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91-100423 91-lot Y .23 CITY OFBUILDING INSPECTION BUILDING FEDERAL WAY PERMIT 941-1555 REVISION PERMIT NO. 91-392 NR OWNER'S NAME CLAY/BETTY SUE PARTON JOB ADDRESS 413 SW 347TH CONTRACTOR TMB BUILDERS INC ADDRESS 33305 1ST WAY S #202 FEDERAL WAY CONT. PHONE 838-8626 CONT. REG. NO. TMBBUI100CA OWNER'S PHONE 952-8731 OWNER'S ADDRESS 2818 QUEENS WAY #1—A MILTON 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. 132171-0080 LEGAL DESCRIPTION Se/ .......1 ISSUED BY JOANNE JOHNSON DATE OF ISSUE '94f DATE OF APPLICATION 7-29-91 BUILDING INFORMATION OENE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. T 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 $30.00 ONE HOUR PLAN CHECK FEE. PLUMBING FEE - = Fbis ( 1 MECHANICAL FEE411 AL BLDG. FEES AAT P/C FEE DATE: SEPA REVIEW WATER SERVICE AMOUNT: $30.00 WATER MAIN CHG. ACq.D . S.B.C.C. FEE RECEIPT: OTHER FEES AMOUNT DUE 30.00 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 (f 79 94pro9Y/02 - CITY OF BUILDING INSPECTION FEDERAL WAY BUILDINGPERMIT 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. SO. 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 AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. 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 . CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS //3 -5: :(i '3`/ 75 ir 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 4 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 VALUATION PLANNING I:L n APPROVAL = DER PAR:ri.:P R PERMIT FEE NO BUILDING SHALL ENCROACH ONTO ANY BUIL OiOG S MR3 PLAN CHECK FEE166.00 EASEMENT, SROWN OP NOT SROWN. PLUMBING FEE MECHANICAL FEE — FIRE LEPT APPROVAL = KEVIN E'LLIS TOTAL BLDG. FEES PART P/C FEE 4/3/91 # 2351 Ptlr..LIC WKS DEPT APPROVAL = TO Ca: SEPA REVIEW .. L.._..1._ (f.t. . 1 ' .%_ _ PREAFPROV.sD gIt'G CCUNTY PLAT WATER SERVICE WATER MAIN CHG. ry.a..fCi,6._AC .. t y '-'7 ._,.,; - S.B.C.C. FEE , =C r OTHER FEES 4j,, =" .1 _ Li .1 ,rL. 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 '1 \ '� \ ' *,-) "k` n. v) 1 NI i Ni N4 I' NI Z (V tri ‘ . N 1\t& ky, 4\ C \ ! k. ki ,‘ )'‘\i 1,, 'c\ u. i o SCI Z O !o i\ q ., k `yo \ a = C° 4 J ` V � v �� Nil A ` !,N1 �1 ate' c,1 h ti \ M - ,,3 -.• ,../ \ '' Qi N4 Q co _1 0i - C y 1 -4 3:1 ' C:,' . I:4:Ni 2 '— 0 u. ',c? 4 , -N • Q., '‘•, .. 0 r r a a '� 3 N £ v o o scil u- f-41 �l I ti ri "' W ° Z o- 11) ? �` 3 '� h N �� Z 0 w w d - u1 1 \ .0 N U `� Al Z X lk a ¢ a u)•"-n1 a v j h v `ti` N t� lq j , 1 i6 \ �� • h \ \ /.,,, k‘) i,\,,, t\i‘r: I.'4 ,4t14 § . k (1. ‘ A 0 -4 0- \t Y ::' r ., \ om• '� v '� �'t's4 ‘Z A Q J y Z ti 1 % V~ m Z m \ lko °g � \ o 12 �� • , o E '1. 1 (l.+ 0 M \ \ \, k / v, \ \ x .,1 \ 7. ' • rem # ell " CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER [LON B% 11 ? 1�d SITE LOCATION 1I 6'P1 41 OWNER'S ADDRESS 225 w Y #-i--A CITY Mi -rt0r:1 PHONE(7"-- Z.,-.b.