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91-100572 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91-526 NR REVTAW,14 NAME ROY BOWINGTON JOB ADDRESS 30124 17TH AVE SW CONTRACTOR DRAK CORPORATION ADDRESS 2609 S 355TH PL FEDERAL WAY CONT. PHONE 952-3346 CONT. REG. NO. DRAKC115M5 6/92 OWNER'S PHONE 952-2913 OWNER'S ADDRESS 34024 1ST PL S #C FEDERAL WAY 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. 005070-0120 LEGAL DESCRIPTION •ED BY JOANNE JOHNSON DATE OF ISSUEtC1l DATE OF APPLICATION 7-29-91 BUILDING INFORMATION ZONE _ 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 PERMIT FEE PLAN CHECK FEE $30.00 -_ PLAN REVIEW FEE FOR ONE HOUR REVIEW OF PLAN REVISION MM 7-30-91 *ANICAL BING FEE FEE TOTAL BLDG. FEES _ PART P/C FEE SEPA REVIEW DATE: B/1.,1 7 9 1 WATER SERVICE WATER MAIN CHG. AMOUNT: $30.00 S.B.C.C. FEE OTHER FEES RECEIPT: 3 AMOUNT DUE $30.00 __ ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISH BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: 1(OWNER OR AGENT (. --� DATE • Pipit # /- A/< X31 CEa`t ED CITY OF FEDERAL WAY JUL 2 9 1sj1 BUILDING 'PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER _.u. ^' . SITE LOCATION , t7 OWNER'S ADDRESS CITY PHONE DESCRIBE JOB Lt Li;S,(1.rJ THE PROPERTY IS OWNED BY: SING-E111:1-) PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME :0lZ 4k C:,'e pr ��•i t 0;) CONTRACTOR'S REG. # " II. "' Card MUST be presented CONTRACTOR'S ADDRESS 'UM . CS PL CITY 1-1 PHONE 95).--33` 1 EXPIRATION DATE — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON PHONE BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER OtSc"le-) --C:r? Q LEGAL DESCRIPTION (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ 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 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: ���--- ` DATE: 1/2-5/5I C ANP-008 3/90 O0E USE ONLY (PLEASE DO NOT WRITE BELOW'S LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: N/4' PUBLIC WORKS DEPARTMENT APPROVAL A/- DATE REMARKS: 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 R3,/Mf TYPE OF CONSTRUCTION V/t/ STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: PERMIT FEE c" /20/6/ v' PLAN CHECK FEE PLUMBING FEE /W/17. / ///2 f2 MECHANICAL FEE e 30 TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW C 1 in/ > O (9 -- i' / S.B.C.C. FEE OTHER FEES —� AMOUNT DUE ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY 72-70ic DATE .30/7/ ACCEPTED FOR FILING CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91-526 NR OWNER'S NAME ROY BOWINGTON JOB ADDRESS 30124 17 AVE SW THE DRAK CORP 2609 S 355 PL FEDERAL WAY 952-3346 CONTRACTOR ADDRESS CONJ.. PHONE CONT. REG. NO. DRAKC**115M5 d 1,;L-- OWNER'S PHONE 952-2913 OWNER'S ADDRESS 34024 1 PL S #C FEDERAL WAY TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER • 'AND GARAGE TAX ACCOUNT NO. 005070-0120 LEGAL DESCRIPTION LOT 12 ADELAIDE FOREST ESTATES PLAT RECORDED VOL 149 PG 39-41 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE ,�i DATE OF APPLICATION 4 29 91 BUILDING INFORMATION OE RS 15 OCCUPANCY R-3/M-1 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 4207 SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' STORIES 2 HEIGHT LIMIT 