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1011:7( OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: 92®1154
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/14/92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 1124 SW 318TH PL
PARCEL NO.: 416796-0190
PROJECT DESCRIPTION: NSF
— OWNER -- CONTRACTOR LENDER
NORTHWEST HERITAGE GROUP
1011 E. MAIN ST #204
PUYALLUP WA 98372
848-6606
4111 I
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 I COMP PLAN -SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1194:sf STORIES • 2 REQUIRED PARKING..: 0 SPRINKLERS?......:N BUILDING PERMIT....* $ 790.00
CENSUS CATEGORY -101 2ND.: 0: 882:sf HEIGHT • 0.00 ft HAZARD CLASS. :LIT SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW ° 1016 gpm MEC APPLIANCE FEES.* $ 18.50
:R3 OTHR: 0: O:sf EXIST..S: 0 FRONT • 20.00 ft PLUMBING PERMIT/SPK* $ 70.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...S: 142392 SIDE ° 5.00 ft WATER SERVICE..:FED FINAL PLAN CHECK...* S 513.50
:5N : : DECK: 0: 0:sf REAR • 5.O0:ft SEWER SERVICE..:FED PLAN CHECK DEPOSIT.* $ 367.00 1
OCCUPANT LOAD GAR.: 0: 440:sf RECEIVED.:08/02/92
. 0: 0: 0: 0: TOTL: 0: 2516:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS ! WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1763.50
GAS PIPING.: 38 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP - 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP - 0 SINKS • 2 DRAINS.........: 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS - 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE - 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GA LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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 INFO:, •j FURNISHED BY E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
( ( 1 .s. ,
OWNER OR AGENT , ,�� � DATE )G�_
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bld_prmt 07/31/92
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE DATE BY _..._. 12"�� 7Z /441`1 DATE . - -_ BY _
DATE ... BY 6
PLUMBING ROUGH IN WATER LINE O.K. ..._. MECHANICAL INSPECTION
DATE.�r? J T.`! _BY _ /v ._.. GAS PIPING O.K 2 J 5 / 5 'L- DATE S'/ ... 3........__BY _AI _
O.K. TO ENCLOSE FRAMING INSULATION ,/ WALL BOARD AND FIRE WALL /
BY ...--.._ DATE 3 ��..-5'3 By .._h2 (L- .......-_........_ DATE 3-3'5'3_ __-__ BY My
DATE� �.� �.1 ,114.I
FINAL O.K. TO OCCUPY
// ,-, // DCD PSD FD
DATE`///--" 9 -5 BY 44'v___..._--
2' 7-99— No1 '2 r-4244 4'4L4S 141.4,
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4 , `` • Perm y AI
' � 01 �� CITY OF FEDERAL WAY ei -2�.7 u'
0s *. " BUILDING PERMIT APPLICATION �� °� � r
ij .. - Please Print— J 1- Z- `f z
IP NAP
BOX 1 TENANT NAME:
OWNER Al r ' I!.,.a--- - ► 's' SITE LOCATION fre ' .W,I..
OWNER'S £DDRESS trail & •. .- `'25 - -ITYkLt, . r PHONE c .;6 76
DESCRIBE JOB KL---14i Sii4 , FkNA- ;F5 -
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME I't/W { tTl' 1—r - Z j F' CONTRACTOR'S REG. #1402141tc.ti 1'S7c.X7
Card MUST be presented
CONTRACTOR'S ADDRESSrI E. NIAt i.(*21 '/XITY ru�iAl-1.. r PHONE •-(� 3�
EXPIRATION DATE `j'f'T I9`1t' -
— 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 I -- WP's S.052,41 0—r.\ PHONE g G-4.0GaGG
BOX 4 SEWER DISTRICT = WP- WATER DISTRICT t1:7 0 Ar Y
BOX 5 ESTIMATED PROJECT COST - b EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 4t7'1 , ' E?OA
LEGAL f
DESCRIPTION T1t`'`1 L.A it:4 1—N, ._ zA.i L S ri JAS = /Z_ t
1.------(-- 7 1 .1 t2. -\ (2 Imo' Uri •ivl i rev v- q t (4\t C.1 , l cel N .
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # CI lt)--7 t t (74- 2.—. ���,,,,JJ
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 1 ilit 2ND FLOOR / U�7i"
3RD FLOOR / BASEMENT 0 DECK / GARAGE / 1)
BOX 8 ( SINGLE FAMILY (xl NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY Cdt Pc7 SQ FT
BOX 9 PLUMB G FIXTURES (including rough-ins) MECH NjCAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET `( $
BATHTUBS NO. ( FURNACE, ELEC. GAS 1( $
SHOWERS I, GAS HOT WATER HEATER $
A LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
I 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 $
___Ar___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 .I Ai OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLO r�'. . 4 THE A , A6,CY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
'119 OWNER/AGENT: V Cid DATE: -�L11. r .611;---Ad- il� Fes/
ANP-008 3/90
°OFFICE USE ONLY (PLEASE DO NOT WRITE BEL THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
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 TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
PERMIT FEE
PLAN CHECK FEE
KPLUMBING FEE
� - MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
Prruz--A-411 SEPA REVIEW
T� s S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
CE1VED —
PARTIAL PLAN CHECK FEE RECEIVED
a 2 9 1992 Amount 7 - Date ' .21, 42 Receipt# jG/` 3
OFFEDERAL WAY
;AD Gan: BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING
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Date: U, Q`
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