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91-101642 CITY OF FEDERAL WAY 9),1016,y,;? 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 6614140 PERMIT NO. 91-1609 RA OWNER'S NAME GARY GORDON SITE ADDRESS 34904 4TH AVE S CONTRACTOR OWNER ADDRESS CONT.PHONE CONT.REG.NO. EXP. OWNER'S PHONE 927-6712 OWNER'S ADDRESS 34904 4TH AVE S 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 REMOVE CARPORT & REBUILD DETACHED GARAGE TAX ACCOUNT NO. 202104-9020-04 LEGAL DESCRIPTION NO 200 FT OF W 270 FT OF S 1/2 OF N1/2 OF SE 1/4 OF SW 1/4 LOT 20-21-04; BL 9020; CODE 1205; SEC 20; TWN 21; RG 04. 'SUED BY JOANNE JOHNSON DATE OF ISSUE D43-1 ) DATE OF APPLICATION 11-12-91 BUILDING INFORMATION ZONE_ RS 35.0 SET BACKS:FRONT 20' SIDE 5' REAR 51 HEIGHT LIMIT 30' OCCUPANCY Ml TYPE OF CONSTRUCTION VN CENSUS NO. TYPE OF HEAT _ BLDG.SQ.FT. 900SF 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 14,493. 60 PLANNING DEPT APPROVAL: DB 12/10/91 FWZC 105. 105 (PAVING REQUIREMENTS) PERMIT FEE 162.00 ARE WAIVED PER FWZC 165. 35. 7. LAN CHECK FEEii UMBING FEE 105.00 PUBLIC WORKS APPROVAL: TC 12-10-91 MECHANICAL FEE FIRE/BULDING DEPT APPROVAL: KC 12-2-91 PART P/C FEE -- - SEPA REVIEW PUBLIC WORKS 61.00 S.B.C.C.FEE 4.50 ' GG��2_,,...-1 3 _.....c., ) FIRE FEE - DATE: OTHER FEES AMOUNT: $332.50 AMOUNT DUE 332.50 RECEIPT: 3-S..1Th 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. 1 12-// /17 OWNER OR AGENT ...i _Id/' V V DATE i -- C'TY OF FEDERAL WAY 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 661-4140 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 ONE 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 ^LA.INIAPPROVALIG DEPT : Dfl -2110/ 1PI 105.105 ( 'AVTNNG RPT I2IIM:MS) PERMIT FEE ARE WAIVED PPR -' TZC 165.35.7. PLAN CHECK FEE PUBLIC WORKS APPROVAL: TC 12-10-91 .-ik PLUMBING FEE MECHANICAL FEE FIRE U T�s DEPT APPROVAL: KC 12-2-91 ' 11 RT P/C FEE , SEPA REVIEW _ I \ ii, PUBLIC WORKS 17 1 - S.B.C.C.FEE 1 /f € I € 11 FIRE FEE - DATE: OTHER FEES AMOUNT: DillIe. AMOUNT DUE RECEIPT: 0644 ftin l ii ill'' ' • ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISS ANCE. 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 I BE MET. I. OWNER OR AGENT ____ DATE SET BACKS//// AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK H//f / BY %//2 DATE Y/ �./ /-.-� �� ._... DATE_..._.._ ,�. _. / BY ...._. 1 _- DATE - -_--_ BY PLUMBING ROUGH IN WATER LINE O.K. __. MECHANICAL INSPECTION DATE.. . .-BY - GAS PIPING O.K. -__ ..-...._ DATE BY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE -.. -__... BY .... _... DATE -_.....BY -......_ DATE - BY FINAL O.K. TO OCCUPY DCD PSD FD DATE 3-7- y BY X5' 3 /5-_,,,,,,/. m,c (94,y1 ' e •- L,, .//s C,, /f'T�" • . . 0 , . • /eCei VOED Yk • Perrre1# Iipp°1 NO 12 i99f WV OFFEDERAL W CITY OF FEDERAL WAY (-V-1A BUILDING pEp1 AY BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER GA e4 - . Go12 0001 SITE LOCATION 34-4104 .- 4" A0E. So. OWNER'S ADDRESS 34-q O4- 4" AVE So CITY FMSP L WW1 PHONE 92 -(-71`2.__ DESCRIBE JOB TEAg- CA?-470E-1- ,•3�DOtitilL NEL% STROP-Tv RE ' -��1,.{ 0[)) THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATI BOX 2 CONTRACTOR'S NAME O&M er CONTRACTOR'S REG. # 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 SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON (DM-`( . &C42-00t.) PHONE q2- 1--6111_ BOX 4 SEWER DISTRICT AIoiiE -Seep 1 L_ .WATER DISTRICT /tickle BOX 5 ESTIMATED PROJECT COST --Sin EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 0 20 -' F ~ 902o-0 4 LEGAL DESCRIPTION NO Zoo FT of LL) 2'70 Fr CIF S '/ c2f l) V o SE V((i 0 t Sc) Vii - LOT 7-€::- 21-04 ,. at_. 4102.0 ; CAD E 1200 ; SEG 2-C; roll 2/ (If necessary, please submit a separate page with the legal description.) /e6 Dc K.C. Plat Recording # iJe IL) GikC- -C C- S-F '00 SF BOX 7 BUILDING FLOOR UARE JO E-/ EBASEg/ r -1 1ST j L1:: e / 2ND FLOOR 3RD GARAGE / BOX 8 SINGLE FAMILY / ( ) NEW CONSTRUCTION ( MULTIFAMILY (NO. OF UNITS = ) ()4 EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY .91)000 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 � jJ�� $ OTHER IA-g � 4/ $ �� 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 KNOW EDGE 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. / 1 OWNER/AGENT: , - =i�f,/ ' DATE: / 7; (/ / ANP-008 3/90 • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE 5O SETBACKS: FRONT 20' SIDE 5 REAR 51 HEIGHT LIMIT 1 PLANNING DEPART�VI,FNT APPROVAL J2//0/97 REMARKS: vu 16613S . f&zc /oS/0C(pwi# r-erir i 5) �-�-J SEPA: EXEMPT NOT EXEMPT FIRE FIRE DEPARTMENT APPROVAL C' DATE (2 • Z - C( REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE /2-X0-1/ REMARKS:P/0-6401:0%-,- Age r r 4.,.-lie dr••VIA'p.4/ p4."A6.1 t S f 44-e-- TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT X NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY )4 1 TYPE OF CONSTRUCTION vN STORES gcCrol a BUILDING SQ. FT. '(0o @ /g•30 = (617 o `J BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ ,/ _ BUILDING SQ. FT. @ 440U 0'T Qr = d ' $5 / TOTAL SQ. FT. TOTAL VALUATION r' yq 3r 6 0 BUILDING DEPARTMENT REMARKS: PERMIT FEE ( Z PLAN CHECK FEE [0 S PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW 40-40 S.B.C.C. FEE y SO OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: See- �-(Gtj PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY 4 DATE Z" Z c/- l / ACCEPTED FOR FILING