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91-101334 CITY OF FEDERAL WAY 9i ,joi�3Y 33530 First Way South 98003 BUILDING PERMIT Federal Way, BUILDING INSPECTION6614140 PERMIT NO. 91-1290 P OWNER'S NAME HAIRS THE PLACE 2 SITE ADDRESS 4614 SW 320 ST CONTRACTOR BC PLBG AD ESS 28561 20 AVE S FEDERAL WAY CONT.PHONE 529-0115 CONT.REG.NO. BCPLU*1010D EXP. 1' OWNER'S PHONE 838-1910 OWNER'S ADDRESS 37102 6 AVE SW FEDERAL WAY 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 PLUMBING ONLY TAX ACCOUNT NO112103-9101 LEGAL DESCRIPTION ^ Cy, 'SSUED BY ELI ZABETH SNYDER DATE OF ISSUE iJ t RMADATE OF APPLICATION 9/17/91 Maw BUILDING INF TION ZONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES IIPPLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER 1 GAS PIPING FT. GAS LOGS BATHTUBS LAUNDRY DRAINS 1 FORCED AIR FURNACE DUCT WORK RECEIVED SHOWERS -urmRn-BASIC 20.00 GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS MISC. DRAIN 1 BBQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES 7 X $5.00 DRYER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE $55.00 „AiiiiCHANICAL FEE PART P/C FEE SEPA REVIEW OPUBLIC WORKS / S.B.C.C.FEE y J( FIRE FEE DATE: lll(((JJJ I OTHER FEES $55.00 AMOUNT: 55.00 AMOUNT DUE RECEIPT: 1q43 ALL PERMITS EXPIRE 180 DAYS AFT,E�R, SUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATIO i' RNISHED BY ME .•TRUE AND CORRECT 0 THE :EST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDE' •L WAY REQUIREMENTS WILL BE MET. i /OWNER OR AGENT `�'// ate' dr ie 'ef DATE f ql a• P. - - CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 40 PERMIT NO. _. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. -. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: 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 •NE 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 DRYER TOTAL MECHANICAL _ AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE IIIIIRT P/C FEE SEPA REVIEW - PUBLIC WORKS 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 - - V SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING DATE _ �av DATE _ _�__- -aY __ ___- DATE BY _"/>Z __ '--- PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION o�TE7/f'7 — sv-��l_- _ GASp|P|NGOX�--___�_____ _ __ DATE __ �� __8Y ^/ -- O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE _-____ _BY _ -'--_--___ DATE BY _�- -____ DATE BY FINAL O.K. DCD PSD FD DATE o, _ __ _ _ ' �� • • erI # c1Hl ?Cp CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: /14125 7 -j Pt-AGS= OWNER �' - cfI64-UL / SITE LOCATION o i'1 5• �. 3Z.R.Th" OWNER'S ADDRESS 3 ILC' . k }plc( 5L.9 4'CITY ,r -7z4i_. 04y PHONE kJ j- (9, 0 DESCRIBE JOBi-ENAt•/T 2'-rP. ADpi,l[& P,--u /yip rb/2. Hoe4ii2 54 Lo THE PROPERTY IS OWNED BY: SINGLE/MARRIED V PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME ,B_ P`u wr.3 1"/ CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS 7-S54)1 2.c)T"-4 f�-v� s • CITY C�C-1244� "Y PHONE z9 '6115 EXPIRATION DATE ' dQ r-�� — 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 'vE l�'1 u L_Ey PHONE 5Z9- o//7 /-BOX 4 SEWER DISTRICT WATER DISTRICT /BOX 5 ESTIMATED PROJECT COST _ EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER � I ?- I D '?,_ 51 G I 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 (X) 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 KN LEDGE 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 CI Y OF FEDER,L WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYE'.`:UPON TH' A CURAr I;HE FORMATION SUPPLIED TO THE CI • AS A 'ART OF THIS APPLICATION. OWNER/AGENT:\ 1 i' SIA ` ( DATE: ( ?( • ANP-008 3/90