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91-1006261 CITY OF FEDERAL WAY BUILDING PERMIT 9)"/v -66D BUILDING INSPECTION 941-1555 PERMIT NO. 91-591 NR OWNER'S NAME L HENDRICKS/JENSEN JOB ADDRESS 29130 9 PT, S CONTRACTOR WINDSOR CUSTOM HOMES ADDRESS 204 SW 193 PL SEATTLE CONT. PHONE 824-0803 CONT. REG. NO. WINT)SCITn93KC 5/92 OWNER'S PHONE OWNER'S ADDRESS 933 S 291 ST FEDERAL WAY TYPE JOB: NEW RESIDENCE_ XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER --- AND GARAGE/DECK TAX ACCOUNT NO. 515330-0010 LEGAL DESCRIPTION LOT 1 MARINE VIEW FOREST ISSUED BY FLL7.ABETH-SNYDER DATE OF ISSUE DATE OF APPLICATION 5/7/91 BUILDING WIF&ImAnON ZONE RS 9.6 OCCUPANCY R -3/M-1 TYPE OF CONSTRUCTION 5—N BLDG. SQ. FT. 5160 SET BACKS: FRONT 20' SIDE 5' EACH REAR 5v STORIES 2 W/ BSMT HEIGHT LIMIT 30 y MAX PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. ***GAS HEAT* * * AMT. BOND WATER CLOSETS 4 ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER BATHTUBS _3 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED SHOWERS 3 URINALS FORCED AIR FURNACFAS 10.00 AIR HANDLING UNIT NUMBER _ j,AVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC. SINKS -3 MISC. CONVERSION BURNER BASIC FEE RETURNED DISHWASHERS 1 TOTAL FIXTURES 20 X $5-0-0- UNIT HEATER TOTAL MECHANICAL 20.00 AMOUNT NONE $226,621.00 VALUATION PLANNING DEPT APPROVAL FIRE DEPT APPROVAL = LORI SCHILL = KEVIN ELLIS PERMIT FEE $1084.00 PLAN CHECK FEE 705.00------135.00 PLUMBING FEE 100.00 PUBLIC WKS APPROVAL = TOM COLLINS ECHANICAL FEE 20.00 $1909.00 BLDG DEPT APPROVAL = MIKE MONEN OTAL BLDG. FEES ls -PD 5/7/91/EPA ART P/C FEE570.00)-- REVIEW #2963ATER SERVICE DATE PD AMT #1378.50 RE' CT WATER MAIN CHG. 4.50 S.B.C.C. FEE OTHER FEESP. WKS. 35.00 1378.50 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 W ` OWNER OR AGENT DATE CITY OF FEDERAL WAY BUILDING PERMIT 9) - !of) 6 .) 6 BUILDING INSPECTION 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 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 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 FIXTURESS. UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION `j� PLAMING DEPT APP'R( AL s FIRL DEPT APPROVAL = LORI SCSILL KEVIN FLLIS PERMIT FEE PLAN CHECK FEE PLUMBING FEE PUBLIC WKS APPROVAL - TOM COLLINS •CHANICAL FEE $4� i DEPT APPhWA..:, = '•4UXE YONEN JTAL BLDG. FEES PD 517/91 PART PIC FEE 33 f2963 SEPA REVIEW WATER SERVICE DATE PD I j AW #1378.50 RE 1 C i � I 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: bWNER OR AGENT DATE 0 • SET BACKS AND FOOTINGS DATE ._ '� y� BY _ _ S__ ._ .__-- OX TO POU FOUNDATION WALLS DATE u _ "BY .. _—__ PLUMBING GROUNDWORK DATE _0 - 2 /. V ___. BY PLUMBING ROUGH IN Y-- DATE ��.4�s-.�_.....BYy2 WATERLINE O.K. `` .._-�_. �i GAS PIPIN O.K.