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92-100155 CITY OF FEDERAL WAY 9 '' ltb l `SS 33530 First Way South BUIL1311sIG PBUILDING INSPECTION Federal Way, WA 98003 PERMIT NO. 92-0115 NR OWNER'S NAME EXECUTIVE HOMES SITE ADDRESS 1422 SW 319 CT CONTRACTOR OWNER ADDRESS 23913 124 AVE SE KENT CONT.PHONE 630-5160 CONT.REG.NO.EXECUI335N1 _ EXP. 1/93 OWNER'S PHONE SAME OWNER'S ADDRESS SAME TYPE JOB: NEW RESIDENCE XX 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. 416795-0410 LEGAL DESCRIPTION LOT 41 LAKOTA TRAILS PHASE 1 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE 3--/ -It-- DATE OF APPLICATION _ 1/23/92 BUILDING INFORMATION ONE RS 7.2 SET BACKS:FRONT 20 SIDE_ 5�_/5 REAR _ 5, HEIGHT LIMIT 30 MAX OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5-N CENSUS NO. 101 TYPE OF HEAT GAS BLDG.SQ.FT. 2257 STORIES 2 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING FT. 2.00 GAS LOGS BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACE 10.00 DUCT WORK RECEIVED SHOWERS URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER LAVATORIES _ 2 DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS 2 MISC. BBQ BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 11 X $5.00 DRYER TOTAL MECHANICAL 18.50 AMOUNT NONE 4 114, • VALUATION $ 809 -- PLANNING DEPT APPROVAL = DEB BARKER PERMIT FEE $692.00 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS PLAN CHECK FEE $130.00450.00 PLUMBING FEE 55.00 PUBLIC WORKS DEPT APPROVAL = KAREN LANDCASTER MECHANICAL FEE 18.50 #4567 (320.00) RTP/CFEE1/23/92 "ALL DOWNSPOUTS, FOOTING DRAINS & RUNOFF FROM IMPERVIOUS SURFACES SEPAREVIEW 35.00 SHALL BE TIGHTLINED TO THE APPROVED STORM DRAIN CONNECTION PER PUBLIC WORKS 4.50 CONDITION OF THE APPROVED PLAT" S.B.C.C.FEE FIRE FEE DATE: 3 -(3-5 -- OTHER -I3-5 - OTHER FEES $935.OO AMOUNT: $935.00 AMOUNT DUE RECEIPT: _ 0 2 - d d cc 5 c/ 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 ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. [ OWNER OR AGENT ter:" 41.1 DATE -3 -13-4 CITY OF FEDERAL WAY 33530First Way 980003 BUILDING PERMIT661-4140BUILDING INSPECTIONFederral W PERMIT NO. OWNER'S NAME _ SITE ADDRESS CONTRACTOR _ - _ ADDRESS - _ CONT.PHONE CONT.REG.NO. _ _ EXP. 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 SNE 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 ~ 'Q DRYER TOTAL MECHANICAL AMOUNT VALUATION _ PLANNING DEPT APPROVAL = DEB BARKER PERMIT FEE — IRE/BLDG DEPT APPROVAL = KEVIN ELLIS PLAN CHECK FEE PLUMBING FEE PUBLIC WORKS DEPT APPROVAL = KAREN LA 4DCASTFR MECHANICAL FEE °ALL C� fv T p�,�T P.M 0E?FEE °ALL TXVA" SPOUTS, .POOTINC RAI:IS & S?�Jia0'i- FRL s a.rii'r,r p{ L',"i.. ` SEPAREVIEW - SHALL LL P iIGhTLINED TO THE APPROVED STORE PRAI ` C0 N r 7i,,,' 7V.,, PUBLIC WORKS ONDI _r r;.. OF THE APPROVED PL',,. ... S.B.C.C.FEE FIRE FEE - DATE: OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: 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 SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE t/_ 6'._y2" BY /23 ._..._.— DATE ....� - -y2 BY .._ _.. DATE — .. BY PLUMBING ROUGH IN WATER LINE O.K. __.._ MECHANICAL INSPECTION DATE A 92 BY ... .... GAS PIPING O.K.fGf 1.9- 64J_ DATE CL?/S %Z ... ..