30' MAX PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING '°° T 3.50 BOILER _ BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED SHOWERS 3 URINALS FORCED AIR FURNACES 10.00 AIR HANDLING UNIT _ NUMBER LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC SINKS 2 MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 16 X $5.00 UNIT HEATER _ TOTAL MECHANICAL 20.00 AMOUNT NONE VALUATION $227,413.00 PERMIT FEE $1088.00 PLANNING DEPT APPROVAL = LORI SCHILL PLAN CHECK FEE 707.00 209.00 FIRE DEPT APPROVAL = KEVIN ELLIS PLUMBING FEE 90.00 OHANICAL FEE 20.00 PUBLIC WKS DEPT APPROVAL = TOM COLLINS AL BLDG. FEES $1905.00 PART P/C FEE (498.00) PD 4/29/91 BLDG DEPT APPROVAL = MIKE MONEN SEPA REVIEW _ #2628 WATER SERVICE /11.‘-.AWATER MAIN CHG. S.B.C.C. FEE 4.50 DATE PD AMT $1,456.50 RE'CT OTHER FEES PUB. WKS.45.0 0 AMOUNT DUE $1,456.50 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S 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 `'k '-- ' `_ �� a DATE 1/1 6 f 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 SUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE 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 PLANNINC DEPT APPROVAL = LORI SC PERMIT FEE -209.00 PLAN CHECK FEE FARE DEPT APPROVAL = KEVIN ELLIS •LUMBING FEE • MECHANICAL FEE PUBLIC WKS DEPT APPROVAL = TOM COLA TOTAL BLDG. FEES ]cL.1 PART P/C FEE 4/29/91 BLDG DEPT AP2^f/ A = MIKE r C- EN SEPA REVIEW WATER SERVICE I' // .- WATER MAIN CHG. , i/i %PAE Id _ v S.B.i C. FEE ll . a_,d _. _ .�_ _.._ '_ 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_ \(` D m D 0 D D? 1- m OmD mm m r —4C N O O CO D S J � Z Z n O (7).1w DJ 0 r D O p O z 44 O cn o (7 m = m s� )t II p �j co co K -<� Z CO 0 z Zo O I J )i 1 c::, / OV C�� D p -x •D D ..1 , C73m ti m in � o � Z r 'n w n O p m� �` OC zr\ r' m D m n m K C W D co p 1 Z i z \ \ n O N- oz, Ni O O ( r � ') ,.z Z o m in Z -n in o \J} x 6i' �' I ll,' 03 'co O co 7 k res . a • 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 *SUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY - TYPE OF CONSTRUCTION BLDG. SO. 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 PERMIT FEE PLAN CHECK FEE iLAN. F. "I .'7.: :' :t: FOR ONE HOUK. RCVIE4 OF i?AN REV •LUMBING FEE MECHANICAL FEE - TOTAL BLDG. FEES r / PART P/C FEE . SEPA REVIEW DATE: / WATER SERVICE • WATER MAIN CHG. AMOUNT:NT: $30.i}L/ S.B.C.C. FEE OTHER FEES RECEIPT 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 \ \ n O �n �. o -n o 0 0 -o o cn ( o ! `Z `^ `vl ) S" rTiz m> v 7 -Di* c -D-1> �`\ W R Q t C N. ‘Q N ), O NNo co;� z m n ` \ \ 44 % c� .i—�— \fir z c) T cp \ N '`` \ c, I0 s„ fm f o 0 % 1n l+ -/� -�V\ r, W co \.> W Z O Ni N v /" ~� r l t t , . g ) '' N\ „.., 0 ---r--) , i...) k N• �, 1� d oD,. ,... ............. Z D > D C w kco • o CT)) i -N, 177 H y d. ee. -Di D > m > c .) k H1• 4-zO z Z (Iii U� w`, N Rs Q IOlj ` D i 1)-> Do \��. ki -., '( ' e r- f, 4 ,, \it ' ' ') . , k R if,., c 1 i .._...1.ke, OA...AA.. ell iliza.„ " ., . ."-. ZJV. ' tyro"K Ar rAECEIV IWI',� •rmit # g / - S 6 APR 2 9 1991 CITY OF FEDERAL WAYw OiFFEAFA4`1 'h''" BUILDING PERMIT APPLICATION �� — Please Print— 'f—.nII— 4, BOX 1 TENANT NAME: 3 0 L Li OWNER M7 ' L. /aocL)/A)C• -77,J SITE LOCATION _30I Z4 /77'' Au e- Sck":70. OWNER'S ADDRESS 3Y o 2 54 /-STPLACE SO,4Pre CITY ,G' zXoc71-/.o,a.