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90-100362 964603(9D CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 90-502 OWNER'S NAME U.S.A.A. JOB ADDRESS 909 S 336 ST CONTRACTOR J.M RAFN CO ADDRESS POB 4229 BELLEVUE 98124 CONT PHONE-622—}4}} 455-3331 CONT. REG. NO. JMRAFC221JO 4/91 OK OWNER'S PHONE 622-1711 OWNER'S ADDRESS 1420 5TH AVE PACIFIC 1ST CTR SEATTLE 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 INSTALL SATELLITE ANTENNA TAX ACCOUNT NO. NA LEGAL DESCRIPTION LOT 15 WEST CAMPUS BUSINESS PARK ISSUED BY ELIZABETH SNYDER DATE OF ISSUE _ DATE OF APPLICATION 5/3/90 BUILDING INFORMATION E OP OCCUPANCY M-2 TYPE OF CONSTRUCTION5-N BLDG. SQ. FT. NA BACKS: FRONT 50' SIDE 20' EACH _ REAR_ 20' 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 i VALUATION $1,000.00 PERMIT FEE $75_00 FIRE DEPT, PUBLIC WORKS, SEPA = APPROVALS NOT NECESSARY FOR THIS PERMIT. PLAN CHECK FEE 16_00 PLUMBING FEE MECHANICAL FEE _ PLANNING DEPT APPROVAL = BILL KINGMAN ON 6/13/90-MAST, DISH, AND •AL BLDG. FEES $41.00 FEEDHORN ARM TO BE PAINTED TO REDUCE T P/C FEE VISUAL IMPACT TO MINIMAL AMOUNT, PERHAPS SEPA REVIEW _ COLOR TO MATCH BLDG, TRASH ENCLOSURE, OR WATER SERVICE __ OTHER NEARBY LANDSCAPING, IF AVAILABLE. WATER MAIN CHG. S.B.C.C. FEE 4.50 BUILDING DEPT APPROVAL = KEVIN ELLIS ON 5/8/90 OTHER FEES / /• AMOUNT DUE 45.50 /.,'` ',-' �J G-A/ Lc. DATE PAID -1 )7T V AMOUNT PAID RECEIPT # '7 , 11l1 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 INFORM.ATts . •NISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS��WILI„BE-MET: • OWNER OR AGENTf /%. I_�_ DATE. CS' /-5.-:: fO R 31V0 1N3OV HO H3NMO :131^I 39 11IM S1N3013HIn03H AVM 1Vd303d dO 1110 3l8VOIlddV 3H1 0NV 39031MONN AIN dO 1S38 3H1 01 103HU00 ONV 3(11A1 SI 3IN A8 03HSINIjf1d NOI1VWdOANI 3H1 1VH1 Ad11H30 I '30NVnSSI d0 31VO H31dV HV3A 3NO 3HIdX3 911VIH3d DNIOVHD ONV 1V11N301S3H•'031HY1S SI )IHOM ON AI 30NVfSSI H31AV SAVO OK 3HIdX3 S1IW1:13d 11V ._. ,. ana INl0WV S33J H3HI0 06/8/c ki0 SITU NIAAN = '. 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I14ounr�-. THE PROPERTY IS OWNED BY:SINGLE/MARRIED_- - PARTNERSHIP a4 CORPORATION i BOX 2 CONTRACTOR'S NAME -ii M. ,Q A i,-". G o _. CONTRACTQAI'8 RE8.i aktc--- -1 ff Q CONTRACTOR'S ADDRESS i1�> 4 a4 . ► h'J1eyuc- , w p -cl S S' - / EXPIRATION DATE ___r__ -41 _----- - _ cISIZA- _OR_ I HAVE READ CHAPTER 1827.010 RELATING TO DEINMONS OF*NEPA CONTRACTORS AND SPECIALTY( WTRACTORSAIW CHAPTER 18.27.0 WHICH FROMM ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON .Lli[ A e 1 N r s la p -- e„,..,,,,a,d-42 - PMOME :, - </S:t'•.-235'4_ BOX 4 SEWER DISTRICT - _ .WATER DISTRICT BOX 5 ESTIMATED PROJECT COST• n •= Yi 6 09_-- EXISTING BUILDING VALUAT,e '3,sr vv,D p c BOX S PROPERTY TAX ACCOUNT NUM - --2 LEGAL DESCRIPTION ,L, 7 /S , We'rT L' iM LAS v41A •" 2/47 V91VMG ir7fh :1.P.ta rye h y,_z gtusiyc, Is'j�9 CP �r LA)14.i wG 0Al J of necessary,plea*,auArNt a mom pp wit,$1011$111 61180111)110,1) -J K.C. Fist Recadlno I _- `--, BOX 7 BUILDING SQUARE FOOTAGE: (Existin1ST PO ' so •2ND FlOOR /5:3Y7 lam_ Ntofi. l ,`1 SF gA$EIYI DECK_z4,. 