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90-100129 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 9,Ms1LL9 PERMIT NO. 90-175 RA O NER'S NAME JACKA, THOMAS KRISTEN JOB ADDRESS 32231 7TH AVENUE S.W. CONTRACTOR KEN GOHRICK1' �1\ADDRESS PO BOX 3496 FEDERAL WAY WA CONT. PHONE 922-2809 CONT. REG. NO. KENGOC*198CJ1 OWNER'S PHONE 838-6554 OWNER'S ADDRESS 32231 7TH AVENUE S.W. TYPE JOB: NEW RESIDENCE ADDITIO 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. 926492-0190-01 LEGAL DESCRIPTION WEST CAMPUS DIV 3 LOT 19 ISSUED BY JOANNE JOHNSON DATE OF ISSUE CI .1,qf-) DATE OF APPLICATION 3-23-90 BUILDING INFORMATION •NE OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SO. FT. 240 SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND r 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 14,579-80 PERMIT FEE 162_00 PLAN CHECK FEE 105_00 PLUMBING FEE alikCHANICAL FEE TAL BLDG. FEES SV --) 70 PART P/C FEE DATE: SEPA REVIEW 4 AMOUNT: WATER SERVICE ...- �L� WATER MAIN CHG.G. RECEIPT # S�I S.B.C.C. FEE 4- 90 OTHER FEES AMOUNT DUE 971 -90 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF N WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INF RMATION FURNISHED Y M I TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL ET: F.-- 14 ' 1- U OWNER OR AGENT OC 40 DATE CITY OF 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 •NE 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 s PERMIT FEE PLAN CHECK FEE PLUMBING FEE CHANICAL FEE AL BLDG. FEES PART P/C FEE .—. _�� ' ., y' SEPA REVIEW o'iMOUNT L ^L - WATER SERVICE - yr WATER MAIN CHG. . a s ; _ �' 1_-- I,' 2-4 S.B.C.C. FEE OTHER FEES • AMOUNT DUE 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 — I 1 1 v I 1 I Do' z m' m O w o0 �� � yl z I a 0 i D U j z '''NO z < ,� cc oa 0 v o U Q z110'"1-3 1 Z 00 Q 0 m D w U 1- w <a < 2 <o ,I 1 ' co J O 'V Q - z O ›- ›- F7' 7 CO CO Q QZ o 0 0 . g � cc Lu �' Z_ O a J a o\ w a 1 O O S 0 Z O 0 ,� Q) 1 b 1 A•- (5 Z �'�. i=• m m < m ›.. O Z a 1N*12 Z a VN CO Z W t..._1--. �� Q• 1 m O �/' J m F D H Y F Z F G;.\ V . • • CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION -Th — Please Print— BOX 1 OWNER Wia ` E • • " t'4n k . C- 9 JOB LOCATION - dJ t , Q .r- - J of . .1.,1 OWNER'S ADDRESS 3a. - ' e . 4( ) CITY (•-e, / 1 t, t PHONE v, `",– ..:3!.---4 . r/. DESCRIBE JOB a. ,.ri,.r, ;ft i tA fi ;ea ►vias '- 4t7d(w_ above e-/nr 'n I r+ fri-(e of THE PROPERTY IS OWNED BY: SINGLE/MARRIED x PARTNERSHIP ORPORA ON BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # -to b.-, sP/€e+Pc Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SP \LTY CONTReCT RS ND j CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.\) )✓tf, Ill BOX 3 CONTACT PERSON -11..i1,. 1"1,1c4J' 6, -:;,1ck-a PHONE BOX 4 SEWER DISTRICT c=ela( Way VIa4/ e4enCI 4i,,,,''QY WATER DISTRICT BOX 5 ESTIMATED PROJECT COST lel a;500 EXISTING BUILDING VALUATION st 13-0)000 BOX 6 PROPERTY TAX ACCOUNT NUMBER 9G4 - 0 140 - 01 LEGAL DESCRIPTION ti,. '.r+ (-44w'p1AJ 101;/• 1.;, t Irl (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR id C– / 2Nb FLOOR IOC / 3RD FLOOR c-}I t' / BASEMENT / DECK fes`C- / GARAGE A.tc- / BOX 8 (jc) SINGLE FAMILY ( ) NEW CONSTRUCTION aa nn ( ) MULTIFAMILY (NO. OF UNITS = ) (\,) EXISTING STRUCTURE -4`4X ii� ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $ NO. WATERCLOSETS ) GAS PIG, FEET $ BATHTUBS IPIN V O1','� NO. - FURNACE, ELEC. 7.-sr.--- 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 FURTH R r AT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER- FORM THE WORK Fri WHICH PERMIT APP ICA-1:10.N IS MADE. IImo�, OWNER/AGENT:` .Ari ...0 (i DATE: 3 ' 1� ' V ANP-006 2'90 CU— / 7 � 0 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: ,t f�A No i_,kt(ny ( U �S( or o«IoLK SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL /II/A- DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL /✓(if\ DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT XC NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER OCCUPANCY , IC. TYPE OF CONSTRUCTION v/V STORES (,-Cy( vi BUILDING SQ. FT. 2-1f c. @ 6LI' ,o0 = IC 560 - 00 BUILDING SQ. FT. @ BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ c BUILDING SQ. FT. @& Idl'' ao0, 4- 07 ` © - a 0 TOTAL SQ. FT. TOTAL VALUATION (I S n- . 0 EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO. PERMIT FEE Iti2 -op PLAN CHECK FEE -I-c-- — -- PLUMBING FEE -e- MECH. FEE -=>"- TOTAL FEES 2-G,7.. E'a SBCC SURCHARGE `-i C t_ ENERGY SURCHARGE C) AMOUNT DUE 2-7/• .3-6 BUILDING DEPARTMENT APPROVAL DATE Lis-Y ' 90 REMARKS: c c ASSIGNED ADDRESS: - ���S ' RECEIVED MAR 2 3 1990 CITY OF FEDERAL WAY BUILIWG'ElJ PT' • , ACCEPTED FOR FILING