-1---77 DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED \>'G PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Tip 3 I CONTRACTOR'S REG. # IMP&d.L - 1LYY.A Card MUST be presented CONTRACTOR'S ADDRESS 33Y=5 l 5r WZY L6 2 CITY �t 'L±/ - 9�ti�.' PHONE i%) 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 PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (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 / 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 $ 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. OWNER/AGENT: 1 1 r DATE: 1-L-i-.1 I ANP-008 3'90 OFFPUSE ONLY (PLEASE DO NOT WRITE BELOW *LINE) ZONE SETBACKS: FRONT TIDE REAR HEIGHT LIMIT • PLANNING DEPARTMENT APPROVAL REMARKS: `VA- SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL /ntDATE 7/f//ft 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 AVnli TYPE OF CONSTRUCTION vrl/ STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. 00vl @ _ BUILDING SQ. FT. /< @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: PERMIT FEE 'e /-(evi 4vx- n PLAN CHECK FEE 36 oc o PLUMBING FEE ,16 /� l�!</frl. 3a o L MECHANICAL FEE TOTAL BLDG. FEES �6 PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED J U L 2 9 101 Amount Date Receipt# _ PERMIT# �� -L`Z �//� BUILDING DEPARTMENT APPROVAL RECEIVED BY /Yfi 41z-r- -0‘ /271,74-K.. DATE -7/P/9Z_ ACCEPTED FOR FILING CITY OFBUILDING INSPECTION FEDERAL WAY BUILDING PERMIT' 941-1555 PERMIT NO. 91-392 NR OWNER'S NAME CLAY/BETTY SUE PARTON JOB ADDRESS 34517 10 AVE SW CONTRACTOR TMB BUILDERS ADDRESS 33305 1 WAY S #202 FEDERAL WAY 98003 CONT. PHONE 838-8626 I.! CONT. REG. NO. TMBBUI*10OCA I 1g." OWNER'S PHONE 952-8731 OWNER'S ADDRESS 2818 QUEENS WAY #1—A MILTON TYPE JOB: NEW RESIDENCE XXX 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. 132171-0080 LEGAL DESCRIPTION LOT 8 CAMPUS HIGHLANDS DIV 2 AilSUED BY ELIZABETH SNYDER DATE OF ISSUE r DATE OF APPLICATION 4/3/91 BUILDING INFORMATION ZONE RS 7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N _ BLDG. SQ. FT.- 3991 SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' _ STORIES HEIGHT LIMIT 30' MAX _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED SHOWERS 1 _ URINALS FORCED AIR FURNACE 10-00 AIR HANDLING UNIT _ NUMBER LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. 6x_50 MISC. _ SIN`S 2 MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 15 X $5.00 UNIT HEATER TOTAL MECHANICAL 2.0-,A.0 AMOUNT NONE VALUATION $175,512.00 PLANNING DEPT APPROVAL = DEB BARKER PL4906.00 PLANNCHECK FEE 589.00 $166.00 NO BUILDING SHALL ENCROACH ONTO ANY BUILDING SETBACK LINE OR QMBING FEE 75.00 EASEMENT, SHOWN OR NOT SHOWN. UTOTAL NICALBLDG. FEE 20.00 FIRE DEPT APPROVAL = KEVIN ELLIS TOTAL BLDG. FEES $1590.00 PART P/C FEE (423.00) PD 4/3/91 # 2311 „.11PUBLIC WKS DEPT APPROVAL = TOM COLLINS SEPA REVIEW DATE: j 3_0 t.1,, PREAPPROVED KING COUNTY PLAT WATER SERVICE WATER MAIN CHG. AMOUNT: 1,206.50 BLDG DEPT APPROVAL = MIKE MONEN S.B.C.C. FEE 4.50 OTHER FEES PUBLIC W. 35.00 RECEIPT: -. --9-S--kte.,2 AMOUNT DUE $1206.50 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 `7 7 A • 4, • T. „° o W L=40.30' S,°5-'\ A =92°22'04" R=25.00' -5��� — ��� 0o� 1# L=26.30' N� �6. 0° 08 24 • o, \.- 4• S) : tui ` al ' '/'?fin 1Jd `11G s oI9zld \‘f* ° 1 _...\ V-_-sr 5.,c \ NEIN \ lc9 I -.cd''j-. F 1 LE I w c9 I W IW II °m ° 4' HIGH BERN REVISION RE CElVEO w SHADED AREA \ I JUN 2 6 1991 ,-,-\\ LOT 8rr& \ . 1I CAMPUS ESTATES D V 3 \ 1 A PORTION OF SECTION 1, I T. 21 N., R. 4 E., W.M. I KING COUNTY, WA Petzb err tr ?/-212 112 `c? ° rnN 83.00' N88°52'25"W i . , Pipit # (i1 ._-- , a,,,_),. • 3 CITY OF FEDERAL WAY 14 ----- BUILDING PERMIT APPLICATION — Please Print— BOX 1 NANT NAME: C___.