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91-101706 CITY OF FEDERAL WAY 9J401 -70� Federal Way,I ` W 98003 BUILDING PERMIT BUILDING INSPECTION 661 4140 PERMIT NO. 91-1646 CA OWNER'S NAME PSYCHIATRIC INSTITUTE OF AMERNADDRESS 34709 9TH AVE S A-200 CONTRACTOR TRADE MARK CORP ADDRESS 2000 124TH ACE NE BELLEVUE CONT.PHONE 883-7800 CONT.REG.NO. TRADEC231PR EXP. 5/92 OWNER'S PHONE 883-7800 OWNER'S ADDRESS 2000 124TH AVE NE BELLEVUE TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. XX INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING. OTHER TAX ACCOUNT NO. 926480-0010 LEGAL DESCRIPTION SEE ATTACHED PLANS ISSUED BY JOANNE JOHNSON DATE OF ISSUE / `6 ` / DATE OF APPLICATION - 11-26-91 BUILDING INFORMATION OZONE OP SET BACKS:FRONT NA SIDE NA REAR NA -- HEIGHT LIMIT NA OCCUPANCY_ B2 TYPE OF CONSTRUCTION VN CENSUS NO. TYPE OF HEAT _- BLDG.SQ.FT. 3016 STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND 2 WATER CLOSETS ELEC.HOT WATER HEATER 1 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 2 DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS 2 MISC. BBQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES7X5= _35-.-0-0 1 DRYER TOTAL MECHANICAL AMOUNT VALUATION 40,957.28 PLANNING DEPT APPROVAL: BK 11-26-91 PERMIT FEE 356.00 FIRE/BUILDING DEPT APPROVAL: KC 12-2-91 PLAN CHECK FEE 231.00 PLUMBING FEE 35.00 MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS - S.B.C.C.FEE 4.50 ` FIRE FEE 17-80 DATE: / _q/ OTHER FEES - - - AMOUNT: `644-30 AMOUNT DUE -- 644 j3 0 RECEIPT: 4/3 3`6 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 AGENTe�GZ-e {� / !�/ - DATE /;7447/4 CITY OF FEDERAL WAY 33530 First ` WA 98003 BUILDING PERMIT BUILDING INS 661 410 N Federal Way, 40 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 ZONE 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 rr, DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL __ AMOUNT ;.11...71.y. VALUATION .. .is1iY 1.)1..;.*!-,_*:' t3r't'fitili i.L 2.4: ii"`zu-9/ PERMIT FEE _ FIREJBUILDING DEPT APPROVAL KC 12-2-91 PLAN CHECK FEE s PLUMBING FEE 3 MECHANICAL FEE PART 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 - ___ SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE _ BY -.._. DATE ...BY DATE -_ BY PLUMBING ROUGH/ IN y,, WATER LINE O.K. _._ MECHANICAL INSPECTION DATE .L2/( e//. .BY _ 3L _-___ GAS PIPING O.K.__. - -_ _ DATE --... __BY C.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE 1.14_BY ...... 20 DATE AV,/9/7/ ..._..BY DATE ___P-/23 BY FINAL O.K. TO OC UPY � DCD PSD FD Øyv DATE _...//f , neve Pe it # C4— Ito 4-to •NOV WY0FF, s w CITY OF FEDERAL WAY 1Ac sup OE�►w,4V BUILDING PERMIT APPLICATION — Please Print— N D P(e‘ hDUn� '(rr6,.�--�+, BOX 1 TENANT NAME: ps, 'y C/��A7` C 1�V�r'l"7��/7`� �c 1�1`'/ /�I�CA R'�0() OWNER 1 1 L /-4 .K 0./!--1---p SITE LOCATION `-x . t.,'-e_ S ` . OWNER'S ADDRESS 2oor 1?4 Z /11/-4 it' . CITY/3.4, //.e_-,,1..-- L-i,f‘-tPHONE ?R 37 'cC) DESCRIBE JOB 7",1,- - THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME i-e-c _ /71,_,-,--* / . - CONTRACTOR'S REG. # 7 / 2- t` • Card MUST be presented CONTRACTOR'S ADDRESS 0.2cer (s Lt -"r4... 'U.t-'-E NE CITY /3-,.- // --. ' SHONE sSSf 3 7(3c) EXPIRATION DATE ;17-/ —7 -> 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 -5-7 -‘,--,,r-r.__' Z7&_/'--(.,-__4,.., .3L PHONE 55,3 TRS' BOX 4 SEWER DISTRICT Fca-I LO 7WATER DISTRICT � BOX 5 ESTIMATED PROJECT COST Cj 3-00 �, EXISTING BUILDING VALUATION 3 e'> C"-e*cn BOX 6 PROPERTY TAX ACCOUNT NUMBER •?.2. a wo ©C IC LEGAL DESCRIPTION 3 - /Vex cr 4 4., c (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR-j( t / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( UNEW CONSTRUCTION ( ) ULTIFAMILY (NO. OF UNITS = ) ( iEXISTING STRUCTURE (Cfro- OMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY /; cn 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 `�.S`. $ TOTAL FIXTURES $ 5. 3 Y.°0 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 EMPLO. . IPPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: iitt• M A DATE: /� - / ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOVIS LINE) ,i �5 �r��• Z .. 1 40116.) ZONE SETBACKS: FRONT NFl SIDE REAR �t�if% HEIGHT LIMIT /vie PLANNING DEPART ENT APPROVAL I 1 2.6 _9 I Br- ' `'y i; t"t' 'r.ft's REMARKS: SEPA: EXEMPT k NOT EXEMPT FIRE DEPARTMENT APPROVAL 4 DATE/Z' 2,- q/ REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: itYitt 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 6 Z TYPE OF CONSTRUCTION V.V STORES `= ) . d{ (Ce- BUILDING SQ. FT. 30 b @ c7- ?0 = 2-O/786 L/0 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. = BUILDING SQ. FT. @ /Nef ( 1�le r = ©. ZO TOTAL SQ. FT. TOTAL VALUATION 1/0/5"7• 2- BUILDING BUILDING DEPARTMENT REMARKS: PERMIT FEE 3 Si PLAN CHECK FEE 2-3/ ' PLUMBING FEE 3S. 00 MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE y,F . OTHER FEESFee- 1 7, 80 AMOUNT DUE • ASSIGNED ADDRESS: 4€-Q e K ( S'Fl PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE IZ 2 - t I ACCEPTED FOR FILING