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92-100611CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT 9�- /o o 6 l/ BUILDING INSPECTION 661-4140 PERMIT N9.2-0642 P OWNER'S NAME MTI SITE ADDRESS 33701 9TH AVE S BLDG "C" CONTRACTOR GV PLUMBING & CONST ADDRESS 141 VALENTINE CT PACIFIC CONT. PHONE 735-1344 CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS _ TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. _INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS _) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 926480-0190 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUEICL -DATE OF APPLICATION 4-22-92 BUILDING INFORM ION NE - SET BACKS: FRONT ---SIDE-- REAR - _ HEIGHT LIMIT OCCUPANCY _ _TYPE OF CONSTRUCTION--__ CENSUS NO. _TYPE OF HEAT BLDG. SQ. FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS _ URINALS _ GAS HOT WATER HTR. AIR HANDLING UNIT _ NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS OROR DRAIN BBO RETURNED BASIC FEE IT FEE _ _ DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE FEE 26.50 WERTCHANICAL P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE <, _f f FIRE FEE - DATE: ! OTHER FEES AMOUNT: 26.50 AMOUNT DUE 26.50 - RECEIPT: U 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 ___ - _ CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. _ OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. EXP. OWNER'S PHONE _ OWNER'S ADDRESS TYPEJOB: NEW RESIDENCE ADDITION _ NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. _ NEW PUBLIC PUBLICADD. NEW MULTI -FAMILY_ (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION NE SET BACKS: FRONT SIDE _ _ _ REAR _ _ HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SO. FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING _ FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS _ _ MISC. _ BBQ BASIC FEE DISHWASHERS _ TOTAL FIXTURES DRYER _ TOTAL MECHANICAL _ _ 4iAA9LINT VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE L/ FEE 0AECHANICAL RT P/C FEE J SEPA REVIEW I /Y PUBLIC WORKS wv_ S.B.C.C. FEE FIRE FEE DATE: O� OTHER FEES AMOUNT: AMOUNT DUE - RECEIPT: ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE Y R AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE ABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT _ DATE SET BACKS AND FOOTINGS OX TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK 4�� _ . ... ... . DATE . ........ . . BY . . . .. ....... . . .... ..... -_ DATE ... . --_....----BY . . ....BY DATE PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION GAS PIPING O.K. __ DATE --BY O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL DATE __ -.-- . ..___BY ___ . .. ... .... . DATE ___. - __BY DATE BY FINAL O.K. TO OCCUPY DATE - - __ ___ BY PSD 9-91 APR 2 2 1992 CITY OF FEDERAL WAY` fYOFPEDeRA.WAY BUILDING PERMIT APPLICATION WIU)ING MPrr. — Please Print — BOX 1 TENANT NAME: M 'T- '-T- OWNER T OWNER -z , c' SITE L CATION 7)_5 J 0 1 �1 TH N 0 E _ ilkiLo L OWNER'S ADDRESS L fit j f469 `Q - ,ITY 13ct-L u ` PHONE DESCRIBE JOB FLc��ti2 V PVA k j J�j 9S.n�; c� THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME LL /vS� _CONTRACTOR'S REG. # (,GC ' Jq'Z' Card MUST be presented CONTRACTOR'S ADDRESS _ 1 4�\ V ALE -AT 1 A) Z Q 1 CITY N-1 IFI'(- PHONE ') _�- J .� 144 EXPIRATION DATE `•7l Is I Ci'L 0 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 'f PHONE C r BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST �%��' EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUM 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 ()G) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) N0. WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TOTAL FIXTURES MECHANICAL APPLIANCES — BASIC FEE $ GAS PIPING, FEET $ N0. FURNACE, ELEC. GAS $ GAS HOT WATER HEATER $ CONVERSION BURNER $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ AIR COOLING UNITS, SIZE $ COMMERCIAL HOOD $ OTHER $ 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- 11c �-- DATE: AP 4, 199 2— ANP-008 3/90