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90-100689 96 - /04Co g9 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 ADDRESS: 1223 S.W. 353RD ST PERMIT NO..__ 90-989 RA OWNER'S NAME WM SHERMAN & CO INC JOB ADDRESS LOT 157 MADRONA MEADOWS CONTRACTOR WM SHERMAN & CO INC ADDRESS 1150 - 140TH AVE NE BELLEVUE CONT. PHONE. 641-3939 _ CONT. REG. NO. WMSHECI174L4 OWNER'S PHONE 641-3939 OWNER'S ADDRESS 1150-140TH AVE N.E. 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 DECK TAX ACCOUNT NO. 502860-1570 LEGAL DESCRIPTION LOT 157 MADRONA MEADOWS ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 6-20-90 BUILDING INFORMATION SE _. OCCUPANCY M TYPE OF CONSTRUCTION VN BLDG. SQ. FT. DECK 80 BACKS: FRONT SIDE REAR_ STORIES 1 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 704_00 __ PERMIT FEE 19.00 _ PLAN CHECK FEE 12.00 _ PLUMBING FEE `of,1 MECHANICAL FEE _ L dikTAL BLDG. FEES DATE: VIIFRT P/C FEE '-- SEPA REVIEW AMOUNT: --..„ ,35 4 ATER SERVICE4- --- I� ATER MAIN CHG. RECEIPT: �/- 3 0 B.CC. FEE 4.50 OTHER FEES AMOUNT DUE 35.50 ALL PERMITS EXPIRE 180 DAYS AFTT SSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATI RN .• ED BY ME IS TRUE AND CO5RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: / OWNER OR AGENT DATE ‘ 2 6) L/ CITY OFBUILDING INSPECTION � ' � FEDERAL WAY U D IN G 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 GRADINGOTHER TAX ACCOUNT NO. LEGAL DESCRIPTION__ ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION E OCCUPANCY _ TYPE OF CONSTRUCTION _ BLDG. SQ. FT. ET 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 PERMIT FEE PLAN CHECK FEE PLUMBING FEE 1 ECHANICAL FEE (/I - 411 AL BLDG. FEES i { 4 PART P/C FEE '} �_ SEPA REVIEW 4.1 OUWT: "—• - „„_ WATER SERVICE �s y. !" ,,,,--1 1 _ "'t PCRI WATER MAIN CHG. PT: i S.B.C.C. FEE OTHER FEES AMOUNT DUE 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: OWNER OR AGENT DATE o m 0 0 0 m 0 - Z >- ?D C > rn H m rD- m m K m co 1 \ O 0 Z 0 1 T Z 0) 0 u) C (� C m33 = 0 O co m co Z O Z I G) O 0 0 00 • D c Z D D T `Z oD O --i 0 m r m m m -i D -m II 0 -r _ r -Ti o zO z O m c Do 1 o o m 0 C 0 D W CO H Z (1) r o tr/) 1 O g 0 3 0 Ti > > >0 m -I Cr M r m = m K• CO Z co Z 1 Z > 0 O o r I )o Z CO co o m Z m rn 0 0 55 0 * W 0 W r I i Sermit # (9() — CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— EAi ST/n/6 PEfi/n/ r F/m Cco v7/ #R9 BOX 1 TENANT NAME: 121 3 SC) _ ? —5 OWNER L SII tier-AsG (-- C .I/G. SITE LOCATION L ;T/37 'IAt kkiE OWNER'S ADDRESS / . , A E A .E, CITYPFL L/ t'L I.- PHONE '= / DESCRIBE JOB/),bC'f c l THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X. BOX 2 CONTRACTOR'S NAMELI.)m -5f/E/';IY)RN (V CC .ZNC CONTRACTOR'S REG. #NA1 HE01. /74/1-1/ Card MUST be presented CONTRACTOR'S ADDRESS //5C"/'<-/C 7 4 /4-VD Nf CITY,8ELLE (;SUE PHONE 1/I -73939 EXPIRATION DATE 7/90 — 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 1:31: .-,EA) j1-7,c I PHONE (w4/1 595 l BOX 4 SEWER DISTRICT 0 F :L . 1/Q WATER DISTRICT 'l Ty f?F FE/) AL 1 f BOX 5 ESTIMATED PROJECT COST- CC EXISTING BUILDING VALUATION 87 4/9'7 BOX 6 PROPERTY TAX ACCOUNT NUMBER :„.98a?-/57C--) LEGAL DESCRIPTION Lur /37 rn ADROAA mEAtOGOS (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 Pe / 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 $ SHOWE' , GAS HOT WATER HE• ER $ LAVATORI CONVERSION BURNER $ SINKS BOILER, SIZE :TU $ DISHWASHERS AIR HANDLING UNITS ELECTRIC HOT 1 A .R HEATER HEAT PUMPS, SIZE LAUNDRY WAHER 0 • ET UNIT HEATERS $ URINALS / _ AIR COOLING UNIT , SIZE $ DRINKING F UNTAINS COMMERCIAL HOD $ SUMPS, S INKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ 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 AGAI CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOY S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: phi t " I� ' J DATE: it ANP-008 3/90 • • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT-L1MIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE 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 OCCUPANCY /1- 1.- TYPE OF CONSTRUCTION V STORES I BUILDING SQ. FT. g@ 10.00 = 0 EO©. ao BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ wv9- . gg TOTAL SQ. FT. TOTAL VALUATIOf 7 7DO BUILDING DEPARTMENT REMARKS: ( _ 500 PERMIT FEE 19'.00 PLAN CHECK FEE /a.A-O PLUMBING FEE MECHANICAL FEE QQ TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE y.6'c) OTHER FEES AMOUNT DUE / • St) ASSIGNED ADDRESS: e-e Q4 f 5 ( Oty PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE �o Z7 --7G ACCEPTED FOR FILING