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92-100757 CITY OF FEDERAL WAY 92 /0 D 7ECTION Way South 5'� FedeOral First BUILDING WA 98003 BUILDING PERMIT BUILDING INS 661 4140 PERMIT NO. 92-0788 P OWNER'S NAME ROY BOWINGTON SITE ADDRESS 30125 17TH AVE SW CONTRACTOR SELF ADDRESS CONT.PHONE CONT.REG.NO. -- EXP. OWNER'S PHONE 952-2913 OWNER'S ADDRESS 30125 17TH AVE SW FEDERAL WAY TYPEJOB: 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. 005070-0120-09 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE 5 - 2 DATE OF APPLICATION 5-20-92 BUILDING INFORMATION ZONESET BACKS:FRONT SIDE REAR HEIGHT LIMIT siCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES UMBING 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. ACKFLOW 5.00 RETURNED SINKS MIS BBQ BASIC FEE DISHWASHERS TOMS FEE 20.00 DRYER TOTAL MECHANICAL I AMOUNT 25.00 VALUATION RAINBIRD BACKFLOW PREVENTER APAS-075—P 3/4" PIPE CONNECTION PERMIT FEE PLAN CHECK FEE PLUMBING FEE 25.00 MECHANICAL FEE PART P/C FEE diEPA REVIEW ELIC WORKS S.B.C.C.FEE FIRE FEE DATE: S f 2 —7 OTHER FEES AMOUNT: 25.00 //ft)q AMOUNT DUE 25.00 RECEIPT: 0i �- L (l V 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. 4.--' 7 OWNER OR AGENT ��7 Z1%2; DATE /�;� /7 CITY OF FEDERAL WAY 33530 First Way South BUII_ DING 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 PERMIT FEE PLAN CHECK FEE PLUMBING FEE aECHANICAL FEE PART P/C FEE • SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE - / FIRE FEE - DATE: I/d OTHER FEES AMOUNT: \ VVV LL� 1-7 AMOUNT DUE RECEIPT: /���u� \,(t L 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 WIA .L 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 INSULATION WALL BOARD AND FIRE WALL DATE BY ....- DATE .. -.. _. _BY DATE - BY FINAL O.K. TO 0 CUPY DCD PSD FD DATE 6/S7 BY • • R EC IV ED termit # 9 -2 MAY 2 9 1992 CITY OF FEDERAL WAY +1 +v0"'et*IiALIIUILDING PERMIT APPLICATION - Please Print— BOX 1 TENANT NAME: OWNER J(-IC)V .4 • /3e;alo/✓ 7G=i0 SITE LOCATION OWNER'S ADDRESS &C/c..2,5— /2"4,9 E S4J CITY 7343?2,57( 60,4`i PHONE 6% DESCRIBE JOB '3 7/9 Lc —5,2 (-C 6A i ,Y) ? THE PROPERTY IS OWNED BY: SINGL /MARRIES PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Oc.) n v 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 Z.`.' Z. i''GU>ivc=TCr„ PHONE 1151--5 11L c� BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER ? (15- -- 01 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 $ X SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS AI/W5-a;'_s-y' $ OTHER /vf Ai le 42/twer ies✓ $ 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 ApCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: e A% ��' / DATE: "20 i' ANP-008 3/90 OFFICE U ONLY (PLEASE DO NOT WRITE BELOW THIS LICE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL 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 TYPE OF CONSTRUCTION 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 PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: �� PARTIAL PLAN CHECK FEE RECEIVED RE ED Amount Date Receipt# MA`I L 1892 BUILDING DEPARTMENT APPROVAL eF F.L.±Akl BY DATE ACCEPTED FOR FILING