•-r PHONE 9.52--:,--ei/3 DESCRIBE JOB (',>/nse f ,J, / THE PROPERTY IS OWNED BY: MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME "1, D 44K-K CciV, CONTRACTOR'S REG. # ARakc 41-11cCC Card MUST be presented CONTRACTOR'S ADDRESS0; '' 2-6°5 S _ _c: c CITY -, _?AL. t jq� PHONE 9SZ- 33`�� EXPIRATION DATE 1 /, I L-- — 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 KO fJ +it Tvz_S PHONESS.-33 q Ce BOX 4 SEWER DISTRICT File- ?-L ,,,}.:-y WATER DISTRICT ,) BOX 5 ESTIMATED PROJECT COST Y-z-on oD EXISTING BUILDING VALUATION (] BOX 6 PROPERTY TAX ACCOUNT NUMBER t ' -2 c-,.o r 7.c — O , LEGAL DESCRIPTION (f-[- IL A-o6ZR-19c= ,012,4it=4- tyi.T -pc,.--I- X24-coYz-nc j Un( i 41 f3,, , -4c)-c/I (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # yOD?o5o 3i 1 CA- S'cYD_t)(ea(7 e BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR a / 7-413 2ND FLOOR c-, / Scb 3RD FLOOR / BASEMENT / DECK I . GARAGE /$S4/ BOX 8 9) SINGLE FAMILY (X) NEW CONSTRUCTION 7°7 54 ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 33 7,,3 SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. .. WATERCLOSETS GAS PIPING, FEET too ' $ 3sa Z BATHTUBS NO. ! FURNACE, ELEC. (75 GAS I $ fid6'2 3 SHOWERS 1 GAS HOT WATER HEATER $ 65' • Lf LAVATORIES V CONVERSION BURNER $ 7- SINKS 0 BOILER, SIZE BTU $ I DISHWASHERS V AIR HANDLING UNITS $ 4s ELECTRIC HOT WATER HEATER 0. HEAT PUMPS, SIZE $ I LAUNDRY WASHER OUTLET 9 UNIT HEATERS $ I URINALS 2( AIR COOLING UNITS, SIZE $ e DRINKING FOUNTAINS $ COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ g DRAINS OTHER $ $ I (Q TOTAL FIXTURES X S c ^ 9D°° TOTAL MECHANICAL FEE $ a`a2 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 WHIN PERMIT APPLICATION IS MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND.ATTORI4EYS' ,, 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 CURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION;'0 , ----- YI-c- OWNER/AGENT: ' DATE: '/ r` r r ANP-000 wok,,i toms 21 m mm C)4 T mus v+ <O aZ • r f • 4 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THISZINE) ZONES /SoSETBACKS: FRONT Zo SIDE 5' REAR 5 ' HEIGHT LIMIT 30 c PLANNING DEPARTMENT APPROVAL ,2°/ Z lir /•e•-9/ REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL `-- DATE_7 if ` / REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL • . DATE.7777"/( REMARKS: 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 R 3 ft// TYPE OF CONSTRUCTION y./I/ STORES fwo /5' crie,o, B ILDING SQ. FT. al 73 @ 701 9° = i2o agl • 70 02h1 h/ BUILDING SQ. FT. il50 • @ 702 " = ()1 q(,,5, 60 4wvk - BUILDING SQ. FT. `( @ /C(3° _ I (c I "77. 2p BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ = 0 5Q, Yon . 96 BUILDING SQ. FT. @ MaOni2- K ,1 g = TOTAL SQ. FT. 9.267 TOTAL VALUATION a a--1/ 9/3 _ c)-- BUILDING 3BUILDING DEPARTMENT REMARKS: u`C PERMIT FEE / 16ciNs- PLAN CHECK FEElJA 707 PLUMBING FEE 9d MECHANICAL FEE an TOTAL BLDG. FEES PART P/C FEE ( ?1C C) SEPA REVIEW __ i 4t5 -- S.B. C. FEE y OTHER FEES AMOUNT DUE littille•5-C, ASSIGNED ADDRESS: =x'e eJ-1---R‘ Side, L Amount e�, C ARTI DateL y?