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92-100643 9b?, Jot6 ?3 CITY OF FEDERAL WAY 33530al Irst Way South Way, W 98003 BUILDING PERMIT BUILDING INSPECTIONFeder661-4140 PERMIT NO. 92-655 RA OWNER'S NAME KEN/JOHANA KAUTZMAN SITE ADDRESS 502 S 309 CT CONTRACTOR DISCOVERY HOMES ADDRESS 433 S 289 ST FED WAY CONT.PHONE 941-9474 CONT.REG.NO. DISCOHCO91LF EXP.6/92 OWNER'S PHONE 941-3207 OWNER'S ADDRESS SAME TYPE JOB: NEW RESIDENCE ADDITION XXX NEW INDUSTRIAL _NEW COMMERCIAL_ _ COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. _ SIGN _ GRADING OTHER REPLACEMENT OF DECK ONLY TAX ACCOUNT NO. 241330-1040 LEGAL DESCRIPTION LOT 104 EVERGREEN ESTATES SOUTH ISSUED BY _ E SNYDER _ DATE OF ISSUE _ ? — •)! (7/ 'LDATE OF APPLICATION _ _ 4/28/92 BUILDING INFORMATION GONE RS 7.2 SET BACKS:FRONT 20' SIDE 5' /5' REAR 5' HEIGHT LIMIT 30' OCCUPANCY M-2 TYPE OF CONSTRUCTION _ 5-N CENSUS NO. 434 TYPE OF HEAT NA BLDG.SO.FT. 240 STORIES NA 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 SINK'S MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION $2,4_00___ PLANNING APPROVAL = DEB BARKER PERMIT LANCHC $54.00 "NO BUILDING SHALL ENCROACH ONTO ANY BLDG SETBACK LINES OR EASEMENTS, PLAN CHECK FEE 35.0_ SHOWN OR NOT SHOWN" PLUMBING FEE ECHANICAL FEE PUBLIC WKS APPROVAL = KAREN LANCASTER ART P/C FEE SEPA REVIEW — BLDG APPROAL = KEVIN ELLIS PUBLIC WORKS 35-' n S.B.C.C.FEE 4_50 FIRE FEE — DATE: 5 ., Q0 y OTHER FEES - AMOUNT: $129,.550 AMOUNT DUE $128_50 RECEIPT: 6_2- 117Vj`'// ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORM: c FURNISHED BY ME IS TRUE AND COR CT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. J OWNER OR AGENT DATE U—92..._ S1)17 7Sb7 11J ..DtV�D . POit # I' Is -C____ APR 2 81892 CITY OF FEDERAL WAY P--)61- cory(* Foi*R04.w. BUILDING PERMIT APPLICATION illAIDING DEPT —Please Print— BOX 1 TENANT NAME: eN1 4,-.1h ou V/u +z. w N OWNER SITE LOCATION OWNER'S ADDRESS 6 02 "[f) • 39 76l_" CITY F1 /OPT PHONEy'1//- 3 2 67 DESCRIBE JOB pp. i_n __ Wim% C THE PROPERTY IS OWNED 8Y: SINGLE/MARRIED X PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 1 - ..0 ) CONTRACTOR'S REG. #t717c.01-EE czig( Lf J Card MUST be presented CONTRACTOR'S ADDRESS 3'3 . U• '2(- / 74 CITY i--e-oc Jp'f PHONE q y/—G1W/ EXPIRATION DATE (p b — q U ,&OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINI IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON 1 . ' rp +!_ PHONE r— 94' BOX 4 SEWER DISTRICT ..epi 14)/J.1 WATER DISTRICT 6 BOX 5 ESTIMATED PROJECT COST '7f:1� EXISTING BUILDING VALUATION /ct B-Z- BOX 6 PROPERTY TAX ACCOUNT NUMBER — I 0 — 4 0 LEGAL DESCRIPTION Lo-t- I n,{ Lx�noi flit.tic v-f (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK 2-00 /+V GARAGE - / BOX 8 l SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) fj4) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ 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 $ TOTAL MECHANICAL FEE $ I CERTIFYIENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNO LEDGE 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 T I 0• ATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: . ` , DATE: `---7/— 2 q Z` 2---- ANP-008 3/90 • • r � OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONERS7 SETBACKS: FRONT 2t SIDE 5( REAR 5( HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL 5/V9 REMAPKS: et ,tme SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL /11(i( /(i( DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE S--13-9 REMARKS: • TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT K NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY /14 7- TYPE OF CONSTRUCTION ��`/ STORES per. BUILDING SQ. FT. - {O @ = BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION Z Y 6 C' BUILDING DEPARTMENT REMARKS: PERMIT FEE � if PLAN CHECK FEE 3 c PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW ID-w fee 3�— S.B.C.C. FEE S C OTHER FEES AMOUNT DUE 121. c( ) ASSIGNED ADDRESS: fes- C C(S PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE ACCEPTED FOR FILING J 0 FILE THERE ARE TO-BE NC DEVIATIONS TO THE APPROVED DRAWINGS UNLESS OTHERWISE APPROVED BY THE FEDERAL WAY BUILDING DEPT. CITY OF FEDERAL.WAY DEPT C . COMMUNITY DEVLOPMENT PERMIT N'JM2 R E24 __ Ann :Cn S�� lJJ� _ PLAT:- FC 71 OWN:R 0 • A u�/ __ _. - ?DATE APPROVEDS (2--" .LV:13 GY 6--- ' SITE PLAN APPROVAL, Permit Number: q - _S -/--- Approved Approved By: 0-15 Date: ;//Z/c,2.— / Comments: til ----Th LAG Dec k. Z0 J oI:1 wdro, rimmime s N /WM . ____) • s -'.2.:...„....7------- de 3t c 4 lietoven . ornfapp 281992 r------------- ... OF FE1)64 0,t)TZ 11410,,3 f er.icG-� \ L 0+ 10 Li V r 'J I` - e ,00-E li CITY OF FEDERAL WAY 9� ��D�O y� F�de al'Way\,NW 98003 B U I L D I N G P E R M I T BUILDING INS 661 4I140 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. I�NDU}S�R�ADD. NEWPUBLIC PUBLICADD. 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 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 VALUATION _ PERMIT FEE � ��` PLAN CHECK FEE ', „ �� PLUMBING FEE ,; �� ! - ECHANICAL FEE " �"��'� �'.. ART P/C FEE SEPA REVIEW PUBLIC WORKS �. S.B.C.C.FEE �Ci �1 FIRE FEE DATE: D P v OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: �_ � V� 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 p �n O O � � D m -�i z � � D C -i � m D m � m � m W W ' D 0 � i C� � �i ? z ' � '' c�n -, I � � D 'i o I ° � � o � ' i c � T ( = i �, � -D � z O D \ � � W � W W Z ` ' Z I � � � � I � i ! I i I � � I I � l\l (� D z y '`L o O o � � � � � � m � m m -a 1 D _° �p O � ' � Z r ', O �� I O Z G� m I C � p p � � N ' � � i O � c � ' I I z `� �'., i ... � W i W D � { � Z � i I' i � � D � � � o ] i r I � n I ' '. � , ' � I i : o � o � o � D p D m D C � � � n � m � m = m � D W p I Z � Z D (7 I � i � I r � D z I Q Z I � ' C i p ' � I Z T � I n � � W � W O I'W JJ -� D -< < r � ' ' . ( � , � . � ( i ;