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91-101144 9/-46 )/ . CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 "RENEWAL OF EXISTING PERMIT # 90-1347" PERMIT NO. 91-1161 RE OWNER'S NAME WAYNE MORITZ JOB ADDRESS 30213 5 AVE S CONTRACTOR BENCHMARK CONSTRUCTION ADDRESS 30521 56 AVE S AUBURN CONT. PHONE 839-4774 CONT. REG. NO. BENCHC*132BM OWNER'S PHONE 941-0354 OWNER'S ADDRESS SAME AS SITE TYPE JOB: NEW RESIDENCE ADDITION XXX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD SIGN GRADING OTHER _. TAX ACCOUNT NO. 064310-0060 LEGAL DESCRIPTION LOT 6 BRLEARO PARK \q3,/61 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 8/16/91 IF BUILDING INFORMATION ZONE OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N _ BLDG. SQ. FT 305 SET BACKS: FRONT 20' SIDE 5' EACH REAR 5 1 STORIES NA HEIGHT LIMIT 30' MAX 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) SHVWERS URINALS FORCED AIR FURNACE _ AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 2 UNIT HEATER _ TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $18,519.00 THIS PERMIT EXPIRES 8/27/92 AND CANNOT BE RENEWED AGAIN! PERMIT FEE $99.00 PLAN CHECK FEE ,LUMBING FEE - 5.00 ECHANICAL FEE I ///'''�� TOTAL BLDG. FEES $104_00 0 PART P/C FEE ((i I SEPA REVIEW - DATE: WATER SERVICE _ WATER MAIN CHG. - AMOUNT: $104.00 S.B.C.C. FEE OTHER FEES RECEIPT: AMOUNT DUE $104.00 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: /� / p OWNER OR AGENT (/T� DATE /0/✓1/l / 31V0 IN3OV HO H3NMO :1311133111M S1N3W3HIfO3d AVM 1V1:1303d dO Alto 318VOIlddV 3H1 ONV 30031MONN AW dO 1S38 3H1 0110313800 aNV 3fH1 SI 31N A8 03HSINHnd NOIIVWHOdNI 3H1 1VH1 AdI11:130 I '30NVfSSI dO 31V0 H31AV HV3A 3NO 31:1IdX3 SIIWH3d DNIOVHD ONV lV11N30IS3H 'a31HV1S SI )IHOM ON Al 3ONVf1SSI H31dV SAVO OM. 3HIdX3 SIIWH3d 11V 3na 1NnowV r . j�--, S33d d3HIO I 33d '0'0'9'S __.—t}U ��j� 0H0 NIVW 831VM 301A83S 83IVM M3IA3H Vd3S _ ,._...r....�9� e33d Old.�_� 1!!Vd Y / y S333 00191V101 i C' r 1 — 33d 1VOINVHO 9N 33d I8wn 33d NO3H0 NVId 333 1IW83d INIVaM camatam fl ION UNY Z6/LZ/8 S`rf!IdXa litill2d ST' 1 NOIlVn]VA 1NnOWV 1VOINVH03W 1V1O1 831V3H IINn S38n1XId iv1Ol Sa3HSVMHSIO 33d 0ISV9 83N8119 NOIS83ANO0 'OSIW SNNIS a3NHn13H DSII '811-1 931VM.OH SV9 SNIVINI1Od 9NINNI80 S318O1VAV1 8391AfN 1.INn ONI1GNVH HIV 30VN8nd HIV 03080d S1VN18n S83MOHS (S)NNVJ. 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OMMUNITy OEV�OPM,®$DEPA CITY OF FEDERAL WAY R1'MENT BUILDING PERMIT APPLICATION AUG 1 G 1991 i — Please Print— I J i t t— O i (Le s BOX 1 TENANT NAME: OWNER \1 A yAiE , l0 J.,/7-Z- SITE LOCATION 3C).; I3 ,`-/11 AV Sc - OWNER'S ADDRESS ,"3 O A f 3 .74 , yy, S) - CITY Ii�)f U)L it/4 )/ PHONE ��//- e3-57 DESCRIBE JOB / THE PROPERTY IS OWNED BY: SINGLE ARRIEp) PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 8E'ch nr)4 AR (o,vs T CONTRACTOR'S REG. # l3/=%i(/1C16/3.2k i/4 Card MUST be presented CONTRACTOR'S ADDRESS - O. ,,Z J . 1-7 ri JOE 5 CITY /96 i0 t(A" PHONE )32-c/77/ 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 PHONE BOX 4 SEWER DISTRICT 1-i=�>1`rt AL lam/ WATER DISTRICT -, -I- _ l 1, t BOX 5 ESTIMATED PROJECT COST S D�C) © 0 EXISTING BUILDING VALUATION O! !6 4 v O BOX 6 PROPERTY TAX ACCOUNT NUMBER O . W? I O - 0 b 640 O C LEGAL DESCRIPTION 1er 6 B�lt:>3Ao PARK My, (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) ,1ST FLOORt�. / 3C)(1 2ND FLOOR 6%;0—/ 3RD FLOOR / BASEMENT -i - / DECK / GARAGE ,, .--6--6_/ BOX 8 (X) SINGLE FAMILY (A) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY .A.1/ 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 $ Z SINKS BOILER, SIZE BTU $ I DISHWASHERS AIR HANDLING UNITS $ I 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: �i _.4 DATE: 6 ANP-008 3/90