__BY C=am-- O.K. TO ENCLOSE FRAMING ,�G...� INSULATTIION// WALL BOARD AND FIRE WALL S.LS DATE 6./424_ Y _ .......___. DATE CfJ /C �Z....BY .C'O'Y DATEBY FINAL O.K. TO OCCUPY DCD PSD FD DATE 7-..Lf-92 BY –4•--9 Z ,c p%rgfl t,c/ /S O-/1_ � S I wr t 8CEIVED • omit # 97., K JAN 2 3 1992 CITY OF FEDERAL WAY �\ri' v CITY OFFEDERAL NGDEP . BUILDING DEPT. BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER ,•)(eC-k-,.-ti`v z I-6,7 �r�c /Ate.-- SITE LOCATION 5 i- `3.7.-C-t''" +- /Lim S t ) OWNER'S ADDRESS 3 et 1 3 ).).1-4 ve S t- CITY ied4A.f PHONE&3 0-5-14 0 DESCRIBE JOBe- �•F r-- THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X' BOX 2 CONTRACTOR'S NAME ''L 'v -.P� CONTRACTOR'S REG. #.6 - -3. 5-11‘) Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE /--/-13 — 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 ✓, (�-t- I% Ic- PHONE L30-516 C3 BOX 4 SEWER DISTRICT • CSC � WATER DISTRICT Pe, 1-0 a. BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION / /c.) 14 BOX 6 PROPERTY TAX ACCOUNT NUMBER I I L_ 7 5 044 f d LEGAL DESCRIPTION Lo* 14 L7j"--A., -7'c-_.11 S Ph x-ccs (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 4T5-/ 2ND FLOOR 7 / 3RD FLOOR / BASEMENT /_ DECK / GARAGE6 2 / BOX 8 (A SINGLE FAMILY (.X NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE � ( ) COMM ERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY ' ``-7 7 b SQ FT BOX 9 PLUMWIG FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO. WATERCLOSETS GAS PIPING, FEET 3 V $ 2„c)0 BATHTUBS NO. / FURNACE, ELEC. GAS X _ $ (O.-c>0 SHOWERS _ J GAS HOT WATER HEATER $ C.C '3_ U LAVATORIES CONVERSION BURNER $ 2 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 $ OTHER $ II TOTAL FIXTURES $ ZC 5- = 5-5" TOTAL MECHANICAL FEE $ 9.5'0 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 ACCU'ACY OF THE FORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: i / DATE: / T �( ANP-008 3/90 • aava ..)16ri ) OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE 1Z- SETBACKS: FRONT 2O' SIDE 5 c REAR S' HEIGHT LIMIT '8°11 PLANNING DEPARTMENT APPROVAL Y31/42.— REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL r----L- DATE Z "G -72- REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL a DATE Z-4`gZ REMARKS:1AII (/OL�v�5 (�� k, l �►\& /c.Aryd ((( i �vcn SuicCei SL&�(I k kms Tt^o e Wed 66i(tK Q yCci vl C'onh er.lio1. pei'- CQM(IY a powed lo#- 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 ` / OCpUPANCY �7 TYPE OF CONSTRUCTION VN STORES L(tl1 viq 1 ST1 BUILDING SQ. FT. aq c @ 7?- Co = 6s-3(8, y 1 ')-(A' BUILDING SQ. FT. 731 @ H' = 5 3-n7.3 Ga nig e, BUILDING SQ. FT. 6211 @ I� . 3 0 = /1`i (eft ZD �J BUILDING SQ. FT. @ BUILDING SQ. FT. @ ,f BUILDING SQ. FT. @ /fid U`A4 (,-(e.( "= O - c6 TOTAL SQ. FT. TOTAL VALUATION ( i ©q' (( BUILDING DEPARTMENT REMARKS: PERMIT FEE 6qZ PLAN CHECK FEE i3 D y SO PLUMBING FEE 5-5- . MECHANICAL S- MECHANICAL FEE 1 g-SO TOTAL BLDG. FEES / PART P/C FEE ( j201 tri) SEPA R VIEW V.V, kek 3S•0° S.B.C.C. FEE Lie Sv OTHER FEES (;?(/ AMOUNT DUE % ASSIGNED ADDRESS: (KzZ 5w 3(9' 1-k G+ PARTI PLANCHECK FEE RECEIVED Amount 71.-LII1) Date [-Z -qe)— Receipt# 'al• BUILDING DEPARTMENT APPROVAL K -6- RECEIVED BY v DATE -6 - q Z ACCEPTED FOR FILING