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90-101461 ,CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 #437 TENANT: FARMERS INSURANCE PERMIT NO. _ 90-1679 CA OWNER'S NAME TOM AND JAN HICKERSON JOB ADDRESS 33516 9TH AVE S BLDG #15 CONTRACTOR RICHARDS CONST & PAINTIKREss 34016 9TH AVE S BLDG D SUITE 9 FED cWollrYpHoNE 838-1844 CONT. REG. NO. RICHACP132JA OWNER'S PHONE 251-8811 OWNER'S ADDRESS 6613 S 192ND PL STE. K-102 KENT,WA TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD.XXX INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTI. ADD SIGN GRADING OTHER TAX ACCOUNT NO._ 926925-0150-06 LEGAL DESCRIPTION LOT 7 OF THE PLAT OF WEST CAMPUS OFFICE PARK DIV 2 _ •SUED BY JOANNE_ JOHNSON DATE OF ISSUE it - 7 -f ) DATE OF APPLICATION 10-18-90 BUILDING INFORMATION ZONE OCCUPANCY _ B2_ TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 1 460 SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 1 ELEC. HOT WATER HEATER 1 GAS PIPING FT. BOILER RECEIVED BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINALS FORCED AIR FURNACE _ AIR HANDLING UNIT NUMBER LAVATORIES 1 DRINKING FOUNTAINS GAS HOT WATER HTR. _ figAT PUMP 6_50 RETURNED _ SINKS 1 MISC. CONVERSION BURNER BASIC FEE DISHWASHERS TOTAL FIXTURES1X5=2 0.0 0 UNIT HEATER TOTAL MECHANICAL 6.50 AMOUNT VALUATION 14,775.20 BUILDING/FIRE DEPT APPROVAL: KC 10-30-90 PERMIT FEE 162.00 iii.AN CHECK FEE 105.00 WUMBING FEE 20.00 MECHANICAL FEE 6.50 TOTAL BLDG. FEES PART P/C FEE DATE: 1 I- 7 U SEPA REVIEW 3 U a , / 0 WATER SERVICE AMOUNT: V WATER MAIN CHG. S.B.C.C. FEE 4_ 50 t1 ECEIPT: <.(- 0/ /:/?, j OTHER FEES F.D. 8-10 AMOUNT DUE 306.1 (1 CC: F.D. 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 BEM T: // -'-)ER OR AGENT< - "- al-------___ DATE I/— 7-52 U / A 31V0 1N3OV HO 1J3NMO :13W 38 11IM SIN3W3a1f103a AVM 1V1d303d d0 1110 318VOIlddV 3H1 0NV 39031MONN AW d0 1839 3H1 01 1031:1H00 0NV 3na1 SI 31N 18 03HSINdI1d NOI1VW1:1OdNI 3H1 1VH1 Ad11l30 I '30NVfSSI d0 31VO H31AV HV3A 3NO 3HIdX3 SIIWa3d DNIOVHD ONV 1VI1N3OIS31:1 'O31UV1S SI )IaOM ON AI 3ONVf1SSI H31AV SAVO OSL 3ElldX3 S11WIi3d TIY 3n0 iNnoiniv S33d a3H10 33d 0'0'9 S OHO NIVW 831VM 3OIn83S 83IVM M31A3a Vd3S _--. _ ---'--— 33d Old IaVd 1 S33d '0019 1V1• 33d 1VOINVHO 33d ON1801111d 333 NO3HO NVId 33d 11Wa3d 06-OE-OT DX :IVAOUddV Mal RUL4/9 Ifflifl ,vsL/41►1 NOIlVn1Vn INfOWV1VOINVH03W 1V1O1 83IV3H IINn S38111XId 1V101 S83HSVMHSIO 33d OISV9 83N8118 NOIS83ANO0 'OSIW SNNIS 03Nanl3a OSIW '81H 831VM IOH SVD SNIVINIIOd DNINNIEO S3I 1OIVAV1 839WfN IINn DN110NVH EIV 30VN8nd JIV 030aOd S1VNIan Sa3MOHS (S1NNv1 EOSS38d1NO0 SNIVaG Aa0NfV1 S8nUHJV9 03A1303a 831109 'ld DNIdId SVD 831V3H 831VM IOH '0313 S13SO10 83IVM ONOO '1WV '1WV S3ONVIlddV IVOINVH03W 'ON 'ON DNI9Wffld 110111 11-10131-1 S318OIS 8V31:1 MIS INOad SNOv913S ld 'OS '0018 NOIIOna1SNOO JO 3dA1 IONVdn000 3Nigink Ill NOIIVWHOdNI DNIO1In8 NOI1VOIlddV JO 31V0 3nSSI JO 31VO 19 03nSSi NOI1dIUOS30 1V031 ON iNI1000V XVI 1:13H10 ONIOVED NOIS 'aav '111nW ( am) AlIWVd-Il1fIN M3N aav 0118nd 0119nd M3N OOV 1vIa1Sn0NI 'OOV lVI083WWO0 1v1083011N00 M3N 1vIwsnaNI M3N NOIIIOOV 30N301S3a M3N :80f 3dAi SS3aa0V S,83NM0 3NOHd S,83NMO 'ON '038 'INOO 3NOHd '1N00 SS38OOV 8OIOV8INOO SS3aaaV 80f 31AIVN S,83NMO 'ON 111/0a3d 55sLON IIwEl 3 d DNialine ,_ AVM110 a3 NO1103dSNIJNlaiine / 9Al0(-Q6 '...t )4 O 04_ 4 \ iv ' J 1,.. ‘' rit -,' '') 11) ' ') \I ...