�CK FEE RECEIVED Receipt# ei BUILDING DEPARTMENT APPROVAL RECEIVED BY - ./-)769-44----v DATE 7/97 97 ACCEPTED FOR FILING, i Or RECEIVED 0 • Permit # g I _ s 6 i/r._, APR 2 9 1991 CITY OF FEDERAL WAY :�1rc�/ w "7` cm"IFFE FRAv .h.A' BUILDING PERMIT APPLICATION ` ` ���9 eutumotp7 — Please Print— Elf-- f^ / BOX 1 TENANT NAME: OWNER Pt, L. / ,AlC72i1 ) SITE LOCATION 30/25 /77'' Aug 5-4-c), c lo. OWNER'S ADDRESS 31t o 254. /57"roL4cc So APT e CITY L'�z? 4L-t e--r PHONE '2_5-2--7 t i 3 DESCRIBE JOB eA✓ns ke' idc3tJ SA,:.,y(r IA/ fLe_a 10.,,ic� THE PROPERTY IS OWNED BY: StNGtf-/MARRIED / PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 'N2 D k:-/-1,K C-(svzy, CONTRACTOR'S REG. # N4/-1.Kc-d-ar-Iit"rn c Card MUST be presented CONTRACTOR'S ADDRESS; 26o 5 3�c PL_ CITY Ie�'r1..+L GOA-al PHONE 1Si-374 EXPIRATION DATE 7, fj/ — 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 KED I iJ 1)6 TILS PHONEC z-33 Li, BOX 4 SEWER DISTRICTL1 t 4L 014-Il WATER DISTRICT - BOX 5 ESTIMATED PROJECT COST "Ioc�, cTo t0 EXISTING BUILDING VALUATION C..7 BOX 6 PROPERTY TAX ACCOUNT NUMBER 'cs?(2,0' zr)- o LEGAL DESCRIPTION 4j:4 IL A-be-LA-19t trc sF E Sha ac- e9 Jnl. ►a9 pp P -5/0-41 l<tAet (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # 'Cf)"7U z7 j 1 i ',.c� ; /4 r f/ $1 BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR c5 / 741 3 2ND FLOOR c7 / g9) 3RD FLOOR / BASEMENT / DECK____/ ' GARAGE /$11 BOX 8 (\) SINGLE FAMILY O) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 332.2') SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. 5 WATERCLOSETS GAS PIPING, FEET 1c_,,: ' $ 3So 2 BATHTUBS NO.____L FURNACE, ELEC. �/ GAS I $ )Q' 3 SHOWERS _GAS HOT WATER HEATER $ 6'' el LAVATORIES sV CONVERSION BURNER $ 'Y SINKS 0 BOILER, SIZE BTU $ t DISHWASHERS J' AIR HANDLING UNITS $ ce ELECTRIC HOT WATER HEATER 52HEAT PUMPS, SIZE $ i LAUNDRY WASHER OUTLET 9( UNIT HEATERS $ 05 URINALS 0( AIR COOLING UNITS, SIZE $ d DRINKING FOUNTAINS (/ COMMERCIAL HOOD $ q5 SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ 0 DRAINS $ OTHER $ TOTAL FIXTURES $ X S °°'- 9(l°° TOTAL MECHANICAL FEE $ ob°g 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. �i OWNER/AGENT: Cd--4XDATE: / ' . ANP-008 3/90 'NO • Y a OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) • (J i , .1 ZONE S S.CSETBACKS: FRONT_ 1 SIE _S 1 REAR S 1 HEIGHT LIMIT ?--'e"-'1 PLANNING DEPARTMENT APPROVAL 57-6- -9( REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE ,.57a--40/ REMARKS: 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 P3 TYPE OF CONSTRUCTION _ J/// STORES 11J0 / • -{/vc, BUILDING SQ. FT. of` 7-3 @ 701 a) = %; "J fi•er BUILDING SQ. FT. g S d @ 7d 9° _ ' , 5 64,,ale_ BUILDING SQ. FT. i36 If @ !g'O = 7 BUILDING SQ. FT. @ = ' 3 BUILDING SQ. FT. @ .a/C/ik/L W. . ge = BUILDING SQ. FT. @ _ TOTAL SQ. FT. 4,/a2 4 7TOTAL VALUATION /yf� BUILDING DEPARTMENT REMARKS: PERMIT FEE 04. PLAN CHECK FEE A9 ! PLUMBING FEE "it0 MECHANICAL FEE aO TOTAL BLDG. FEES t9'71 1 PART P/C FEE y cf U' J SEPA REVIEW S.B.C.C. FEE OTHER FEES -- AMOUNT DUE ASSIGNED ADDRESS: RECEIVED PARTIAL PLAN CHECK FEE RECEIVED APR 29 1991 Amount 0 ` Ti 9i w Date 7?--ql Receipt# � 21S CITY OF FDFIAL WAY BUILDING DEPARTMENT APPROVAL BUILDING DEPT RECEIVED BY , './ . )'�.•' ,9(...,.71,-, DATE /. '' Z/ ACCEPTED FOR FILING