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91-100505 Aftmoriaft 4. 9/ -Jo oSos CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 91-461 P FEDERAL WAY MISSION CHURCH 405 S 312TH PERMIT NO. O�yr��g ,�gIv� B MTS—PLUMBING (bisTii AC;'1'1AVG ANC PO BOX 728 MAPL Y 432-7119 CONTRACTOR A DRE C NT. PH NE CONT. REG. NO. MTSPLCI164D7 OWNER'S PHONE OWNER'S ADDRESS 405 S 312T E1)ERAL 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. 082104-9009 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE LI — ( c — ‘il DATE OF APPLICATION 4-17-91 0 BUILDING INFORMATION ONE 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 7 . ELEC. HOT WATER HEATER 2 GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS _. _ FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES 10 DRINKING FOUNTAINS —3 GAS HOT WATER HTR. MISC. t SINKS 8 misc. PERMIT FEE 90-0 0 CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 2 TOTAL FIXTURES5X44= 270-OD UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION 240.00 PERMIT FEE PLAN CHECK FEE LUMBING FEE 220_00 CHANICAL FEE TOTAL BLDG. FEES DATE: (-( / f ` PART P/C FEE SEPA REVIEW AMOUNT: $220.00 WATER SERVICE WATER MAIN CHG. RECIEPT: -ii ." U ( V S.B.C.C. FEE 0 OTHER FEES 220.110 AMOUNT DUE ALL PERMITS EXPIRE 180 DAYS AFT' ' ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATIO /FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: �J OWNER OR AGENT i4I DATE �! 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 ISSUED 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 • *a PERMIT FEE #r' •PLAN CHECK FEEtilL?liti:''.' , f` UMBING FEE CHANICAL FEE .& TOTAL BLDG. FEES _ PART P/C FEE A SEPA REVIEW = 01113E ] WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES g 1. 1° .)°° 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 *41 o m a O a v a cn r > m - z Di . > C -I -4 M D m -4 m K m co O O \w n z !7 co D O • F!'1 33 i N � 1 co1 O CD z D D O • o m c N m -4 D v D 0 1 Z r O z O m z c33 O O ' I O C Z D Co CO z 1 D CD r- o 1 1 o 0 K 0 r- m-4 ,- m= m K • o '• • D co Z z D o 4- \ O j O \ O o m \Z o CO O ; 33 r i ik 1 i I I 00 „it # (- y r RECEIVED APR 1 7 1991 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION CITY OF FEt EAAL WAY — Please Print— BUILDING DEPT. i BOX 1 TENANT NAME: red[/ - CJI7 //11_17. --177)- --) C', c-,gyre-tl OWNER .._-)74/-3-76 SITE LOCATION `74,5 S• �i) S % OWNER'S ADDRES}, ; S • 3/c) S% CITY rLD, t -)/i y PHONE DESCRIBE JOB Crw2eM THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME I1\+TS• (2,,,-45-,7-1( C.., -,?AcrC'•2S I---i^1C', CONTRACTOR'S REG. # 1n 4 C-r/G.SiC1 Card MUST be presen •d CONTRACTOR'S ADDRESS AD• (3 ,.\ 7,J CITY ini er l///cc d_ PHONE `74 3;)'-7// r1 EXPIRATION DATE C9--2- !/ — 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 n1�-(-e sties PHONE `7 �)-•7// BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST' 5. �lo°° EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER O(*210 y - Hca9 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 (X) 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. 0 7 WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ k> LAVATORIES CONVERSION BURNER $ S SINKS BOILER, SIZE BTU $ ;2 DISHWASHERS AIR HANDLING UNITS $ 2 ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ 3 DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ ' DRAINS _ $ OTHER $ li4- 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 C T OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEE PON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. r OWNER/AGENT: t% -Al. C:1 -/ ) — 9 ANP-008 3/90 •• •• OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) riBVP,J 1 ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT $` A PLANNING DEPARTMENT APPROVAL YAW JAH J(H) ..I0 YTMO REMARKS: ridt1�V1tl�JiU 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: RECEIVED PARTIAL PLAN CHECK FEE RECEIVED APR 1 7 1991 Amount Date Receipt# c1-Ot QF FEO RAS WAY BUILDING DEPARTMENT APPROVAL °Utz BY DATE ACCEPTED FOR FILING