\\ ..-.. : --..„ : , ,........ - \.„ O 1 ,L:,,, o cc 0S '�. } .(�) 7 O N 'a 0 CI) I zcc 1 _, 2 S L) NI s s l z ‘ --,-. ., z v,) 4_---- v N ,---.-, 1,„... 2 c.2. , 13 a 0 0 S co ''''f , NJ \ 7 V-.' SI zr4 v) -., \) O © w % ' 1 1 Lki 40 cr) \\://)''''t , .. is --1-: L-G _Li ,;\ , ''r N... ...Its. * T' 44( 14 S......_rN-J, \ O Y • \ \ I <3 -o .14' IA`v� n '�. ) w a ° N. a r . , L., ES EL- n Y < < < (i) < 0 A---' 0 \L 4'0 14. ) 1 ) .* .1-' ,L-'C) ‘ 0 z d , S' .. �' C 9' o J . 0 m m m ? SJ, 2 ` S.1)4 J -,-,) L% ,- ,i,.$ :),_ - .,-- . _, ._< - L - ,_,, ,) v.4 w . .4 O z 1 Q — a___, '7\ e�\ 1 m W t1J o tiJ J W 1 Z " 1 Pip it # q -(67qc- /�T CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print— Mailing BOX 1 TENANT NAME: Farmers Insurance - Jan Hickerson Insurance Co./ 33515 10th P1. S. FW 98003 OWNER Tom and Jan Hickerson I1! ' CATION33516 9th Ave S. Bldg #15 FW, 98003 OWNER'S ADDRESS 6613 S. 192nd P1. , Ste. K-102 KentCITY Federal Way PHONE251-8811 952-881 gal DESCRIBE JOB Tenant improvement 98032 THE PROPERTY IS OWNED BY: SINGLE/MARRIED xx PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Richards Construction & Painting, Inc. CONTRACTOR'S REG. tpICHACP132JA Card MUST be presented CONTRACTOR'S ADDRESS 34016 9th Ave S. Bldg D Ste. cirry Federal Way PHONE 838-1844 EXPIRATION DATE 4/01/91 — 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 Wayne James or Rick Miller PHONE 838-1844 BOX 4 SEWER DISTRICT Federal Way Water's Sewer Dist. WATER DISTRICT Same BOX 5 ESTIMATED PROJECT COST$4o,000.00 EXISTING BUILDING VALUATION S 500,000.00 BOX 6 PROPERTY TAX ACCOUNT NUMBER 926925-015C-06 LEGAL DESCRIPTION Lot 7 of the plat of West Campus Office Park Division 2, recorded in volume 103 of plats, at pages 148.15 Records of King County, Washington (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1460 pq.Ft. 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( x) EXISTING STRUCTURE (x) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBINp FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ 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 1 7 $ A- S o LAUNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER _ $ —1—TOTAL FIXTURES $ Co 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. OF THIS APP(IN. lk � DATE: ( (' _ 37 - ANP-008 3/90 III II . OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: itIA- c to e ase occ lapt_ /SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL __r----L DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVALV(/1" DATE 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 6 TYPE OF CONSTRUCTION STORES z- (-<_.@— BUILDING SQ. FT. iy 6-0 @ 5--0 ` t✓ o = -7 ) 57C . c C BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ _ BUILDING SQ. FT. @ Woof c E(et = z 0_ 2-' BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION 1 9 7 75_ Zc BUILDING DEPARTMENT REMARKS: PERMIT FEE 16Z-`)`' PLAN CHECK FEE toS—' d`' PLUMBING FEE 2-0 - dd MECHANICAL FEE 6- 5—c:; TOTAL BLDG. FEES 2-73• s C PART P/C FEE o SEPA REVIEW c: S.B.C.C. FEE y`SO OTHER FEES F D 2e S•/ c AMOUNT DUE 3°6' I C.- ASSIGNED ADDRESS: Se_€ is f1(�cJ RECEIVED PARTIAL PLAN CHECK FEE RECEIVED OCT 1 8 1990 Amount Date Receipt# qTy OF FEDERAL WAY BUILDING DEPARTMENT APPROVAL BUILwoIAPT BY DATE t b 36 r crG ACCEPTED FOR FILING