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91-101090 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91-1042 MH OWNER'S NAME ROSS KIRK JOB ADDRESS 3001 S 288TH #19801 CONTRACTOR BETTER HOMES ADDRESS 21920 PACIFIC HIGHWAY S DES MOINES CONT. PHONE 824-1445 CONT. REG. NO. BETTEH513D4 OWNER'S PHONE 878-1840 EXTQLM ADDRESS 23421 MILITARY ROAD S KENT 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. 042104-9232-08 LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE_ . (. --- / DATE OF APPLICATION 8-7-91 BUILDING INFORMATION ZONE RM 3600 OCCUPANCY R3 TYPE OF CONSTRUCTION BLDG. SQ. FT. 1248 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 5,491 .20 PLANNING DEPT APPROVAL: NO ENCROACHMENT, BUILT OR DEVELOPED, MAY BE PERMITTED IN GREEN BUILT AREA BEHIND MOBILE SITE. PERMIT FEE 81 -00 - DB 8-12-91 PLAN CHECK FEE 53-00 FIRE/BUILDING DEPT APPROVAL: MM 8-13-91 •LUMBING FEE ECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE - SEPA REVIEW DATE: ,C- / WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE 4.50 AMOUNT: $1388.50 OTHER FEES RECEIPT: 3 0 2 7 AMOUNT DUE 132_ 50 ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S 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: ./ ..," / ti OWNER OR AGENT DATE �', CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 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 ISSUED 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 NNIMG DEPT APPROVAL: 90 ENCROACR ENT, =MILT OR DEVELOPED, (.AY BE P?..RMITTS IN GREEli SUILj AREA 9ERIND 7-10BIT,R SITE. PERMIT FEE Da 8-12-91 PLAN CHECK FEE E/BUILDI;;}f, DEPT APPROVAL: NM R--13.9'. •UMBING FEE CHANICAL FEE TOTAL BLDG. FEES _ PART P/C FEE SEPA REVIEW dAT ; WATER SERVICE ---____...._.,,.,,___ ._____ WATER MAIN CHG. MOUNT; *138.50 S.B.C.C. FEE �� OTHER FEES .11..:CIP �� j'� AMOUNT DUE _ DA ✓ ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERRY RE 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: Nic.....14) OWNER OR AGENT DATE SET BACKS AND FOOTINGS 0.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 - 760> 6 4.) .t • •mit # q \ b *- AUG 7 sal ,OF FEDERAL MAY CITY OF FEDERAL WAY �...� BUILD,NGD BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER ROSL Kte_ ( SITE LOCATION e.mmtn- .3QuiA 3ev/ se 2....A5-14-1 (/' OWNER'S ADDRESS a3�A —" 4.n,\\ Rci 3 CITY jK4 v k WA A PHONE 8'18 /8Yo f!:I DESCRIBE JOB 10,3 kk AivA0 \ 'No THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME / 1:1/F fC /10'14 S CONTRACTOR'S REG. # /31,-)q Card MUST be presented CONTRACTOR'S ADDRESS a►`t?D c Icy CITY A 5 PHONE $2-`f'/9 5/3 EXPIRATION DATE 7— -31 — — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF F REGISTRATION. BOX 3 CONTACT PERSON 13,11 eRw,S MA u 137-�o- ‘b PHONE 8 z ci- BOX 4 SEWER DISTRICT %/d1f RA I i Ay WATER ISTRICT — � BOX 5 ESTIMATED PROJECT COST3r OOH . of EXISTING BUILDING VALUATION L .� l�I�i►r BOX 6 PROPERTY TAX ACCOUNT N MBER 64-t Z/t? / - S 1e A D LEGAL DESCRIPTION t•\In 4i" et (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR CZ7`t / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ 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 W SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ A OTHER A TOTAL FIXTURES $ TOTAL MECHANICAL FEE $ I CERTIFY U DER PE ALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BESTOEMY OWLEDGE AND FURT RTHAT IAMAUTHORIZED BYTHE OWNER OFTHE ABOVE PREMISES TOPERFORM THE WORK FOR WI4HPERMITAAPPLICATION IS MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,.EXPENSES,ANBD 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: DATE: E?"-- ?/ ANP-008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) t h. ZON r (Z ETBACKS: FRONT .:=9 "/ SIDE 3 I /0-1 REAR /6' ' HEIGHT LIMIT --rx; . !'�' 1 h. PLANNING DEPARTMENT APPROVAL e//�l/ i %'' Y1 :� ii` ".i4 REMARKS: /b �� 0Y' / ' `� .,(A.- yteivil zr-tztr, .4,1c,/ e/ . ,4W SEPA: EXEMPT NOT EXEMPT \\ FIRE DEPARTMENT APPROVAL rVI%C.V .4. LI Y tOv eV1/4_ DATE 48'(3 AI REMARKS: • PUBLIC WORKS DEPARTMENT APPROVALnn DATE REMARKS: A//A 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 R3 TYPE OF CONSTRUCTION STORES traftstecktoti BUILDING SQ. FT. 124/$ @ 5- = 6,2 Li o BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ = BUILDING SQ. FT. @ Aalie x . 4? = BUILDING SQ. FT. @ = TOTAL SQ. FT. gays TOTAL VALUATION 5y?/• to BUILDING DEPARTMENT REMARKS: PERMIT FEE •DQ PLAN CHECK FEE ,•O• O NO C4rPo S �� T MECOA) 17j.' tt MECHANICAL FEE •f, TOTAL BLDG. FEES /3 f•a6 PART P/C FEE SEPA REVIEW S.B.C.C. FEE 1/56 OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: lac) .1. Zi tt' 3' , PARTIAL PLAN CHECK FEE RECEIVED N Amount Date Receipt# i .-coifir 44 BUILDING DEPARTMENT APPROVAL RECM BY Ai/G L. MONA DATE 13 IV ACCEPTED FOR FILING tt 5 F/-1 c C l _:L i Ca „,. eg 1.4.! s lgi i w. 44/. 1‘ , i 4C. lit . iii r„... U T Lu Q 6 a 4 1,,I \ Ni, ta z i , ` , _ Li) 1 , CV 4.1 , , , 0 ,.<___, -.> _v 1 �' ' -‹: --->”I : --e.\ 0 ]i. 'I'0 .40 PROP05 1; aG' le X He MOB/LE At. % I- $ Q w f-�6r�E S J� \o c\iit (1_ \II 3 �o - v v O vl iJi •; Jilhil 1 f 1, ‘.... 2 1 '7' 8 11\ 1-,... -8 ..gte 80. 01 10 ' . Li-)i in \I ...____________ i ExtsT,NG NA ' SPACE / 9 8 0 3 ! C1