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91-1006904 CITY OF FEDERAL WAY .,, BUILDING PERMIT 9/-/oo&9a BUILDING INSPECTION 941-1555 91-644 CA CENTER FOR COUNSELING AND Ll�M*Wfs.� 33919 9 AVE S #201 PERMIT NO. OWNER'S NAME JIMCO CONST 1112 S 344 ST #301 FEDERAL WAY 98003 927-4601 CONTRACTOR ADDRESS CONT. PHONE JIMCOC 76PP 2/92 927-8752 SAME 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. COMMERCIAL ALTERATION (TI) NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER 926480-0165 LOT 16 B KING CO SHORT PLAT 876019 TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY ELIZABETH SNYDER DATE OF ISSUE !_• -_Cl 1 DATE OF APPLICATION 5/16/91 BUILDING INFORMATION ZONE OP OCCUPANCY__ B-2 TYPE OF CONSTRUCTION 5-N BLDG SO. FT. 1225 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. 1 RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS _ TOTAL FIXTURES 1 X $5.00 UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE VALUATION $13,083.00 PLANNING DEPT APPROVAL = CORY SMITH PERMIT FEE $153.00 _ PLAN CHECK FEE 99.00 "INTERIOR REMODEL, NO CHANGE OF USE" PLUMBING FEE 5.00 MECHANICAL FEE _ — FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS TAL BLDG. FEES ---$257.00 PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. DATE PD AMT $269.15 RE' CT 4.50 S.B.C.C. FEE - N - OTHER FEES 4 j 7 - 65 $269.15 AMOUNT DUE ALL PERMITS EXPIRE 160 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNI BY TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: r / �� OWNER OR AGENT` '`.-- DATE CITY OF FEDERAL WAY BUILDING PERMIT BUILDI41 NG IN 55ECTION 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 �'JED 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 VALUATION PaA'NING DEPT APPROVAL = CORI. SMITH PERMIT FEE PLAN CHECK FEE IN.TERIDR REIL}DF.L PIS CHANGE OP L3^sS" MBING FEE * E•CHANICAL FEE — FIPX/BLDG DEPT APPROVAL a KEVIN ELLIS TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. nATF T n ANT $269.15 RE 0 C� . 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 J SET BACKS AND FOOTINGS DATE —_ ---BY _ __-- O.K TO POUR FOUNDATION WALLS DATE —....--- ....BY —___— -_ PLUMBING GROUNDWORK DATE __ ---__. BY PLUMBING ROUGH IN DATE _ -�21"`y�_.BY WATER LINE O.K. _.._... .._____ GAS PIPING O.K. —_ ._ MECHANICAL INSPECTION DATE O.K. TO ENCLOSE FRAMING DATE _/#_ BY . _t�P/ INSULATION DATE _ --- BY _— BY WALL BOARD AND FIRE WALL DATE C7 "� 2_�j BY FINAL O.K. TO OCCUPY - �DCD DATE _j�-BY _lie PSD FD Permit # %- RECEIVED CITY 6F FEDERAL WAY MAY 161991 BUILDING PERMIT APPLICATION CITY OF FEDEflAl. WAY — Please Print — lWil` aiwa QEPT, _ BOX 1 TENANT NAME: %&Z f70,cjO OWNER SITE LOCATION 53 C U S'UJ? j OWNER'S ADDRESS .Sem CITY IV HONE - DESCRIBE JOB C 77,04) �lJ ' D k— THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATIO !t/ IF — BOX 2 CONTRACTOR'S NAME JAIL" iU��1 'U T/O CONTRACTOR'S REG. ���Ap Card MUST be CONTRACTOR'S ADDRESS PHONE ��% — O% EXPIRATION DATE —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 t% PHONE V% — 1 BOX 4 SEWER DISTRICT WATER DISTRICT 1W BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION PROPERTY TAX ACCOUNT LEGAL DESCRIPTION (If necessary, please subm't separate pagewith the legal description.) K.C. Plat Recording # Z6A�f/ Z�� BOX fi BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST ,,11F� OR 1' / ��i 2ND FLOOR 3RD FLOOR / BASEMENTDECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. 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 $ DRAINS $ OTHER $ TOTAL FIXTURES $ �S = 5 . cv TOTAL MECHANICAL FEE $ 1 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 ISS 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 EMRLOYEF& UPON THE ACCURACY OF THE INFORMATION SUPP D TO THE ITY AS A PART OF THIS APPLICATION. OWNER/AGENT:��� �'6',�� DATE: �j ANP -008 3/90 OFFICE USE ONLY (PLEASE DO01�► T WRITE BELOW THIS LINE) ZONE —F SETBACKS: FRONTA SIDE /i/%Lr' REAR HEIGHT LIMIT PLANNING DEP TMENT APPROVAL REMARKS:�- SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: PUBLIC WORKS DEPARTMENT APPROVA REMARKS: DATE DATE 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 Z TYPE OF CONSTRUCTION ✓ti STORES BUILDING SQ. FT. ! ;-7, ZSR @ S- 3 • Y = 6 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ 'Mao6e� TOTAL SQ. FT. TOTAL VALUATION 3 3 BUILDING DEPARTMENT REMARKS: IECEIVED MAY 16 1991 y OF C DEPWAY RECEIVED PERMIT FEE (S3 PLAN CHECK FEE PLUMBING FEE 5 MECHANICAL FEE TOTAL BLDG. FEES �- G PART P/C FEE SEPA REVIEW S.B.C.C. FEE S O OTHER FEES ' '% /` Qe 7' 46 AMOUNT DUE ASSIGNED ADDRESS: SC-` - (s7-tC11 PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL ' 1 BY _ DATE • ACCEPTED FOR FILING