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92-100950 CITY OF FEDERAL WAY 9,1- TO gb- 0 33530 First Way South BUILDING PERMIT661-4140BUILDING INSPECTION Federal Way, WA 98003 PERMIT NO. 92-967 CA OWNER'S NAME PAYLESS DRUG STORE SITE ADDRESS 31009 PACIFIC HIGHWAY S CONTRACTOR TENANT CONSTRUCTION Smu ES INC 6620 NE 79TH CT PORTLAND OR CONT.PHO P3-254-3008 CONT.REG.NO. TENANCS116CG EXP. 293 OWNER'S PHONE_ _ OWNER'S ADDRESS 9275 NW PEYTON LAND WILSONVILLE TYPEJOB: NEWRESIDENCF ADDITION NEW INDUSTRIA' NEW COMMERCIAL COMMERCIAL ADD.XX INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 002104-9062 LEGAL DESCRIPTION LOT BE RC SHORT PLAT 677167 ISSUED BY JOANNE JOHNSON DATE OF ISSUE 7- ).7-1- DATE OF APPLICATION 6-26-92 BUILDING INFORMATION ZONE BC SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY B2 TYPE OF CONSTRUCTION VN CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES LUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 1 ELEC.HOT WATER HEATER 1 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 1 MISC. BBQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES3X5= $15.00 DRYER TOTAL MECHANICAL AMOUNT VALUATION 12,000 PLANNING DEPT APPROVAL: MT 6-30-92 PERMIT FEE 135.00 FIRE DEPT APPROVAL: PK 7-1-92 PLAN CHECK FEE 88.00 PLUMBING FEE 15.00 BUILDING DEPT APPROVAL: RC 7-14-92 MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS •S.B.C.C.FEE 4-50 9 FIRE FEE 7-00 DATE: -0177 OTHER FEES AMOUNT: $249.50 AMOUNT DUE 249.50 RECEIPT: Li Cf 31�. I • 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 AGENT14S1j\eQ4DATE .7 — "7 -9 CITY OF FEDERAL WAY 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, 661-4140 1 PERMIT NO. OWNER'S NAME SITE ADDRESS ICONTRACTOR _ _ _ _. 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 (PONE _ _ 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 AggECHANICAL FEE 1111FART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE FIRE FEE DATE: 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 -3E MET. OWNER OR AGENT --_-_ ____ _ _ DATE______ SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE--_-.... BY .... _-.... - DATE BY ._._ DATE 7`--.2...7 ?7 BY ! PLUMBING R UGH IN WATER LINE O.K. _...... MECHANICAL INSPECTION 610DATE (6 _BY _. GAS PIPING O.K. ___.-_ DATE .....-.._..-_ BY O.K. TO ENCL SE FRAII�I(� ' y�I / INSULATION WALL BOARD AND FIRE WALL�'/f�Z/�� •.�4, DATE OP) G�/l /111 .. DATE -.........BY .. _ DATE ___,F7...._‘?/5_ .._..BY =!/-_ .. FINAL O.K. TO OCCUPY DCD PSD FD DATE__. ...._ BY__._.-. -...... - 7- 9— 9 z () c/A:,v/ZA',I c>OR 1es',9ri/v G o.,e- • • • RECEIVED , do Permit # 4.)-' 91_02----' i JUS 61992 . •01'1'Y OF FEDERAL WAYCITY OF FEDERAL WAY . CA W /3W' BUILDING PERMIT APPLICATION -Please Print- BOX 1 TENANT NAME: >L i 1/2 A ss &z.- ij,_ j OWNER ' " L.* _/LuSITE LOCATION D/ <e k -,e. _ .re u4 OWNER'S ADDRESS _I . CITY G(///so<v/<// v,e PHO 7.5? ) 0 DESCRIBE JOB £<YAn' ..77np/zou sst /A�-.09~ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION , t-- BOX 2 CONTRACTOR'S NAME j Y#4-✓/( 9,vs e7<(.31. Seeid i-t_r.Z c CONTRACTOR'S REG. #7.A.-4-//FA,e.-5.//6e.g- Card MUST be presented CONTRACTOR'S ADDRESS ' 0-C) /Yid 79/1X ell; CITY77�/�i+'0/(J�• PHONESa3 0?•5 3C4 EXPIRATION DATE ___rry3 `0) - OR— I HAVE READ CHAPTER 18.27.010 RELATING T o1* I 'NS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON /4/Aiv ilt/�c-/roi PHONE-ZS.- ,5 V-,?MO BOX 4 SEWER DISTRICT t�// WATER DISTRICT BOX 5 ESTIMATED PROJECT COST /Z 600 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 111o2. O' - b 9 --- LEGAL LEGAL DESCRIPTION I Or. kr.. L` $ tesrT' p 1 Q. ----- ')(9 (If necessary, please submit a separate page with the legal description.) r K.C. Plat Recording # --F ' BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOFj'/6t7/ 2ND FLOOR I 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY - ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) (J EXISTING STRUCTURE COMMERCIAL/INDUSTRIAL OTAL AREA OF PROPERTY Q-. 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 $ I SINKS BOILER, SIZE BTU $ DISHWASHERS AIR HANDLING UNITS $ I 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 $ ?c} = (1.60 TOTAL MECHANICAL FEE $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KN LEDGE 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 EMPL►YEES, /ON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. / / OWNER/AGENT' ' A DATE: Z ' ---. 6. - ' / ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) 't ,— ZONE SETBACKS: FRONT NP SIDE Na' REAR Pce -EI HT LIMIT /�/� PLANNING DEPARTMENT APPROVAL MIL IOW.' Ir Vio , O�"�' G S o`t L • REMARKS: 1CQ0 tf i SEPA: EXEMPT X NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE 7/1 NZ- -REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: /1)74 TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT k NEW MULTIFAMILY (UNITS MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY 13Z TYPE OF CONSTRUCTION i. STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION Z7 666 BUILDING DEPARTMENT REMARKS: PERMIT FEE r 3 s PLAN CHECK FEE 95`x' PLUMBING FEE /n MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE /' s-d OTHERFEESFp F -e 7,00 AMOUNT DUE < ASSIGNED ADDRESS: See PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL C/ RECEIVED BY �—L DATE 7 --(Li ( ACCEPTED FOR FILING