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90-101268 9) -fa/a(S CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 (434) INSPECTION REQUEST LINE-946-6794 PEWIT NO.90-1468 RA OWNER'S NAME MICHELLE R KOCH JOB ADDRESS 30639 3 AVE SW CONTRACTOR DANSCO, INC ADDRESS 425 S 19 ST RENTON CONT. PHONE 228-8735 CONT. REG. NO. DANSCI17IO7 OWNER'S PHONE 839-3801 OWNER'S ADDRESS 2207 S 304 ST FEDERAL WAY TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER RESIDENTIAL ALTERATION TAX ACCOUNT NO. 556000-0371 LEGAL DESCRIPTION LOT 10 BLOCK 3 MIRROR LAKE VILLAGE RECORDED IN VOL _ 64 OF PLATS PG 94 IN KING CO ISSUED BY ELIZABETH SNYDER DATE OF ISSUE / (6 3 V DATE OF APPLICATION 9/10/90 II BUILDING INFORMATION NE NA OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SO. FT 864 SF ET BACKS: FRONT 2O SIDE 5 EACH REAR_ 5 STORIES EXISTING HEIGHT LIMIT 30' MAX PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER BATHTUBS LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER LAVATORIES 1 DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC. SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES 3 X 5.OQINIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $26,256.00 PLANNING DEPT APPROVAL: NO CHANGE IN USE/OCCUPANCY PERMIT FEE $265.00 _ BUILDING DEPT APPROVAL: KEVIN ELLIS ON 9/27/90 PLAN CHECK FEE 172.00_ PLUMBING FEE 15.00 FIRE DEPT APPROVAL: NA MECHANICAL FEE TAL BLDG. FEES11 $452_00 PUBLIC WORKS DEPT APPROVAL: NA RT P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE $4.50 OTHER FEES DATE PAID ':_, 3 - t.-.' AMOUNT 456.50 RECEIPT ,,.'' , . / 7 . (- 3 AMOUNT DUE $ 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 '�' �- ( DATE . ` CITY OF NG 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. SIGNGRADING _ OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUEDATE 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 1� a.� il�ils € lti it ` ' ak./ VALUATION 5U/LDING DEPT .APPROVAL.: KEVIN ELLIS ON 9/27/90 PERMIT FEE PLAN CHECK FEE PLUMBING FEE ___— 'IRE DEPT APPROVAL: NA MECHANICAL FEE TOTAL BLDG. FEES .'UBLIC WORKS DEPT APPROVE..: NA PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE WIT PAID "40UNT 456 50 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 M, J 1 J ,,_ 4- ‘,„ J , m z m m 4 \�/' O o w \,,,, o M . c„, z ,i„ ,„ , u... z z• I z I m V m < w Q a 0 2 0 5 o Itiv CI S a z 1 -- 0 m m Z\\ ‘4C l d J Z O �: r Q a_ O w w a 0 0 0 014 ZL -k ',. \i\ O i z 0. ,. Z � m m a m a m p z CC D _ w LL\ = oI Li- m o .. w 2 w F' w Q L.L. \ o a < O o o •••,..4 �� cf- 4 O // 0 ermit # )c-) —/y« /4 CITY OF `ri RAL WAY ., BUILDING PERMIT APPLICATION — Please Print— 1 TENANTNAME: 1'4 ,�1,%-.1I p, . K , ( 1,, OWNER T1-°'rr P, A' oft/ SITE LOCATION -3a� 3 ` � Pr.) S s OWNER'S ADDRESS L 2 0 7 S o D`t CITY fC d-r i.I " -1 PHONE rl 3 Y• 3e0 I DESCRIBE JOB 74-00, rri� t v A24(.;*:: F- Ki.::C., AL": THE PROPERTY IS OWNED BY: SINGLE/MARRIED /1A An lap PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME %u CONTRACTOR'S REG. # DIs►'S 1Irv?' Card MUST es CONTRACTOR'S ADDRESS rI 1S c.�� ry CITY R e Nr-L-.) v./a PHONE 2-2 4 - 73�r EXPIRATION DATE y 2 3 ' I o — 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 1-1 C Py cp-`n‘-- 1<'`0-H PHONE S 3 3 `' c 1) BOX 4 SEWER DISTRICT .'- -d«h-1 o 1) WATER DISTRICT rt-d--e,,I i.i-y BOX 5 ESTIMATED PROJECT COST /,t o U m EXISTING BUILDING VALUATION /6 s civ ..BOX 6 PROPERTY TAX ACCOUNT NUMBER 53-40 , 0 •- 0.311 - 0 2-- LEGAL DESCRIPTION L' t I v' 6 Lc) (-AL 3 J r"t I ,Q,Lc►L L -kc. _v, fj_Avi: 446,ta,40 14i V •.L•,-rb. i.,.-14= r P ,L -ri P!L YY in; )4 I.•i3 Ca C . L•19-. (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 742 / 2 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE -- / 5 7C. BOX 8 (X) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY F y 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 $ I LAVATORIES CONVERSION BURNER $ 1 SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ I LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER— $ DRAINS $ OTHER $ 3 TOTAL FIXTURES $ ?(T I S. v G 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: l DATE: 7 — / 0 - t 0 / ANP-008 3/90 0 r - OFFICE USE ONLY (PLEASE14T-WRITE BELOW THIS LINE) y — ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: ^/(4- N ((A kS Q.- 6 CC ula ry c- , SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL N�� { DATE REMARKS: \ \ PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: /1174- 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,. iF TYPE OF CONSTRUCTION .:r N STORES Lf v ( (tiqBUILDING SQ. FT. 2.--,, E' @ 6 q• .0a = /q'$7 Z \ \ ()ok req BUILDING SQ. FT. 76 @ 17- ?d = �'Q6 ti ` g ,/ BUILDING SQ. FT. @ BUILDING SQ. FT. @ /!/fod( �(e('= 0 58 BUILDING SQ. FT. @ = BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION 2-6 Zs6. 3$ BUILDING DEPARTMENT REMARKS: PERMIT FEE 9-‘c-. co PLAN CHECK FEE 17z, c) PLUMBING FEE 15Th 0 MECHANICAL FEE O TOTAL BLDG. FEES iIS7-- ` c'c' PART P/C FEE o SEPA REVIEW a S.B.C.C. FEE Y" O OTHER FEES o AMOUNT DUE 1/C6. Cc) ASSIGNED ADDRESS: 5e e e--IC( S`f < <^ v) PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY �`-� DATE ACCEPTED FOR FILING