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91-100159 9/--/Do f 59 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 9137 NR OWNER'S NAME KURT VEEDER JOB ADDRESS 5414 SW 316 PL CONTRACTOR OWNER ADDRESS 31735 51 AVE SW FEDERAL WAY 98023 CONT. PHONE 927-9292 CONT. REG. NO. NA OWNER'S PHONE ABOVE OWNER'S ADDRESS ABOVE 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 . . .AND GARAGE TAX ACCOUNT NO. 321020-0318 LEGAL DESCRIPTION POR OF LOT 2 BLK 3 HEALY PALISADES ADDN FEDERAL WAY WASH _ A a 1,3SUED BY ELIZABETH SNYDER DATE OF ISSUE 'Ai DATE OF APPLICATION 2/6/91 BUILDING INFORMATION ZONE RS 15 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N BLDG. SQ. FT. 1964 SET BACKS: FRONT 20' SIDE 14' / 25' REAR 66' STORIES 2 - HEIGHT LIMIT 30' — 24' PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. ***ELECTRIC*** AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER 1 GAS PIPING FT. 3.50 BOILER _ BATHTUBS 1 LAUNDRY DRAINS _ 1 COMPRESSOR _ TANK(S) RECEIVED SHOWERS 2 URINALS - FORCED AIR FURNACE 10.00 AIR HANDLING UNIT _ NUMBER LAVATORIES 3 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC RETURNED SINKS 4 MISC. CONVERSION BURNER BASIC FEE DISHWASHERS __1_ TOTAL FIXTURES 16 X $9.00 UNIT HEATER TOTAL MECHANICAL 13. 90 AMOUNT NONE VALUATION $96,233-00 PLANNING DEPT APPROVAL = CORY SMITH PERMIT FEE $626_00 PLAN CHECK FEE 407_00 _ $111.50 `LUMBING FEE 80.00 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS ECHANICAL FEE 13- 50 TOTAL BLDG. FEES _ $1126-50PUBLIC WKS DEPT APPROVAL = TOM COLLINS PART P/C FEE (295.50) PD 2/6/91 SEPA REVIEW #1796 WATER SERVICE }/� WATER MAIN CHG. • 4/ S.B.C.C. FEE 4.50 DATE PD , 91 AMT $1284.50 RE'CT , OTHER FEES P. I°IKS. 449.00 _ y AMOUNT DUE _ $1284.50 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 / ::',4:.,t)(Z.-,!;‘--LY-- DATE ,_ C'7 C� ( 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 ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. 50. 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 LAtiK TW DEPT APPROVAL — LORI' S L`3 PERMIT FEE PLAN CHECK FEE PLUMBING FEE `'LRr/P _,•PC i.)t2T APPROVAL — KEVIN YLLI' MECHANICAL FEE TOTAL BLDG. FEES -.'0.41-,IC F"` th.:PY r.s.PPR( I • PART P/C FEE SEPA REVIEW WATER SERVICE • WATER MAIN CHG. S.B.C.C. FEE , .. .T * _.d.. r 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 1 DATE c\ ),I t -N• NZ E' (-) St, N. ,,, › ,,, ). / ,,,i, ,-.7,1 03-4 ,"r i N. \ v1 a a, .t• b ,'' .o. m z , F l N ® n n t � �� , n W \6 , , si z K W Z W O c` \ V i t., V\ , Z N i It, _ *Pa I Z �` r� to ? \ D31 Q A T' Z co m w % V --..... \. * ,\i N bt 1.:. x' e\ 2 \ a t r �' m N � 5. y 1 �` r- 0 `� (� r C\ 1 , I\ \ ' 0 ti y w \ \ i, ® 0 . u, 0 c' NI v\ \ D D D m D v ow z>5 Z ,� ti, \ 1\. , `14C Oz.., vk i4". N 1%4 ) m O \, 1c t J \ N 1 t\4S 0D D W Z CO % 0 � I \ T, 4 1\ � Ni tee ,. s , � t:i t4 Ni kG. to \° t2CEIVED , 5, Ormit # / .5 7 N R FEB 0 6 1991 CITY OF FEDERAL WAY CITY r= l^c:` 1_t Lcl1(AY