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91-101336 9)' /013 (., CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91-1292 RA OWNER'S NAME RICHARD GEORGIA MISEK JOB ADDRESS 32820 20TH AVE S #64 CONTRACTOR OWNER ADDRESS CONT. PHONE -- CONT. REG. NO. OWNER'S PHONE 661-9391 OWNER'S ADDRESS 32820 20TH AVE S #64 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 ENCLOSED BACK PORTION OF CARPORT TAX ACCOUNT NO. # 144170-0640-06 LEGAL DESCRIPTION SEE ATTACHED warm •UED BY JOANNE JOHNSON DATE OF ISSUE Ai DATE OF APPLICATION 9-17-91 BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTIONBLDG. 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 724.68 PLANNING DEPT APPROVAL: R. OVERSON CONFIRMED THAT CEDAR CREEK DESIGN COMMITTEE APPROVED SETBACKS FOR CARPORT INFILL. PERMIT FEE 21.00 DB 9-30-91 AN CHECK FEE 14.00 LUMBING FEE BUILDING DEPT APPROVAL KC 10-1-91 MECHANICAL FEE TOTAL BLDG. FEES _ i____fLh PART P/C FEE SEPA REVIEW DATE : WATER SERVICE WATER MAIN CHG. AMOUNT S.B.C.0 FEE 4.50 $39. 90 OTHER FEES RECEIPT: ‘10 AMOUNT DUE 39.50 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S 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: �s OWNER OR AGENT A_ i l J,'Grimm i DATE - .,-/OI ,T,(, 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 t�T� <.a VALUATION "�e_I!!ING DEPT�.+ APPROVAL: R. ()VERSON CONFIR tED TE'.AT CEDAR CREEK D IG1'::: COMMITTEE APPROVED SETBACKS FOR CARPORT 11..,:p7.7.:- PERMIT 1..,:ePERMIT FEE DD 9-30--91 PLAN CHECK FEE PLUMBING FEE ..:.?DThG DEPT APPROVAL RC, 10-1-91 MECHANICAL FEE _ TOTAL BLDG. FEES (f' PART P/C FEE / fr . i SEPA REVIEW �.-:'.1--i'... .3•G_.. WATER SERVICE WATER MAIN CHG. 539.so S.B.C.C. FEE .`.,•• y OTHER FEES E'-l.� ii' f/ 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 / O m O 0 0 m 0 W Z -DI �` r> c > mH m D m -H m K m co C z 0 n O I 0 O Z F0 1., m 0 n2 m C m 0 >co Z 0 m { co K co m zH Z O O , cn r O O z O g O O C7 D cn ➢ D D 0 rn r- v m rn H D v 0 O zO 1 c Z O m 1 33 P m O C Z CO CO D 0 Z c D O 1 r Cn 1 ! D O > m D m= �m m m K O Z co o r O D up O m z �) m m 0 -n - a 0 m H 0 CO m Z W7 r .%< 1l I I I 1 Per # � �' /.2 �! `2-1(ARECEIVED � . SEP 1 8 1991 CITY OF FEDERAL WAY CITY OFFEDERAL WAY BUILDING PERMIT APPLICATION BUILDING DEPT — Please Print— BOX 1 TENANT NAME: OWNER f'icf1/1RD/G`bot►'giA / /ScA SITE LOCATION 3Z6 ° :x00 A 11-- 6 OWNER'S ADDRESS ( 7Z'cPd ' .2v 4-/1t'. CITYi624X'6 WA,/ PHONE 66/ DESCRIBE JOBbvezost /340 I'A,grcp c4ieAv T (ctAlmr Ftcc,('/+ND wocv/vp/f' ,77cni PTU/ovs //45441-6.9. THE PROPERTY IS OWNED BY:f tE/MARRIED n PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 01r/i1/E/c' 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 /'/6//A/'V 14/JR' PHONE ( 6'/— T3Y/ BOX 4 SEWER DISTRICT ( o44' c''n ,q CCA/1?UA?/N/c/4< WATER DISTRICTCSPAPC L�*)etS//�iarntf1 BOX 5 ESTIMATED PROJECT COST S�, ,,. EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER /9'0170 06 /O ---O .t LEGAL DESCRIPTION SFL Sc '/, 4t5 (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / s'C/C.,a -GARAGE ' / BOX 8 (X) SINGLE FAMILY (X) 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. 0 WATERCLOSETS GAS PIPING, FEET �% $ O BATHTUBS NO. 0 FURNACE, ELEC. 0 GAS 0 $ 0 SHOWERS 0 GAS HOT WATER HEATER $ O LAVATORIES o' CONVERSION BURNER $ 0 SINKS 0 BOILER, SIZE BTU $ O DISHWASHERS d AIR HANDLING UNITS $ G� ELECTRIC HOT WATER HEATER C3 HEAT PUMPS, SIZE $ C� LAUNDRY WASHER OUTLET (9 UNIT HEATERS $ URINALS a AIR COOLING UNITS, SIZE $ O DRINKING FOUNTAINS f) COMMERCIAL HOOD $ O SUMPS, SPRINKLER VACUUM BREAKERS C OTHER $ • DRAINS $ D OTHER $ O 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. r- OWNER/AGENT: ;� DATE: ' / 7 7 ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELO THIS LINE) # ZONE SETBACKS: FRONT itiViNj SIDE //YMI REAR 9 I61 HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL po/v REMARK?• O C CA-exA, - \i ..AdvH SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL )/i' DATE REMARKS: /� PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: /WA TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT lC NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TENANT IMP. OTHER 1 OCCUPANCY TYPE OF CONSTRUCTION VA) STORES c(Frk.Cq e- BUILDING SQ. FT. ( q$ @ 1 8. 3 Q = BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. BUILDING SQ. FT. @ �o ( 1� 97 .7_‘ 74 U TOTAL SQ. FT. TOTAL VALUATION 1 '� 8 BUILDING DEPARTMENT REMARKS: PERMIT FEE 2( PLAN CHECK FEE ( PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: �`t Q— �-K RECEIVED SEP i 8 1991 PARTIAL PLAN CHECK FEE RECEIVED C rr.- FEDERAL WA) Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY ��� DATE f 0` I ' ACCEPTED FOR FILING • • #L/.: 85/‘ CAR PO E--- ii' SEr /�'AS/< I hv-i_.17(qfils --- /3' 3;' \_� o„ ©gl L. Ho/rIl" 32620 zc A� t,' 'NP c%►f?Pl IC I •- //` 3" ` 3 RECEIVED yp����A�� l✓1��5k/S SEP 18 1991 U S0 y orry OF FEDERAL WAY Z?2 v d f/ BUILDING DEPT e Pc-E— eONO6M//V f 111