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91-100683 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 9)-/oadeg3 PERMIT NO. 91-636 FSS OWNER'S NAME FEDERAL WAY MISSION CHURCH JOB ADDRESS 405 S 312TH STREET CONTRACTOR WESTERN STATES FIRE PROTgqmON CO 7102 180TH AVENUE NE REDMOND WA CONT. PHONE 881-0100 CONT. REG. NO. WESTESF136QF OWNER'S PHONE OWNER'S ADDRESS 405 S 312TH STREET 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 FIRE SPRINKLER SYSTEM TAX ACCOUNT NO. 082104-9221 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE 6 --7-- - 2-/ DATE OF APPLICATION 5-15-91 BUILDING INFORMATION ZONE OCCUPANCY A3/E1 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 20544 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. SINKS MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION 28,925.95 FIRE/BUILDING DEPT APPROVAL: KC 6-27-91 PERMIT FEE 278.00 PLAN CHECK FEE 181.00 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE DATE: - - SEPA REVIEW WATER SERVICE AMOUNT: $693.00 WATER MAIN CHG. S.B.C.C. FEE 4.50 OTHER FEESF.D. FEES 229.50 RECEIPT: 3 S 3 7 AMOUNT DUE 693.00 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: OWNER OR AGENTa_44dL DATE__62/,_61bi 0 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 0 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 SUMBING FEE CHANICAL FEE TOTAL BLDG. FEES PART P/C FEE _ iT ; - + SEPA REVIEW WATER SERVICE :AIM:*Y'; $693.00 WATER MAIN CHG. S.B.C.C. FEE " =`Tro*'- .__— 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 o m 0 0 0 v 0 CO I— H Z - H C —H H m D m H m K m co ` \ CO LJij 'V 1 1 1 0c) 0 • Z > > o O 0 m C w m m m '-'{ D v W O —I - r W O Z Z O z O mc O W O O i C z 0 i > co co H -< I -< O z 1 D co r 0 o * 0 K 0 'O > > m > I- m-4 1- m= m K • � p co O Z Z D C) G) WO 0 r- W zcr) OC 1 0 v z -n m 0 m i 5 00 CO * 'W oz co 7 r I I l Permit # (--(0 Ro RECEIVED CITY OF FEC3ERAi_ WAY J MAY 15 1991 BUILDING PERMIT APPLICATION CITY OF FEDERAL WAY — Please Print- BUILDING DCPT. BOX 1 TENANT NAME: FE {zi . t1k14`t' M ISStOK; 1..)26 l S / OWNER SITE LOCATION Al'-4: OWNER'S ADDRESS 4t5 , 312-TV4 S['' • CITY L SAY PHONE DESCRIBE JOB t 'PrU- AtYrO - tG Ft iz 20t.;e.t.e2 SYS' THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION v BOX 2 CONTRACTOR'S NAME iiV t ST ►J ST tT 5 , Ftt? I>r1�1 Go.CONTRACTOR'S REG. #tAk6 *13 fvQF Card MUST be presented CONTRACTOR'S ADDRESS 1102 1,141:).11-4 NIE, CITY eCMDKY17 V\A PHONE 8c31 -ot o0 EXPIRATION DATE to- 2`t-`if — 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 QA-1'-1 PHONE 8g I O l OO BOX 4 SEWER DISTRICT WATER DISTRICT (E: LA- LAY BOX 5 ESTIMATED PROJECT COST 341), EXISTING BUILDING VALUATION 01\9<1.10u,11--i BOX 6 PROPERTY TAX ACCOUNT NUMBER CP-ibii. --LEGAL DESCRIPTION (If necessary, please submit a s arate 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 (A;PPN• ( ) MULTIFAMILY (NO. OF UNITS = ) (r) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 211 APPS-• 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 UND PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KN LEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLI ATION 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/A ELLT: DATE: i - /I ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) r t ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: /VA. SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL s • DATE 6-y REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL, DATE REMARKS: 4/4- 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 5�' r[ S(Ce( ,�4/1 OCCUPANCY /�� TYPE OF CONSTf6J ION VAV STORES (k_Wr _ BUILDING SQ. FT. 2-vi �` @ / /Go = r BUILDING SQ. FT. -'S LJ 4 @ = 3Z s 70 . BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ 44.66l�C�f 0 F BUILDING SQ. FT. @ TOTAL SQ. FT. TOTAL VALUATION 24-724r itIC 2--t BUILDING DEPARTMENT REMARKS: PERMIT FEE Z?$ PLAN CHECK FEE 1 S f PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES y S K PART P/C FEE SEPA REVIEW S.B.C.C. FEE Y` OTHER FEES F D Fee- ZZq• co AMOUNT DUE iN 4Q� ASSIGNED ADDRESS: Ste-- e---Y1S 7 ��0 PARTIAL PLAN CHECK FEE RECEIVED o)�� Amount Date Receipt# V �" BUILDING DEPARTMENT APPROVAL Q RECEIVED BY DATE 6 �� l ACCEPTED FOR FILING