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91-101340 CITY OF FEDERAL WAY 91-1013 V6 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 661-4140 REFER TO 91-648 PERMIT NO. 91-1293 RA OWNER'S NAME DR SAEED SITE ADDRESS 28904 5 PL S CONTRACTOR DISCOVERY HOMES ADDRESS 433 S 289 ST FEDERAL WAY CONT.PHONE 941-9474 CONT.REG.NO. DISCOHO91LF 5/92 EXP. OWNER'S PHONE OWNER'S ADDRESS SAME 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 REMODELING NOT COVERED ON ORTGTNAL 91-648 TAX ACCOUNT NO. 515298-0030 LEGAL DESCRIPTION LOT 3 MARINE HILLS WEST ISSUED BY ELIZABETH SNYDER DATE OF ISSUE 9 ---(9 -j DATE OF APPLICATION 9/18/91 BUILDING INFORMATION ZONE _ SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY R-3 _ TYPE OF CONSTRUCTION 5—N CENSUS NO. 434 TYPE OF HEAT EXISTING BLDG.SQ.FT. 664 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 NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION 9,681 BLDG DEPT APPROVAL = KEVIN ELLIS PERMIT FEE $234.00 - "DOUBLE FEE ASSESSED (117 X 2) , BY NORM BRAY, BUILDING INSPECTOR, PLAN CHECK FEE 76.00 ON 8/17/91. WORK DONE BEYOND LIMITS OF ORIGINAL PERMIT" . PLUMBING FEE MECHANICAL FEE PART P/C FEE - - SEPA REVIEW PUBLIC WORKS B.C.C.FEE - q - / G� 1 IRE FEE - DATE: l --JF/ OTHER FEES AMOUNT: 310.00 AMOUNT DUE $310.00 _ RECEIPT: 3l 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 ' RNISHED BY ME IS TRU II CORRECT 0 THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. / OWNER OR AGENT - - / DATE --' - [ CITY OF FEDERAL WAY 33530 First Way South 12)2, g U I L D I N G PERMIT BUILDING INSPECTION Federal Way, WA 98003 cit - -�D 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 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 DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION BLDG DEPT APPROVAL = KEVIN ELLIS PERMIT FEE "DOUBLEFEE ASSESSED (117 X 2) , BY NOR''. BRAY, BUILDING INSPECTs. !' . PLAN CHECK FEE ON 8/17/91. WORK DONE BEYOND LIMITS OF ORIGINAL PE1 YTT" . PLUMBING FEE 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 WATER LINE O.K. .... MECHANICAL INSPECTION DATE ... BY -__-___ GAS PIPING O.K. _ DATE -_ BY -_- O.K. TO ENCLOSE FRAMING�f INSULATION ;7'62 f WALL BOARD AND FIRE WALL DATE _.. .1"44/_...BY G DATE 77./3411/.1....BY ..; _... DATE 7/2-0A BY _Ve . FINAL O.K. TO OCCUPY �j DCD PSD FD DATE fyZ.BY i ___-- ReCeiveD Permit # / ) --- \--13 SEP 1 $ CITY OF FEDERAL WAY �/r 'e FED AL BUILDING PERMIT APPLICATION b �IUJ� �P1WAY ('P� T' r - Please Print— 9/—IV.4g BOX 1 TENANT NAME: PL -- OWNER -P v . i6.EE 0P� SITE LOCATION -7 6j b L 5 -t s6 OWNER'S ADDRESS 2 413'1 o 4 n-t''-fes' a - CITY PHONE DESCRIBE JOB TO Sirocd( Q, PA•vttt•--( p►.� t..-- "N9 THE PROPERTY IS OWNED BY: SINGLE/MARRIED R-( . PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME t)(.-CO JC'r_L lJomod Ce-706-in 1.0 c CONTRACTOR'S REG. #015(--60 OG I L F Card MUST be presente CONTRACTOR'S ADDRESS t-}3 3 Cb • ZE CITY e W p 1 PHONE q(f/ -e / 7>f EXPIRATION DATE ►vl A l a 2 f — 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 c21 (J t3 p - TL B Qv fi PHONE aL/l �r1" y 7,/ BOX 4 SEWER DISTRICT .,--- WATER DISTRICT BOX 5 ESTIMATED PROJECT COST 24 L 13 v44 EXISTING BUILDING VALUATION ZO, A6-C) BOX 6 PROPERTY TAX ACCOUNT NUMBER S I5 29/3 ` 043e) 0 z_ {� LEGAL DESCRIPTION l 3 u�t,4114.4...Q k-",, • (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 V) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY(NO. OF UNITS = ) (k') 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 MYKNOWLEDGE 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 EEES, UPON THE A R Y OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: V-:>-4----- ? ' ' DA11E: I b ii 111 ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) r \� ' ' s .` ZONE SETBACKS: FRONT SIDE REAR HEIGHT IMIT l i '' PLANNING DEPARTMENT APPROVAL "`- +YZi - '4-3. REMARKS: 1.` , '.; SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPART T APPROVAL_ DATE REMARKS: TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT /V NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY . A3 TYPE OF CONSTRUCTION \i/U STORES eN tJ BUILDING SQ. FT. (. L. @ -1 2- - q = 11 $ 1(0 s-c g k l v c 1 a,ferk5 BUILDING SQ. FT. @ = J BUILDING SQ. FT. @ BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ A1(019(cfl = 0 TOTAL SQ. FT. TOTAL VALUATION q6 1< < 2- BUILDING BUILDING DEPARTMENT REMARKS: PERMIT FEE 2-3 LI DOV60 I fes_ RSSe--SSe-Gt (C( "7 ,K Z ) PLAN CHECK FEE 7A PLUMBING FEE `U IV, v- - 13 I d IvS e-c.-? i' 0(A ?) ( 7 cif MECHANICAL FEE W b 1 0/� icd f T S O TOTAL BLDG. FEES � � � r� n PART P/C FEE or (G I (AQ ( ,ex- Gv` 1 ]� SEPA REVIEW S.B.C.C. FEE Iff OTHER FEES ) AMOUNT DUE 1 ASSIGNED ADDRESS: S e-e _ e ?, (5D C4'2 -t ` --( Qly co fie PARTIAL PLAN CHECK FEE RECEIVED �V �Qtg Amount Date Receipt# Q' h 6.? BUILDING DEPARTMENT APPROVAL RECO BY K.--6-- DATE 1 - (b 1 q 1 _ ACCEPTED FOR FILING 0