\0� \ \ •\ ,� „._„. �. � 8 OWNER --\-\- < ' . SITE LOCATION 17 • - , .Ar. •OWNER'S ADDR SS '_ - -- - CITY /-/IC,TGAl PHONE ` ` _ DESCRIBE JOB 5/NtaL6 FAn,iLi /' Sr/? ,.)C0._ THE PROPERTY IS OWNED BY: SINGLE/MARRIED , 1,4 i IEO PARTNERSHIP CORPORATION - - BOX 2 CONTRACTOR'S NAME i Md ,gill L Dir;,S /d1 C• CONTRACTOR'S REG. #!i r81i q 7-*j r'r C'/ Card MUST be presented CONTRACTOR'S ADDRESS 23/0-.C- /s; ct- S ,7 20Z CITY f - lid,' PHONE /-24j „ c it- 4/ EXPIRATION DATE l0//3 '/47 / — OR — I HAVE READ CHAPTER 18.27.010 RE ATING 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 %E/:R 4-c.c.ic+r p\�k_:- `1\L FA -i�. PHONE A's�:' r 6 2(- BOX 4 SEWER DISTRICT rid, adfr 1 WATER DISTRICT fa, iufry BOX 5 ESTIMATED PROJECT COST i ?t-r/ C e;6 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER /3Z/7) - C(4.6 LEGAL DESCRIPTION '-' i F+' (ivPUS N/EV/LANDS 1..1/v 2 (If necessary, please submit a separate page with the legal description.) VOL— 14 T — �( 'rS ? t 83 K.C. Plat Recording # °i r 1 1 1 C . 1 r3- .i-- ,'— . e7 BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR .- /Z4:1' 7 2ND FLOOR / 3RD FLOOR / BASEMENT -- / DECK --- / (CCC GARAGE - /7FV- BOX 8 (• ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE /`�(*k-- ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 1 (. (.,))0( ) SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES- BASIC FEE$ NO. 3 WATERCLOSETS GAS PIPING, FEET 0‘i I L_ $ 1 BATHTUBS N0._ / FURNACE, ELEC. GAS 4' $ /c" ' 1 SHOWERS / GAS HOT WATER HEATER $ 6 c LAVATORIES CONVERSION BURNER $ Z SINKS BOILER, SIZE BTU $ i DISHWASHERS AIR HANDLING UNITS $ f 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 Rifie/tc'_ OF--&1 J,` $ OTHER $ 118 TOTAL FIXTURES — $ /if)( , 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. OWNER(GEN : /L,., . ,-. 4--, DATE: ___44/Ii ' ANP-008 3/90 �/ ` i ).>` OF I E USE ONLY (PLEASE DO NOT f RITE BELOW i'fiIS LINE) ZONE?.$1. 2/SETBACKS: FRONT 4D SIDE/ 5' REAR • HEIGHT LIMIT 30 PLANNING DEPARTMENT APPROVAL (07:01. -7-(q REQ RK ��1 uv -1 ` G ��~' '•7 _.,.14.,/-h„,..,44, ,,..., By ,t#t SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE `I - 2-if -et 7 REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL C 1 - DATE -2- — REMARKS: f f� of f 11-(-, U K.1' (viUA ( V(CC 7 57// 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 R% TYPE OF CONSTRUCTION b'AY` STORES /sr '1-voi BUILDING SQ. FT. nZ @ Vi `'O = f-7q 45'33 °` "` Pat.- BUILDING SQ. FT. @ .7 _ "rt':` 17ecte BUILDING SQ. FT. 4 C O @ /G "" = A rcrc er arwz_ BUILDING SQ. FT. 7f Z! @ /73 = t3, S'GS `� BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ ,i7 ?, ,(,., .XX ,5 = !c(<<t/4f(' ' TOTAL SQ. FT. 1 9`(; r* TOTAL VALUATION .7 5 S/d °C BUILDING DEPARTMENT REMARKS: PERMIT FEE �0l VOL PLAN CHECK FEE WO 5V? PLUMBING FEE 7. `" MECHANICAL FEE 9-0 ' TOTAL BLDG. FEESI S 70 PART P/C FEE 0-L3_if')> SEPA REVIEW _{'.- 3S.0U S.B.C.C. FEE y 3`:' OTHER FEES AMOUNT DUE ( .. . (Qt ST) ASSIGNED ADDRESS: 3`f S 17 to -1-1q /`}Ve_ S• ( ). Q >. 1 6_PARTIAL PLAN CHECK FEE RECEIVED O Amount Date i'9 I Receipt# • J S C.) cz, €n BUILDING DEPARTMENT APPROVAL 4 J travo0- , BY /flii�icct.Y Gr. J 1O'1U DATE 7/IVI/ ACCEPTED FOR FILING