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CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-0054 RA OWNER'S NAME RON CHAPIN JOB ADDRESS 32731 6TH AVE SW
CONTRACTOR CONSTRUCTION SERVICES k4RE SP 7802 OAKRIDGE DR TACOMA CONT. PHONE 588-1843
CONT. REG. NO. CONSTSI11OKM OWNER'S PHONE OWNER'S ADDRESS 32731 6TH AVE SW FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 926491-0800-04 LEGAL DESCRIPTION LOT 80 WEST CAMPUS DIV 2 VOL 107 OF PLAST PGS 90-111
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ISSUED BY JOANNE JOHNSON DATE OF ISSUE �// / DATE OF APPLICATION 1-14-91
BUILDING INFORMATION
ZONE OCCUPANCY M2 TYPE OF CONSTRUCTION VN 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
1200
VALUATION FIRE/BUILDING DEPT APPROVAL: 1-28-91
PERMIT FEE 29
PLAN CHECK FEE 19
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE 3'/ q/
SEPA REVIEW DATE:
WATER SERVICE
WATER MAIN CHG. AMOUNT:
S.B.C.C. FEE 4.50 $52.50
OTHER FEES RECEIPT: I / PDI
AMOUNT DUE 52 50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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Permit # 9 /-005-yie4
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER / SITE LOCATION 3 sL 5/ A-vt 5
OWNER'S ADDRESS Sc? r' . CITY j. Cu. PHONE
DESCRIBE JOB `t-ez c>.y 'pt_ot 1 !'Xe cf,i =mak .
THE PROPERTY IS OWNED BY: SINGLE/MARRIED I civc.. , F1P TNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME (._o/vs c&/[.•// e - CONTRACTOR'S REG. #ll:..oni`�t 1 11 C7 K114
y� ,^ Card MUST be presented
12 dj e
CONTRACTOR'S ADDRESS 7 a vZ O4i dJ 1`a CITY L PHONE 5'8- I ��3
EXPIRATION DATE y/5/9/
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON - i • 1- 4 n.. -3 'L S PHONE 'cS
BOX 4 SEWER DISTRICT WATER DISTRIpj
XBOX 5 ESTIMATED PROJECT COST 12—COf EXITING BU BUILDING VALUATION
�. BOX 6 PROPERTY TAX ACCOUNT UMBER
x LEGAL DESCRIPTION L 6 (9f �O
L� t `6O (A,� �� ()(ki V4 l /° 7 0/ ideut, j2950-/o )
(If necessary, please submit a separate page with the legal d�ion.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2N1 FLOOR /
3RD FLOOR / BASEMENT / _s'j1++'Cl 517 GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (X) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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 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: P '.4g DATE: %7
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL N(iEt-
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL vvv.a\---).._ d wluv -- DATE (- act --611
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL N'Or 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 U'v STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ 174tn. =
BUILDING SQ. FT.
BUILDING SQ. FT. @ v =
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION 1)--O d
BUILDING DEPARTMENT REMARKS: PERMIT FEE zcI
PLAN CHECK FEE (q
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES 71
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE �� s�
OTHER FEES
AMOUNT DUE SZ. acv
ASSIGNED ADDRESS: ('\\ 50'e.
RECEIVED
JAN 1 4 1991 PARTIAL PLAN CHECK FEE RECEIVED
CITY OF FEDERAL WAy Amount Date Receipt#
BUILIP,175 { "''PT,
BUILDING DEPARTMENT APPROVAL
RECEIVED BY 0 DATE ACCEPTED FOR FILING
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