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91-101677 CITY OF FEDERAL WAY 9V-/0/ 677 33530 Federal FiWay, WA 98003 661 4 rst Way South BUILDING PERMIT BUILDING INSPECTION140 PERMIT NO. 91-1627 OT OWNER'S NAME OUR SAVIORS BAPTIST CHURCH SITE ADDRESS 32003 8TH AVE S CONTRACTOR JOHN GLUM CONSTRUCTIOI�,,DDREss 2728 SW 341ST STREET FEDERAL WAY CONT.PHONE 838-7419 CONT.REG.NO. JOHNCC133N7 EXP. 2/92 OWNER'S PHONE 839-6822 OWNER'S ADDRESS 701 S 320TH FEDERAL WAY 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 RE—ROOF SINGLE FAMILY RES TAX ACCOUNT NO. 609390— 0340-05 LEGAL DESCRIPTION BLOCK 4, LOT 1 NINELAKE PARK #1 _ UMW a *ISSUED BY JOANNE JOHNSON DATE OF ISSUE KI DATE OF APPLICATION 11-20-91 BUILDING INFORMATION ZONE - 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. RETURNED SINKS _ MISC. BBQ BASIC FEE - DISHWASHERS - _ TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION 3,000 BUILDING DEPT APPROVAL: KC 11-21-91 PERMIT FEE 54.00 PLAN CHECK FEE 35.00 PROVIDE A MINIMUM "CLASS "B" ROOF .LUMBING FEE MECHANICAL FEE _ PART P/C FEE SEPA REVIEW - - - PUBLIC WORKS ^ S.B.C.C.FEE 4.50 +� (/ /�1('i FIRE FEE DATE: OTHER FEES - ----- AMOUNT: $93.50 AMOUNT DUE 93-50 RECEIPT: 44 1)-3 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 `�. v — C _ ___-__ DATE AI CITY OF FEDERAL WAY 33530 First Way South BFederal Way, WA 98003 UILDING 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 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 _ _ __ 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. RETURNED SINKS MISC. _ BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT _ VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PART P/C FEE Vtiktlik SEPA REVIEW - PUBLIC WORKS / ' / S.B.C.C.FEE �� / FIRE FEE DATE: _ DN OTHER FEES - AMOUNT: AMOUNT DUE - - - RECEIPT: 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 SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE BY DATE BY DATE BY PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION DATE . BY 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 DCD PSD FD DATE BY 411.4L-- 1 p EIVED • Perm ck16) -I NOV 20 le CITY OF FEDERAL WAY o ' O+TVOfFt D R ..wAy BUILDING PERMIT APPLICATION BU -Please Print— BOX 1 TENANT NAME: N 1 f OWNER _O '' S� i oties . • 1* CAA,SITE LOCATIOIi, ':2.00 3 . - 'l • , . OWNER'S ADDRESS - • . _ CITY t-- D. w :.. PHONE g.&=7--66,2.2 DESCRIBE JOB g.z._ 9 LIZc . Fc. THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION .0 BOX 2 CONTRACTOR'S NAME :1 p�v•- C-`a w• CCc,•..t - . CONTRACTOR'S REG. # 'O N c_ • - Card MUST be pres•nted CONTRACTOR'S ADDRESS ;Z,-`{i S `-J `3'1I S-\-- CITY '��i`A , PHONE c3�°'7K/q EXPIRATION DATE of/a$/�ja• 1 r — OR — I HAVE READ CHAPTER 18.27.010 RELATIN 0 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 ikfv CI k v,-\ PHONE g3 -1 `-ilei BOX 4 SEWER DISTRICT Wt" -e ' \ �JaviA W k 1)--1/4.117gER DISTRICT S40 06 AIC'C(AP-'• BOX 5 ESTIMATED PROJECT COST �(077° EXISTING BUILDING VALUATION 94,673-0 BOX 6 PROPERTY TAX ACCOUNT NUMBER 4011M -034/..0--OQ� v LEGAL DESCRIPTION Lok' A f P? 07-, 4t '-v s A Mr< (If necessary, please submit a separate page with the legalscription.) 1 7 K.C. Plat Recording# VoAtir_ u�2 4,9_ cA P\ eAnx_ BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /6 a/ 2ND FLOOR 6613 / 3RD FLOOR — / BASEMENT — I DECK /_ GARAGE J BOX 8 (?'•), SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (X) EXISTING STRUCTURE ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY L OOa t— 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 $ 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 $ D AINS $ THER _ $ TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY NOWLEDGE 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,tUPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF/ THIS APPLICATION. VNER/AGENT: '^'�`- CIL.--,..--- DATE: -4', ,Vf0 /7 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 REMARKS: 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 —(UNITS r"o8 ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER k T OCCUPANCY A3 TYPE OF CONSTRUCTION vN STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION 3 000 BUILDING DEPARTMENT REMARKS: PERMIT FEE 51( P��- ,�,/ PLAN CHECK FEE 3S �l' PLUMBING FEE � /� `�Ji� �� 'Gam► "� • MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE Prb✓( ��e u 6(il((/t . CkC.5 tad f- SEPA REVIEW S.B.C.C. FEE y s0 OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: Sex- t' (S PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE t(- ACCEPTED FOR FILING