8ARA8F�N/g I (tr,p BOX i ( ) SOMBRE FAMILY ( ) NEW GOMSTRUCTION ( ) MULTIFAMILY(NO.OF UNITS• •,___-) (X? ExtsT1NG STRUCTURE (K) COIL MERCIALIINDUSTRIAL TOTAL AREA OF PROPERTY(' /1 FT BOX S PLUMBING FIXTURES(4nctudin0 reup+-Ina) MECHANICAL APPUANCES--BASIC FEE i 040-....:_WATERCLOSETS SAS PIPING,FEET __,.�.w___. _ i _ . ...._BATTUS ma _ JRNAC 'L_ � $ - —MOWERS GAS HIT:WATER WAIT" $ —.LAVATORIES CONVERSION BURNER It , SINKS /1//A _____BOILER.� RTU i __ A/ .w.,.,..�uR HANt3LINt#UNITS $ /t/ 1Iif �. CTAIC HOTWATER HEATER --HEAT PUMPS,SIZE. ...,._. $ �" AUN RY WASHER OUTLET .___IT HEATERS $ URINALS —.._.J4111 COOUN8 UMTS.SIZE_.,,� $ _..._,,,, _MINIONS FOUNTAINS — 1u116F IAL MOOD $ __......J3LIMPS. SPRINKLER VACUUM BREAKERS —_OTHER_ _ $ . D OTHER _ ,. _ _ _ - TOTAL RXT LEES $ _,_____ TOTAL MECHANICAL FEE $ ' ____- 1 CER rIFY UNDER ' - • •. s : 1% I. I.! TION FURNISHED BY ME IS TRUE ► t,:;;..M . i. : : +. % a 41. ��p�H£RTHA IAIMIAUTHORI�ZEDBYT 01l NEAOF ti'+'' .•'_]' r;::; O +'' THEWORKFORWHICHPERIRITAPPVa 'els IF JRTHER rroMEIVaignalowircuampamolgfaw i='pkx.,: 1,I, -,, . FEES INCURRED IN INVESTIGATION N40 DEFENSE OF SUCH CLAIM).WHICH MAY BE MADE BY ANY PERSON,INCLUDING THE UNDERSIGNED, AND FILED AGAINST THE CITY OF FEDERAL WAY,OUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCUJOING ITS OFFICERS AND EMPLOYEES,UPON THE . ' ,• V OF THE INFORMATION SUPPUED TO THE CITY AS A PART OF THIS APPUCATION. L tlr /,� IA,/ /i --' DATE: ,U � ,.', �N "4 . SAN Avtin ;;, f , .*.m.. MAY 1 5 .;-0,�1s49�,�o. s. PAQE.882 ' S00.fc.00 ' 3Etid _.us I HOd3 8V : 91 06 , 1 AdN OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE 0' SETBACKS: FRONT___S0 SIDE 2 c`REAR 2-0 HEIGHT LIMIT 5 PLANNING DEPARTMENT APPROVAL 11 c‘ • (1• - • REMARKS:_ v11AST„ iP t1, from pe-e0 el:;)4ity3 A -simEp t)kke0 Pet NWT Tb Alto sv. — 4e1vu-ov.t.51; Petoiam) o r -rcAls 81-Da r T'R.ityzt! 4.N4 $vr-c, 0,4 -- 0Ntte.-9- __.N/t.`4,10,4 t,kw c4.?X �C +_ 1T '1V1�1�A11Ut SEPA: EXEMPT___,Z NOT EXEMPT FIRE DEPARTMENT APPROVAL 1./7 r DATEw___. REMARKS:_—�. —__— PUBLIC WORKS DEPARTMENT APPROVAL—Ai/4_ 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 TYPE OF CONSTRUCTION _ STORES 1)(I(, BUILDING SQ. FT. = _ 500 G BUILDING SQ. FT. BUILDING SO. FT. BUILDING SQ. FT. BUILDING SQ. FT. Cr' r BUILDING SQ. FT. __.__ _-_. _� @ — AA0v -£f 0 ` ZQ TOTAL SQ. FT. -- .. --. TOTAL VALUATION (000 `00 BUILDING DEPARTMENT REMARKS: PERMIT FEE ZS Uc, PLAN CHECK FEE _ / -C- ------ L C- . ._- - PLUMBING FEE U MECHANICAL FEE 0 TOTAL BLDG. FEES `/ / - 0 c- PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES 0 AMOUNT DUE s-O ASSIGNED ADDRESS: S€'- P-k - PARTIAL PLAN CHECK FEE RECEIVED Amount _ _Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE _ — - ACCEPTED FOR FILING