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91-100434 91- '00 yby CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91-407 P OWNER'S NAME LOUIE BORT JOB ADDRESS 1927 S 369TH PL CONTRACTOR RICK THE PLUMBER ADDRESS 6706 255TH ST E GRAHAM CONT. PHONE 847-7239 CONT. REG. NO. RICKP**101KP OWNER'S PHONE 432-2413 OWNER'S ADDRESS 1927 S 369TH PL 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. 721265-0020 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE /IC 1 DATE OF APPLICATION 4-5-91 BUILDING INFORMATION SNE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. i BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER 1 GAS PIPING FT. BOILER BATHTUBS 3 LAUNDRY DRAINS 1COMPRESSOR TANK(S) RECEIVED SH'1WERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES 3 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. SINKS 1 MISc.PERMIT FEE 20.00 CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTUREd.3X5 = 65.00 UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION 85.00 PERMIT FEE PLAN CHECK FEE PLUMBING FEE 85.00 •CHAFHCALFEE TAL BLDG. FEES _ ` J PART P/C FEE DATE: .5.--/q. SEPA REVIEW (( WATER SERVICE AMOUNT: 85.00 WATER MAIN CHG. 4� S.B.C.C. FEE RECIEPT: OTHER FEES AMOUNT DUE 85.00 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 ME : p-� r, () v Yk�,� „ OWNER OR AGENT U ,C.., • OO CJC.� DATE //1 ), / •mit # - 4D74- r . -CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: eto,airtt OWNER 4 e. la-o SITE LOCATION OWNER'S ADDRESS 1ci • 3b9. F's . CITY Fe_oeadd_ ► )r`"1 PHONE LF3•)– 34l DESCRIBE JOB PILE THE PROPERTY IS OWNED BY: SINGL MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME P c r CONTRACTOR'S REG. # PV 1 k 1 Card MUT be prese ted CONTRACTOR'S ADDRESSCITY (1 PHONE 5'(1- EXPIRATION fEXPIRATION DATE S• / C14)' — 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 pt-t.) �1. \j c� . l . p-.e PHONE `�s 4( '� 3`p BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 1 1 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 J 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. 3 WATERCLOSETS GAS PIPING, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS GAS HOT WATER HEATER $ LAVATORIES CONVERSION BURNER $ SINKS BOILER, SIZE BTU $ I 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 $ 3 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: 41 ice. - CU- DATE: c> ANP-008 3/90 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. 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 UMBING FEE 1 •CHANICAL FEE _ TOTAL BLDG. FEES I C / / PART P/C FEE ATE: ... __ , ,_ / Trikittilliii / 111 SEPA REVIEW C t l WATER SERVICE t�' 25.00 OAS WATER MAIN CHG. :1 i S.B.C.C. FEE -':CTP;h'i': _....443 Y 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 y\