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91-100838 � f0v c.' c3 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 "CITY OF FEDERAL WAY" PERMIT NO. 91-793 OT OWNER'S NAME LAURELWOOD SOUTH COMMUNITY COBBADDRESS 2306 S 293 ST CONTRACTOR OWNER ADDRESS 33530 1 WAY S FEDERAL WAY CONT. PHONE 661-4000 111 CONT. REG. NO. NA OWNER'S PHONE SAME OWNER'S ADDRESS SAME 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 CONSTRUCT PARK SHELTER TAX ACCOUNT NO._ LEGAL DESCRIPTION THAT POR OF THE NW OF SEC 4 TWN 21 NO R 4 EAST OF THE WILLAMETTE MERIDIAN ISSUED BY F.T,T 7.AF�ETH SNYDF.R DATE OF ISSUE ' / 3 ._'-i 7 DATE OF APPLICATION 6/14/91 BUILDING INFORMATION ZONE RS 7_2 OCCUPANCY M-L TYPE OF CONSTRUCTION 5-N _ __ _ BLDG. SQ. FT. 576 SET BACKS: FRONT 70' SIDE__ 5j' F.ACTI REAR__- 5' - STORIES NA HEIGHT LIMIT 30' MAX ^ 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 NONE. UNIT HEATER TOTAL MECHANICAL -NONE AMOUNT NONE VALUATION $6,640-00 PLANNING DEPT APPROVAL = BILL KINGMAN PERMIT FEE $90.00 PLAN CHECK FEE 59.00 FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS PLUMBING FEE • MECHANICAL FEE _ PUBLIC WKS DEPT APPROVAL = TOM COLLINS TOTAL BLDG. FEES $149.00 PART P/C FEE "DOWNSPOUTS SHALL BE CONNECTED TO PERFORATED PIPE IN GRAVEL TRENCH WHICH SHALL BE CONNECTED TO STORM DRAIN SYSTEM" SEPA REVIEW _ WATER SERVICE (SEE DETAIL) . WATER MAIN CHG. S.B.C.C. FEE 4-50 OTHER FEES P. WKS- 110-00 DATE PD AMT $263.50 RE'CT 5F J AMOUNT DUE $263.50 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 UE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: OWNER OR AGENT - - DATE /C- /- f , CITY OF BUILDING INSPECTION FEDERAL WAY B I L D I N G PERMIT,= 941-1555 Uit- _ opco- -- i 5.?r2 �_ 5% 4 to op 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. SO. 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 PLANNING DEPT APPROVAL = RYT,'_ 'K7r!`, PERMIT FEE f PLAN CHECK FEE 1''�'a'RE/ `t3LDG DEPT APPROVAL = _"t"_.:`: i :.. _____ LUMBING FEE PYLIC wKS DFPT APP "oV J.: = T0' Cc CHANICAL FEE _ TOTAL BLDG.FEES PART P/C FEE x P i v "I'T CH cPAT...L SEPA REVIEW _ (SEE s T;TAI L) . ' WATER SERVICE WATER MAIN CHG. �� / � S.B.C.C. FEE DA� OTHER FEES .7t.f•G' 1e7. e:--a 33 3 5 AMOUNT DUE ii 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: �.� 1 OWNER OR AGENT DATE Nks-41 • • SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE -e-y....I BY_... '13 ...... 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 - - • ermit #Plece �� T3 rvE° br' JUN 1 1991 AY CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION CITY pfiUAAI W eut.�iNG DEp — Please Print— r. BOX 1 TENANT NAME: e_'LUB Ric, OWNER 44 fgQ7--Lei 6d9 ,rri mfUNir'/ SITE LOCATIO► 3 - s , OWNER'S ADDRESS .33-1-.3-c-; < <-'-'4CITY i ) PHINE Car I-- 40L)' DESCRIBE JOB PARK StL C7'&TL , THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME D ffr`Z CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE 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 -�-Rd 2 D D, PHONE -'5-Z-`-o-6' BOX 4 SEWER DISTRICT - WATER DISTRICT BOX 5 ESTIMATED PROJECT COST g',-25-00 EXISTING BUILDING VALUATION — BOX 6 _PROPERTY TAX_ACCOUNT NUMBER 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 (x) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY / P'3C-Fe SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. WATERCLOSETS GAS PIP G, FEET $ BATHTUBS NO._ FURNACE, ELEC. GAS $ SHOWERS HOT WATER HEATER $ LAVATORIES CON -RSION BURNER $ SINKS BOILER, •IZE BTU $ DISHWASHERS AIR HANDL G UNITS $ LECTRIC HOT WATER HEATER HEAT PUMPS, IZE $ LAUNDRY WASHER OUTLET UNIT HEATERS $ UR ALS AIR COOLING UNI , SIZE $ DRI ING FOUNTAINS COMMERCIAL HOOD $ SUMP' SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ TOTAL FIX RES $ 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: 16 .(/ DATE: �// / ANP-008 3/90 OFFICE UONLY (PLEASE DO NOT WRITE BELOW THIS LI 7_ONEtLS1.7, SETBACKS: FRONT Av r SIDE , 5 9 REAR 5 HEIGHT LIMIT 30 r PLANNING DEPARTMENT APPROVAL &-)4- q(' . REMARKS: k SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE - zS- 7 l REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL -7-6- DATE 7.21 7/ REMARKS: Dowok'sp et LA, S ..$(4/9-G4- L ".4'- GQ+JNELTGJ TO /7.6.ar--t>•a/tT/-ks0 r,v•E /&./ 4,0_40c L T+2Er.tGt� .vid►4 5th e l� criAbsIE C70.0 77' S 7-09,42,"1 17/2.4-0-4 5 Y ST 4 dy ( c'$i #967? L- ), TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT ,X NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT_ NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION ibt) STORES 5 BUILDING SQ. FT. Y7c @ t3( (4-' = 7 ,5-cfs. 60 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ = BUILDING SQ. FT. @ -AlD0((-( tv- = - c . 88 TOTAL SQ. FT. TOTAL VALUATION 6 6 6 e l 3 BUILDING DEPARTMENT REMARKS: PERMIT FEE q° PLAN CHECK FEE 3---q PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES /`{ ef PART P/C FEE SEPA REVIEW /06,2 -if//off_ S.B.C.C. FEE IleSU OTHER FEES AMOUNT DUE 4- I•c-/\, ASSIGNED ADDRESS: 130( Sa , 'f 3�'� i' i u' PARTIAL PLAN CHECK FEE RECEIVED V w 'ag ti d Amount Date Receipt# Og 440 BUILDING DEPARTMENT APPROVAL q RECE9ED BY - DATE 6-ZS CI( ACCEPTED FOR FILING , ., • r '40 . . , ,.. ...„,...„..„ \ i /- -. ------- - -... ..N\\, //r •r• 7 ''-- '-'------ .-e) I,\7- -‘ I - 'TexP,IS T=D NaPt12-6-- - FRI V Pt-I-6' 17267P/ 1 1\ 5-, Fi:r5TK. FILE