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91-101117 g)- 10)/17 CITY OFBUILDING INSPECTION FEDERAL WAY D.0 I L D I N G PERMIT 941-1555 PERMIT NO. 91-1066 FSS OWNER'S NAME ILLAHEE JR HIGH SCHOOL JOB ADDRESS 36001 1 AVE S CONTRACTOR GRINNELL FIRE PROT. ADDRESS 1106 54 AVE E TACOMA CONT. PHONE 922-6644 CONT. REG. NO. GRINNFP137LE 6/92 OWNER'S PHONE 927-7420 OWNER'S ADDRESS 31405 18 AVE S 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 FIRE SPRINKLER SYSTEM TAX ACCOUNT NO. 302104-9013 LEGAL DESCRIPTION NA 0 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE LVI DATE OF APPLICATION R/13/91 • BUILDING INFORMATION ZONE NA _ OCCUPANCY 5—N TYPE OF CONSTRUCTION AUTOMATIC SUPP SYSTEM BLDG. SQ. FT. 1296 SET BACKS: FRONT NA SIDE NA REAR NA_ STORIES NA HEIGHT LIMIT NA 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 NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $1,834.00 PERMIT FEE $43.00 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS PLAN CHECK FEE 28.00 PLUMBING FEE MECHANICAL FEE OTAL BLDG. FEES moi / PART P/C FEE — \V/f/ i f SEPA REVIEW I /1 WATER SERVICE � WATER MAIN CHG. DATE PD I I AMT $111.00 REE'C -4Q67 S.B.C.C. FEE 4.50 OTHER FEES 35.50 AMOUNT DUE $111.00 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 TH. FO MATIn R,-IS , D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WI :E T: �' I OWNER OR AGENT AN ' - DATE - I S c-1 1 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 ONE 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 VALUATION $I s 834.O(' .4 FIRE/BLDG DEPT APPROVAL : KEVIN ELLL. PERMIT FEE PLAN CHECK FEE PLUMBING FEE CHANICAL FEE _ TOTAL BLDG. FEES tf PART P/C FEE ! SEPA REVIEW �t /- - l i • WATER SERVICE ! fr , WATER MAIN CHG. 'ATE / ► AM? $111.00 R 'r '� 1 ( ! ,f 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 / v • 0 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 BY DATE BY DATE BY FINAL O.K. TO OCCUPY DCD PSD FD DATE /3 /9L BY V2 0 . emit # ? /-- 706C f=S LVED CITY OF FEDERAL WAY AUG1 3 1991 BUILDING PERMIT APPLICATION • — Please Print— (3,1„v c f t✓DERAL WAY BOX 1 TEI�UIk d LT1,441—tee. VR. &*145:4-lerk, j'a 01 OWNER FIE. .__ I t T' SITE LOCATION ? l�T OWNER'S ADDRESS 1140 t sr Cc_ 5. CITYrev. WA`f PHONE era-742. DESCRIBE JOB _..i ✓_ _ g „_...— ._ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME ctRip•-lt..iE LL. Ft /712.0( f'Tln..1 CONTRACTOR'S REG. #0434 P137 L E Card MUST be presented CONTRACTOR'S ADDRESS I ICO' 54114 A's e . CITY TfrIC0b,IA PHONE ‘122.-(06,44 EXPIRATION DATE 651 ,/9 Z % � — OR • — I HAVE READ CHAPTER 18.27.010 RELATING T DEU FINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON 1: -710 Z1 ( 1. ( PHONE 1ZZ' C4 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST 11. 2134.. 00 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER ' O1-- 1O4 — '101, 3 LEGAL DESCRIPTION se 6sUA2i . OP SOC , 1C:W-Al p 24 1Jc TAx LAT" i3 (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # _ 41, 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / 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. FURNACE, ELEC. 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 $ cfL/1 • 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' S INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED, D FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EM OYEE• , 1 %ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. . y-no rf XGt ,-1 c y#f[:U111A OWNER/AGENT: L ripDATE: TZ� . 191 ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) `, ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL • REMARKS: ` SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE E - /3 7/ REMARKS: • 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 573-. E'L? OCCUPANCY TYPE OF CONSTRUCTION h'A) / I STORES BUILDING SQ. FT. 7 E, @ ' c (a . = Zo73 e c,, BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. _ BUILDING SQ. FT. @ �1do ( F( _ TOTAL SQ. FT. TOTAL VALUATION ($ 2'y' 7 / BUILDING DEPARTMENT REMARKS: PERMIT FEE LI 3 PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES 7 PART P/C FEE SEPA REVIEW S.B.C.C. FEE , ' lc' OTHER FEES reQ- 3S - AMOUNT DUE I I • OL' ASSIGNED ADDRESS: ( S F RECEIVED PARTIAL PLAN CHECK FEE RECEIVED AUG 1 3 1991 Amount Date Receipt# CITY OF FEDERAL WAY BUILDING DEPARTMENT APPROVAL BUILDING DEPT. RECEIVED BY DATE ACCEPTED FOR FILING