BUILDING PERMIT APPLICATION B :; — Please Print— BOX 1 TENANT NAME: OWNER SITE LOCATION OWNER'S ADDRESS 3 r'7 3 5 -5 t 4 S,(4.). CITY ce4 We, , % PHONE y z 7 DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED >/ PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME c_-_ CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE 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 KclPHONE 4 Z7 `-t . CI Z._ BOX 4 SEWER DISTRICTr c e r,[ �oe„.„, WATER DISTRICT yQ Lk.) BOX 5 ESTIMATED PROJECT COST 95, floc. EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 3 7_ 0 2_0 CC'S Lg. 03 I / LEGAL DESCRIPTION Pp e+KI L. ± .2, 8 1,4)c tc 3 /4 e 4 (z_fLk 5 -PP�- 1� t,�J(2„s 4. 4 l2 o 2..3 (If necessary, please submit a separate page with t e le.9al description.) K.C. Plat Recording # \`G v- Aei < : k:s ca.. q 3�z, BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR I 8( / 2ND FLOOR tD 7Z / 3RD FLOOR / BASEMENT / DECK / GARAGE 5n / BOX 8 ( ")" SINGLE FAMILY (t-j NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 1 0, 2_00 SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. 3 WATERCLOSETS GAS PIPING, FEET $ 3. s c / BATHTUBS NO._ FURNACE, ELEC. ✓ GAS $ /G -oc Z SHOWERS GAS HOT WATER HEATER $ 3 LAVATORIES CONVERSION BURNER $ I/ SINKS BOILER, SIZE BTU $ / DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ 1 LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ IQ TOTAL FIXTURES $ . TOTAL MECHANICAL FEE $ /3-5" o 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: I �ea DATE: Z — ci I ANP-008 3/90 ilif 0 i OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE 4-:5 i $ SETBACKS: FRONT SIDE //' -,` ,S ' REAR HEIGHT LIMIT 3() 1 - -7V/..,X,-,,. PLANNING DEPARTMENT APPROVAL REMARKS: • SEPA: EXEMPT T NOT EXEMPT FIRE DEPARTMENT APPROVAL f- G DATE 3 - � - `I( REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL_ 7 i- DATE j/ REMARKS: f'�I: T-CLCCi/,v�c` C_ t 15/ wt.re-6- A "i.I (c Y!( (f 1' Cet'"f C ! cci t�- � 3-s- 9 l r Se l-1-cc( Sys t," (4 pirc,vcd 1, , , _C , gE'tt/ ,et 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 f TYPE OF CONSTRUCTION V N STORES t-fvi Kg %xT BUILDING SQ. FT. 1g6 @ — 6 q, 06 - _ 3 yz 3+7 it .. -2,0--orBUILDING SQ. FT. . 6 7 Z- @ , _ i 36 0 3a6 rage--- BUILDING SQ. FT. ro C @ 17- 3o = 1)75-3-8 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ 1 _ BUILDING SQ. FT. @ M6�t `(el. = 0 "gU TOTAL SQ. FT. TOTAL VALUATION 147'33 ' (0 BUILDING DEPARTMENT REMARKS: " 7 y d %q, 1-(-) PERMIT FEE 6 PLAN CHECK FEE `1v 7 PLUMBING FEE tO.Ov MECHANICAL FEE l3' c0 TOTAL BLDG. FEES If LC -T a PART P/C FEE r .,..rT* 17' , 2c.z, SEPA REVIEW ' 'C S.B.C.C. FEE 14,5 U OTHER FEES AMOUNT DUE 41-1E-47V) 1 ASSIGNED ADDRESS: 5-1-1I14 S - w, 3(4, ' P.. 49 RECEIVED PARTIAL PLAN CHECK FEE RECEIVED .G�/` �0��\ Pel FEB 0 6 1991 Amount Date Receipt# Is, % �Q.PQ. CITY OF FEDERAL WAY *P 0CP rRV3 r---� BUILDING DEPARTMENT APPROVAL BUILD . u`� T. O O� RECEIVED BY C DATE ACCFOR FILING