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91-100053 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 #434 91 '1 6053 PERMIT NO. 90-0033 RA OWNER'S NAME FRED RAPHAEL JOB ADDRESS 32342 9TH AVE S CONTRACTOR WELRER CONSTRUCTION ADDRESS 19256 SE 49TH ST ISSAQUAH CONT. PHONE 391-7703 CONT. REG. NO. WELKEC*121PL OWNER'S PHONE 839-6861 OWNER'S ADDRESS 32342 9TH AVE S 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 _ TAX ACCOUNT NO. 150241-0230-04 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUEf - 4 L / DATE OF APPLICATION 1-7-91 • 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 SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 2X5= 10.00 UNIT HEATER TOTAL MECHANICAL —_ AMOUNT VALUATION 19,000 FIRE/BUILDING DEPT APPROVAL: MM 1-15-91 PERMIT FEE 198.00 PLAN CHECK FEE 12_9-0_0 � UMBING FEE 10-00 CHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE AMOUNT: $341.50 WATER MAIN CHG. S.B.C.C. FEE 4. 50 DATE: l - I 4i1 OTHER FEES / � AMOUNT DUE 341 . 50 RECEIPT: I / 6,- / 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: ' 'ER OR AGEN ~�..a....-.-. _A DATE ��' -�� I 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 "fitiVALUATION '`kW4.IA IN G DEPT APPROVAL"' 1-15-91 4,00 PERMIT FEE .� PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE :'*"T '341.5_ WATER MAIN CHG. S.B.C.C. FEE 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 0 1 'I i `L I J Y CO Z m CO CC o 1 W Z \., ItZ CC I _I 0 c\,.,.\1\. , i it A'NI, 0 < It \:..t 0 w v I- Q F v J, 1� a < 2 o o , 1 i t'-' 4 a \"Ir r.:\ rn so Jar _J ‘..) i - m 1 2 O Y Y i •-. 0 O O .�I J 0 Z z v - (71) O z a_ � w a a J 't < < CO z a` L O c o — o o 4 C 0 , , 'L Is' .."..:-Tss.". "i' 4- Ni t\ up Q - 0 --- 2- ...°'• . -\i 1 o O ^` u- \ CJ ct} .x.x zz O O cc , 11_ O ' � �`,, LI a m ` 'o \ L Q J Q ra� z Q Ci) a V • 1.)-u_ D �_ • •mit # ---- O 0 3 te4 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— 46a41 M =' BOX 1 TENANT NAME: OWNER /CRED Rryp/IAW SITE LOCATION 323 L 9t! I-UE S. OWNER'S ADDRESS SPM A-S p-aso € CITYcEDEeAL w,47 PHONE 139-486/ DESCRIBE JOB KrfchREA-oOFI THE PROPERTY IS OWNED BY: SINGLE/MARRIED )( MAW.PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Jam.L IZ CON S i L tfK341/4,/ CONTRACTOR'S REG. # KIEL-k6c"I Z!Pi_ Card MUST be presented CONTRACTOR'S ADDRESS !'Y7-5 ' 5E 4941' 54 CITY /sSAQuA1-1 PHONE 39/- 7703 EXPIRATION DATE /h — 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 /7An/Qy I & -1.-E .. PHONE 39l•7703 BOX 4 SEWER DISTRICT FEp. WATER DISTRICT _1E'O• W4 1 BOX 5 ESTIMATED PROJECT COST NOM /9,000 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER N -/50 -2-q/ - oz ', -o y[ 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 $ 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 $ vi TOTAL FIXTURES $ 1)<- = 10°3' 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 EMPLOYEE UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGEN : /(.�c�� DATE: / '`J/ ANP-008 3/90 O • OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT_ SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL 1\/ (A- REMARKS: AREMARKS: 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 (UNjTS , ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION Vit/ STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ = TOTAL SQ. FT. TOTAL VALUATION , i BUILDING DEPARTMENT REMARKS: PERMIT FEE Q 8 PLAN CHECK FEE !3 PLUMBING FEE 1 C)°Q MECHANICAL FEE TOTAL BLDG. FEES 73 7 PART P/C FEE SEPA REVIEW S.B.C.C. FEE 115o OTHER FEES AMOUNT DUE 3 y/ 30 ASSIGNED ADDRESS: PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE ACCEPTED FOR FILING