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91-100937 q)-)0z 937 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91-888 OT OWNER'S NAME - TWIN LAKES ELEMENTARY JOB ADDRESS 4400 SW 320 ST CONTRACTOR ROD ROBBINS ADDRESS 818 SW 142 ST SEATTLE CONT. PHONE 244-1023 CONT. REG. NO. ROBBICH169NQ 2/92 OWNER'S PHONE 941-0100 OWNER'S ADDRESS 31405 18 AVE S FEDERAL WAY 98003 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 SET–UP PORTABLE AND RAMP TAX ACCOUNT NO. 112103-9096 LEGAL DESCRIPTION THE E 1 OF THE N i OF THE S i OF THE SE a OF THE SW_1 LESS THE N 20 ' THEREOF OF SEC 11, TWP 21 N, RANGE 3, EWM IN KING CO WASH ,q i ISSUED BY ELIZABETH SNYDER DATE OF ISSUE fi._,,,ly DATE OF APPLICATION 7/3/91 BUILDING INFORMATION •ZONE RS 9.6 OCCUPANCY E-2 TYPE OF CONSTRUCTION 5–N BLDG. SQ. FT. 1870 SET BACKS: FRONT 50' SIDE 50' REAR 50' STORIES ONE HEIGHT LIMIT 30' MAX 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 - L.i,VATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. _ - RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT _NONE VALUATION $8228.00 PLANNING DEPT APPROVAL = LORI SCHILL PL $108.00 - "ALL DEVELOPMENT MUST CONFORM TO CONDITIONS OF ACCESSORY USE PLANNCHECK K FEE 70.0_0 "ALL ISSUED 8/15/91 AND ANY ADD'L CONDITIONS IDENTIFIED IN USE PLUMBING FEE _ MECHANICAL FEE PROCESS I APPROVAL" •TOTAL BLDG. FEES _ FIRE DEPT PROVAL = KEVIN ELLIS PART P/C FEE SEPA REVIEW DATE : _.g..3 ...-y BLDG DEPT APPROVAL = KEVIN ELLIS WATER SERVICE — 187.90 PUBLIC WKS DEPT APPROVAL = RON GARROW WATER MAIN CHG. AMOUNT: S.B.C.C. FEE 4.50 "PERMIT TO BE ISSUED PER THE ATTACHED OTHER FEES 5.40 RECEIPT: CONDITION" AMOUNT DUE 187.90 j4-/(;)–'t) 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 57,Z,?› C/ l/ CITY OF �n 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. 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 L.ANNIN+G DEPT APPROVAL = LORI SCHILL PERMIT FEE .ALL DEVELOPMENT MUST CONFORM TO CONDITIONS OF AU :L...6,60 :: PLAN CHECK FEE ---.-_-- APPROVAL ISSUED 8/15/91 AND ANY ADPL CONDITIONS ID .NTi- UMBING FEE " PROCESS I APPROVAL* IIIFECHANICAL FEE _ TOTAL BLDG. FEES FIRE DEPT APPROVAL = KEVIU FLUS s PART P/C FEE i BLDG DEPT APPROVAL = KEVIN ELLIS SEPA REVIEW — —.....L...—i...--....1...—i—.. WATER SERVICE _ 1 ti 7.90 PUBLIC WKS DEPT i'PPROVAL = RON GARf-, WATER MAIN CHG. .._.._.__,.,_....--_r..—_. .. S.B.C.0 FEE . TO PE .I S'Si�.�`;P ;ta'e:Fp. �I FE A'�`TACE 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 ti, 1I �\ \ Z Z V c\ kN oC o \ ‘r,1 "^ o Z Q �' !� Z •r ti �, "\I3 ri.„ ‘, ,,,,,, NI,: ,k,N, ,.. i\ \ t.\ a. o co 0 4 ,.ir„,--) -A ,,‹ 4.....,,, 3. 4,, �*< I cn \ya a. r J \ v tt ` \ ~ \ i'. , a 0 , ..... q k \,,, , N•4 li N t N, N as =IO *� N •\ o3 ~ � , �Q `• o o o o 1 v N. I -.1 . .1„ NI_ \ N. •`A NI �T 3 to �> sl � PIV U 1 �J J ti o zz �,) hl! �j V 0 \ eN I 6 z z ! Yep' \\ M e ` � C M i, I w 2 w O- w O wtc3flu a J a _. a Z`C a �V *41 v O` o a o o o L o • •rmit # / d i 0 r RECEIVED CITY OF FEDERAL WAY JUL 0 3 1991 BUILDING PERMIT APPLICATION Q ' peQERAL WAY — Please Print- BOX 1 TENANT NAME: Lo LA- OWNER OWNER FUJeral W - school DiS61^itUI t SIT OCATION 4/YOq S32044) OWNER'S ADDRE S 31405 15eh 14-Vg 5_ CITY Federzl 14J1¢- PHONE 9q1 -010 DESCRIBE JOB PLaG,r. RAMP fUD Por&Lb/CS THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME ROD RCBB/uvS CONTRACTOR'S REG. # Ro13131G/4' /6? Card MUST be presented CONTRACTOR'S ADDRESS a/8 S w CITY Se e. PHONE 2'l'-1-/O2 3 EXPIRATION DATE a12 — 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 .-Al..1111V 4136f1141/1-y icirrem L 4re.enc 14 soC.1eS PHONE 'j`/37 BOX 4 SEWER DISTRICT feclef'al I A UJ1iThedr 1 Sewer WATER DISTRICT L ii Tf} _s A4 BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 11I a 3-902 LEGAL DESCRIPTION SE E 1+11-1V14' (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 935 Eli. 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 9.&2 Ac.re ave. SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO. WATERCLOSETS GAS IIP G, FEET $ BATHTUBS NO. L ! ` FURNACE, ELEC. '�, GAS $ SHOWERS "GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ DISHWASHERS JAIR WIDLIN6.,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:l--am LIA DATE: JU 3 191/ ANP-008 3/P • 4 • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE RS/ 6 SETBACKS: FRONT v' SIDE O REAR 50' HEIGHT LIMIT 30' PLANNING DEPARTMENT APPROVAL �l-,�� /�-y� ALL DEUEL-or/ltY-c-rse-lt/s-rcf . REMARKS: --T e.cDrTt,oNs Us 430 Dor ;1 is!, 4.07) A v'o.C144- GO.U'A/170A)S /Ai US z 14f'P,us! SEPA: EXEMPT ✓ NOT EXEMPT FIRE DEPARTMENT APPROVAL ----- DATE / REMARKS: /t=in- �..�::�;� ?-«i•� PUBLIC WORKS DEPARTMENT APPROVAL DATE 2/z 3/9 REMARKS: 1 (.j-,,r gad TH-C ATP -CI1(- CO.vi),r?cr 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 OCC PANCY L TYPE OF CONSTRUCTION _I/ • STORES (-la 55 r0011" BUILDING SQ. FT. q35- @ c V6 7.S I ( BUILDING SQ. FT. 93 @ S`cs = .1{671— BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ /1.k 'G? � I� _ U, Ot TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE y`i-o OTHER FEESr ° AMOUNT DUE ASSIGNED ADDRESS: - �f �-� S � 1A1 RECEIVED PARTIAL PLAN CHECK FEE RECEIVED J U L 0 3 1991 Amount Date Receipt# CITY OF FEDERAL.WAY BUILDING DEPARTMENT APPROVAL BUILf9IF r BY DATE , ` 1 ACCEPTED FOR FILING