -c 3 _.z� 02- J S.B.C.C. FEE ,-/, SO OTHER FEES „ Jb (ayk-S ck(r n ( er 4)` v. AMOUNT DUE S ST SO ASSIGNED ADDRESS: Sq-e-- f--?IS _ lA-9 °y�jj J 1.y 01 PARTIAL PLAN CHECK FEE RECEIVED CI�� ,,�1y Amount Date Receipt# t. t? el.f0 BUILDING DEPARTMENT APPROVAL RECEIVED BY (/& DATE 3- Z q ci 2- ACCEPTED FOR FILING