�_____.. /`_�_ Mf CHAp�ICyA�LrI�NSPECTION K ef lI Ve— i �� - \ a(b- PPt.t-4-kkts occt DATE ��__�..` _BY 1`�C _.._ O.K. T1��N /F G 611 DATE _-.L�.� U // BY VVkLV� -. oz INSULATION DATE 12-/ 1_BY - - - ALL B ARD AND FIRE WALL DATE r yy� BY FINAL O.K. TO OCCUPY 9 DATE, �•-t�_ ___ BY _ X73 DCD TPSD FD 5;/'/L/fL to L� !7 2- _ ". LL /,r %, - S , 3 /!/! 5 V-L�X G G i L .moi' 1111 122c C y fc:CJ , L � / 2- 4%/ 1OG/2 - Ts T 'Da L — �z z 7-/1?P5 fz /3c/V C, W Nrny o� T/Z /� asfS //V • 13c -T RECCIVED MAY 0 7 1991 CITY OF FEDERAL WAY ' BUILDING PERMIT APPLICATION --- �-� CITY OFF FEDERAL WAY — Please Print 61Jil.t»vG DEPT. �� # 2n3 BOX 1 TENANT NAME: OWNER - • f'ft_ Jkj —lllJ'Q AJ SITE LOCATION t' re LJ r,6- OWNER'S �OWNER'S ADDRESS � oS CITY Few ` PHONE DESCRIBE JOB SPS THE PROPERTY IS OWNED BY: SI LE/MARRIED x . PARTNERSHIP CORPORATION CONTRACTOR'S ADD EXPIRATION DATE CITY "-9 PHON 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 mow► e, le:U PHONE�� BOX 4 SEWER DISTRICT I WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION ,,BOX 6 PROPERTY TAX ACCOUNT NUMBER / U U LEGAL DESCRIPTION + `� e U 1 (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 06 yj 2ND FLOOR 9'eY 3RD FLOOR / BASEMENT �'�/ED CK �� / GARAGES BOX 8 (x) 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. WATERCLOSETS GAS PIPING, FEET $ 3.Sp BATHTUBS NO. _FURNACE, ELEC. GAS X $ .3 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 $ NOTAL FIXTURES $ x = (06 _ -E�,Q TOTAL MECHANICAL FEE $ Z-0 0O 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 INAORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. :2 NNER/AGENT: DATE: ANP -008 3/90 I • • OFFICE USE ONLY (PLEASEr DO NOT*91TE RELOW THIS LINE) ZONE SETBACKS: FRONT Zoe SIDE S" REAR S HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT ►� NOT EXEMPT FIRE DEPARTMENT APPROVAL ��- - DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE512-1 1-7l 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 R3 'An TYPE OF CONSTRUCTION �ivy✓ BUILDING SQ. FT. xla�r BUILDING SQ. FT. 9�/-S l3u5e BUILDING SQ. FT. [�a✓c� BUILDING SQ. FT. d ec1l, BUILDING SQ. FT. �`�`I BUILDING SQ. FT. STORES @ qc _ @ if Zc = @ �$ ao = @ !ate = @ t1wg, X = f V gclQ 56 �q 70 11, fd 11NO , ab 025_7 ��• 20 TOTAL SQ. FT. 6 TOTAL VALUATION c21? 6 a • 3G BUILDING DEPARTMENT REMARKS: ECEIVED MAY 0 7 1991 Y OF FEDERAL WAY BUILDING DEPT. RECEIVED ASSIGNED ADDRESS: 0 q el PERMIT FEE PLAN CHECK FEE (� _ PLUMBING FEE _ MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE _ SEPA REVIEW _ F,w S.B.C.C. FEE OTHER FEES AMOUNT DUE PARTIAL PLAN CHECK FEE RECEIVED Amount -7 C Date _'�i - 7 -- � Receipt # 21 C 3 BUILDING DEPARTMENT APPROVAL BY _� DATE �iZ/ ACCEPTED FOR FILING RESIDENTIAL D£SIGNE (206)367-6408 GIG, �. X55 lb c��y�iybr ilio 3 "4 1 L,-) �,� 6.6- , �� -: L-4� 4 �, ,� lo r4 i -�-. r. s loq